臺灣核心實作指引(TW Core IG)
0.3.1 - 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 0.3.1 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: 0.3.1
Active as of 2024-11-11 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.

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... Slices for category S 0..* CodeableConceptTW Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
.... category:twcore S 0..1 CodeableConcept Classification of type of observation
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
... code S 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


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
.... text S 0..1 string 概念的文字表示法
... effective[x] S 0..1 Period Clinically relevant time/time-period for observation
... value[x] S 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)
.... Slices for coding 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:LiaRocOccupation S 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。

...... system 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/occupation-lia-roc-tw
...... code 1..1 code 系統定義的語法之符號
..... coding:MolOccupation S 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。

...... system 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
...... code 1..1 code 系統定義的語法之符號
... Slices for component S 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... code 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
.... component:industry S 0..1 BackboneElement 行業
..... code S 1..1 CodeableConcept Type of component observation (code / type)
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] 1..1 CodeableConcept Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept S 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。


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
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: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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... category:twcore S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
... code S 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


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 S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(TW Core Patient) Who and/or what the observation is about
... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
... value[x] S 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)
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:LiaRocOccupation S 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。


...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
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
...... display SΣ 0..1 string 由系統定義的表示法
..... coding:MolOccupation S 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。


...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
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
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:industry SΣ 0..1 BackboneElement 行業
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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
...... value[x]:valueCodeableConcept S 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。


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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
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
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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
... 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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 0..* CodeableConceptTW Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:twcore S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... 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..* 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 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
...... 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
... code S 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(TW Core Patient) 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 0..1 Period Clinically relevant time/time-period for observation
... 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] S 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)
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:LiaRocOccupation S 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。


...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/occupation-lia-roc-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:MolOccupation S 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。


...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... 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
obs-3: Must have at least a low or a high or text
.... 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 Low Range, if relevant
.... high C 0..1 SimpleQuantity 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
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... 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 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
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
.... component:industry SΣ 0..1 BackboneElement 行業
..... 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 SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept S 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。

..... 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

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
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.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
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
Observation.component:industry.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:industry.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.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()

This structure is derived from Observation

Summary

Mandatory: 2 elements(7 nested mandatory elements)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.value[x].coding
  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.value[x]

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... Slices for category S 0..* CodeableConceptTW Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
.... category:twcore S 0..1 CodeableConcept Classification of type of observation
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
... code S 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


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
.... text S 0..1 string 概念的文字表示法
... effective[x] S 0..1 Period Clinically relevant time/time-period for observation
... value[x] S 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)
.... Slices for coding 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:LiaRocOccupation S 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。

...... system 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/occupation-lia-roc-tw
...... code 1..1 code 系統定義的語法之符號
..... coding:MolOccupation S 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。

...... system 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
...... code 1..1 code 系統定義的語法之符號
... Slices for component S 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... code 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
.... component:industry S 0..1 BackboneElement 行業
..... code S 1..1 CodeableConcept Type of component observation (code / type)
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] 1..1 CodeableConcept Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept S 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。


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
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: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

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... category:twcore S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
... code S 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


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 S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(TW Core Patient) Who and/or what the observation is about
... effective[x] SΣ 0..1 Period Clinically relevant time/time-period for observation
... value[x] S 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)
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:LiaRocOccupation S 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。


...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
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
...... display SΣ 0..1 string 由系統定義的表示法
..... coding:MolOccupation S 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。


...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
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
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:industry SΣ 0..1 BackboneElement 行業
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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
...... value[x]:valueCodeableConcept S 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。


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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
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
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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
... 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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 0..* CodeableConceptTW Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:twcore S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... 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..* 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 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
...... 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
... code S 1..1 CodeableConceptTW Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(TW Core Patient) 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 0..1 Period Clinically relevant time/time-period for observation
... 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] S 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)
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:LiaRocOccupation S 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。


...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/occupation-lia-roc-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:MolOccupation S 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。


...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... 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
obs-3: Must have at least a low or a high or text
.... 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 Low Range, if relevant
.... high C 0..1 SimpleQuantity 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
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... 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 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
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
.... component:industry SΣ 0..1 BackboneElement 行業
..... 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 SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept S 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。

..... 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

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
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.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
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
Observation.component:industry.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:industry.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.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()

This structure is derived from Observation

Summary

Mandatory: 2 elements(7 nested mandatory elements)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.value[x].coding
  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.value[x]

 

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 patient 及 category 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 patient 及 code 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 patient 、 category 及 date 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 patient 、 category 及 status 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 patient 、 category 及 _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 patient 、 code 及 date 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