傳染病通報系統實作指引
0.1.0 - ci-build Taiwan, Province of China flag

傳染病通報系統實作指引, published by 衛福部疾病管制署. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-nidrs/nidrs/ and changes regularly. See the Directory of published versions

Resource Profile: 職業-Observation Occupation

Official URL: https://cdc.gov.tw/nidrs/StructureDefinition/Observation-occupation Version: 0.1.0
Active as of 2026-10-08 Computable Name: ObservationOccupation

此職業-Observation Occupation Profile說明本IG如何進一步定義臺灣核心-職業(TW Core Observation Occupation) Profile以呈現職業

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationOccupation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
Observation.Slices for category This element must be supported. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Observation.code.coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼

Fixed Value: (Complex)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
Observation.code.coding.display 0..1 string Representation defined by the system
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient NIDRS) Who and/or what the observation is about
Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.value[x] This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 職業代碼或文字
Binding: 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 (required)
Observation.value[x].Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
Observation.value[x].Slices for coding.coding:LiaRocOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:LiaRocOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:LiaRocOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:LiaRocOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].Slices for coding.coding:MolOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:MolOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:MolOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:MolOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].text This element must be supported. This element is included in summaries. 0..1 string 詳細職業身分說明。若不確定個案職業,建議填寫'17000050'
Observation.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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.
Observation.Slices for component.component:industry This element must be supported. This element is included in summaries. 0..1 BackboneElement 行業
Observation.Slices for component.component:industry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:industry.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:industry.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for component.component:industry.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.Slices for component.component:industry.code.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for component.component:industry.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
Observation.Slices for component.component:industry.code.coding.display 0..1 string Representation defined by the system
Observation.Slices for component.component:industry.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:industry.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:industry.Slices for value[x] This element is included in summaries. 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Observation.Slices for component.component:industry.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:industry.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:twcore Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 📦0.1.0 This IG
Observation.value[x].​coding:LiaRocOccupation Base required 臺灣壽險公會傷害保險個人職業分類表值集 📦2023-06-01 臺灣核心實作指引 v0.3
Observation.value[x].​coding:MolOccupation Base required 臺灣勞動部職業標準分類值集 📦2010-05-01 臺灣核心實作指引 v0.3
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​value[x]:valueCodeableConcept Base extensible 行政院主計總處行業分類值集 📦2021-01-01 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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 TWCoreObservationOccupation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation TWCoreObservationOccupation
Observation.status 1..1 code registered | preliminary | final | amended +
Required Pattern: final
Observation.subject 1..1 Reference(個案資料-Patient NIDRS) Who and/or what the observation is about
Observation.value[x] 1..1 CodeableConceptTW 職業代碼或文字
Binding: 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 (required)
Observation.value[x].text 0..1 string 詳細職業身分說明。若不確定個案職業,建議填寫'17000050'

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x] Base required 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationOccupation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
Observation.Slices for category This element must be supported. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:twcore.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:twcore.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for category.category:twcore.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
Observation.Slices for category.category:twcore.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for category.category:twcore.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:twcore.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.code.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼

Fixed Value: (Complex)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
Observation.code.coding.display 0..1 string Representation defined by the system
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient NIDRS) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(TW Core Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
Observation.value[x] This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 職業代碼或文字
Binding: 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 (required)
Observation.value[x].id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.value[x].extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.value[x].Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
Observation.value[x].Slices for coding.coding:LiaRocOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:LiaRocOccupation.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.value[x].Slices for coding.coding:LiaRocOccupation.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.value[x].Slices for coding.coding:LiaRocOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:LiaRocOccupation.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.value[x].Slices for coding.coding:LiaRocOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:LiaRocOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].Slices for coding.coding:LiaRocOccupation.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇?
Observation.value[x].Slices for coding.coding:MolOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:MolOccupation.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.value[x].Slices for coding.coding:MolOccupation.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.value[x].Slices for coding.coding:MolOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:MolOccupation.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.value[x].Slices for coding.coding:MolOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:MolOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].Slices for coding.coding:MolOccupation.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇?
Observation.value[x].text This element must be supported. This element is included in summaries. 0..1 string 詳細職業身分說明。若不確定個案職業,建議填寫'17000050'
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(TW Core Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:industry This element must be supported. This element is included in summaries. 0..1 BackboneElement 行業
Observation.Slices for component.component:industry.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:industry.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:industry.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for component.component:industry.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.Slices for component.component:industry.code.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for component.component:industry.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
Observation.Slices for component.component:industry.code.coding.display 0..1 string Representation defined by the system
Observation.Slices for component.component:industry.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:industry.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:industry.Slices for value[x] This element is included in summaries. 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Observation.Slices for component.component:industry.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:industry.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.Slices for component.component:industry.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:industry.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:industry.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:twcore Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 📦0.1.0 This IG
Observation.value[x].​coding:LiaRocOccupation Base required 臺灣壽險公會傷害保險個人職業分類表值集 📦2023-06-01 臺灣核心實作指引 v0.3
Observation.value[x].​coding:MolOccupation Base required 臺灣勞動部職業標準分類值集 📦2010-05-01 臺灣核心實作指引 v0.3
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​value[x]:valueCodeableConcept Base extensible 行政院主計總處行業分類值集 📦2021-01-01 臺灣核心實作指引 v0.3
Observation.component:industry.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:industry.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from TWCoreObservationOccupation

