臺灣中醫實作指引
0.1.0 - ci-build

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

Resource Profile: ObservationOccupationTWCM - Mappings

Draft as of 2026-10-07

Mappings for the observationoccupation-twcm resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
Observation
Event
< 363787002 |Observable entity|
OBX
  • Observation[classCode=OBS
  • moodCode=EVN]
Observation / id
Observation / meta
Observation / implicitRules
Observation / language
Observation / text
Act.text?
Observation / contained
N/A
Observation / extension
N/A
Observation / modifierExtension
N/A
Observation / identifier
Event.identifier
1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
id
FiveWs.identifier
Observation / basedOn
Event.basedOn
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
Observation / partOf
Event.partOf
Varies by domain
.outboundRelationship[typeCode=FLFS].target
Observation / status
Event.status
< 445584004 |Report by finality status|
OBX-11
status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
FiveWs.status
Observation / Slices for category
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
Observation / Slices for category / category:twcore
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
Observation / Slices for category / category:twcore / id
n/a
Observation / Slices for category / category:twcore / extension
n/a
Observation / Slices for category / category:twcore / coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
Observation / Slices for category / category:twcore / coding / id
n/a
Observation / Slices for category / category:twcore / coding / extension
n/a
Observation / Slices for category / category:twcore / coding / system
C*E.3
./codeSystem
Observation / Slices for category / category:twcore / coding / version
C*E.7
./codeSystemVersion
Observation / Slices for category / category:twcore / coding / code
C*E.1
./code
Observation / Slices for category / category:twcore / coding / display
C*E.2 - but note this is not well followed
CV.displayName
Observation / Slices for category / category:twcore / coding / userSelected
Sometimes implied by being first
CD.codingRationale
Observation / Slices for category / category:twcore / text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
Observation / code
CE/CNE/CWE
CD
Observation / code / id
n/a
Observation / code / extension
Observation / code / coding
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
CV
Observation / code / text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
Observation / subject
Event.subject
PID-3
participation[typeCode=RTGT]
FiveWs.subject
Observation / focus
OBX-3
participation[typeCode=SBJ]
FiveWs.subject
Observation / encounter
Event.context
PV1
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
Observation / effective[x]
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
FiveWs.done[x]
Observation / issued
  • OBR.22 (or MSH.7)
  • or perhaps OBX-19 (depends on who observation made)
participation[typeCode=AUT].time
FiveWs.recorded
Observation / performer
Event.performer.actor
  • OBX.15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
participation[typeCode=PRF]
FiveWs.actor
Observation / value[x]
CE/CNE/CWE
CD
Observation / value[x] / id
n/a
Observation / value[x] / extension
Observation / value[x] / Slices for coding
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
CV
Observation / value[x] / Slices for coding / coding:LiaRocOccupation
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
CV
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / id
n/a
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / extension
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / system
C*E.3
./codeSystem
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / version
C*E.7
./codeSystemVersion
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / code
C*E.1
./code
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / display
C*E.2 - but note this is not well followed
CV.displayName
Observation / value[x] / Slices for coding / coding:LiaRocOccupation / userSelected
Sometimes implied by being first
CD.codingRationale
Observation / value[x] / Slices for coding / coding:MolOccupation
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
CV
Observation / value[x] / Slices for coding / coding:MolOccupation / id
n/a
Observation / value[x] / Slices for coding / coding:MolOccupation / extension
Observation / value[x] / Slices for coding / coding:MolOccupation / system
C*E.3
./codeSystem
Observation / value[x] / Slices for coding / coding:MolOccupation / version
C*E.7
./codeSystemVersion
Observation / value[x] / Slices for coding / coding:MolOccupation / code
C*E.1
./code
Observation / value[x] / Slices for coding / coding:MolOccupation / display
C*E.2 - but note this is not well followed
CV.displayName
Observation / value[x] / Slices for coding / coding:MolOccupation / userSelected
Sometimes implied by being first
CD.codingRationale
Observation / value[x] / text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
Observation / dataAbsentReason
N/A
value.nullFlavor
Observation / interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
Observation / note
  • NTE.3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
Observation / bodySite
< 123037004 |Body structure|
OBX-20
targetSiteCode
718497002 |Inherent location|
Observation / method
OBX-17
methodCode
Observation / specimen
< 123038009 |Specimen|
SPM segment
participation[typeCode=SPC].specimen
704319004 |Inherent in|
Observation / device
< 49062001 |Device|
OBX-17 / PRT -10
participation[typeCode=DEV]
424226004 |Using device|
Observation / referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
Observation / referenceRange / id
n/a
Observation / referenceRange / extension
n/a
Observation / referenceRange / modifierExtension
N/A
Observation / referenceRange / low
OBX-7
IVL_PQ.low
Observation / referenceRange / high
OBX-7
IVL_PQ.high
Observation / referenceRange / type
< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
OBX-10
interpretationCode
Observation / referenceRange / appliesTo
< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
OBX-10
interpretationCode
Observation / referenceRange / age
outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
Observation / referenceRange / text
OBX-7
ST
Observation / hasMember
Relationships established by OBX-4 usage
outBoundRelationship
Observation / derivedFrom
Relationships established by OBX-4 usage
.targetObservation
Observation / Slices for component
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
Observation / Slices for component / component:All Slices
Observation / Slices for component / component:All Slices / id
n/a
Observation / Slices for component / component:All Slices / extension
n/a
Observation / Slices for component / component:All Slices / modifierExtension
N/A
Observation / Slices for component / component:All Slices / code
CE/CNE/CWE
CD
Observation / Slices for component / component:All Slices / value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
Observation / Slices for component / component:All Slices / dataAbsentReason
N/A
value.nullFlavor
Observation / Slices for component / component:All Slices / interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
Observation / Slices for component / component:All Slices / referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
Observation / Slices for component / component:industry
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
Observation / Slices for component / component:industry / id
n/a
Observation / Slices for component / component:industry / extension
n/a
Observation / Slices for component / component:industry / modifierExtension
N/A
Observation / Slices for component / component:industry / code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
Observation / Slices for component / component:industry / Slices for value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
Observation / Slices for component / component:industry / Slices for value[x]
Observation / Slices for component / component:industry / Slices for value[x] / value[x]:valueCodeableConcept
CE/CNE/CWE
CD
Observation / Slices for component / component:industry / dataAbsentReason
N/A
value.nullFlavor
Observation / Slices for component / component:industry / interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
Observation / Slices for component / component:industry / referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]

doco Documentation for this format