臺灣健保事前審查實作指引, 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 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 基因資訊-Observation Diagnostic TWPAS

此基因資訊-Observation Diagnostic TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現事前審查之基因資訊

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS and 癌藥事前審查-Claim TWPAS
• Examples for this Profile: Observation/obs-diagnostic-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
Observation.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
Observation.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category		1..1	CodeableConcept	因FHIR設計而需必填 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.category.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: geneInfo
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.code.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Required Pattern: 69548-6
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	基因檢測日期
Observation.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基因檢測機構-Organization Genetic Testing TWPAS)	基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string S This type must be supported.	基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.method	S This element must be supported.	1..1	CodeableConcept	基因檢測方法 Binding: LOINC Answer List LL4048-6 (extensible)
Observation.method.text	Σ This element is included in summaries.	0..1	string	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.specimen	S This element must be supported.	1..1	Reference(基因檢測檢體-Specimen TWPAS)	基因檢測檢體類型
Observation.derivedFrom	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	基因報告
Observation.Slices for component	Σ This element is included in summaries.	1..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:gene-test-code	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	基因檢測代碼
Observation.Slices for component.component:gene-test-code.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:gene-test-code.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	基因檢測代碼 Binding: LOINC-健保事前審查-基因檢測代碼值集 (extensible): 最新參考代碼清單請參考此檔案。
Observation.Slices for component.component:gene-test-code.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.Slices for component.component:gene-test-code.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1		基因檢測實際結果
Observation.Slices for component.component:gene-test-code.value[x].valueQuantity			Quantity
Observation.Slices for component.component:gene-test-code.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:gene-test-code.value[x].valueString			string
Observation.Slices for component.component:gene-test-code.value[x].valueBoolean			boolean
Observation.Slices for component.component:gene-test-code.value[x].valueInteger			integer
Observation.Slices for component.component:gene-test-code.value[x].valueRange			Range
Observation.Slices for component.component:gene-test-code.value[x].valueRatio			Ratio
Observation.Slices for component.component:gene-test-code.value[x].valueSampledData			SampledData
Observation.Slices for component.component:gene-test-code.value[x].valueTime			time
Observation.Slices for component.component:gene-test-code.value[x].valueDateTime			dateTime
Observation.Slices for component.component:gene-test-code.value[x].valuePeriod			Period
Observation.Slices for component.component:gene-test-code.interpretation	S This element must be supported. C	0..1	CodeableConcept	基因突變類型 Binding: LOINC-健保事前審查-基因突變類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: pas-1
Observation.Slices for component.component:gene-test-code.interpretation.coding	Σ This element is included in summaries. C	0..*	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.code	Σ This element is included in summaries.	1..1	code	LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins
Observation.Slices for component.component:gene-test-code.interpretation.text	Σ This element is included in summaries. C	0..1	string	基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.method	Base	extensible	LOINC Answer Codes for LL4048-6	∅	unknown?
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:gene-test-code.​code	Base	extensible	LOINC-健保事前審查-基因檢測代碼值集	📦1.2.8	This IG
Observation.component:gene-test-code.​interpretation	Base	extensible	LOINC-健保事前審查-基因突變類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pas-1	error	Observation.component:gene-test-code.interpretation	text、coding至少需存在一個。	text.exists() or coding.exists()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
Observation.meta		1..1	Meta	Metadata about the resource
Observation.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
Observation.category		1..1	CodeableConcept	因FHIR設計而需必填
Observation.category.coding		1..1	Coding	Code defined by a terminology system
Observation.category.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: geneInfo
Observation.code
Observation.code.coding		1..1	Coding	Code defined by a terminology system
Observation.code.coding.system		0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.code.coding.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system Required Pattern: 69548-6
Observation.subject	S This element must be supported.	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported.	1..1	dateTime	基因檢測日期
Observation.performer	S This element must be supported.	1..1	Reference(基因檢測機構-Organization Genetic Testing TWPAS)	基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。
Observation.value[x]	S This element must be supported.	1..1	string S This type must be supported.	基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.method	S This element must be supported.	1..1	CodeableConcept	基因檢測方法 Binding: LOINC Answer List LL4048-6 (extensible)
Observation.method.coding
Observation.method.coding.code		0..1	code	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.method.text		0..1	string	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.specimen	S This element must be supported.	1..1	Reference(基因檢測檢體-Specimen TWPAS)	基因檢測檢體類型
Observation.derivedFrom	S This element must be supported.	0..*	Reference(文件參照-DocumentReference TWPAS)	基因報告
Observation.Slices for component		1..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:gene-test-code	S This element must be supported.	1..*	BackboneElement	基因檢測代碼
Observation.Slices for component.component:gene-test-code.code	S This element must be supported.	1..1	CodeableConcept	基因檢測代碼 Binding: LOINC-健保事前審查-基因檢測代碼值集 (extensible): 最新參考代碼清單請參考此檔案。
Observation.Slices for component.component:gene-test-code.code.coding		1..1	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.code.coding.system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.Slices for component.component:gene-test-code.value[x]	S This element must be supported.	1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	基因檢測實際結果
Observation.Slices for component.component:gene-test-code.interpretation	S This element must be supported. C	0..1	CodeableConcept	基因突變類型 Binding: LOINC-健保事前審查-基因突變類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: pas-1
Observation.Slices for component.component:gene-test-code.interpretation.coding	C	0..*	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.code		1..1	code	LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins
Observation.Slices for component.component:gene-test-code.interpretation.text	C	0..1	string	基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.method	Base	extensible	LOINC Answer Codes for LL4048-6	∅	unknown?
Observation.component:gene-test-code.​code	Base	extensible	LOINC-健保事前審查-基因檢測代碼值集	📦1.2.8	This IG
Observation.component:gene-test-code.​interpretation	Base	extensible	LOINC-健保事前審查-基因突變類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pas-1	error	Observation.component:gene-test-code.interpretation	text、coding至少需存在一個。	text.exists() or coding.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
Observation.meta.id		0..1	string	Unique id for inter-element referencing
Observation.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Observation.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Observation.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Observation.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
Observation.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Observation.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.extension		0..*	Extension	Additional content defined by implementations
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category		1..1	CodeableConcept	因FHIR設計而需必填 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.category.id		0..1	string	Unique id for inter-element referencing
Observation.category.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.category.coding.id		0..1	string	Unique id for inter-element referencing
Observation.category.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.category.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.category.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: geneInfo
Observation.category.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.category.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Required Pattern: 69548-6
Observation.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	基因檢測日期
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基因檢測機構-Organization Genetic Testing TWPAS)	基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string S This type must be supported.	基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method	S This element must be supported.	1..1	CodeableConcept	基因檢測方法 Binding: LOINC Answer List LL4048-6 (extensible)
Observation.method.id		0..1	string	Unique id for inter-element referencing
Observation.method.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.method.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Observation.method.coding.id		0..1	string	Unique id for inter-element referencing
Observation.method.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.method.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
Observation.method.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.method.coding.code	Σ This element is included in summaries.	0..1	code	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.method.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.method.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.method.text	Σ This element is included in summaries.	0..1	string	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.specimen	S This element must be supported.	1..1	Reference(基因檢測檢體-Specimen TWPAS)	基因檢測檢體類型
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	基因報告
Observation.Slices for component	Σ This element is included in summaries.	1..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:gene-test-code	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	基因檢測代碼
Observation.Slices for component.component:gene-test-code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:gene-test-code.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:gene-test-code.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	基因檢測代碼 Binding: LOINC-健保事前審查-基因檢測代碼值集 (extensible): 最新參考代碼清單請參考此檔案。
Observation.Slices for component.component:gene-test-code.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.Slices for component.component:gene-test-code.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:gene-test-code.code.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system
