臺灣電子處方箋與調劑單張實作指引(TW EMPD IG), published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/empd/ and changes regularly. See the Directory of published versions
Resource Profile: 電子處方箋-體重
| Official URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Observation-EMPD-BodyWeight | Version: 0.2.1 | |||
| Active as of 2026-10-21 | Computable Name: ObservationEMPDBodyWeight | |||
此Profiles繼承於臺灣核心-生命體徵(TW Core Observation Vital Signs) Profile，並進一步用於描述電子處方箋之病患體重 若調劑藥物劑量須配合體重而有所調整，則必須使用此Profiles [FMM1]
Usages:
- Use this Profile: 電子處方箋-Bundle
- Refer to this Profile: 電子處方箋-Composition
- Examples for this Profile: Observation/obs-ep
- CapabilityStatements using this Profile: 電子處方箋與調劑單張-用戶端 and 電子處方箋與調劑單張-伺服端
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Observation |
C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 Constraints: obs-6, obs-7, vs-2, empd-obs-bw-1 |
  implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 | |
  Slices for category |
1..* | CodeableConceptTW  |
概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   category:VSCat |
1..1 | CodeableConceptTW |
檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |
   coding |
1..* | Coding | 由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed) | |
 code |
1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs (no extensions allowed) | |
| code |
1..1 | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (extensible): 應填入所綁定值集中的其中一個代碼。 | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed) | |
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: 29463-7 (no extensions allowed) | |
| display |
0..1 | string | 由系統定義的表示法 | |
| text |
0..1 | string | 概念的文字表示法 | |
 subject |
1..1 | Reference(電子處方箋-病人基本資料) | 檢驗檢查有關的對象及（或）事物 | |
 effective[x] |
C | 1..1 | 檢驗檢查執行日期或時間區間 Constraints: vs-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | 誰負責這項檢驗檢查 | |
| Slices for value[x] |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| value[x]:valueQuantity |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
 value |
1..1 | decimal | Numerical value (with implicit precision).[應填入體重 Weight]。若調劑藥物劑量須配合體重而有所調整，此欄位為必填。 | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
0..1 | string | Unit representation Required Pattern: kg (extensions allowed) | |
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) |
 code |
0..1 | code | Coded form of the unit Required Pattern: kg (extensions allowed) | |
| dataAbsentReason |
0..1 | CodeableConceptTW |
缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
 component |
C | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 Constraints: vs-3 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConceptTW |
組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (extensible): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |
| value[x] |
C | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
0..1 | CodeableConceptTW |
為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| 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:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.value[x] | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.component.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component.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())
|
| empd-obs-bw-1 | error | Observation | 體重數值總長度不得超過6位數，其中小數不得超過2位（最大 9999.99）。 |
value.ofType(Quantity).value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| 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()
|
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
$this is dateTime implies $this.toString().length() >= 10
|
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
This structure is derived from TWCoreObservationVitalSigns
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 Constraints: empd-obs-bw-1 |
 code |
||||
| coding |
||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed) | |
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: 29463-7 (no extensions allowed) | |
| subject |
1..1 | Reference(電子處方箋-病人基本資料) | 檢驗檢查有關的對象及（或）事物 | |
| Slices for value[x] |
1..1 | Quantity | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| value[x]:valueQuantity |
1..1 | Quantity | 檢驗檢查的實際結果 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入體重 Weight]。若調劑藥物劑量須配合體重而有所調整，此欄位為必填。 | |
| unit |
0..1 | string | Unit representation Required Pattern: kg (extensions allowed) | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | |
| code |
0..1 | code | Coded form of the unit Required Pattern: kg (extensions allowed) | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| empd-obs-bw-1 | error | Observation | 體重數值總長度不得超過6位數，其中小數不得超過2位（最大 9999.99）。 |
value.ofType(Quantity).value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 Constraints: obs-6, obs-7, vs-2, empd-obs-bw-1 | ||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
0..1 | Meta | 此Observation Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述Observation Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | Observation Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。 | |||||
| basedOn |
0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | 依據的照護計畫／提議／醫令 | |||||
| partOf |
0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | 此檢驗檢查是哪個參照事件的一部分 | |||||
| status |
1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 | |||||
| Slices for category |
1..* | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:VSCat |
1..1 | CodeableConceptTW |
檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 coding |
1..* | Coding | 由專門術語系統（terminology system）定義的代碼 | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs (no extensions allowed) | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| code |
1..1 | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (extensible): 應填入所綁定值集中的其中一個代碼。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: 29463-7 (no extensions allowed) | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| subject |
1..1 | Reference(電子處方箋-病人基本資料) | 檢驗檢查有關的對象及（或）事物 | |||||
| focus |
0..* | Reference(Resource) | 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。 | |||||
| encounter |
0..1 | Reference(TW Core Encounter) | 檢驗檢查是哪一次就醫時執行的 | |||||
| effective[x] |
C | 1..1 | 檢驗檢查執行日期或時間區間 Constraints: vs-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
0..1 | instant | 此版本檢驗檢查完成的日期或時間 | |||||
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | 誰負責這項檢驗檢查 | |||||
| Slices for value[x] |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| value[x]:valueQuantity |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入體重 Weight]。若調劑藥物劑量須配合體重而有所調整，此欄位為必填。 | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
