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

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Resource Profile: 病人狀態評估-Observation Patient Assessment TWPAS

此病人狀態評估-Observation Patient Assessment TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現事前審查中評估資訊之病人狀態評估

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-pat-ctcae, Observation/obs-pat-nyha and Observation/obs-pat-pdai
• 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, pat-ast-value
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-pat-assessment-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	因設計而須必填。 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: patientAssessment
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	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 (required): 最新參考代碼清單請參考此檔案。
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.	1..1	uri	Identity of the terminology system
Observation.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
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	病人狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		病人狀態評估結果
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	病人狀態評估報告（檔案路徑）及病人狀態評估報告名稱
Observation.Slices for component	Σ This element is included in summaries.	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding 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:hearing-impaired	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Hearing impaired
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.code	Σ This element is included in summaries.	1..1	CodeableConcept	Hearing impaired Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:hearing-impaired.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:hearing-impaired.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:hearing-impaired.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:hearing-impaired.code.coding.display		0..1	string	Representation defined by the system
Observation.Slices for component.component:hearing-impaired.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:hearing-impaired.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:hearing-impaired.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143528
Observation.Slices for component.component:hearing-impaired.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-motor-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral motor neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.display		0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143750
Observation.Slices for component.component:peripheral-motor-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-sensory-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral sensory neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.display		0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143752
Observation.Slices for component.component:peripheral-sensory-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
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 + SCT + NHI-健保事前審查-病人狀態評估項目值集	📦1.2.8	This IG
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-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()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項； 若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項； 若病人狀態評估項目代碼(code)為89247-1，結果值(valueQuantity)須填寫0~5其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為89243-0，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為IPS，結果值(valueQuantity)須填寫0~7其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PDAI，結果值(valueQuantity)須填寫0~263其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為CIRS，結果值(valueQuantity)須填寫0~56其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為75633-8，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為HCTCI，結果值(valueQuantity)須填寫0~26其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPNSAFTSS，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPN10，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為711434002，結果值(component.valueString)須填寫grade1/grade2/grade3/grade4/grade5其中一項； 若病人狀態評估項目代碼(code)為429712009，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為GPPGA，結果值(valueQuantity)須填寫0~4其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為273364009，結果值(valueQuantity)須填寫0~600其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為Mayo，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MayoE，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PUCAI，結果值(valueQuantity)須填寫0~90其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PASI，結果值(valueQuantity)須填寫0~72其中的值，可包含小數點下兩位。	((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 5 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='89243-0')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='IPS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 7 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 263 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 56 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 26 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPNSAFTSS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPN10')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='711434002')) implies (component.all(value.ofType(string) = 'grade1' or value.ofType(string) = 'grade2' or value.ofType(string) = 'grade3' or value.ofType(string) = 'grade4' or value.ofType(string) = 'grade5'))) and ((code.coding.exists(code='429712009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='GPPGA')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 4 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='273364009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 600 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='Mayo')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MayoE')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PUCAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 90 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PASI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 72 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value))

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: pat-ast-value
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-pat-assessment-twpas
Observation.category		1..1	CodeableConcept	因設計而須必填。 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: patientAssessment
Observation.code	S This element must be supported.	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 (required): 最新參考代碼清單請參考此檔案。
Observation.code.coding		1..1	Coding	Code defined by a terminology system
Observation.code.coding.system		1..1	uri	Identity of the terminology system
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system
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	病人狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.performer	S This element must be supported.	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
Observation.value[x]	S This element must be supported.	0..1		病人狀態評估結果
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.derivedFrom		0..*	Reference(文件參照-DocumentReference TWPAS)	病人狀態評估報告（檔案路徑）及病人狀態評估報告名稱
Observation.Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding 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:hearing-impaired	S This element must be supported.	0..1	BackboneElement	Hearing impaired
Observation.Slices for component.component:hearing-impaired.code		1..1	CodeableConcept	Hearing impaired
Observation.Slices for component.component:hearing-impaired.code.coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:hearing-impaired.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:hearing-impaired.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: C143528
Observation.Slices for component.component:hearing-impaired.value[x]	S This element must be supported.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-motor-neuropathy	S This element must be supported.	0..1	BackboneElement	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.code		1..1	CodeableConcept	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: C143750
Observation.Slices for component.component:peripheral-motor-neuropathy.value[x]	S This element must be supported.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-sensory-neuropathy	S This element must be supported.	0..1	BackboneElement	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.code		1..1	CodeableConcept	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: C143752
Observation.Slices for component.component:peripheral-sensory-neuropathy.value[x]	S This element must be supported.	1..1	string	grade1~5
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項； 若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項； 若病人狀態評估項目代碼(code)為89247-1，結果值(valueQuantity)須填寫0~5其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為89243-0，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為IPS，結果值(valueQuantity)須填寫0~7其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PDAI，結果值(valueQuantity)須填寫0~263其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為CIRS，結果值(valueQuantity)須填寫0~56其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為75633-8，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為HCTCI，結果值(valueQuantity)須填寫0~26其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPNSAFTSS，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPN10，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為711434002，結果值(component.valueString)須填寫grade1/grade2/grade3/grade4/grade5其中一項； 若病人狀態評估項目代碼(code)為429712009，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為GPPGA，結果值(valueQuantity)須填寫0~4其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為273364009，結果值(valueQuantity)須填寫0~600其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為Mayo，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MayoE，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PUCAI，結果值(valueQuantity)須填寫0~90其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PASI，結果值(valueQuantity)須填寫0~72其中的值，可包含小數點下兩位。	((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 5 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='89243-0')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='IPS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 7 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 263 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 56 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 26 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPNSAFTSS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPN10')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='711434002')) implies (component.all(value.ofType(string) = 'grade1' or value.ofType(string) = 'grade2' or value.ofType(string) = 'grade3' or value.ofType(string) = 'grade4' or value.ofType(string) = 'grade5'))) and ((code.coding.exists(code='429712009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='GPPGA')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 4 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='273364009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 600 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='Mayo')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MayoE')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PUCAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 90 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PASI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 72 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, pat-ast-value
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-pat-assessment-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	因設計而須必填。 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: patientAssessment
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	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 (required): 最新參考代碼清單請參考此檔案。
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.	1..1	uri	Identity of the terminology system
Observation.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
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	病人狀態評估日期，YYYY-MM-DD，西元年月日。
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(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		病人狀態評估結果
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
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		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
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	Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	病人狀態評估報告（檔案路徑）及病人狀態評估報告名稱
Observation.Slices for component	Σ This element is included in summaries.	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding 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:hearing-impaired	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Hearing impaired
Observation.Slices for component.component:hearing-impaired.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.code	Σ This element is included in summaries.	1..1	CodeableConcept	Hearing impaired Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:hearing-impaired.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:hearing-impaired.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:hearing-impaired.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:hearing-impaired.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:hearing-impaired.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:hearing-impaired.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143528
Observation.Slices for component.component:hearing-impaired.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:hearing-impaired.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:hearing-impaired.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:peripheral-motor-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral motor neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-motor-neuropathy.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143750
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:peripheral-motor-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:peripheral-motor-neuropathy.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:peripheral-sensory-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral sensory neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143752
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:peripheral-sensory-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:peripheral-sensory-neuropathy.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	required	LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集	📦1.2.8	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項； 若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項； 若病人狀態評估項目代碼(code)為89247-1，結果值(valueQuantity)須填寫0~5其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為89243-0，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為IPS，結果值(valueQuantity)須填寫0~7其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PDAI，結果值(valueQuantity)須填寫0~263其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為CIRS，結果值(valueQuantity)須填寫0~56其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為75633-8，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為HCTCI，結果值(valueQuantity)須填寫0~26其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPNSAFTSS，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPN10，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為711434002，結果值(component.valueString)須填寫grade1/grade2/grade3/grade4/grade5其中一項； 若病人狀態評估項目代碼(code)為429712009，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為GPPGA，結果值(valueQuantity)須填寫0~4其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為273364009，結果值(valueQuantity)須填寫0~600其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為Mayo，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MayoE，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PUCAI，結果值(valueQuantity)須填寫0~90其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PASI，結果值(valueQuantity)須填寫0~72其中的值，可包含小數點下兩位。	((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 5 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='89243-0')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='IPS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 7 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 263 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 56 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 26 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPNSAFTSS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPN10')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='711434002')) implies (component.all(value.ofType(string) = 'grade1' or value.ofType(string) = 'grade2' or value.ofType(string) = 'grade3' or value.ofType(string) = 'grade4' or value.ofType(string) = 'grade5'))) and ((code.coding.exists(code='429712009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='GPPGA')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 4 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='273364009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 600 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='Mayo')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MayoE')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PUCAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 90 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PASI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 72 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value))
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: 9 elements(12 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-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, pat-ast-value
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-pat-assessment-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	因設計而須必填。 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: patientAssessment
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	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 (required): 最新參考代碼清單請參考此檔案。
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.	1..1	uri	Identity of the terminology system
Observation.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
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	病人狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		病人狀態評估結果
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	病人狀態評估報告（檔案路徑）及病人狀態評估報告名稱
Observation.Slices for component	Σ This element is included in summaries.	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding 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:hearing-impaired	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Hearing impaired
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.code	Σ This element is included in summaries.	1..1	CodeableConcept	Hearing impaired Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:hearing-impaired.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:hearing-impaired.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:hearing-impaired.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:hearing-impaired.code.coding.display		0..1	string	Representation defined by the system
Observation.Slices for component.component:hearing-impaired.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:hearing-impaired.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:hearing-impaired.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143528
Observation.Slices for component.component:hearing-impaired.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-motor-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral motor neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.display		0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143750
Observation.Slices for component.component:peripheral-motor-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-sensory-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral sensory neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.display		0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143752
Observation.Slices for component.component:peripheral-sensory-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
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 + SCT + NHI-健保事前審查-病人狀態評估項目值集	📦1.2.8	This IG
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-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()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項； 若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項； 若病人狀態評估項目代碼(code)為89247-1，結果值(valueQuantity)須填寫0~5其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為89243-0，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為IPS，結果值(valueQuantity)須填寫0~7其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PDAI，結果值(valueQuantity)須填寫0~263其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為CIRS，結果值(valueQuantity)須填寫0~56其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為75633-8，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為HCTCI，結果值(valueQuantity)須填寫0~26其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPNSAFTSS，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPN10，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為711434002，結果值(component.valueString)須填寫grade1/grade2/grade3/grade4/grade5其中一項； 若病人狀態評估項目代碼(code)為429712009，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為GPPGA，結果值(valueQuantity)須填寫0~4其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為273364009，結果值(valueQuantity)須填寫0~600其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為Mayo，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MayoE，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PUCAI，結果值(valueQuantity)須填寫0~90其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PASI，結果值(valueQuantity)須填寫0~72其中的值，可包含小數點下兩位。	((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 5 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='89243-0')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='IPS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 7 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 263 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 56 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 26 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPNSAFTSS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPN10')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='711434002')) implies (component.all(value.ofType(string) = 'grade1' or value.ofType(string) = 'grade2' or value.ofType(string) = 'grade3' or value.ofType(string) = 'grade4' or value.ofType(string) = 'grade5'))) and ((code.coding.exists(code='429712009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='GPPGA')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 4 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='273364009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 600 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='Mayo')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MayoE')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PUCAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 90 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PASI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 72 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value))

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: pat-ast-value
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-pat-assessment-twpas
Observation.category		1..1	CodeableConcept	因設計而須必填。 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: patientAssessment
Observation.code	S This element must be supported.	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 (required): 最新參考代碼清單請參考此檔案。
Observation.code.coding		1..1	Coding	Code defined by a terminology system
Observation.code.coding.system		1..1	uri	Identity of the terminology system
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system
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	病人狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.performer	S This element must be supported.	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
Observation.value[x]	S This element must be supported.	0..1		病人狀態評估結果
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.derivedFrom		0..*	Reference(文件參照-DocumentReference TWPAS)	病人狀態評估報告（檔案路徑）及病人狀態評估報告名稱
Observation.Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding 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:hearing-impaired	S This element must be supported.	0..1	BackboneElement	Hearing impaired
Observation.Slices for component.component:hearing-impaired.code		1..1	CodeableConcept	Hearing impaired
Observation.Slices for component.component:hearing-impaired.code.coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:hearing-impaired.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:hearing-impaired.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: C143528
Observation.Slices for component.component:hearing-impaired.value[x]	S This element must be supported.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-motor-neuropathy	S This element must be supported.	0..1	BackboneElement	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.code		1..1	CodeableConcept	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: C143750
Observation.Slices for component.component:peripheral-motor-neuropathy.value[x]	S This element must be supported.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-sensory-neuropathy	S This element must be supported.	0..1	BackboneElement	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.code		1..1	CodeableConcept	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: C143752
Observation.Slices for component.component:peripheral-sensory-neuropathy.value[x]	S This element must be supported.	1..1	string	grade1~5
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項； 若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項； 若病人狀態評估項目代碼(code)為89247-1，結果值(valueQuantity)須填寫0~5其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為89243-0，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為IPS，結果值(valueQuantity)須填寫0~7其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PDAI，結果值(valueQuantity)須填寫0~263其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為CIRS，結果值(valueQuantity)須填寫0~56其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為75633-8，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為HCTCI，結果值(valueQuantity)須填寫0~26其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPNSAFTSS，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPN10，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為711434002，結果值(component.valueString)須填寫grade1/grade2/grade3/grade4/grade5其中一項； 若病人狀態評估項目代碼(code)為429712009，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為GPPGA，結果值(valueQuantity)須填寫0~4其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為273364009，結果值(valueQuantity)須填寫0~600其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為Mayo，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MayoE，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PUCAI，結果值(valueQuantity)須填寫0~90其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PASI，結果值(valueQuantity)須填寫0~72其中的值，可包含小數點下兩位。	((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 5 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='89243-0')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='IPS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 7 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 263 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 56 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 26 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPNSAFTSS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPN10')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='711434002')) implies (component.all(value.ofType(string) = 'grade1' or value.ofType(string) = 'grade2' or value.ofType(string) = 'grade3' or value.ofType(string) = 'grade4' or value.ofType(string) = 'grade5'))) and ((code.coding.exists(code='429712009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='GPPGA')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 4 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='273364009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 600 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='Mayo')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MayoE')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PUCAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 90 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PASI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 72 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value))

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, pat-ast-value
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-pat-assessment-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	因設計而須必填。 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: patientAssessment
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	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 (required): 最新參考代碼清單請參考此檔案。
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.	1..1	uri	Identity of the terminology system
Observation.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
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	病人狀態評估日期，YYYY-MM-DD，西元年月日。
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(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		病人狀態評估結果
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
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		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
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	Σ This element is included in summaries.	0..*	Reference(文件參照-DocumentReference TWPAS)	病人狀態評估報告（檔案路徑）及病人狀態評估報告名稱
Observation.Slices for component	Σ This element is included in summaries.	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code.coding 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:hearing-impaired	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Hearing impaired
Observation.Slices for component.component:hearing-impaired.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.code	Σ This element is included in summaries.	1..1	CodeableConcept	Hearing impaired Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:hearing-impaired.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:hearing-impaired.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:hearing-impaired.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:hearing-impaired.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:hearing-impaired.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:hearing-impaired.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:hearing-impaired.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143528
Observation.Slices for component.component:hearing-impaired.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:hearing-impaired.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:hearing-impaired.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:hearing-impaired.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:hearing-impaired.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:peripheral-motor-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral motor neuropathy
Observation.Slices for component.component:peripheral-motor-neuropathy.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral motor neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-motor-neuropathy.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143750
Observation.Slices for component.component:peripheral-motor-neuropathy.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:peripheral-motor-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-motor-neuropathy.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:peripheral-motor-neuropathy.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:peripheral-motor-neuropathy.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:peripheral-sensory-neuropathy	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Peripheral sensory neuropathy
Observation.Slices for component.component:peripheral-sensory-neuropathy.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.code	Σ This element is included in summaries.	1..1	CodeableConcept	Peripheral sensory neuropathy Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pat-ast
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: C143752
Observation.Slices for component.component:peripheral-sensory-neuropathy.code.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:peripheral-sensory-neuropathy.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	string	grade1~5
Observation.Slices for component.component:peripheral-sensory-neuropathy.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:peripheral-sensory-neuropathy.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:peripheral-sensory-neuropathy.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	required	LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集	📦1.2.8	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:hearing-impaired.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:peripheral-motor-neuropathy.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:peripheral-sensory-neuropathy.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項； 若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項； 若病人狀態評估項目代碼(code)為89247-1，結果值(valueQuantity)須填寫0~5其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為89243-0，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為IPS，結果值(valueQuantity)須填寫0~7其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PDAI，結果值(valueQuantity)須填寫0~263其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為CIRS，結果值(valueQuantity)須填寫0~56其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為75633-8，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為HCTCI，結果值(valueQuantity)須填寫0~26其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPNSAFTSS，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MPN10，結果值(valueQuantity)須填寫0~100其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為711434002，結果值(component.valueString)須填寫grade1/grade2/grade3/grade4/grade5其中一項； 若病人狀態評估項目代碼(code)為429712009，結果值(valueQuantity)須填寫0~10其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為GPPGA，結果值(valueQuantity)須填寫0~4其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為273364009，結果值(valueQuantity)須填寫0~600其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為Mayo，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為MayoE，結果值(valueQuantity)須填寫0~12其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PUCAI，結果值(valueQuantity)須填寫0~90其中的值，可包含小數點下兩位； 若病人狀態評估項目代碼(code)為PASI，結果值(valueQuantity)須填寫0~72其中的值，可包含小數點下兩位。	((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 5 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='89243-0')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='IPS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 7 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 263 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 56 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 26 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPNSAFTSS')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MPN10')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 100 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='711434002')) implies (component.all(value.ofType(string) = 'grade1' or value.ofType(string) = 'grade2' or value.ofType(string) = 'grade3' or value.ofType(string) = 'grade4' or value.ofType(string) = 'grade5'))) and ((code.coding.exists(code='429712009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 10 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='GPPGA')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 4 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='273364009')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 600 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='Mayo')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='MayoE')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 12 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PUCAI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 90 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value)) and ((code.coding.exists(code='PASI')) implies (value.ofType(Quantity).value >= 0 and value.ofType(Quantity).value <= 72 and ((value.ofType(Quantity).value * 100).round() / 100) = value.ofType(Quantity).value))
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: 9 elements(12 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-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)