臺灣次世代基因定序檢測實作指引
1.0.1 - ci-build

臺灣次世代基因定序檢測實作指引, 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 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/ngs/ and changes regularly. See the Directory of published versions

Resource Profile: ObservationTWNGS - Mappings

Active as of 2026-10-14

Mappings for the Observation-twngs resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWNGS Observationdoco
Observation
    Observation / id
      Observation / meta
        Observation / implicitRules
          Observation / language
            Observation / text
              Observation / contained
                Observation / extension
                  Observation / modifierExtension
                    Observation / identifier
                      Observation / identifier / id
                        Observation / identifier / extension
                          Observation / identifier / use
                            Observation / identifier / type
                              Observation / identifier / system
                                Observation / identifier / value
                                Observation / identifier / period
                                  Observation / identifier / assigner
                                    Observation / basedOn
                                      Observation / partOf
                                        Observation / status
                                          Observation / category
                                            Observation / code
                                              Observation / code / id
                                                Observation / code / extension
                                                  Observation / code / coding
                                                    Observation / code / coding / id
                                                      Observation / code / coding / extension
                                                        Observation / code / coding / system
                                                          Observation / code / coding / version
                                                            Observation / code / coding / code
                                                              Observation / code / coding / display
                                                                Observation / code / coding / userSelected
                                                                  Observation / code / text
                                                                    Observation / subject
                                                                      Observation / focus
                                                                        Observation / encounter
                                                                          Observation / effective[x]
                                                                            Observation / issued
                                                                              Observation / performer
                                                                                Observation / value[x]
                                                                                  Observation / value[x] / id
                                                                                    Observation / value[x] / extension
                                                                                      Observation / value[x] / coding
                                                                                        Observation / value[x] / coding / id
                                                                                          Observation / value[x] / coding / extension
                                                                                            Observation / value[x] / coding / system
                                                                                              Observation / value[x] / coding / version
                                                                                                Observation / value[x] / coding / code
                                                                                                  Observation / value[x] / coding / display
                                                                                                    Observation / value[x] / coding / userSelected
                                                                                                      Observation / value[x] / text
                                                                                                        Observation / dataAbsentReason
                                                                                                          Observation / interpretation
                                                                                                            Observation / note
                                                                                                              Observation / bodySite
                                                                                                                Observation / method
                                                                                                                  Observation / specimen
                                                                                                                    Observation / device
                                                                                                                      Observation / referenceRange
                                                                                                                        Observation / referenceRange / id
                                                                                                                          Observation / referenceRange / extension
                                                                                                                            Observation / referenceRange / modifierExtension
                                                                                                                              Observation / referenceRange / low
                                                                                                                                Observation / referenceRange / high
                                                                                                                                  Observation / referenceRange / type
                                                                                                                                    Observation / referenceRange / appliesTo
                                                                                                                                      Observation / referenceRange / age
                                                                                                                                        Observation / referenceRange / text
                                                                                                                                          Observation / hasMember
                                                                                                                                            Observation / derivedFrom
                                                                                                                                              Observation / Slices for component
                                                                                                                                                Observation / Slices for component / component:All Slices
                                                                                                                                                Observation / Slices for component / component:All Slices / id
                                                                                                                                                  Observation / Slices for component / component:All Slices / extension
                                                                                                                                                    Observation / Slices for component / component:All Slices / modifierExtension
                                                                                                                                                      Observation / Slices for component / component:All Slices / code
                                                                                                                                                        Observation / Slices for component / component:All Slices / value[x]
                                                                                                                                                          Observation / Slices for component / component:All Slices / dataAbsentReason
                                                                                                                                                            Observation / Slices for component / component:All Slices / interpretation
                                                                                                                                                            Observation / Slices for component / component:All Slices / referenceRange
                                                                                                                                                              Observation / Slices for component / component:gene-test-code
                                                                                                                                                                Observation / Slices for component / component:gene-test-code / id
                                                                                                                                                                  Observation / Slices for component / component:gene-test-code / extension
                                                                                                                                                                    Observation / Slices for component / component:gene-test-code / modifierExtension
                                                                                                                                                                      Observation / Slices for component / component:gene-test-code / code
                                                                                                                                                                        Observation / Slices for component / component:gene-test-code / value[x]
                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / dataAbsentReason
                                                                                                                                                                            Observation / Slices for component / component:gene-test-code / interpretation
                                                                                                                                                                            Observation / Slices for component / component:gene-test-code / interpretation / id
                                                                                                                                                                              Observation / Slices for component / component:gene-test-code / interpretation / extension
                                                                                                                                                                                Observation / Slices for component / component:gene-test-code / interpretation / coding
                                                                                                                                                                                  Observation / Slices for component / component:gene-test-code / interpretation / coding / id
                                                                                                                                                                                    Observation / Slices for component / component:gene-test-code / interpretation / coding / extension
                                                                                                                                                                                      Observation / Slices for component / component:gene-test-code / interpretation / coding / system
                                                                                                                                                                                        Observation / Slices for component / component:gene-test-code / interpretation / coding / version
                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / code
                                                                                                                                                                                            Observation / Slices for component / component:gene-test-code / interpretation / coding / display
                                                                                                                                                                                              Observation / Slices for component / component:gene-test-code / interpretation / coding / userSelected
                                                                                                                                                                                                Observation / Slices for component / component:gene-test-code / interpretation / text
                                                                                                                                                                                                  Observation / Slices for component / component:gene-test-code / referenceRange
                                                                                                                                                                                                    Observation / Slices for component / component:gene-list
                                                                                                                                                                                                      Observation / Slices for component / component:gene-list / id
                                                                                                                                                                                                        Observation / Slices for component / component:gene-list / extension
                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / modifierExtension
                                                                                                                                                                                                            Observation / Slices for component / component:gene-list / code
                                                                                                                                                                                                              Observation / Slices for component / component:gene-list / value[x]
                                                                                                                                                                                                                Observation / Slices for component / component:gene-list / dataAbsentReason
                                                                                                                                                                                                                  Observation / Slices for component / component:gene-list / interpretation
                                                                                                                                                                                                                  Observation / Slices for component / component:gene-list / referenceRange
                                                                                                                                                                                                                    Observation / Slices for component / component:representative-coding-hgvs
                                                                                                                                                                                                                      Observation / Slices for component / component:representative-coding-hgvs / id
                                                                                                                                                                                                                        Observation / Slices for component / component:representative-coding-hgvs / extension
                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / modifierExtension
                                                                                                                                                                                                                            Observation / Slices for component / component:representative-coding-hgvs / code
                                                                                                                                                                                                                              Observation / Slices for component / component:representative-coding-hgvs / value[x]
                                                                                                                                                                                                                                Observation / Slices for component / component:representative-coding-hgvs / dataAbsentReason
                                                                                                                                                                                                                                  Observation / Slices for component / component:representative-coding-hgvs / interpretation
                                                                                                                                                                                                                                  Observation / Slices for component / component:representative-coding-hgvs / interpretation / id
                                                                                                                                                                                                                                    Observation / Slices for component / component:representative-coding-hgvs / interpretation / extension
                                                                                                                                                                                                                                      Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding
                                                                                                                                                                                                                                        Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / id
                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / extension
                                                                                                                                                                                                                                            Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / system
                                                                                                                                                                                                                                              Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / version
                                                                                                                                                                                                                                                Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / code
                                                                                                                                                                                                                                                  Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / display
                                                                                                                                                                                                                                                    Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / userSelected
                                                                                                                                                                                                                                                      Observation / Slices for component / component:representative-coding-hgvs / interpretation / text
                                                                                                                                                                                                                                                        Observation / Slices for component / component:representative-coding-hgvs / referenceRange
                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs
                                                                                                                                                                                                                                                            Observation / Slices for component / component:genomic-hgvs / id
                                                                                                                                                                                                                                                              Observation / Slices for component / component:genomic-hgvs / extension
                                                                                                                                                                                                                                                                Observation / Slices for component / component:genomic-hgvs / modifierExtension
                                                                                                                                                                                                                                                                  Observation / Slices for component / component:genomic-hgvs / code
                                                                                                                                                                                                                                                                    Observation / Slices for component / component:genomic-hgvs / value[x]
                                                                                                                                                                                                                                                                      Observation / Slices for component / component:genomic-hgvs / dataAbsentReason
                                                                                                                                                                                                                                                                        Observation / Slices for component / component:genomic-hgvs / interpretation
                                                                                                                                                                                                                                                                        Observation / Slices for component / component:genomic-hgvs / referenceRange
                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end
                                                                                                                                                                                                                                                                            Observation / Slices for component / component:exact-start-end / id
                                                                                                                                                                                                                                                                              Observation / Slices for component / component:exact-start-end / extension
                                                                                                                                                                                                                                                                                Observation / Slices for component / component:exact-start-end / modifierExtension
                                                                                                                                                                                                                                                                                  Observation / Slices for component / component:exact-start-end / code
                                                                                                                                                                                                                                                                                    Observation / Slices for component / component:exact-start-end / value[x]
                                                                                                                                                                                                                                                                                      Observation / Slices for component / component:exact-start-end / dataAbsentReason
                                                                                                                                                                                                                                                                                        Observation / Slices for component / component:exact-start-end / interpretation
                                                                                                                                                                                                                                                                                        Observation / Slices for component / component:exact-start-end / referenceRange

                                                                                                                                                                                                                                                                                          doco Documentation for this format

                                                                                                                                                                                                                                                                                          Mappings to other Structures

                                                                                                                                                                                                                                                                                          No Mappings Found

                                                                                                                                                                                                                                                                                          Other Mappings

                                                                                                                                                                                                                                                                                          NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
                                                                                                                                                                                                                                                                                          Observation
                                                                                                                                                                                                                                                                                          Event
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity|
