臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

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Resource Profile: 腦中風－吸菸狀態

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource，以呈現腦中風病人目前吸菸或過去吸菸的狀態。結果同時填 SNOMED CT 標準碼與本 IG 的吸菸狀態細分代碼。

記錄病人目前吸菸或已戒菸。一筆 Observation 代表單一來源記載的吸菸狀態。同一來源、同一病人、同一調查時間（依來源記錄的日期與時間判定，包含時區確認前只保留在原始值題目或 StrokeEventTimeOnly 的時間）只建一筆，不同來源各自建立。來源若無吸菸狀態、代碼無法辨識或缺少實際調查時間，不建立本 Resource，原始值保留在 StrokeRegistryResponse。每日吸菸量與吸菸年數不記錄在此 Profile。

Usages:

• Use this Profile: 腦中風－個管系統個案資料包 and 腦中風－EVT 登錄個案資料包
• Examples for this Profile: Observation/stroke-smoking-status-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationSmokingStatus	吸菸狀態觀察值 Constraints: obs-6, obs-7, tw-core-7, tw-core-8, stroke-smoking-status-1, stroke-smoking-status-2
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category	S This element must be supported.	1..*	CodeableConceptTW	觀察值分類 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore	S This element must be supported.	1..1	CodeableConcept	社會史類別。[固定為 social-history] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.code	Σ This element is included in summaries.	1..1	code	社會史 Required Pattern: social-history
Observation.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConceptTW	吸菸狀態。[固定為 LOINC 72166-2] Binding: SNOMED CT + LOINC 吸菸狀態種類向值集 (extensible) Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		調查時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	觀察的結果或發現 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	吸菸狀態。[SNOMED CT 代碼加吸菸狀態細分代碼] Binding: SNOMED CT 吸菸狀態綜合評估值集 (extensible)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding	Σ This element is included in summaries.	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	SNOMED CT 吸菸狀態。[77176002 或 8517006]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	吸菸狀態細分代碼。[填 1、2、3、Current 或 Past] Binding: 腦中風－吸菸狀態細分值集 (required)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.dataAbsentReason	C	0..1	CodeableConcept	缺值原因。[本 Profile 必填 valueCodeableConcept，不使用] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:twcore	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	SNOMED CT + LOINC 吸菸狀態種類向值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept	Base	extensible	SNOMED CT 吸菸狀態綜合評估值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept.​coding:smokingStatusDetail	Base	required	腦中風－吸菸狀態細分值集	📦0.1.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
stroke-smoking-status-1	error	Observation	valueCodeableConcept 的 SNOMED CT 代碼限填 77176002（Smoker）或 8517006（Ex-smoker）。	value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct').all(code = '77176002' or code = '8517006')
stroke-smoking-status-2	error	Observation	SNOMED CT 代碼須與吸菸狀態細分代碼對應：1 或 Current 搭配 77176002；2、3 或 Past 搭配 8517006。	(value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '1' or code = 'Current')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '77176002').exists()) and (value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '2' or code = '3' or code = 'Past')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '8517006').exists())
tw-core-7	error	Observation	Observation.code 72166-2|Tobacco smoking status or 11367-0|History of Tobacco use SHALL use valueCodeableConcept。	code.coding.where(code in '72166-2'|'11367-0').exists() implies value.is(CodeableConcept)
tw-core-8	warning	Observation	For Observation.code 401201003|Cigarette pack-years or 782516008|Number of calculated smoking pack years SHOULD use valueQuantity。	code.coding.where(code in '401201003'|'782516008').exists() implies value.is(Quantity)

