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
Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-simple-twcore | Version: 0.3.2 | |||
Active as of 2025-02-04 | Computable Name: TWCoreObservationSimple |
此臺灣核心-通用檢驗檢查(TW Core Simple Observation) Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現通用檢驗檢查資料。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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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 |
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?!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 |
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?! | 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 |
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Σ | 0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | Fulfills plan, proposal or order ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | Part of referenced event ele-1: All FHIR elements must have a @value or children |
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?!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 |
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S | 1..* | CodeableConceptTW | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | CodeableConceptTW | Type of observation (code / type) Binding: LOINCCodes (preferred): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
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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 |
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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 |
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SΣ | 1..1 | Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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SΣ | 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 |
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SΣC | 0..1 | Actual result ele-1: All FHIR elements must have a @value or children | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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0..1 | Reference(TW Core Specimen) | Specimen used for this observation ele-1: All FHIR elements must have a @value or children | |
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Σ | 0..* | Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) | Related measurements the observation is made from ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:twcore | required | TWCategoryCodehttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw from this IG | |
Observation.code | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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Observation | |||
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0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | Fulfills plan, proposal or order | |
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0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | Part of referenced event | |
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S | 1..1 | code | registered | preliminary | final | amended + |
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S | 1..* | CodeableConceptTW | Classification of type of observation Slice: Unordered, Open by pattern:$this |
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S | 0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 |
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S | 1..1 | CodeableConceptTW | Type of observation (code / type) Binding: LOINCCodes (preferred): Codes identifying names of simple observations. |
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S | 1..1 | Reference(TW Core Patient S | Group | Device | TW Core Location) | Who and/or what the observation is about |
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0..1 | Reference(TW Core Encounter) | Healthcare event during which this observation is made | |
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S | 1..1 | Clinically relevant time/time-period for observation | |
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dateTime S | |||
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Period | |||
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Timing | |||
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instant | |||
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S | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | Who is responsible for the observation |
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S | 0..1 | Actual result | |
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Quantity S | |||
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CodeableConcept S | |||
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string S | |||
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boolean S | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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0..1 | Reference(TW Core Specimen) | Specimen used for this observation | |
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0..* | Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |
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0..* | Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) | Related measurements the observation is made from | |
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Path | Conformance | ValueSet | URI |
Observation.category:twcore | required | TWCategoryCodehttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw from this IG | |
Observation.code | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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Σ | 0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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S | 1..* | CodeableConceptTW | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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S | 0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 | ||||
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SΣ | 1..1 | CodeableConceptTW | Type of observation (code / type) Binding: LOINCCodes (preferred): Codes identifying names of simple observations. | ||||
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SΣ | 1..1 | Reference(TW Core Patient S | Group | Device | TW Core Location) | Who and/or what the observation is about | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(TW Core Encounter) | Healthcare event during which this observation is made | ||||
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SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||
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dateTime S | |||||||
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Period | |||||||
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Timing | |||||||
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instant | |||||||
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Σ | 0..1 | instant | Date/Time this version was made available | ||||
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SΣ | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | Who is responsible for the observation | ||||
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SΣC | 0..1 | Actual result | |||||
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Quantity S | |||||||
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CodeableConcept S | |||||||
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string S | |||||||
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boolean S | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | Annotation | Comments about the observation | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
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0..1 | Reference(TW Core Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
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Σ | 0..* | Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) | Related measurements the observation is made from | ||||
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Σ | 0..* | BackboneElement | Component results | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:twcore | required | TWCategoryCodehttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw from this IG | ||||
Observation.code | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from Observation
Summary
Mandatory: 3 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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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 |
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?!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 |
![]() ![]() ![]() |
?! | 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 |
![]() ![]() ![]() |
Σ | 0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | Fulfills plan, proposal or order ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | Part of referenced event ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