                                                                                                                                                                                                                                                                                          OBX
                                                                                                                                                                                                                                                                                          • Observation[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / id
                                                                                                                                                                                                                                                                                          Observation / meta
                                                                                                                                                                                                                                                                                          Observation / implicitRules
                                                                                                                                                                                                                                                                                          Observation / language
                                                                                                                                                                                                                                                                                          Observation / text
                                                                                                                                                                                                                                                                                          Act.text?
                                                                                                                                                                                                                                                                                          Observation / contained
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / extension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / identifier
                                                                                                                                                                                                                                                                                          Event.identifier
                                                                                                                                                                                                                                                                                          1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
                                                                                                                                                                                                                                                                                          id
                                                                                                                                                                                                                                                                                          FiveWs.identifier
                                                                                                                                                                                                                                                                                          Observation / identifier / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / identifier / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / identifier / use
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Role.code or implied by context
                                                                                                                                                                                                                                                                                          Observation / identifier / type
                                                                                                                                                                                                                                                                                          CX.5
                                                                                                                                                                                                                                                                                          Role.code or implied by context
                                                                                                                                                                                                                                                                                          Observation / identifier / system
                                                                                                                                                                                                                                                                                          CX.4 / EI-2-4
                                                                                                                                                                                                                                                                                          II.root or Role.id.root
                                                                                                                                                                                                                                                                                          Observation / identifier / value
                                                                                                                                                                                                                                                                                          CX.1 / EI.1
                                                                                                                                                                                                                                                                                          II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
                                                                                                                                                                                                                                                                                          Observation / identifier / period
                                                                                                                                                                                                                                                                                          CX.7 + CX.8
                                                                                                                                                                                                                                                                                          Role.effectiveTime or implied by context
                                                                                                                                                                                                                                                                                          Observation / identifier / assigner
                                                                                                                                                                                                                                                                                          • CX.4 / (CX.4
                                                                                                                                                                                                                                                                                          • CX.9
                                                                                                                                                                                                                                                                                          • CX.10)
                                                                                                                                                                                                                                                                                          II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
                                                                                                                                                                                                                                                                                          Observation / basedOn
                                                                                                                                                                                                                                                                                          Event.basedOn
                                                                                                                                                                                                                                                                                          ORC
                                                                                                                                                                                                                                                                                          .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / partOf
                                                                                                                                                                                                                                                                                          Event.partOf
                                                                                                                                                                                                                                                                                          Varies by domain
                                                                                                                                                                                                                                                                                          .outboundRelationship[typeCode=FLFS].target
                                                                                                                                                                                                                                                                                          Observation / status
                                                                                                                                                                                                                                                                                          Event.status
                                                                                                                                                                                                                                                                                          < 445584004 |Report by finality status|
                                                                                                                                                                                                                                                                                          OBX-11
                                                                                                                                                                                                                                                                                          status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
                                                                                                                                                                                                                                                                                          FiveWs.status
                                                                                                                                                                                                                                                                                          Observation / category
                                                                                                                                                                                                                                                                                          • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
                                                                                                                                                                                                                                                                                          • moodCode="EVN"].code
                                                                                                                                                                                                                                                                                          FiveWs.class
                                                                                                                                                                                                                                                                                          Observation / code
                                                                                                                                                                                                                                                                                          Event.code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          116680003 |Is a|