This structure is derived from TWCoreObservationSmokingStatus

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationSmokingStatus	吸菸狀態觀察值 Constraints: stroke-smoking-status-1, stroke-smoking-status-2
Observation.status		1..1	code	結果狀態。[通常填 final；無法確認時填 unknown]
Observation.Slices for category				Content/Rules for all slices
Observation.Slices for category.category:twcore		1..1	CodeableConcept	社會史類別。[固定為 social-history]
Observation.code		1..1	CodeableConceptTW	吸菸狀態。[固定為 LOINC 72166-2] Required Pattern: At least the following
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
Observation.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]		1..1	dateTime, Period	調查時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.Slices for value[x]				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity		0..0		以數值表示的結果
Observation.Slices for value[x].value[x]:valueCodeableConcept		1..1	CodeableConcept	吸菸狀態。[SNOMED CT 代碼加吸菸狀態細分代碼]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding		2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus	S This element must be supported.	1..1	Coding	SNOMED CT 吸菸狀態。[77176002 或 8517006]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.display	S This element must be supported.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail	S This element must be supported.	1..1	Coding	吸菸狀態細分代碼。[填 1、2、3、Current 或 Past] Binding: 腦中風－吸菸狀態細分值集 (required)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.display	S This element must be supported.	0..1	string	Representation defined by the system
Observation.dataAbsentReason		0..1	CodeableConcept	缺值原因。[本 Profile 必填 valueCodeableConcept，不使用]
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x]:valueCodeableConcept.​coding:smokingStatusDetail	Base	required	腦中風－吸菸狀態細分值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
stroke-smoking-status-1	error	Observation	valueCodeableConcept 的 SNOMED CT 代碼限填 77176002（Smoker）或 8517006（Ex-smoker）。	value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct').all(code = '77176002' or code = '8517006')
stroke-smoking-status-2	error	Observation	SNOMED CT 代碼須與吸菸狀態細分代碼對應：1 或 Current 搭配 77176002；2、3 或 Past 搭配 8517006。	(value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '1' or code = 'Current')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '77176002').exists()) and (value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '2' or code = '3' or code = 'Past')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '8517006').exists())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationSmokingStatus	吸菸狀態觀察值 Constraints: obs-6, obs-7, tw-core-7, tw-core-8, stroke-smoking-status-1, stroke-smoking-status-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.extension		0..*	Extension	Additional content defined by implementations
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	此觀察的申請依據
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	此觀察所屬的更大程序
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category	S This element must be supported.	1..*	CodeableConceptTW	觀察值分類 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore	S This element must be supported.	1..1	CodeableConcept	社會史類別。[固定為 social-history] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:twcore.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:twcore.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:twcore.coding.code	Σ This element is included in summaries.	1..1	code	社會史 Required Pattern: social-history
Observation.Slices for category.category:twcore.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:twcore.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:twcore.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConceptTW	吸菸狀態。[固定為 LOINC 72166-2] Binding: SNOMED CT + LOINC 吸菸狀態種類向值集 (extensible) Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		調查時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam)	執行觀察的人員
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	觀察的結果或發現 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	吸菸狀態。[SNOMED CT 代碼加吸菸狀態細分代碼] Binding: SNOMED CT 吸菸狀態綜合評估值集 (extensible)
Observation.Slices for value[x].value[x]:valueCodeableConcept.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueCodeableConcept.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding	Σ This element is included in summaries.	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	SNOMED CT 吸菸狀態。[77176002 或 8517006]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	吸菸狀態細分代碼。[填 1、2、3、Current 或 Past] Binding: 腦中風－吸菸狀態細分值集 (required)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for value[x].value[x]:valueCodeableConcept.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.dataAbsentReason	C	0..1	CodeableConcept	缺值原因。[本 Profile 必填 valueCodeableConcept，不使用] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(TW Core Specimen)	觀察使用的檢體
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence)	包含的相關觀察項目
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Simple Observation | MolecularSequence)	此觀察的衍生依據
Observation.component	Σ This element is included in summaries.	0..*	BackboneElement	Component results
Observation.component.id		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations
Observation.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.component.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.component.value[x].valueQuantity			Quantity
Observation.component.value[x].valueCodeableConcept			CodeableConcept
Observation.component.value[x].valueString			string
Observation.component.value[x].valueBoolean			boolean
Observation.component.value[x].valueInteger			integer
Observation.component.value[x].valueRange			Range
Observation.component.value[x].valueRatio			Ratio
Observation.component.value[x].valueSampledData			SampledData
Observation.component.value[x].valueTime			time
Observation.component.value[x].valueDateTime			dateTime
Observation.component.value[x].valuePeriod			Period
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:twcore	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	SNOMED CT + LOINC 吸菸狀態種類向值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept	Base	extensible	SNOMED CT 吸菸狀態綜合評估值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept.​coding:smokingStatusDetail	Base	required	腦中風－吸菸狀態細分值集	📦0.1.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
stroke-smoking-status-1	error	Observation	valueCodeableConcept 的 SNOMED CT 代碼限填 77176002（Smoker）或 8517006（Ex-smoker）。	value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct').all(code = '77176002' or code = '8517006')
stroke-smoking-status-2	error	Observation	SNOMED CT 代碼須與吸菸狀態細分代碼對應：1 或 Current 搭配 77176002；2、3 或 Past 搭配 8517006。	(value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '1' or code = 'Current')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '77176002').exists()) and (value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '2' or code = '3' or code = 'Past')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '8517006').exists())
tw-core-7	error	Observation	Observation.code 72166-2|Tobacco smoking status or 11367-0|History of Tobacco use SHALL use valueCodeableConcept。	code.coding.where(code in '72166-2'|'11367-0').exists() implies value.is(CodeableConcept)
tw-core-8	warning	Observation	For Observation.code 401201003|Cigarette pack-years or 782516008|Number of calculated smoking pack years SHOULD use valueQuantity。	code.coding.where(code in '401201003'|'782516008').exists() implies value.is(Quantity)

This structure is derived from TWCoreObservationSmokingStatus

Summary

Mandatory: 8 elements
Must-Support: 9 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x].coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationSmokingStatus	吸菸狀態觀察值 Constraints: obs-6, obs-7, tw-core-7, tw-core-8, stroke-smoking-status-1, stroke-smoking-status-2
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category	S This element must be supported.	1..*	CodeableConceptTW	觀察值分類 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore	S This element must be supported.	1..1	CodeableConcept	社會史類別。[固定為 social-history] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.code	Σ This element is included in summaries.	1..1	code	社會史 Required Pattern: social-history
Observation.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConceptTW	吸菸狀態。[固定為 LOINC 72166-2] Binding: SNOMED CT + LOINC 吸菸狀態種類向值集 (extensible) Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		調查時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	觀察的結果或發現 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	吸菸狀態。[SNOMED CT 代碼加吸菸狀態細分代碼] Binding: SNOMED CT 吸菸狀態綜合評估值集 (extensible)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding	Σ This element is included in summaries.	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	SNOMED CT 吸菸狀態。[77176002 或 8517006]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	吸菸狀態細分代碼。[填 1、2、3、Current 或 Past] Binding: 腦中風－吸菸狀態細分值集 (required)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.dataAbsentReason	C	0..1	CodeableConcept	缺值原因。[本 Profile 必填 valueCodeableConcept，不使用] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:twcore	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	SNOMED CT + LOINC 吸菸狀態種類向值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept	Base	extensible	SNOMED CT 吸菸狀態綜合評估值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept.​coding:smokingStatusDetail	Base	required	腦中風－吸菸狀態細分值集	📦0.1.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
stroke-smoking-status-1	error	Observation	valueCodeableConcept 的 SNOMED CT 代碼限填 77176002（Smoker）或 8517006（Ex-smoker）。	value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct').all(code = '77176002' or code = '8517006')
stroke-smoking-status-2	error	Observation	SNOMED CT 代碼須與吸菸狀態細分代碼對應：1 或 Current 搭配 77176002；2、3 或 Past 搭配 8517006。	(value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '1' or code = 'Current')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '77176002').exists()) and (value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '2' or code = '3' or code = 'Past')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '8517006').exists())
tw-core-7	error	Observation	Observation.code 72166-2|Tobacco smoking status or 11367-0|History of Tobacco use SHALL use valueCodeableConcept。	code.coding.where(code in '72166-2'|'11367-0').exists() implies value.is(CodeableConcept)
tw-core-8	warning	Observation	For Observation.code 401201003|Cigarette pack-years or 782516008|Number of calculated smoking pack years SHOULD use valueQuantity。	code.coding.where(code in '401201003'|'782516008').exists() implies value.is(Quantity)

Differential View

This structure is derived from TWCoreObservationSmokingStatus

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationSmokingStatus	吸菸狀態觀察值 Constraints: stroke-smoking-status-1, stroke-smoking-status-2
Observation.status		1..1	code	結果狀態。[通常填 final；無法確認時填 unknown]
Observation.Slices for category				Content/Rules for all slices
Observation.Slices for category.category:twcore		1..1	CodeableConcept	社會史類別。[固定為 social-history]
Observation.code		1..1	CodeableConceptTW	吸菸狀態。[固定為 LOINC 72166-2] Required Pattern: At least the following
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
Observation.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]		1..1	dateTime, Period	調查時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.Slices for value[x]				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity		0..0		以數值表示的結果
Observation.Slices for value[x].value[x]:valueCodeableConcept		1..1	CodeableConcept	吸菸狀態。[SNOMED CT 代碼加吸菸狀態細分代碼]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding		2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus	S This element must be supported.	1..1	Coding	SNOMED CT 吸菸狀態。[77176002 或 8517006]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.display	S This element must be supported.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail	S This element must be supported.	1..1	Coding	吸菸狀態細分代碼。[填 1、2、3、Current 或 Past] Binding: 腦中風－吸菸狀態細分值集 (required)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.display	S This element must be supported.	0..1	string	Representation defined by the system
Observation.dataAbsentReason		0..1	CodeableConcept	缺值原因。[本 Profile 必填 valueCodeableConcept，不使用]
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x]:valueCodeableConcept.​coding:smokingStatusDetail	Base	required	腦中風－吸菸狀態細分值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
stroke-smoking-status-1	error	Observation	valueCodeableConcept 的 SNOMED CT 代碼限填 77176002（Smoker）或 8517006（Ex-smoker）。	value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct').all(code = '77176002' or code = '8517006')
stroke-smoking-status-2	error	Observation	SNOMED CT 代碼須與吸菸狀態細分代碼對應：1 或 Current 搭配 77176002；2、3 或 Past 搭配 8517006。	(value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '1' or code = 'Current')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '77176002').exists()) and (value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '2' or code = '3' or code = 'Past')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '8517006').exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationSmokingStatus	吸菸狀態觀察值 Constraints: obs-6, obs-7, tw-core-7, tw-core-8, stroke-smoking-status-1, stroke-smoking-status-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.extension		0..*	Extension	Additional content defined by implementations
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	此觀察的申請依據
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	此觀察所屬的更大程序
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category	S This element must be supported.	1..*	CodeableConceptTW	觀察值分類 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore	S This element must be supported.	1..1	CodeableConcept	社會史類別。[固定為 social-history] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:twcore.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:twcore.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:twcore.coding.code	Σ This element is included in summaries.	1..1	code	社會史 Required Pattern: social-history
Observation.Slices for category.category:twcore.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:twcore.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:twcore.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConceptTW	吸菸狀態。[固定為 LOINC 72166-2] Binding: SNOMED CT + LOINC 吸菸狀態種類向值集 (extensible) Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		調查時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam)	執行觀察的人員
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	觀察的結果或發現 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableConcept	吸菸狀態。[SNOMED CT 代碼加吸菸狀態細分代碼] Binding: SNOMED CT 吸菸狀態綜合評估值集 (extensible)
Observation.Slices for value[x].value[x]:valueCodeableConcept.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueCodeableConcept.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding	Σ This element is included in summaries.	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding				Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	SNOMED CT 吸菸狀態。[77176002 或 8517006]
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:snomedSmokingStatus.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	吸菸狀態細分代碼。[填 1、2、3、Current 或 Past] Binding: 腦中風－吸菸狀態細分值集 (required)
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:smokingStatusDetail.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for value[x].value[x]:valueCodeableConcept.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.dataAbsentReason	C	0..1	CodeableConcept	缺值原因。[本 Profile 必填 valueCodeableConcept，不使用] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(TW Core Specimen)	觀察使用的檢體
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence)	包含的相關觀察項目
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Simple Observation | MolecularSequence)	此觀察的衍生依據
Observation.component	Σ This element is included in summaries.	0..*	BackboneElement	Component results
Observation.component.id		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations
Observation.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.component.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.component.value[x].valueQuantity			Quantity
Observation.component.value[x].valueCodeableConcept			CodeableConcept
Observation.component.value[x].valueString			string
Observation.component.value[x].valueBoolean			boolean
Observation.component.value[x].valueInteger			integer
Observation.component.value[x].valueRange			Range
Observation.component.value[x].valueRatio			Ratio
Observation.component.value[x].valueSampledData			SampledData
Observation.component.value[x].valueTime			time
Observation.component.value[x].valueDateTime			dateTime
Observation.component.value[x].valuePeriod			Period
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:twcore	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	SNOMED CT + LOINC 吸菸狀態種類向值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept	Base	extensible	SNOMED CT 吸菸狀態綜合評估值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.value[x]:valueCodeableConcept.​coding:smokingStatusDetail	Base	required	腦中風－吸菸狀態細分值集	📦0.1.0	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
stroke-smoking-status-1	error	Observation	valueCodeableConcept 的 SNOMED CT 代碼限填 77176002（Smoker）或 8517006（Ex-smoker）。	value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct').all(code = '77176002' or code = '8517006')
stroke-smoking-status-2	error	Observation	SNOMED CT 代碼須與吸菸狀態細分代碼對應：1 或 Current 搭配 77176002；2、3 或 Past 搭配 8517006。	(value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '1' or code = 'Current')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '77176002').exists()) and (value.ofType(CodeableConcept).coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail' and (code = '2' or code = '3' or code = 'Past')).exists() implies value.ofType(CodeableConcept).coding.where(system = 'http://snomed.info/sct' and code = '8517006').exists())
tw-core-7	error	Observation	Observation.code 72166-2|Tobacco smoking status or 11367-0|History of Tobacco use SHALL use valueCodeableConcept。	code.coding.where(code in '72166-2'|'11367-0').exists() implies value.is(CodeableConcept)
tw-core-8	warning	Observation	For Observation.code 401201003|Cigarette pack-years or 782516008|Number of calculated smoking pack years SHOULD use valueQuantity。	code.coding.where(code in '401201003'|'782516008').exists() implies value.is(Quantity)

This structure is derived from TWCoreObservationSmokingStatus

Summary

Mandatory: 8 elements
Must-Support: 9 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x].coding

Other representations of profile: CSV, Excel, Schematron