?!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 |
![]() ![]() ![]() |
S | 1..* | CodeableConceptTW | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
S | 0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | CodeableConceptTW | Type of observation (code / type) Binding: LOINCCodes (preferred): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
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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 |
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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 |
![]() ![]() ![]() |
SΣ | 1..1 | Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
dateTime | |||
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SΣ | 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 |
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SΣC | 0..1 | Actual result ele-1: All FHIR elements must have a @value or children | |
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Quantity | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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0..1 | Reference(TW Core Specimen) | Specimen used for this observation ele-1: All FHIR elements must have a @value or children | |
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Σ | 0..* | Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
Σ | 0..* | Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) | Related measurements the observation is made from ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:twcore | required | TWCategoryCodehttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw from this IG | |
Observation.code | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Differential View
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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Observation | |||
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0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | Fulfills plan, proposal or order | |
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0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | Part of referenced event | |
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S | 1..1 | code | registered | preliminary | final | amended + |
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S | 1..* | CodeableConceptTW | Classification of type of observation Slice: Unordered, Open by pattern:$this |
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S | 0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 |
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S | 1..1 | CodeableConceptTW | Type of observation (code / type) Binding: LOINCCodes (preferred): Codes identifying names of simple observations. |
![]() ![]() ![]() |
S | 1..1 | Reference(TW Core Patient S | Group | Device | TW Core Location) | Who and/or what the observation is about |
![]() ![]() ![]() |
0..1 | Reference(TW Core Encounter) | Healthcare event during which this observation is made | |
![]() ![]() ![]() |
S | 1..1 | Clinically relevant time/time-period for observation | |
![]() ![]() ![]() ![]() |
dateTime S | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Timing | |||
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instant | |||
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S | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | Who is responsible for the observation |
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S | 0..1 | Actual result | |
![]() ![]() ![]() ![]() |
Quantity S | |||
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CodeableConcept S | |||
![]() ![]() ![]() ![]() |
string S | |||
![]() ![]() ![]() ![]() |
boolean S | |||
![]() ![]() ![]() ![]() |
integer | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
Ratio | |||
![]() ![]() ![]() ![]() |
SampledData | |||
![]() ![]() ![]() ![]() |
time | |||
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Period | |||
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0..1 | Reference(TW Core Specimen) | Specimen used for this observation | |
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0..* | Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |
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0..* | Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) | Related measurements the observation is made from | |
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Path | Conformance | ValueSet | URI |
Observation.category:twcore | required | TWCategoryCodehttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw from this IG | |
Observation.code | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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Σ | 0..* | Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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S | 1..* | CodeableConceptTW | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
![]() ![]() ![]() ![]() |
S | 0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 | ||||
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SΣ | 1..1 | CodeableConceptTW | Type of observation (code / type) Binding: LOINCCodes (preferred): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(TW Core Patient S | Group | Device | TW Core Location) | Who and/or what the observation is about | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(TW Core Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||
![]() ![]() ![]() ![]() |
dateTime S | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Timing | |||||||
![]() ![]() ![]() ![]() |
instant | |||||||
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Σ | 0..1 | instant | Date/Time this version was made available | ||||
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SΣ | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | Who is responsible for the observation | ||||
![]() ![]() ![]() |
SΣC | 0..1 | Actual result | |||||
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Quantity S | |||||||
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CodeableConcept S | |||||||
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string S | |||||||
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boolean S | |||||||
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integer | |||||||
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Range | |||||||
![]() ![]() ![]() ![]() |
Ratio | |||||||
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SampledData | |||||||
![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
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C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | Annotation | Comments about the observation | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
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0..1 | Reference(TW Core Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
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Σ | 0..* | Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) | Related measurements the observation is made from | ||||
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result | |||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() ![]() |
SampledData | |||||||
![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:twcore | required | TWCategoryCodehttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw from this IG | ||||
Observation.code | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from Observation
Summary
Mandatory: 3 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
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(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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh
例子:
(1) GET [base]/Observation?patient=Patient/pat-example&category=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh
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|8867-4,http://loinc.org|85354-9,http://loinc.org|96607-7
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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
例子:
(1) GET [base]/Observation?patient=Patient/pat-example&category=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh&date=ge2020-01-01T00:00:00Z
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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh&status={system|}[code]{,{system|}[code],...}
例子:
(1) GET [base]/Observation?patient=Patient/pat-example&category=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh&status=final
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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|sdoh&_lastUpdated=ge2024-01-01T00:00:00Z
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|8867-4,http://loinc.org|85354-9,http://loinc.org|96607-7&date=ge2020-01-01T00:00:00Z
IG © 2022+ 衛生福利部. Package tw.gov.mohw.twcore#0.3.2 based on FHIR 4.0.1. Generated 2025-02-04
Links: Table of Contents |
QA Report
| Version History |
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