臺灣健保癌症用藥事前審查實作指引
1.0.9 - ci-build

臺灣健保癌症用藥事前審查實作指引, 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 1.0.9 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

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

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas Version: 1.0.9
Active as of 2025-10-14 Computable Name: ObservationTreatmentAssessmentTWPAS

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以呈現癌藥事前審查中結果資訊之治療後疾病狀態評估

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, nhi-tx-ast-value
... meta Σ 1..1 Meta Metadata about the resource
.... profile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 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)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) Who and/or what the observation is about
... effective[x] SΣ 1..1 dateTime 治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
... value[x] SΣC 1..1 string 治療後疾病狀態評估結果

doco 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 📦1.0.9 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: nhi-tx-ast-value
... meta 1..1 Meta Metadata about the resource
.... 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
... code S 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)
.... coding 1..1 Coding Code defined by a terminology system
..... code 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(病人資訊-Patient TWPAS) Who and/or what the observation is about
... value[x] S 1..1 string 治療後疾病狀態評估結果

doco 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 📦1.0.9 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'))
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, nhi-tx-ast-value
... id Σ 0..1 id Logical id of this artifact
... meta Σ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 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".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 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)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime 治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 1..1 string 治療後疾病狀態評估結果
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base required NHI-健保事前審查-治療後疾病狀態評估項目值集 📦1.0.9 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()

This structure is derived from Observation

Summary

Mandatory: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, nhi-tx-ast-value
... meta Σ 1..1 Meta Metadata about the resource
.... profile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 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)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) Who and/or what the observation is about
... effective[x] SΣ 1..1 dateTime 治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
... value[x] SΣC 1..1 string 治療後疾病狀態評估結果

doco 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 📦1.0.9 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: nhi-tx-ast-value
... meta 1..1 Meta Metadata about the resource
.... 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
... code S 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)
.... coding 1..1 Coding Code defined by a terminology system
..... code 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(病人資訊-Patient TWPAS) Who and/or what the observation is about
... value[x] S 1..1 string 治療後疾病狀態評估結果

doco 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 📦1.0.9 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, nhi-tx-ast-value
... id Σ 0..1 id Logical id of this artifact
... meta Σ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 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".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 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)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime 治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 1..1 string 治療後疾病狀態評估結果
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base required NHI-健保事前審查-治療後疾病狀態評估項目值集 📦1.0.9 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()

This structure is derived from Observation

Summary

Mandatory: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron