臺灣健保事前審查實作指引
1.2.8 - ci-build

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

Resource Profile: 檢驗檢查-Observation Laboratory Result TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas Version: 1.2.8
Active as of 2026-10-14 Computable Name: ObservationLaboratoryResultTWPAS

此檢驗檢查-Observation Laboratory Result TWPAS Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result) Profile以呈現事前審查中評估資訊之檢驗(查)相關資料

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, lab-result
Observation.meta This element is included in summaries. 1..1 Meta Metadata about the resource
Observation.meta.profile 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-laboratory-result-twpas
Observation.implicitRules This element is a modifier element. 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. 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.

Required Pattern: At least the following
Observation.category.id 0..1 string Unique id for inter-element referencing
Observation.category.extension 0..* Extension Additional content defined by implementations
Observation.category.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.category.coding.id 0..1 string Unique id for inter-element referencing
Observation.category.coding.extension 0..* Extension Additional content defined by implementations
Observation.category.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.version 0..1 string Version of the system - if relevant
Observation.category.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: tests
Observation.category.coding.display 0..1 string Representation defined by the system
Observation.category.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.category.text 0..1 string Plain text representation of the concept
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱或套組代碼
Binding: LOINCCodes (required)
Observation.subject This element must be supported. 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] This element must be supported. This element is included in summaries. 1..1 dateTime 檢驗(查)報告日期
Observation.performer This element must be supported. This element is included in summaries. 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發檢驗(查)報告醫事人員身分證號
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗(查)結果。若有多筆結果值,請以valueString並使用半形「;」符號分隔呈現。
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.referenceRange This element must be supported. C 0..1 BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(文件參照-DocumentReference TWPAS) 檢驗(查)附件
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 套組中的檢驗
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱
Binding: LOINCCodes (required)
Observation.component.value[x] This element must be supported. This element is included in summaries. 1..1 檢驗(查)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.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀。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.component.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation of component result
Observation.component.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.component.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.component.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.component.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明

doco 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 required LOINC Codes 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base required LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component.​referenceRange.type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: lab-result
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-laboratory-result-twpas
Observation.category 1..1 CodeableConcept 因FHIR設計而需必填
Required Pattern: At least the following
Observation.category.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.category.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: tests
Observation.code This element must be supported. 1..1 CodeableConcept 檢驗(查)名稱或套組代碼
Binding: LOINCCodes (required)
Observation.effective[x] This element must be supported. 1..1 dateTime 檢驗(查)報告日期
Observation.performer This element must be supported. 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發檢驗(查)報告醫事人員身分證號
Observation.value[x] This element must be supported. 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗(查)結果。若有多筆結果值,請以valueString並使用半形「;」符號分隔呈現。
Observation.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀
Observation.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation
Observation.referenceRange.low This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Observation.referenceRange.high This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Observation.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Observation.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明
Observation.derivedFrom This element must be supported. 0..* Reference(文件參照-DocumentReference TWPAS) 檢驗(查)附件
Observation.component This element must be supported. 0..* BackboneElement 套組中的檢驗
Observation.component.code This element must be supported. 1..1 CodeableConcept 檢驗(查)名稱
Binding: LOINCCodes (required)
Observation.component.value[x] This element must be supported. 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗(查)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.component.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀。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.component.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation of component result
Observation.component.referenceRange.low This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Observation.component.referenceRange.high This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Observation.component.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Observation.component.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base required LOINC Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
lab-result error Observation 至少填寫檢驗(查)結果(value[x])或套組中的檢驗(查)結果(component.value[x]) value.exists() or component.value.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, lab-result
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta 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 This element is included in summaries. 0..1 id Version specific identifier
Observation.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Observation.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
Observation.meta.profile 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-laboratory-result-twpas
Observation.meta.security 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 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. 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 BindingsPurpose
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 This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf 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. 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.

Required Pattern: At least the following
Observation.category.id 0..1 string Unique id for inter-element referencing
Observation.category.extension 0..* Extension Additional content defined by implementations
Observation.category.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.category.coding.id 0..1 string Unique id for inter-element referencing
Observation.category.coding.extension 0..* Extension Additional content defined by implementations
Observation.category.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.version 0..1 string Version of the system - if relevant
Observation.category.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: tests
Observation.category.coding.display 0..1 string Representation defined by the system
Observation.category.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.category.text 0..1 string Plain text representation of the concept
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱或套組代碼
Binding: LOINCCodes (required)
Observation.subject This element must be supported. 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 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 This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime 檢驗(查)報告日期
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element must be supported. This element is included in summaries. 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發檢驗(查)報告醫事人員身分證號
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗(查)結果。若有多筆結果值,請以valueString並使用半形「;」符號分隔呈現。
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
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 This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange This element must be supported. C 0..1 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. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
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 This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(文件參照-DocumentReference TWPAS) 檢驗(查)附件
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 套組中的檢驗
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱
Binding: LOINCCodes (required)
Observation.component.value[x] This element must be supported. This element is included in summaries. 1..1 檢驗(查)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.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀。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.component.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation of component result
Observation.component.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.component.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.component.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.component.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.component.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.component.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.component.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.component.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明

doco 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 required 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 example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base required 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.​referenceRange.type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.component.​referenceRange.appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, lab-result
Observation.meta This element is included in summaries. 1..1 Meta Metadata about the resource
Observation.meta.profile 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-laboratory-result-twpas
Observation.implicitRules This element is a modifier element. 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. 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.

Required Pattern: At least the following
Observation.category.id 0..1 string Unique id for inter-element referencing
Observation.category.extension 0..* Extension Additional content defined by implementations
Observation.category.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.category.coding.id 0..1 string Unique id for inter-element referencing
Observation.category.coding.extension 0..* Extension Additional content defined by implementations
Observation.category.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.version 0..1 string Version of the system - if relevant
Observation.category.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: tests
Observation.category.coding.display 0..1 string Representation defined by the system
Observation.category.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.category.text 0..1 string Plain text representation of the concept
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱或套組代碼
Binding: LOINCCodes (required)
Observation.subject This element must be supported. 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] This element must be supported. This element is included in summaries. 1..1 dateTime 檢驗(查)報告日期
Observation.performer This element must be supported. This element is included in summaries. 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發檢驗(查)報告醫事人員身分證號
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗(查)結果。若有多筆結果值,請以valueString並使用半形「;」符號分隔呈現。
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.referenceRange This element must be supported. C 0..1 BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(文件參照-DocumentReference TWPAS) 檢驗(查)附件
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 套組中的檢驗
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱
Binding: LOINCCodes (required)
Observation.component.value[x] This element must be supported. This element is included in summaries. 1..1 檢驗(查)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.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀。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.component.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation of component result
Observation.component.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.component.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.component.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.component.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明

doco 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 required LOINC Codes 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base required LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component.​referenceRange.type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: lab-result
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-laboratory-result-twpas
Observation.category 1..1 CodeableConcept 因FHIR設計而需必填
Required Pattern: At least the following
Observation.category.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.category.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: tests
Observation.code This element must be supported. 1..1 CodeableConcept 檢驗(查)名稱或套組代碼
Binding: LOINCCodes (required)
Observation.subject 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] This element must be supported. 1..1 dateTime 檢驗(查)報告日期
Observation.performer This element must be supported. 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發檢驗(查)報告醫事人員身分證號
Observation.value[x] This element must be supported. 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗(查)結果。若有多筆結果值,請以valueString並使用半形「;」符號分隔呈現。
Observation.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀
Observation.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation
Observation.referenceRange.low This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Observation.referenceRange.high This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Observation.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Observation.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明
Observation.derivedFrom This element must be supported. 0..* Reference(文件參照-DocumentReference TWPAS) 檢驗(查)附件
Observation.component This element must be supported. 0..* BackboneElement 套組中的檢驗
Observation.component.code This element must be supported. 1..1 CodeableConcept 檢驗(查)名稱
Binding: LOINCCodes (required)
Observation.component.value[x] This element must be supported. 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗(查)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.component.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀。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.component.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation of component result
Observation.component.referenceRange.low This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Observation.component.referenceRange.high This element must be supported. 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Observation.component.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Observation.component.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base required LOINC Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
lab-result error Observation 至少填寫檢驗(查)結果(value[x])或套組中的檢驗(查)結果(component.value[x]) value.exists() or component.value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, lab-result
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta 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 This element is included in summaries. 0..1 id Version specific identifier
Observation.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Observation.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
Observation.meta.profile 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-laboratory-result-twpas
Observation.meta.security 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 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. 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 BindingsPurpose
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 This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf 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. 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.

Required Pattern: At least the following
Observation.category.id 0..1 string Unique id for inter-element referencing
Observation.category.extension 0..* Extension Additional content defined by implementations
Observation.category.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.category.coding.id 0..1 string Unique id for inter-element referencing
Observation.category.coding.extension 0..* Extension Additional content defined by implementations
Observation.category.coding.system 1..1 uri Identity of the terminology system
Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
Observation.category.coding.version 0..1 string Version of the system - if relevant
Observation.category.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: tests
Observation.category.coding.display 0..1 string Representation defined by the system
Observation.category.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.category.text 0..1 string Plain text representation of the concept
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱或套組代碼
Binding: LOINCCodes (required)
Observation.subject This element must be supported. 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 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 This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime 檢驗(查)報告日期
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element must be supported. This element is included in summaries. 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發檢驗(查)報告醫事人員身分證號
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗(查)結果。若有多筆結果值,請以valueString並使用半形「;」符號分隔呈現。
Observation.value[x].valueQuantity Quantity
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.value[x].valueString string
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
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 This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange This element must be supported. C 0..1 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. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
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 This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(文件參照-DocumentReference TWPAS) 檢驗(查)附件
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 套組中的檢驗
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 檢驗(查)名稱
Binding: LOINCCodes (required)
Observation.component.value[x] This element must be supported. This element is included in summaries. 1..1 檢驗(查)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.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation This element must be supported. 0..1 CodeableConcept 檢驗(查)結果判讀。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.component.referenceRange This element must be supported. 0..1 BackboneElement Provides guide for interpretation of component result
Observation.component.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.component.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.component.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.referenceRange.low This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍下限
Constraints: sqty-1
Observation.component.referenceRange.high This element must be supported. C 0..1 SimpleQuantity(4.0.1) 檢驗(查)結果之參考範圍上限
Constraints: sqty-1
Observation.component.referenceRange.type This element must be supported. 0..1 CodeableConcept 檢驗(查)結果之參考範圍類型
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.component.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.component.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.component.referenceRange.text This element must be supported. 0..1 string 檢驗(查)結果之參考範圍說明

doco 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 required 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 example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base required 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.​referenceRange.type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.component.​referenceRange.appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.

Constraints

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

 

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