身體活動與飲食實作指引
0.1.0 - ci-build

身體活動與飲食實作指引, published by 衛生福利部國民健康署. 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/hpapa2025/pad/ and changes regularly. See the Directory of published versions

Resource Profile: 總膽固醇(含高密度膽固醇+低密度膽固醇)-Observation Cholesterol PAD

Official URL: https://www.hpa.gov.tw/pad/StructureDefinition/Observation-chol-pad Version: 0.1.0
Active as of 2025-09-10 Computable Name: ObservationCholesterolPAD

此總膽固醇(含高密度膽固醇+低密度膽固醇)-Observation Cholesterol PAD Profile說明PAD IG如何進一步定義臺灣核心-實驗室檢驗檢查(TW Core Observation Laboratory Result)Profile以呈現總膽固醇、高密度膽固醇及低密度膽固醇的詳細記錄。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查,測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼;應填入所綁定值集中的其中一個代碼。
Required Pattern: final
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... category:twcore S 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
.... Slices for coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
..... coding:LOINCObservationCode S 1..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2093-3
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(使用者資訊-Patient PAD) 檢驗檢查有關的對象及(或)事物
... encounter SΣ 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
... effective[x] SΣC 1..1 dateTime S 檢驗檢查執行日期或時間區間
Constraints: tw-core-3
... performer SΣ 0..* Reference(使用者資訊-Patient PAD) 誰負責這項檢驗檢查
... value[x] SΣC 1..1 Quantity S 總膽固醇及單位
Constraints: tw-core-5
.... value Σ 0..1 decimal 總膽固醇
.... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... unit Σ 0..1 string 單位
Required Pattern: mg/dL
.... code Σ 0..1 code 單位
Required Pattern: mg/dL
... dataAbsentReason S 0..1 CodeableConceptTW 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
... Slices for component SΣ 2..2 BackboneElement 高密度膽固醇(HDL)與低密度膽固醇(LDL)
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 組成之檢驗檢查的實際結果
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
.... component:HDL SΣ 1..1 BackboneElement 高密度膽固醇(HDL)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2085-9
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in HDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... value SΣ 1..1 decimal 高密度膽固醇(HDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL
.... component:LDL SΣ 1..1 BackboneElement 低密度膽固醇(LDL)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2089-1
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in LDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... value SΣ 1..1 decimal 低密度膽固醇(LDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: laboratory
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:twcorerequiredPattern Value: laboratory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.codeextensibleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.code.coding:LOINCObservationCoderequiredPattern Value: LOINC Code 2093-3
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.codeexampleLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:HDL.codeexamplePattern Value: LOINC Code 2085-9("Cholesterol in HDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:HDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:LDL.codeexamplePattern Value: LOINC Code 2089-1("Cholesterol in LDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:LDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-3errorObservation.effective[x]Datetime must be at least to day.
: $this is dateTime implies $this.toString().length() >= 10
tw-core-4errorObservationIf there is no component or hasMember element then either a value[x] or a data absent reason must be present.
: (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5errorObservation.value[x]SHALL use UCUM for coded quantity units.
: ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationLaboratoryResult

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation TWCoreObservationLaboratoryResult
... status 1..1 code registered | preliminary | final | amended +
Required Pattern: final
... category 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
... code
.... coding 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
.... Slices for coding Content/Rules for all slices
..... coding:LOINCObservationCode 1..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2093-3
..... coding:TWLaboratoryCategory 0..0
... effective[x] 1..1 dateTime 檢驗檢查執行日期或時間區間
... performer 0..* Reference(使用者資訊-Patient PAD) 誰負責這項檢驗檢查
... value[x] 1..1 Quantity 總膽固醇及單位
.... value 0..1 decimal 總膽固醇
.... unit 0..1 string 單位
Required Pattern: mg/dL
.... code 0..1 code 單位
Required Pattern: mg/dL
... Slices for component 2..2 BackboneElement 高密度膽固醇(HDL)與低密度膽固醇(LDL)
Slice: Unordered, Closed by value:code
.... component:HDL S 1..1 BackboneElement 高密度膽固醇(HDL)
..... code 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2085-9
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in HDL [Mass/volume] in Serum or Plasma
..... value[x] 0..1 Quantity 組成之檢驗檢查的實際結果
...... value S 1..1 decimal 高密度膽固醇(HDL)測量值
...... unit 0..1 string 單位
Required Pattern: mg/dL
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code 單位
Required Pattern: mg/dL
.... component:LDL S 1..1 BackboneElement 低密度膽固醇(LDL)
..... code 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2089-1
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in LDL [Mass/volume] in Serum or Plasma
..... value[x] 0..1 Quantity 組成之檢驗檢查的實際結果
...... value S 1..1 decimal 低密度膽固醇(LDL)測量值
...... unit 0..1 string 單位
Required Pattern: mg/dL
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code 單位
Required Pattern: mg/dL

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查,測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Observation Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Observation Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Observation Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier 檢驗檢查的識別碼,通常為業務目的所使用的識別碼,例如:檢驗序號或單號。
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 依據的照護計畫/提議/醫令
... partOf Σ 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 此檢驗檢查是哪個參照事件的一部分
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼;應填入所綁定值集中的其中一個代碼。
Required Pattern: final
... Slices for category S 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... category:twcore S 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
..... coding:LOINCObservationCode S 1..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2093-3
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(使用者資訊-Patient PAD) 檢驗檢查有關的對象及(或)事物
... focus Σ 0..* Reference(Resource) 當檢驗檢查並非有關於與病人本身,檢驗檢查是關於什麼。
... encounter SΣ 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
... effective[x] SΣC 1..1 dateTime S 檢驗檢查執行日期或時間區間
Constraints: tw-core-3
... issued Σ 0..1 instant 此版本檢驗檢查完成的日期或時間
... performer SΣ 0..* Reference(使用者資訊-Patient PAD) 誰負責這項檢驗檢查
... value[x] SΣC 1..1 Quantity S 總膽固醇及單位
Constraints: tw-core-5
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value Σ 0..1 decimal 總膽固醇
.... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... unit Σ 0..1 string 單位
Required Pattern: mg/dL
.... system ΣC 0..1 uri System that defines coded unit form
.... code Σ 0..1 code 單位
Required Pattern: mg/dL
... dataAbsentReason S 0..1 CodeableConceptTW 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
... note 0..* Annotation 關於此檢驗檢查之解說
... bodySite 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: SNOMEDCTBodyStructures (extensible)
... method 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationMethods (extensible)
... specimen 0..1 Reference(TW Core Specimen) 此檢驗檢查的檢體
... device 0..1 Reference(Device | DeviceMetric) (測量)設備
... referenceRange C 0..* BackboneElement 解釋結果值的指引。 obs-3:必須至少有低、高或文字表述。
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity 參考範圍值的下限值,如果相關。
.... high C 0..1 SimpleQuantity 參考範圍值的上限值,如果相關。
.... type 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
.... appliesTo 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼;可參考所綁定代碼表,但此代碼表只是針對這個欄位的一個可能值的示例,不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
.... age 0..1 Range 適用的年齡範圍值,如果相關。
.... text 0..1 string 檢驗檢查中以文字表述的參考範圍值
... hasMember Σ 0..* Reference(TW Core Observation Laboratory Result | TW Core QuestionnaireResponse | MolecularSequence) 屬於此組檢驗檢查的相關Resource
... derivedFrom Σ 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Laboratory Result | MolecularSequence) 檢驗檢查源自哪些相關測量
... Slices for component SΣ 2..2 BackboneElement 高密度膽固醇(HDL)與低密度膽固醇(LDL)
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 組成之檢驗檢查的實際結果
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果(Observation.value[x])缺少;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引
.... component:HDL SΣ 1..1 BackboneElement 高密度膽固醇(HDL)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2085-9
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in HDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal 高密度膽固醇(HDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL
..... dataAbsentReason 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果(Observation.value[x])缺少;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引
.... component:LDL SΣ 1..1 BackboneElement 低密度膽固醇(LDL)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2089-1
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in LDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal 低密度膽固醇(LDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL
..... dataAbsentReason 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果(Observation.value[x])缺少;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: laboratory
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:twcorerequiredPattern Value: laboratory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.codeextensibleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.code.coding:LOINCObservationCoderequiredPattern Value: LOINC Code 2093-3
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodextensibleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:HDL.codeexamplePattern Value: LOINC Code 2085-9("Cholesterol in HDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:HDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:HDL.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:HDL.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:LDL.codeexamplePattern Value: LOINC Code 2089-1("Cholesterol in LDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:LDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:LDL.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:LDL.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-3errorObservation.effective[x]Datetime must be at least to day.
: $this is dateTime implies $this.toString().length() >= 10
tw-core-4errorObservationIf there is no component or hasMember element then either a value[x] or a data absent reason must be present.
: (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5errorObservation.value[x]SHALL use UCUM for coded quantity units.
: ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查,測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼;應填入所綁定值集中的其中一個代碼。
Required Pattern: final
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... category:twcore S 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
.... Slices for coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
..... coding:LOINCObservationCode S 1..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2093-3
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(使用者資訊-Patient PAD) 檢驗檢查有關的對象及(或)事物
... encounter SΣ 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
... effective[x] SΣC 1..1 dateTime S 檢驗檢查執行日期或時間區間
Constraints: tw-core-3
... performer SΣ 0..* Reference(使用者資訊-Patient PAD) 誰負責這項檢驗檢查
... value[x] SΣC 1..1 Quantity S 總膽固醇及單位
Constraints: tw-core-5
.... value Σ 0..1 decimal 總膽固醇
.... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... unit Σ 0..1 string 單位
Required Pattern: mg/dL
.... code Σ 0..1 code 單位
Required Pattern: mg/dL
... dataAbsentReason S 0..1 CodeableConceptTW 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
... Slices for component SΣ 2..2 BackboneElement 高密度膽固醇(HDL)與低密度膽固醇(LDL)
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 組成之檢驗檢查的實際結果
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
.... component:HDL SΣ 1..1 BackboneElement 高密度膽固醇(HDL)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2085-9
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in HDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... value SΣ 1..1 decimal 高密度膽固醇(HDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL
.... component:LDL SΣ 1..1 BackboneElement 低密度膽固醇(LDL)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2089-1
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in LDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... value SΣ 1..1 decimal 低密度膽固醇(LDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: laboratory
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:twcorerequiredPattern Value: laboratory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.codeextensibleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.code.coding:LOINCObservationCoderequiredPattern Value: LOINC Code 2093-3
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.codeexampleLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:HDL.codeexamplePattern Value: LOINC Code 2085-9("Cholesterol in HDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:HDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:LDL.codeexamplePattern Value: LOINC Code 2089-1("Cholesterol in LDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:LDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-3errorObservation.effective[x]Datetime must be at least to day.
: $this is dateTime implies $this.toString().length() >= 10
tw-core-4errorObservationIf there is no component or hasMember element then either a value[x] or a data absent reason must be present.
: (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5errorObservation.value[x]SHALL use UCUM for coded quantity units.
: ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

Differential View

This structure is derived from TWCoreObservationLaboratoryResult

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation TWCoreObservationLaboratoryResult
... status 1..1 code registered | preliminary | final | amended +
Required Pattern: final
... category 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
... code
.... coding 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
.... Slices for coding Content/Rules for all slices
..... coding:LOINCObservationCode 1..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2093-3
..... coding:TWLaboratoryCategory 0..0
... effective[x] 1..1 dateTime 檢驗檢查執行日期或時間區間
... performer 0..* Reference(使用者資訊-Patient PAD) 誰負責這項檢驗檢查
... value[x] 1..1 Quantity 總膽固醇及單位
.... value 0..1 decimal 總膽固醇
.... unit 0..1 string 單位
Required Pattern: mg/dL
.... code 0..1 code 單位
Required Pattern: mg/dL
... Slices for component 2..2 BackboneElement 高密度膽固醇(HDL)與低密度膽固醇(LDL)
Slice: Unordered, Closed by value:code
.... component:HDL S 1..1 BackboneElement 高密度膽固醇(HDL)
..... code 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2085-9
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in HDL [Mass/volume] in Serum or Plasma
..... value[x] 0..1 Quantity 組成之檢驗檢查的實際結果
...... value S 1..1 decimal 高密度膽固醇(HDL)測量值
...... unit 0..1 string 單位
Required Pattern: mg/dL
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code 單位
Required Pattern: mg/dL
.... component:LDL S 1..1 BackboneElement 低密度膽固醇(LDL)
..... code 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2089-1
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in LDL [Mass/volume] in Serum or Plasma
..... value[x] 0..1 Quantity 組成之檢驗檢查的實際結果
...... value S 1..1 decimal 低密度膽固醇(LDL)測量值
...... unit 0..1 string 單位
Required Pattern: mg/dL
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code 單位
Required Pattern: mg/dL

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查,測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Observation Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Observation Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Observation Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier 檢驗檢查的識別碼,通常為業務目的所使用的識別碼,例如:檢驗序號或單號。
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 依據的照護計畫/提議/醫令
... partOf Σ 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 此檢驗檢查是哪個參照事件的一部分
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼;應填入所綁定值集中的其中一個代碼。
Required Pattern: final
... Slices for category S 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... category:twcore S 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptTW 概念(concept)-參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
..... coding:LOINCObservationCode S 1..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2093-3
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(使用者資訊-Patient PAD) 檢驗檢查有關的對象及(或)事物
... focus Σ 0..* Reference(Resource) 當檢驗檢查並非有關於與病人本身,檢驗檢查是關於什麼。
... encounter SΣ 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
... effective[x] SΣC 1..1 dateTime S 檢驗檢查執行日期或時間區間
Constraints: tw-core-3
... issued Σ 0..1 instant 此版本檢驗檢查完成的日期或時間
... performer SΣ 0..* Reference(使用者資訊-Patient PAD) 誰負責這項檢驗檢查
... value[x] SΣC 1..1 Quantity S 總膽固醇及單位
Constraints: tw-core-5
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value Σ 0..1 decimal 總膽固醇
.... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... unit Σ 0..1 string 單位
Required Pattern: mg/dL
.... system ΣC 0..1 uri System that defines coded unit form
.... code Σ 0..1 code 單位
Required Pattern: mg/dL
... dataAbsentReason S 0..1 CodeableConceptTW 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
... note 0..* Annotation 關於此檢驗檢查之解說
... bodySite 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: SNOMEDCTBodyStructures (extensible)
... method 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationMethods (extensible)
... specimen 0..1 Reference(TW Core Specimen) 此檢驗檢查的檢體
... device 0..1 Reference(Device | DeviceMetric) (測量)設備
... referenceRange C 0..* BackboneElement 解釋結果值的指引。 obs-3:必須至少有低、高或文字表述。
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity 參考範圍值的下限值,如果相關。
.... high C 0..1 SimpleQuantity 參考範圍值的上限值,如果相關。
.... type 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
.... appliesTo 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼;可參考所綁定代碼表,但此代碼表只是針對這個欄位的一個可能值的示例,不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
.... age 0..1 Range 適用的年齡範圍值,如果相關。
.... text 0..1 string 檢驗檢查中以文字表述的參考範圍值
... hasMember Σ 0..* Reference(TW Core Observation Laboratory Result | TW Core QuestionnaireResponse | MolecularSequence) 屬於此組檢驗檢查的相關Resource
... derivedFrom Σ 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Laboratory Result | MolecularSequence) 檢驗檢查源自哪些相關測量
... Slices for component SΣ 2..2 BackboneElement 高密度膽固醇(HDL)與低密度膽固醇(LDL)
Slice: Unordered, Closed by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 組成之檢驗檢查的實際結果
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果(Observation.value[x])缺少;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引
.... component:HDL SΣ 1..1 BackboneElement 高密度膽固醇(HDL)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2085-9
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in HDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal 高密度膽固醇(HDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL
..... dataAbsentReason 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果(Observation.value[x])缺少;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引
.... component:LDL SΣ 1..1 BackboneElement 低密度膽固醇(LDL)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 2089-1
....... display 1..1 string Representation defined by the system
Fixed Value: Cholesterol in LDL [Mass/volume] in Serum or Plasma
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:system
....... coding:LOINCObservationCode S 0..1 CodingTW LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼,可免費使用,可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://loinc.org
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
....... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
........ id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
........ extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
........ version Σ 0..1 string 系統的版本—如果相關的話
........ code SΣ 1..1 code 系統定義的語法之符號
........ display SΣ 0..1 string 由系統定義的表示法
........ userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... value[x] SΣ 0..1 Quantity 組成之檢驗檢查的實際結果
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal 低密度膽固醇(LDL)測量值
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string 單位
Required Pattern: mg/dL
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code 單位
Required Pattern: mg/dL
..... dataAbsentReason 0..1 CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果(Observation.value[x])缺少;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... interpretation 0..* CodeableConceptTW 概念(Concept)— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
..... referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: laboratory
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:twcorerequiredPattern Value: laboratory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.codeextensibleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.code.coding:LOINCObservationCoderequiredPattern Value: LOINC Code 2093-3
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodextensibleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:HDL.codeexamplePattern Value: LOINC Code 2085-9("Cholesterol in HDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:HDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:HDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:HDL.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:HDL.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:LDL.codeexamplePattern Value: LOINC Code 2089-1("Cholesterol in LDL [Mass/volume] in Serum or Plasma")
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:LOINCObservationCoderequiredLOINCObservationCode
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component:LDL.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component:LDL.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:LDL.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:LDL.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-3errorObservation.effective[x]Datetime must be at least to day.
: $this is dateTime implies $this.toString().length() >= 10
tw-core-4errorObservationIf there is no component or hasMember element then either a value[x] or a data absent reason must be present.
: (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5errorObservation.value[x]SHALL use UCUM for coded quantity units.
: ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

 

Other representations of profile: CSV, Excel, Schematron