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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• Detailed Descriptions
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Resource Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS

此治療後疾病狀態評估-Observation Treatment Assessment TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現事前審查中結果資訊之治療後疾病狀態評估

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-tx-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, nhi-tx-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-tx-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.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required)
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a 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	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string	治療後疾病狀態評估結果。請依評估項目填寫特定代碼。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	required	NHI-健保事前審查-治療後疾病狀態評估項目值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。	((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
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()

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: nhi-tx-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-tx-assessment-twpas
Observation.code	S This element must be supported.	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required)
Observation.code.coding		1..1	Coding	Code defined by a 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	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.value[x]	S This element must be supported.	1..1	string	治療後疾病狀態評估結果。請依評估項目填寫特定代碼。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	NHI-健保事前審查-治療後疾病狀態評估項目值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。	((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, nhi-tx-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-tx-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		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required)
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
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	治療後疾病狀態評估日期，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	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string	治療後疾病狀態評估結果。請依評估項目填寫特定代碼。
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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Observation.component	Σ This element is included in summaries.	0..*	BackboneElement	Component results
Observation.component.id		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations
Observation.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.component.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.component.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.component.value[x].valueQuantity			Quantity
Observation.component.value[x].valueCodeableConcept			CodeableConcept
Observation.component.value[x].valueString			string
Observation.component.value[x].valueBoolean			boolean
Observation.component.value[x].valueInteger			integer
Observation.component.value[x].valueRange			Range
Observation.component.value[x].valueRatio			Ratio
Observation.component.value[x].valueSampledData			SampledData
Observation.component.value[x].valueTime			time
Observation.component.value[x].valueDateTime			dateTime
Observation.component.value[x].valuePeriod			Period
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.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	NHI-健保事前審查-治療後疾病狀態評估項目值集	📦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.

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()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。	((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

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

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, nhi-tx-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-tx-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.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required)
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a 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	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string	治療後疾病狀態評估結果。請依評估項目填寫特定代碼。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	required	NHI-健保事前審查-治療後疾病狀態評估項目值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。	((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
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()

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: nhi-tx-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-tx-assessment-twpas
Observation.code	S This element must be supported.	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required)
Observation.code.coding		1..1	Coding	Code defined by a 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	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
Observation.value[x]	S This element must be supported.	1..1	string	治療後疾病狀態評估結果。請依評估項目填寫特定代碼。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	NHI-健保事前審查-治療後疾病狀態評估項目值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。	((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))

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, nhi-tx-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-tx-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		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required)
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
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	治療後疾病狀態評估日期，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	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	string	治療後疾病狀態評估結果。請依評估項目填寫特定代碼。
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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Observation.component	Σ This element is included in summaries.	0..*	BackboneElement	Component results
Observation.component.id		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations
Observation.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.component.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.component.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.component.value[x].valueQuantity			Quantity
Observation.component.value[x].valueCodeableConcept			CodeableConcept
Observation.component.value[x].valueString			string
Observation.component.value[x].valueBoolean			boolean
Observation.component.value[x].valueInteger			integer
Observation.component.value[x].valueRange			Range
Observation.component.value[x].valueRatio			Ratio
Observation.component.value[x].valueSampledData			SampledData
Observation.component.value[x].valueTime			time
Observation.component.value[x].valueDateTime			dateTime
Observation.component.value[x].valuePeriod			Period
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.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	NHI-健保事前審查-治療後疾病狀態評估項目值集	📦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.

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()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。	((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

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

Other representations of profile: CSV, Excel, Schematron