                                                                                                                                                                                                                                                                                          Observation / code / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / code / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / code / coding
                                                                                                                                                                                                                                                                                          • C*E.1-8
                                                                                                                                                                                                                                                                                          • C*E.10-22
                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                          Observation / code / coding / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / code / coding / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / code / coding / system
                                                                                                                                                                                                                                                                                          C*E.3
                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                          Observation / code / coding / version
                                                                                                                                                                                                                                                                                          C*E.7
                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                          Observation / code / coding / code
                                                                                                                                                                                                                                                                                          C*E.1
                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                          Observation / code / coding / display
                                                                                                                                                                                                                                                                                          C*E.2 - but note this is not well followed
                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                          Observation / code / coding / userSelected
                                                                                                                                                                                                                                                                                          Sometimes implied by being first
                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                          Observation / code / text
                                                                                                                                                                                                                                                                                          C*E.9. But note many systems use C*E.2 for this
                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                          Observation / subject
                                                                                                                                                                                                                                                                                          Event.subject
                                                                                                                                                                                                                                                                                          PID-3
                                                                                                                                                                                                                                                                                          participation[typeCode=RTGT]
                                                                                                                                                                                                                                                                                          FiveWs.subject
                                                                                                                                                                                                                                                                                          Observation / focus
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          participation[typeCode=SBJ]
                                                                                                                                                                                                                                                                                          FiveWs.subject
                                                                                                                                                                                                                                                                                          Observation / encounter
                                                                                                                                                                                                                                                                                          Event.context
                                                                                                                                                                                                                                                                                          PV1
                                                                                                                                                                                                                                                                                          • inboundRelationship[typeCode=COMP].source[classCode=ENC
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          FiveWs.context
                                                                                                                                                                                                                                                                                          Observation / effective[x]
                                                                                                                                                                                                                                                                                          Event.occurrence[x]
                                                                                                                                                                                                                                                                                          • OBX-14
                                                                                                                                                                                                                                                                                          • and/or OBX-19 after v2.4 (depends on who observation made)
                                                                                                                                                                                                                                                                                          effectiveTime
                                                                                                                                                                                                                                                                                          FiveWs.done[x]
                                                                                                                                                                                                                                                                                          Observation / issued
                                                                                                                                                                                                                                                                                          • OBR.22 (or MSH.7)
                                                                                                                                                                                                                                                                                          • or perhaps OBX-19 (depends on who observation made)
                                                                                                                                                                                                                                                                                          participation[typeCode=AUT].time
                                                                                                                                                                                                                                                                                          FiveWs.recorded
                                                                                                                                                                                                                                                                                          Observation / performer
                                                                                                                                                                                                                                                                                          Event.performer.actor
                                                                                                                                                                                                                                                                                          • OBX.15 / (Practitioner) OBX-16
                                                                                                                                                                                                                                                                                          • PRT-4='RO' / (Device) OBX-18
                                                                                                                                                                                                                                                                                          • PRT-4='EQUIP' / (Organization) OBX-23
                                                                                                                                                                                                                                                                                          • PRT-4='PO'
                                                                                                                                                                                                                                                                                          participation[typeCode=PRF]
                                                                                                                                                                                                                                                                                          FiveWs.actor
                                                                                                                                                                                                                                                                                          Observation / value[x]
                                                                                                                                                                                                                                                                                          < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / value[x] / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / value[x] / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding
                                                                                                                                                                                                                                                                                          • C*E.1-8
                                                                                                                                                                                                                                                                                          • C*E.10-22
                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / system
                                                                                                                                                                                                                                                                                          C*E.3
                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / version
                                                                                                                                                                                                                                                                                          C*E.7
                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / code
                                                                                                                                                                                                                                                                                          C*E.1
                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / display
                                                                                                                                                                                                                                                                                          C*E.2 - but note this is not well followed
                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                          Observation / value[x] / coding / userSelected
                                                                                                                                                                                                                                                                                          Sometimes implied by being first
                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                          Observation / value[x] / text
                                                                                                                                                                                                                                                                                          C*E.9. But note many systems use C*E.2 for this
                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                          Observation / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / note
                                                                                                                                                                                                                                                                                          • NTE.3 (partner NTE to OBX
                                                                                                                                                                                                                                                                                          • or sometimes another (child?) OBX)
                                                                                                                                                                                                                                                                                          subjectOf.observationEvent[code="annotation"].value
                                                                                                                                                                                                                                                                                          Observation / bodySite
                                                                                                                                                                                                                                                                                          < 123037004 |Body structure|
                                                                                                                                                                                                                                                                                          OBX-20
                                                                                                                                                                                                                                                                                          targetSiteCode
                                                                                                                                                                                                                                                                                          718497002 |Inherent location|
                                                                                                                                                                                                                                                                                          Observation / method
                                                                                                                                                                                                                                                                                          OBX-17
                                                                                                                                                                                                                                                                                          methodCode
                                                                                                                                                                                                                                                                                          Observation / specimen
                                                                                                                                                                                                                                                                                          < 123038009 |Specimen|
                                                                                                                                                                                                                                                                                          SPM segment
                                                                                                                                                                                                                                                                                          participation[typeCode=SPC].specimen
                                                                                                                                                                                                                                                                                          704319004 |Inherent in|
                                                                                                                                                                                                                                                                                          Observation / device
                                                                                                                                                                                                                                                                                          < 49062001 |Device|
                                                                                                                                                                                                                                                                                          OBX-17 / PRT -10
                                                                                                                                                                                                                                                                                          participation[typeCode=DEV]
                                                                                                                                                                                                                                                                                          424226004 |Using device|
                                                                                                                                                                                                                                                                                          Observation / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / referenceRange / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / referenceRange / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / referenceRange / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / referenceRange / low
                                                                                                                                                                                                                                                                                          OBX-7
                                                                                                                                                                                                                                                                                          IVL_PQ.low
                                                                                                                                                                                                                                                                                          Observation / referenceRange / high
                                                                                                                                                                                                                                                                                          OBX-7
                                                                                                                                                                                                                                                                                          IVL_PQ.high
                                                                                                                                                                                                                                                                                          Observation / referenceRange / type
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
                                                                                                                                                                                                                                                                                          OBX-10
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          Observation / referenceRange / appliesTo
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
                                                                                                                                                                                                                                                                                          OBX-10
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          Observation / referenceRange / age
                                                                                                                                                                                                                                                                                          outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
                                                                                                                                                                                                                                                                                          Observation / referenceRange / text
                                                                                                                                                                                                                                                                                          OBX-7
                                                                                                                                                                                                                                                                                          ST
                                                                                                                                                                                                                                                                                          Observation / hasMember
                                                                                                                                                                                                                                                                                          Relationships established by OBX-4 usage
                                                                                                                                                                                                                                                                                          outBoundRelationship
                                                                                                                                                                                                                                                                                          Observation / derivedFrom
                                                                                                                                                                                                                                                                                          Relationships established by OBX-4 usage
                                                                                                                                                                                                                                                                                          .targetObservation
                                                                                                                                                                                                                                                                                          Observation / Slices for component
                                                                                                                                                                                                                                                                                          containment by OBX-4?
                                                                                                                                                                                                                                                                                          outBoundRelationship[typeCode=COMP]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / value[x]
                                                                                                                                                                                                                                                                                          363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:All Slices / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code
                                                                                                                                                                                                                                                                                          containment by OBX-4?
                                                                                                                                                                                                                                                                                          outBoundRelationship[typeCode=COMP]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / value[x]
                                                                                                                                                                                                                                                                                          363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding
                                                                                                                                                                                                                                                                                          • C*E.1-8
                                                                                                                                                                                                                                                                                          • C*E.10-22
                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / system
                                                                                                                                                                                                                                                                                          C*E.3
                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / version
                                                                                                                                                                                                                                                                                          C*E.7
                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / code
                                                                                                                                                                                                                                                                                          C*E.1
                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / display
                                                                                                                                                                                                                                                                                          C*E.2 - but note this is not well followed
                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / coding / userSelected
                                                                                                                                                                                                                                                                                          Sometimes implied by being first
                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / interpretation / text
                                                                                                                                                                                                                                                                                          C*E.9. But note many systems use C*E.2 for this
                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-test-code / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list
                                                                                                                                                                                                                                                                                          containment by OBX-4?
                                                                                                                                                                                                                                                                                          outBoundRelationship[typeCode=COMP]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / value[x]
                                                                                                                                                                                                                                                                                          363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:gene-list / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs
                                                                                                                                                                                                                                                                                          containment by OBX-4?
                                                                                                                                                                                                                                                                                          outBoundRelationship[typeCode=COMP]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / value[x]
                                                                                                                                                                                                                                                                                          363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding
                                                                                                                                                                                                                                                                                          • C*E.1-8
                                                                                                                                                                                                                                                                                          • C*E.10-22
                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / system
                                                                                                                                                                                                                                                                                          C*E.3
                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / version
                                                                                                                                                                                                                                                                                          C*E.7
                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / code
                                                                                                                                                                                                                                                                                          C*E.1
                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / display
                                                                                                                                                                                                                                                                                          C*E.2 - but note this is not well followed
                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / coding / userSelected
                                                                                                                                                                                                                                                                                          Sometimes implied by being first
                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / interpretation / text
                                                                                                                                                                                                                                                                                          C*E.9. But note many systems use C*E.2 for this
                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:representative-coding-hgvs / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs
                                                                                                                                                                                                                                                                                          containment by OBX-4?
                                                                                                                                                                                                                                                                                          outBoundRelationship[typeCode=COMP]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / value[x]
                                                                                                                                                                                                                                                                                          363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:genomic-hgvs / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end
                                                                                                                                                                                                                                                                                          containment by OBX-4?
                                                                                                                                                                                                                                                                                          outBoundRelationship[typeCode=COMP]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / id
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / extension
                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / modifierExtension
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / code
                                                                                                                                                                                                                                                                                          < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                                                                                                                                          OBX-3
                                                                                                                                                                                                                                                                                          code
                                                                                                                                                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / value[x]
                                                                                                                                                                                                                                                                                          363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                                                                                                                                          • OBX.2
                                                                                                                                                                                                                                                                                          • OBX.5
                                                                                                                                                                                                                                                                                          • OBX.6
                                                                                                                                                                                                                                                                                          value
                                                                                                                                                                                                                                                                                          363714003 |Interprets|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / dataAbsentReason
                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                          value.nullFlavor
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / interpretation
                                                                                                                                                                                                                                                                                          < 260245000 |Findings values|
                                                                                                                                                                                                                                                                                          OBX-8
                                                                                                                                                                                                                                                                                          interpretationCode
                                                                                                                                                                                                                                                                                          363713009 |Has interpretation|
                                                                                                                                                                                                                                                                                          Observation / Slices for component / component:exact-start-end / referenceRange
                                                                                                                                                                                                                                                                                          OBX.7
                                                                                                                                                                                                                                                                                          • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                                                                                                                                          • moodCode=EVN]

                                                                                                                                                                                                                                                                                          doco Documentation for this format