Summary

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationOccupation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
Observation.Slices for category This element must be supported. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Observation.code.coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼

Fixed Value: (Complex)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
Observation.code.coding.display 0..1 string Representation defined by the system
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient NIDRS) Who and/or what the observation is about
Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.value[x] This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 職業代碼或文字
Binding: 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 (required)
Observation.value[x].Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
Observation.value[x].Slices for coding.coding:LiaRocOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:LiaRocOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:LiaRocOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:LiaRocOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].Slices for coding.coding:MolOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:MolOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:MolOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:MolOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].text This element must be supported. This element is included in summaries. 0..1 string 詳細職業身分說明。若不確定個案職業,建議填寫'17000050'
Observation.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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.
Observation.Slices for component.component:industry This element must be supported. This element is included in summaries. 0..1 BackboneElement 行業
Observation.Slices for component.component:industry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:industry.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:industry.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for component.component:industry.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.Slices for component.component:industry.code.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for component.component:industry.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
Observation.Slices for component.component:industry.code.coding.display 0..1 string Representation defined by the system
Observation.Slices for component.component:industry.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:industry.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:industry.Slices for value[x] This element is included in summaries. 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Observation.Slices for component.component:industry.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:industry.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:twcore Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 📦0.1.0 This IG
Observation.value[x].​coding:LiaRocOccupation Base required 臺灣壽險公會傷害保險個人職業分類表值集 📦2023-06-01 臺灣核心實作指引 v0.3
Observation.value[x].​coding:MolOccupation Base required 臺灣勞動部職業標準分類值集 📦2010-05-01 臺灣核心實作指引 v0.3
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​value[x]:valueCodeableConcept Base extensible 行政院主計總處行業分類值集 📦2021-01-01 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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 TWCoreObservationOccupation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation TWCoreObservationOccupation
Observation.status 1..1 code registered | preliminary | final | amended +
Required Pattern: final
Observation.subject 1..1 Reference(個案資料-Patient NIDRS) Who and/or what the observation is about
Observation.value[x] 1..1 CodeableConceptTW 職業代碼或文字
Binding: 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 (required)
Observation.value[x].text 0..1 string 詳細職業身分說明。若不確定個案職業,建議填寫'17000050'

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x] Base required 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationOccupation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
Observation.Slices for category This element must be supported. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:twcore.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:twcore.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:twcore.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:twcore.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:twcore.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:twcore.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for category.category:twcore.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
Observation.Slices for category.category:twcore.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for category.category:twcore.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:twcore.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Occupation history
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.code.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼

Fixed Value: (Complex)
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.code.coding.version 0..1 string Version of the system - if relevant
Observation.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11341-5
Observation.code.coding.display 0..1 string Representation defined by the system
Observation.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient NIDRS) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(TW Core Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
Observation.value[x] This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 職業代碼或文字
Binding: 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 (required)
Observation.value[x].id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.value[x].extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.value[x].Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
Observation.value[x].Slices for coding.coding:LiaRocOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:LiaRocOccupation.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.value[x].Slices for coding.coding:LiaRocOccupation.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.value[x].Slices for coding.coding:LiaRocOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:LiaRocOccupation.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.value[x].Slices for coding.coding:LiaRocOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:LiaRocOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].Slices for coding.coding:LiaRocOccupation.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇?
Observation.value[x].Slices for coding.coding:MolOccupation This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.value[x].Slices for coding.coding:MolOccupation.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
Observation.value[x].Slices for coding.coding:MolOccupation.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.value[x].Slices for coding.coding:MolOccupation.system This element must be supported. This element is included in summaries. 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
Observation.value[x].Slices for coding.coding:MolOccupation.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.value[x].Slices for coding.coding:MolOccupation.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.value[x].Slices for coding.coding:MolOccupation.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.value[x].Slices for coding.coding:MolOccupation.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇?
Observation.value[x].text This element must be supported. This element is included in summaries. 0..1 string 詳細職業身分說明。若不確定個案職業,建議填寫'17000050'
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(TW Core Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element must be supported. This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:industry This element must be supported. This element is included in summaries. 0..1 BackboneElement 行業
Observation.Slices for component.component:industry.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:industry.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:industry.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for component.component:industry.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:industry.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:industry.code.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
Observation.Slices for component.component:industry.code.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for component.component:industry.code.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: 86188-0
Observation.Slices for component.component:industry.code.coding.display 0..1 string Representation defined by the system
Observation.Slices for component.component:industry.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:industry.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:industry.Slices for value[x] This element is included in summaries. 1..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Observation.Slices for component.component:industry.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:industry.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Observation.Slices for component.component:industry.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:industry.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:industry.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:twcore Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 臺灣壽險公會 + 臺灣勞動部 + CDC - 職業值集 📦0.1.0 This IG
Observation.value[x].​coding:LiaRocOccupation Base required 臺灣壽險公會傷害保險個人職業分類表值集 📦2023-06-01 臺灣核心實作指引 v0.3
Observation.value[x].​coding:MolOccupation Base required 臺灣勞動部職業標準分類值集 📦2010-05-01 臺灣核心實作指引 v0.3
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:industry.​value[x]:valueCodeableConcept Base extensible 行政院主計總處行業分類值集 📦2021-01-01 臺灣核心實作指引 v0.3
Observation.component:industry.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:industry.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from TWCoreObservationOccupation

Summary

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron