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: 重大傷病註記(ObservationMajorIllness TWCM)

此重大傷病註記(ObservationMajorIllness TWCM)Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現中醫門診單之重大傷病註記。

Usages:

• Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
• Refer to this Profile: 中醫-臨床文件架構(Composition TWCM)
• Examples for this Profile: Observation/ObservationMajorIllnessTWCM-min
• 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..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11338-1
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		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.encounter	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
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]	Σ This element is included in summaries. C	1..1	boolean	Actual result 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.Slices for value[x].value[x]:valueBoolean	S This element must be supported. Σ This element is included in summaries. C	1..1	boolean	[應填入門診病摘重大傷病註記Major Injury Flag(是/否)]。
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence)	Related measurements the observation is made from
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
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.status		1..1	code	registered | preliminary | final | amended + Required Pattern: final
Observation.code		1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11338-1
Observation.subject	S This element must be supported.	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.	1..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
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.Slices for value[x]		1..1	boolean	Actual result 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 value[x].value[x]:valueBoolean	S This element must be supported.	1..1	boolean	[應填入門診病摘重大傷病註記Major Injury Flag(是/否)]。
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.hasMember		0..*	Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom		0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | 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..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11338-1
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		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.	1..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.effective[x]	Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveTiming			Timing
Observation.effective[x].effectiveInstant			instant
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]	Σ This element is included in summaries. C	1..1	boolean	Actual result 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.Slices for value[x].value[x]:valueBoolean	S This element must be supported. Σ This element is included in summaries. C	1..1	boolean	[應填入門診病摘重大傷病註記Major Injury Flag(是/否)]。
Observation.dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	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(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence)	Related measurements the observation is made from
Observation.component	Σ This element is included in summaries.	0..*	BackboneElement	Component results
Observation.component.id		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations
Observation.component.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.component.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.component.value[x].valueQuantity			Quantity
Observation.component.value[x].valueCodeableConcept			CodeableConcept
Observation.component.value[x].valueString			string
Observation.component.value[x].valueBoolean			boolean
Observation.component.value[x].valueInteger			integer
Observation.component.value[x].valueRange			Range
Observation.component.value[x].valueRatio			Ratio
Observation.component.value[x].valueSampledData			SampledData
Observation.component.value[x].valueTime			time
Observation.component.value[x].valueDateTime			dateTime
Observation.component.value[x].valuePeriod			Period
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.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.code	Base	example	LOINC Codes	📍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	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Observation

Summary

Mandatory: 4 elements
Must-Support: 3 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)
• 檢驗檢查(Observation TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm)
• 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)

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11338-1
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		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.encounter	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
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]	Σ This element is included in summaries. C	1..1	boolean	Actual result 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.Slices for value[x].value[x]:valueBoolean	S This element must be supported. Σ This element is included in summaries. C	1..1	boolean	[應填入門診病摘重大傷病註記Major Injury Flag(是/否)]。
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence)	Related measurements the observation is made from
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
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.status		1..1	code	registered | preliminary | final | amended + Required Pattern: final
Observation.code		1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11338-1
Observation.subject	S This element must be supported.	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.	1..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
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.Slices for value[x]		1..1	boolean	Actual result 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 value[x].value[x]:valueBoolean	S This element must be supported.	1..1	boolean	[應填入門診病摘重大傷病註記Major Injury Flag(是/否)]。
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.hasMember		0..*	Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom		0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | 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..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.coding.version		0..1	string	Version of the system - if relevant
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11338-1
Observation.code.coding.display		0..1	string	Representation defined by the system
Observation.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.code.text		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.	1..1	Reference(就醫事件(Encounter TWCM))	Healthcare event during which this observation is made
Observation.effective[x]	Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveTiming			Timing
Observation.effective[x].effectiveInstant			instant
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]	Σ This element is included in summaries. C	1..1	boolean	Actual result 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.Slices for value[x].value[x]:valueBoolean	S This element must be supported. Σ This element is included in summaries. C	1..1	boolean	[應填入門診病摘重大傷病註記Major Injury Flag(是/否)]。
Observation.dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	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(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence)	Related measurements the observation is made from
Observation.component	Σ This element is included in summaries.	0..*	BackboneElement	Component results
Observation.component.id		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations
Observation.component.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.component.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.component.value[x].valueQuantity			Quantity
Observation.component.value[x].valueCodeableConcept			CodeableConcept
Observation.component.value[x].valueString			string
Observation.component.value[x].valueBoolean			boolean
Observation.component.value[x].valueInteger			integer
Observation.component.value[x].valueRange			Range
Observation.component.value[x].valueRatio			Ratio
Observation.component.value[x].valueSampledData			SampledData
Observation.component.value[x].valueTime			time
Observation.component.value[x].valueDateTime			dateTime
Observation.component.value[x].valuePeriod			Period
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.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.code	Base	example	LOINC Codes	📍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	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Observation

Summary

Mandatory: 4 elements
Must-Support: 3 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)
• 檢驗檢查(Observation TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm)
• 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)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron