臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. 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/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 血壓(ObservationBloodPressure TWCM)

此血壓(ObservationBloodPressure TWCM) Profile說明本IG如何進一步定義臺灣核心-血壓（TW Core Observation Blood Pressure) Profile以呈現中醫門診單之病人血壓的詳細資料。

Usages:

• Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
• Refer to this Profile: 生命徵象(ObservationVitalSigns TWCM)
• Examples for this Profile: Observation/obs-bloodPressure-example-TWCM
• CapabilityStatements using this Profile: 臺灣中醫實作指引-用戶端(TWCM Client) and 臺灣中醫實作指引-伺服端(TWCM Server)

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.implicitRules	?! This element is a modifier element. Σ 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.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM))	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 中醫-處置或手術(Procedure TWCM) | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.code	S This element must be supported.	1..1	CodeableConceptTW	血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who and/or what the observation is about
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.Slices for effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this Constraints: vs-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.performer	Σ This element is included in summaries.	0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | 病人資料(Patient TWCM) | TW Core RelatedPerson)	Who is responsible for the observation
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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	S This element must be supported. 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:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. 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:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from TWCoreObservationBloodPressure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			TWCoreObservationBloodPressure
Observation.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM))	Fulfills plan, proposal or order
Observation.partOf		0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 中醫-處置或手術(Procedure TWCM) | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.subject		1..1	Reference(病人資料(Patient TWCM))	Who and/or what the observation is about
Observation.encounter	S This element must be supported.	0..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.Slices for effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported.	1..1	dateTime	Often just a dateTime for Vital Signs
Observation.performer		0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | 病人資料(Patient TWCM) | TW Core RelatedPerson)	Who is responsible for the observation
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.derivedFrom		0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ 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 Bindings Purpose 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	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM))	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 中醫-處置或手術(Procedure TWCM) | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.Slices for category.category:VSCat.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:VSCat.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported.	1..1	CodeableConceptTW	血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.id		0..1	string	Unique id for inter-element referencing
Observation.code.Slices for coding.coding:BPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.code.Slices for coding.coding:BPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.Slices for coding.coding:BPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who and/or what the observation is about
Observation.focus	Σ 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	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.Slices for effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this Constraints: vs-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | 病人資料(Patient TWCM) | TW Core RelatedPerson)	Who is responsible for the observation
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. 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 (extensible)
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
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. Σ 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	Σ This element is included in summaries.	0..*	Reference(TW Core QuestionnaireResponse | MolecularSequence | TW Core Observation Vital Signs)	Used when reporting vital signs panel components
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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	S This element must be supported. 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:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:SystolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:SystolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. 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:SystolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:SystolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:DiastolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. 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:DiastolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:DiastolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
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:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
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	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	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	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍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:SystolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from TWCoreObservationBloodPressure

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm)
• 中醫-藥品請求(MedicationRequest TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/medicationrequest-twcm)
• 服務請求(ServiceRequest TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm)
• TW Core MedicationDispense (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore)
• TW Core MedicationStatement (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore)
• 中醫-處置或手術(Procedure TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm)
• TW Core Immunization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Immunization-twcore)
• TW Core ImagingStudy (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore)
• 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• 醫事機構(Organization TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm)
• TW Core CareTeam (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• TW Core Specimen (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Specimen-twcore)
• 文件參照(DocumentReference TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm)
• TW Core Media (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore)
• TW Core QuestionnaireResponse (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore)
• TW Core Observation Vital Signs (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-vitalSigns-twcore)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.implicitRules	?! This element is a modifier element. Σ 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.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM))	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 中醫-處置或手術(Procedure TWCM) | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.code	S This element must be supported.	1..1	CodeableConceptTW	血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who and/or what the observation is about
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.Slices for effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this Constraints: vs-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.performer	Σ This element is included in summaries.	0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | 病人資料(Patient TWCM) | TW Core RelatedPerson)	Who is responsible for the observation
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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	S This element must be supported. 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:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. 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:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from TWCoreObservationBloodPressure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			TWCoreObservationBloodPressure
Observation.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM))	Fulfills plan, proposal or order
Observation.partOf		0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 中醫-處置或手術(Procedure TWCM) | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.subject		1..1	Reference(病人資料(Patient TWCM))	Who and/or what the observation is about
Observation.encounter	S This element must be supported.	0..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.Slices for effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported.	1..1	dateTime	Often just a dateTime for Vital Signs
Observation.performer		0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | 病人資料(Patient TWCM) | TW Core RelatedPerson)	Who is responsible for the observation
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.derivedFrom		0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ 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 Bindings Purpose 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	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM))	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 中醫-處置或手術(Procedure TWCM) | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.Slices for category.category:VSCat.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:VSCat.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported.	1..1	CodeableConceptTW	血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.id		0..1	string	Unique id for inter-element referencing
Observation.code.Slices for coding.coding:BPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.code.Slices for coding.coding:BPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.Slices for coding.coding:BPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who and/or what the observation is about
Observation.focus	Σ 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	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.Slices for effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this Constraints: vs-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | 病人資料(Patient TWCM) | TW Core RelatedPerson)	Who is responsible for the observation
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. 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 (extensible)
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
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. Σ 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	Σ This element is included in summaries.	0..*	Reference(TW Core QuestionnaireResponse | MolecularSequence | TW Core Observation Vital Signs)	Used when reporting vital signs panel components
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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	S This element must be supported. 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:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:SystolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:SystolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. 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:SystolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:SystolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:DiastolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. 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:DiastolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:DiastolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
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:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
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	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	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	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍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:SystolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:SystolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:DiastolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from TWCoreObservationBloodPressure

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm)
• 中醫-藥品請求(MedicationRequest TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/medicationrequest-twcm)
• 服務請求(ServiceRequest TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm)
• TW Core MedicationDispense (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore)
• TW Core MedicationStatement (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore)
• 中醫-處置或手術(Procedure TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm)
• TW Core Immunization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Immunization-twcore)
• TW Core ImagingStudy (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore)
• 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• 醫事機構(Organization TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm)
• TW Core CareTeam (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• TW Core Specimen (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Specimen-twcore)
• 文件參照(DocumentReference TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm)
• TW Core Media (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore)
• TW Core QuestionnaireResponse (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore)
• TW Core Observation Vital Signs (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-vitalSigns-twcore)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]