0..1 | string | Unit representation Required Pattern: kg (extensions allowed) | |||||
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | ||||
| code |
0..1 | code | Coded form of the unit Required Pattern: kg (extensions allowed) | |||||
| dataAbsentReason |
0..1 | CodeableConceptTW |
缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| interpretation |
0..* | CodeableConceptTW |
高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| note |
0..* | Annotation | 關於此檢驗檢查之解說 | |||||
| bodySite |
0..1 | CodeableConceptTW |
接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible): 代碼說明解剖學位置，可能包含側邊；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| method |
0..1 | CodeableConceptTW |
此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible): 檢驗檢查的方法；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| specimen |
0..1 | Reference(TW Core Specimen) | 此檢驗檢查的檢體 | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | （測量）設備 | |||||
| referenceRange |
C | 0..* | BackboneElement | 解釋結果值的指引。
obs-3：必須至少有低、高或文字表述。 Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity | 參考範圍值的下限值，如果相關。 Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | 參考範圍值的上限值，如果相關。 Constraints: sqty-1 | ||||
| type |
0..1 | CodeableConceptTW |
參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| appliesTo |
0..* | CodeableConceptTW |
參考範圍值是用適用的對象或人口群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。 | |||||
| age |
0..1 | Range | 適用的年齡範圍值，如果相關。 | |||||
| text |
0..1 | string | 檢驗檢查中以文字表述的參考範圍值 | |||||
| hasMember |
0..* | Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) | 屬於此組檢驗檢查的相關Resource | |||||
| derivedFrom |
0..* | Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) | 檢驗檢查源自哪些相關測量 | |||||
| component |
C | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 Constraints: vs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConceptTW |
組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (extensible): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| value[x] |
C | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
0..1 | CodeableConceptTW |
為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| interpretation |
0..* | CodeableConceptTW |
高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| referenceRange |
0..* | See referenceRange (Observation) | 解釋此組成之檢驗驗查的結果值之指引 | |||||
| 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:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.value[x] | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| 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 | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | extensible | 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 | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.component.value[x] | Base | extensible | Vital Signs Units | 📍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())
|
| empd-obs-bw-1 | error | Observation | 體重數值總長度不得超過6位數，其中小數不得超過2位（最大 9999.99）。 |
value.ofType(Quantity).value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| 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()
|
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
$this is dateTime implies $this.toString().length() >= 10
|
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
This structure is derived from TWCoreObservationVitalSigns
Summary
Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 2 elements
Fixed: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Observation.value[x]
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 Constraints: obs-6, obs-7, vs-2, empd-obs-bw-1 |
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 | |
| Slices for category |
1..* | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:VSCat |
1..1 | CodeableConceptTW |
檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |
| coding |
1..* | Coding | 由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed) | |
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs (no extensions allowed) | |
| code |
1..1 | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (extensible): 應填入所綁定值集中的其中一個代碼。 | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed) | |
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: 29463-7 (no extensions allowed) | |
| display |
0..1 | string | 由系統定義的表示法 | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(電子處方箋-病人基本資料) | 檢驗檢查有關的對象及（或）事物 | |
| effective[x] |
C | 1..1 | 檢驗檢查執行日期或時間區間 Constraints: vs-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | 誰負責這項檢驗檢查 | |
| Slices for value[x] |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| value[x]:valueQuantity |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入體重 Weight]。若調劑藥物劑量須配合體重而有所調整，此欄位為必填。 | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
0..1 | string | Unit representation Required Pattern: kg (extensions allowed) | |
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) |
| code |
0..1 | code | Coded form of the unit Required Pattern: kg (extensions allowed) | |
| dataAbsentReason |
0..1 | CodeableConceptTW |
缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| component |
C | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 Constraints: vs-3 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConceptTW |
組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (extensible): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |
| value[x] |
C | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
0..1 | CodeableConceptTW |
為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| 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:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.value[x] | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.component.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component.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())
|
| empd-obs-bw-1 | error | Observation | 體重數值總長度不得超過6位數，其中小數不得超過2位（最大 9999.99）。 |
value.ofType(Quantity).value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| 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()
|
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
$this is dateTime implies $this.toString().length() >= 10
|
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
Differential View
This structure is derived from TWCoreObservationVitalSigns
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 Constraints: empd-obs-bw-1 |
| code |
||||
| coding |
||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed) | |
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: 29463-7 (no extensions allowed) | |
| subject |
1..1 | Reference(電子處方箋-病人基本資料) | 檢驗檢查有關的對象及（或）事物 | |
| Slices for value[x] |
1..1 | Quantity | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| value[x]:valueQuantity |
1..1 | Quantity | 檢驗檢查的實際結果 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入體重 Weight]。若調劑藥物劑量須配合體重而有所調整，此欄位為必填。 | |
| unit |
0..1 | string | Unit representation Required Pattern: kg (extensions allowed) | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | |
| code |
0..1 | code | Coded form of the unit Required Pattern: kg (extensions allowed) | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| empd-obs-bw-1 | error | Observation | 體重數值總長度不得超過6位數，其中小數不得超過2位（最大 9999.99）。 |
value.ofType(Quantity).value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 Constraints: obs-6, obs-7, vs-2, empd-obs-bw-1 | ||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
0..1 | Meta | 此Observation Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述Observation Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | Observation Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。 | |||||
| basedOn |
0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | 依據的照護計畫／提議／醫令 | |||||
| partOf |
0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | 此檢驗檢查是哪個參照事件的一部分 | |||||
| status |
1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 | |||||
| Slices for category |
1..* | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:VSCat |
1..1 | CodeableConceptTW |
檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..* | Coding | 由專門術語系統（terminology system）定義的代碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs (no extensions allowed) | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| code |
1..1 | CodeableConceptTW |
概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (extensible): 應填入所綁定值集中的其中一個代碼。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 系統定義的語法之符號 Fixed Value: 29463-7 (no extensions allowed) | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| subject |
1..1 | Reference(電子處方箋-病人基本資料) | 檢驗檢查有關的對象及（或）事物 | |||||
| focus |
0..* | Reference(Resource) | 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。 | |||||
| encounter |
0..1 | Reference(TW Core Encounter) | 檢驗檢查是哪一次就醫時執行的 | |||||
| effective[x] |
C | 1..1 | 檢驗檢查執行日期或時間區間 Constraints: vs-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
0..1 | instant | 此版本檢驗檢查完成的日期或時間 | |||||
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | 誰負責這項檢驗檢查 | |||||
| Slices for value[x] |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| value[x]:valueQuantity |
C | 1..1 | Quantity | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入體重 Weight]。若調劑藥物劑量須配合體重而有所調整，此欄位為必填。 | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
0..1 | string | Unit representation Required Pattern: kg (extensions allowed) | |||||
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | ||||
| code |
0..1 | code | Coded form of the unit Required Pattern: kg (extensions allowed) | |||||
| dataAbsentReason |
0..1 | CodeableConceptTW |
缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| interpretation |
0..* | CodeableConceptTW |
高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| note |
0..* | Annotation | 關於此檢驗檢查之解說 | |||||
| bodySite |
0..1 | CodeableConceptTW |
接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible): 代碼說明解剖學位置，可能包含側邊；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| method |
0..1 | CodeableConceptTW |
此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible): 檢驗檢查的方法；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| specimen |
0..1 | Reference(TW Core Specimen) | 此檢驗檢查的檢體 | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | （測量）設備 | |||||
| referenceRange |
C | 0..* | BackboneElement | 解釋結果值的指引。
obs-3：必須至少有低、高或文字表述。 Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity | 參考範圍值的下限值，如果相關。 Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | 參考範圍值的上限值，如果相關。 Constraints: sqty-1 | ||||
| type |
0..1 | CodeableConceptTW |
參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| appliesTo |
0..* | CodeableConceptTW |
參考範圍值是用適用的對象或人口群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。 | |||||
| age |
0..1 | Range | 適用的年齡範圍值，如果相關。 | |||||
| text |
0..1 | string | 檢驗檢查中以文字表述的參考範圍值 | |||||
| hasMember |
0..* | Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) | 屬於此組檢驗檢查的相關Resource | |||||
| derivedFrom |
0..* | Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) | 檢驗檢查源自哪些相關測量 | |||||
| component |
C | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 Constraints: vs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConceptTW |
組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (extensible): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| value[x] |
C | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
0..1 | CodeableConceptTW |
為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| interpretation |
0..* | CodeableConceptTW |
高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| referenceRange |
0..* | See referenceRange (Observation) | 解釋此組成之檢驗驗查的結果值之指引 | |||||
| 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:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.value[x] | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity | Base | extensible | Vital Signs Units | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| 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 | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | extensible | 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 | extensible | LOINC生命體徵值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| Observation.component.value[x] | Base | extensible | Vital Signs Units | 📍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())
|
| empd-obs-bw-1 | error | Observation | 體重數值總長度不得超過6位數，其中小數不得超過2位（最大 9999.99）。 |
value.ofType(Quantity).value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| 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()
|
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
$this is dateTime implies $this.toString().length() >= 10
|
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
This structure is derived from TWCoreObservationVitalSigns
Summary
Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 2 elements
Fixed: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Observation.value[x]
Other representations of profile: CSV, Excel, Schematron