臺灣核心實作指引(TW Core IG)
0.3.2 - Ci-Build Trial Use

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TW Core Observation Occupation

Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-occupation-twcore Version: 0.3.2
Active as of 2025-02-04 Computable Name: TWCoreObservationOccupation

此臺灣核心-職業(TW Core Observation Occupation) Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現職業資料。

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
.... category:twcore S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children
..... coding Σ 1..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
...... system Σ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
Required Pattern: social-history
... code SΣ 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
.... coding SΣ 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(TW Core Patient) Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(TW Core Encounter) Healthcare event during which this observation is made
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
ele-1: All FHIR elements must have a @value or children
... performer Σ 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 1..1 CodeableConceptTW 職業代碼或文字
Binding: 臺灣壽險公會傷害保險個人職業分類表值集 (preferred)
ele-1: All FHIR elements must have a @value or children
.... Slices for coding SΣ 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:LiaRocOccupation SΣ 0..1 CodingTW 此為中華民國人壽保險商業同業公會(LIA-ROC)維護的臺灣地區傷害保險個人職業分類表,可免費使用,可依情境選用此代碼。
Binding: 臺灣壽險公會傷害保險個人職業分類表值集 (required): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
...... system SΣ 0..1 uri 專門術語系統(terminology system)的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/occupation-lia-roc-tw
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:MolOccupation SΣ 0..1 CodingTW 此為中華民國勞動部(MOL)維護的職業標準分類,可免費使用,可依情境選用此代碼。
Binding: 臺灣勞動部職業標準分類值集 (required): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
...... system SΣ 0..1 uri 專門術語系統(terminology system)的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... specimen 0..1 Reference(TW Core Specimen) Specimen used for this observation
ele-1: All FHIR elements must have a @value or children
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
ele-1: All FHIR elements must have a @value or children
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConceptTW Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children
.... component:industry SΣ 0..1 BackboneElement 行業
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
..... Slices for value[x] Σ 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
...... value[x]:valueCodeableConcept SΣ 1..1 CodeableConceptTW 此為行政院主計總處維護的行業分類,可免費使用,可依情境選用此代碼。
Binding: 行政院主計總處行業分類值集 (extensible): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:twcorepreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredPattern: LOINC Code 11341-5
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]preferredTWLIAROCOccupation (a valid code from 臺灣壽險公會傷害保險個人職業分類表)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/occupation-lia-roc-tw
from this IG
Observation.value[x].coding:LiaRocOccupationrequiredTWLIAROCOccupation (a valid code from 臺灣壽險公會傷害保險個人職業分類表)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/occupation-lia-roc-tw
from this IG
Observation.value[x].coding:MolOccupationrequiredTWMolOccupation (a valid code from 臺灣勞動部職業標準分類)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/occupation-mol-tw
from this IG
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:industry.codeexamplePattern: LOINC Code 86188-0
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:industry.value[x]:valueCodeableConceptextensibleTWIndustry (a valid code from 行政院主計總處行業分類)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/industry-dgbas-tw
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

 

Other representations of profile: CSV, Excel, Schematron

Notes:

以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單,請參閱TW Core Server能力聲明

必須支援以下查詢參數:

  1. 必須(SHALL) 支援透過查詢參數 patientcategory 查詢所有Observation:
    (如何透過reference查詢)
    (如何透過token查詢)
    GET [base]/Observation?patient={Type/}[id]&category=social-history

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=social-history

  2. 必須(SHALL) 支援透過查詢參數 patientcode 查詢所有Observation:
    (如何透過reference查詢)
    (如何透過token查詢)
    GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&code=http://loinc.org|11341-5

  3. 必須(SHALL) 支援透過查詢參數 patientcategorydate 查詢所有Observation:
    (如何透過reference查詢)
    (如何透過token查詢)
    (如何透過date查詢)
    GET [base]/Observation?patient={Type/}[id]&category=social-history&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=social-history&date=ge2020-01-01T00:00:00Z

建議應該支援以下查詢參數:

  1. 建議應該(SHOULD) 支援透過查詢參數 patientcategorystatus 查詢所有Observation:
    (如何透過reference查詢)
    (如何透過token查詢)
    GET [base]/Observation?patient={Type/}[id]&category=social-history&status={system|}[code]{,{system|}[code],...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=social-history&status=final

  2. 建議應該(SHOULD) 支援透過查詢參數 patientcategory_lastUpdated 查詢所有Observation:
    (如何透過reference查詢)
    (如何透過token查詢)
    (如何透過date查詢)
    GET [base]/Observation?patient={Type/}[id]&category={system|}[code]&_lastUpdated={gt|lt|ge|le}[date]{&_lastUpdated={gt|lt|ge|le}[date]&...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=social-history&_lastUpdated=ge2024-01-01T00:00:00Z

  3. 建議應該(SHOULD) 支援透過查詢參數 patientcodedate 查詢所有Observation:
    (如何透過reference查詢)
    (如何透過token查詢)
    (如何透過date查詢)
    GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&code=http://loinc.org|11341-5&date=ge2020-01-01T00:00:00Z