Observation.Slices for component.component:gene-test-code.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:gene-test-code.code.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:gene-test-code.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:gene-test-code.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1		基因檢測實際結果
Observation.Slices for component.component:gene-test-code.value[x].valueQuantity			Quantity
Observation.Slices for component.component:gene-test-code.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:gene-test-code.value[x].valueString			string
Observation.Slices for component.component:gene-test-code.value[x].valueBoolean			boolean
Observation.Slices for component.component:gene-test-code.value[x].valueInteger			integer
Observation.Slices for component.component:gene-test-code.value[x].valueRange			Range
Observation.Slices for component.component:gene-test-code.value[x].valueRatio			Ratio
Observation.Slices for component.component:gene-test-code.value[x].valueSampledData			SampledData
Observation.Slices for component.component:gene-test-code.value[x].valueTime			time
Observation.Slices for component.component:gene-test-code.value[x].valueDateTime			dateTime
Observation.Slices for component.component:gene-test-code.value[x].valuePeriod			Period
Observation.Slices for component.component:gene-test-code.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:gene-test-code.interpretation	S This element must be supported. C	0..1	CodeableConcept	基因突變類型 Binding: LOINC-健保事前審查-基因突變類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: pas-1
Observation.Slices for component.component:gene-test-code.interpretation.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.interpretation.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.interpretation.coding	Σ This element is included in summaries. C	0..*	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.interpretation.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.interpretation.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:gene-test-code.interpretation.coding.code	Σ This element is included in summaries.	1..1	code	LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins
Observation.Slices for component.component:gene-test-code.interpretation.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:gene-test-code.interpretation.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:gene-test-code.interpretation.text	Σ This element is included in summaries. C	0..1	string	基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.Slices for component.component:gene-test-code.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	extensible	LOINC Answer Codes for LL4048-6	∅	unknown?
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:gene-test-code.​code	Base	extensible	LOINC-健保事前審查-基因檢測代碼值集	📦1.2.8	This IG
Observation.component:gene-test-code.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:gene-test-code.​interpretation	Base	extensible	LOINC-健保事前審查-基因突變類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pas-1	error	Observation.component:gene-test-code.interpretation	text、coding至少需存在一個。	text.exists() or coding.exists()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 17 elements(1 nested mandatory element)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 基因檢測機構-Organization Genetic Testing TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-genetic-testing-twpas)
• 基因檢測檢體-Specimen TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas)
• 文件參照-DocumentReference TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
Observation.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
Observation.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category		1..1	CodeableConcept	因FHIR設計而需必填 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.category.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: geneInfo
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.code.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Required Pattern: 69548-6
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	基因檢測日期
Observation.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基因檢測機構-Organization Genetic Testing TWPAS)	基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string S This type must be supported.	基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.method	S This element must be supported.	1..1	CodeableConcept	基因檢測方法 Binding: LOINC Answer List LL4048-6 (extensible)
Observation.method.text	Σ This element is included in summaries.	0..1	string	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.specimen	S This element must be supported.	1..1	Reference(基因檢測檢體-Specimen TWPAS)	基因檢測檢體類型
Observation.derivedFrom	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	基因報告
Observation.Slices for component	Σ This element is included in summaries.	1..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:gene-test-code	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	基因檢測代碼
Observation.Slices for component.component:gene-test-code.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:gene-test-code.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	基因檢測代碼 Binding: LOINC-健保事前審查-基因檢測代碼值集 (extensible): 最新參考代碼清單請參考此檔案。
Observation.Slices for component.component:gene-test-code.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.Slices for component.component:gene-test-code.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1		基因檢測實際結果
Observation.Slices for component.component:gene-test-code.value[x].valueQuantity			Quantity
Observation.Slices for component.component:gene-test-code.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:gene-test-code.value[x].valueString			string
Observation.Slices for component.component:gene-test-code.value[x].valueBoolean			boolean
Observation.Slices for component.component:gene-test-code.value[x].valueInteger			integer
Observation.Slices for component.component:gene-test-code.value[x].valueRange			Range
Observation.Slices for component.component:gene-test-code.value[x].valueRatio			Ratio
Observation.Slices for component.component:gene-test-code.value[x].valueSampledData			SampledData
Observation.Slices for component.component:gene-test-code.value[x].valueTime			time
Observation.Slices for component.component:gene-test-code.value[x].valueDateTime			dateTime
Observation.Slices for component.component:gene-test-code.value[x].valuePeriod			Period
Observation.Slices for component.component:gene-test-code.interpretation	S This element must be supported. C	0..1	CodeableConcept	基因突變類型 Binding: LOINC-健保事前審查-基因突變類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: pas-1
Observation.Slices for component.component:gene-test-code.interpretation.coding	Σ This element is included in summaries. C	0..*	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.code	Σ This element is included in summaries.	1..1	code	LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins
Observation.Slices for component.component:gene-test-code.interpretation.text	Σ This element is included in summaries. C	0..1	string	基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.method	Base	extensible	LOINC Answer Codes for LL4048-6	∅	unknown?
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:gene-test-code.​code	Base	extensible	LOINC-健保事前審查-基因檢測代碼值集	📦1.2.8	This IG
Observation.component:gene-test-code.​interpretation	Base	extensible	LOINC-健保事前審查-基因突變類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pas-1	error	Observation.component:gene-test-code.interpretation	text、coding至少需存在一個。	text.exists() or coding.exists()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
Observation.meta		1..1	Meta	Metadata about the resource
Observation.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
Observation.category		1..1	CodeableConcept	因FHIR設計而需必填
Observation.category.coding		1..1	Coding	Code defined by a terminology system
Observation.category.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: geneInfo
Observation.code
Observation.code.coding		1..1	Coding	Code defined by a terminology system
Observation.code.coding.system		0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.code.coding.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system Required Pattern: 69548-6
Observation.subject	S This element must be supported.	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported.	1..1	dateTime	基因檢測日期
Observation.performer	S This element must be supported.	1..1	Reference(基因檢測機構-Organization Genetic Testing TWPAS)	基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。
Observation.value[x]	S This element must be supported.	1..1	string S This type must be supported.	基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.method	S This element must be supported.	1..1	CodeableConcept	基因檢測方法 Binding: LOINC Answer List LL4048-6 (extensible)
Observation.method.coding
Observation.method.coding.code		0..1	code	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.method.text		0..1	string	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.specimen	S This element must be supported.	1..1	Reference(基因檢測檢體-Specimen TWPAS)	基因檢測檢體類型
Observation.derivedFrom	S This element must be supported.	0..*	Reference(文件參照-DocumentReference TWPAS)	基因報告
Observation.Slices for component		1..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:gene-test-code	S This element must be supported.	1..*	BackboneElement	基因檢測代碼
Observation.Slices for component.component:gene-test-code.code	S This element must be supported.	1..1	CodeableConcept	基因檢測代碼 Binding: LOINC-健保事前審查-基因檢測代碼值集 (extensible): 最新參考代碼清單請參考此檔案。
Observation.Slices for component.component:gene-test-code.code.coding		1..1	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.code.coding.system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.Slices for component.component:gene-test-code.value[x]	S This element must be supported.	1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	基因檢測實際結果
Observation.Slices for component.component:gene-test-code.interpretation	S This element must be supported. C	0..1	CodeableConcept	基因突變類型 Binding: LOINC-健保事前審查-基因突變類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: pas-1
Observation.Slices for component.component:gene-test-code.interpretation.coding	C	0..*	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.code		1..1	code	LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins
Observation.Slices for component.component:gene-test-code.interpretation.text	C	0..1	string	基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.method	Base	extensible	LOINC Answer Codes for LL4048-6	∅	unknown?
Observation.component:gene-test-code.​code	Base	extensible	LOINC-健保事前審查-基因檢測代碼值集	📦1.2.8	This IG
Observation.component:gene-test-code.​interpretation	Base	extensible	LOINC-健保事前審查-基因突變類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pas-1	error	Observation.component:gene-test-code.interpretation	text、coding至少需存在一個。	text.exists() or coding.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
Observation.meta.id		0..1	string	Unique id for inter-element referencing
Observation.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Observation.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Observation.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Observation.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
Observation.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Observation.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.extension		0..*	Extension	Additional content defined by implementations
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category		1..1	CodeableConcept	因FHIR設計而需必填 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.category.id		0..1	string	Unique id for inter-element referencing
Observation.category.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.category.coding.id		0..1	string	Unique id for inter-element referencing
Observation.category.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.category.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.category.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: geneInfo
Observation.category.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.category.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Required Pattern: 69548-6
Observation.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	基因檢測日期
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基因檢測機構-Organization Genetic Testing TWPAS)	基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string S This type must be supported.	基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method	S This element must be supported.	1..1	CodeableConcept	基因檢測方法 Binding: LOINC Answer List LL4048-6 (extensible)
Observation.method.id		0..1	string	Unique id for inter-element referencing
Observation.method.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.method.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Observation.method.coding.id		0..1	string	Unique id for inter-element referencing
Observation.method.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.method.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
Observation.method.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.method.coding.code	Σ This element is included in summaries.	0..1	code	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.method.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.method.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.method.text	Σ This element is included in summaries.	0..1	string	基因檢測方法。若值集中的代碼不夠用，可用其他LOINC代碼或是於text呈現。
Observation.specimen	S This element must be supported.	1..1	Reference(基因檢測檢體-Specimen TWPAS)	基因檢測檢體類型
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	基因報告
Observation.Slices for component	Σ This element is included in summaries.	1..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:gene-test-code	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	基因檢測代碼
Observation.Slices for component.component:gene-test-code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:gene-test-code.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:gene-test-code.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	基因檢測代碼 Binding: LOINC-健保事前審查-基因檢測代碼值集 (extensible): 最新參考代碼清單請參考此檔案。
Observation.Slices for component.component:gene-test-code.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
Observation.Slices for component.component:gene-test-code.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:gene-test-code.code.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system
Observation.Slices for component.component:gene-test-code.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:gene-test-code.code.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:gene-test-code.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:gene-test-code.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1		基因檢測實際結果
Observation.Slices for component.component:gene-test-code.value[x].valueQuantity			Quantity
Observation.Slices for component.component:gene-test-code.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:gene-test-code.value[x].valueString			string
Observation.Slices for component.component:gene-test-code.value[x].valueBoolean			boolean
Observation.Slices for component.component:gene-test-code.value[x].valueInteger			integer
Observation.Slices for component.component:gene-test-code.value[x].valueRange			Range
Observation.Slices for component.component:gene-test-code.value[x].valueRatio			Ratio
Observation.Slices for component.component:gene-test-code.value[x].valueSampledData			SampledData
Observation.Slices for component.component:gene-test-code.value[x].valueTime			time
Observation.Slices for component.component:gene-test-code.value[x].valueDateTime			dateTime
Observation.Slices for component.component:gene-test-code.value[x].valuePeriod			Period
Observation.Slices for component.component:gene-test-code.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:gene-test-code.interpretation	S This element must be supported. C	0..1	CodeableConcept	基因突變類型 Binding: LOINC-健保事前審查-基因突變類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: pas-1
Observation.Slices for component.component:gene-test-code.interpretation.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.interpretation.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.interpretation.coding	Σ This element is included in summaries. C	0..*	Coding	Code defined by a terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:gene-test-code.interpretation.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:gene-test-code.interpretation.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
Observation.Slices for component.component:gene-test-code.interpretation.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:gene-test-code.interpretation.coding.code	Σ This element is included in summaries.	1..1	code	LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins
Observation.Slices for component.component:gene-test-code.interpretation.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:gene-test-code.interpretation.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:gene-test-code.interpretation.text	Σ This element is included in summaries. C	0..1	string	基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
Observation.Slices for component.component:gene-test-code.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	extensible	LOINC Answer Codes for LL4048-6	∅	unknown?
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:gene-test-code.​code	Base	extensible	LOINC-健保事前審查-基因檢測代碼值集	📦1.2.8	This IG
Observation.component:gene-test-code.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:gene-test-code.​interpretation	Base	extensible	LOINC-健保事前審查-基因突變類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pas-1	error	Observation.component:gene-test-code.interpretation	text、coding至少需存在一個。	text.exists() or coding.exists()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 17 elements(1 nested mandatory element)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 基因檢測機構-Organization Genetic Testing TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-genetic-testing-twpas)
• 基因檢測檢體-Specimen TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas)
• 文件參照-DocumentReference TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component (Closed)