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: 病人脈象(ObservationPulseCondition TWCM)

此病人脈象(ObservationPulseCondition 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病人脈象的詳細資料。

Usages:

• Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
• Refer to this Profile: 中醫-臨床文件架構(Composition TWCM) and 切診(ObservationPalpation TWCM)
• Examples for this Profile: Observation/ObservationPulseConditionTWCM-lefthand, Observation/ObservationPulseConditionTWCM-min and Observation/ObservationPulseConditionTWCM-textonly
• 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, pulsecondition-value-or-component, pulsecondition-component-bodysite
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 | NutritionOrder)	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://snomed.info/sct
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: 421608007
Observation.code.coding.display		1..1	string	Representation defined by the system Fixed Value: Finding of pulse taking by palpation (finding)
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.	0..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.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	[應填入中醫門診單之病人整體脈象（未區分寸關尺時使用）。可對應之WHO傳統醫學術語應優先使用coding；無法對應時僅填text即可]
Observation.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	[應填入把脈手別：左腕或右腕。有記錄左右手時，左、右手各建立一筆Observation；未記錄左右手時可不填] Binding: 中醫脈診左右手值集 (required)
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
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	[依寸、關、尺部位分別填入脈象；同一部位有多種脈象時，每種脈象各填一筆component] Slice: Unordered, Closed by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. 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	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: 中醫脈診部位值集 (required)
Observation.Slices for component.component:cun	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	寸部脈象
Observation.Slices for component.component:cun.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:cun.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. Required Pattern: At least the following
Observation.Slices for component.component:cun.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:cun.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:cun.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:cun.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#884
Observation.Slices for component.component:cun.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 寸脈
Observation.Slices for component.component:cun.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:cun.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:cun.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:cun.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:guan	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	關部脈象
Observation.Slices for component.component:guan.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:guan.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. Required Pattern: At least the following
Observation.Slices for component.component:guan.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:guan.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:guan.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:guan.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#885
Observation.Slices for component.component:guan.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 關脈
Observation.Slices for component.component:guan.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:guan.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:guan.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:guan.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:chi	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	尺部脈象
Observation.Slices for component.component:chi.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:chi.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. Required Pattern: At least the following
Observation.Slices for component.component:chi.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:chi.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:chi.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:chi.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#886
Observation.Slices for component.component:chi.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 尺脈
Observation.Slices for component.component:chi.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:chi.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:chi.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:chi.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
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.
Observation.value[x].​coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.bodySite	Base	required	中醫脈診左右手值集	📦0.1.0	This IG
Observation.component.​code	Base	required	中醫脈診部位值集	📦0.1.0	This IG
Observation.component:cun.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cun.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:guan.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:guan.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:chi.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:chi.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pulsecondition-component-bodysite	error	Observation	填寫寸關尺分部位脈象（component）時，須同時填寫把脈手別（bodySite）	component.exists() implies bodySite.exists()
pulsecondition-value-or-component	error	Observation	病人脈象須至少填寫整體脈象（valueCodeableConcept）或寸關尺分部位脈象（component）其中之一	value.exists() or component.exists()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: pulsecondition-value-or-component, pulsecondition-component-bodysite
Observation.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | NutritionOrder)	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://snomed.info/sct
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 421608007
Observation.code.coding.display		1..1	string	Representation defined by the system Fixed Value: Finding of pulse taking by palpation (finding)
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.	0..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.value[x]	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診單之病人整體脈象（未區分寸關尺時使用）。可對應之WHO傳統醫學術語應優先使用coding；無法對應時僅填text即可]
Observation.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	[應填入把脈手別：左腕或右腕。有記錄左右手時，左、右手各建立一筆Observation；未記錄左右手時可不填] Binding: 中醫脈診左右手值集 (required)
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
Observation.Slices for component	S This element must be supported.	0..*	BackboneElement	[依寸、關、尺部位分別填入脈象；同一部位有多種脈象時，每種脈象各填一筆component] Slice: Unordered, Closed by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.code		1..1	CodeableConcept	Type of component observation (code / type) Binding: 中醫脈診部位值集 (required)
Observation.Slices for component.component:cun	S This element must be supported.	0..*	BackboneElement	寸部脈象
Observation.Slices for component.component:cun.code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
Observation.Slices for component.component:cun.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:cun.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:cun.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#884
Observation.Slices for component.component:cun.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 寸脈
Observation.Slices for component.component:cun.value[x]	S This element must be supported.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:cun.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:guan	S This element must be supported.	0..*	BackboneElement	關部脈象
Observation.Slices for component.component:guan.code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
Observation.Slices for component.component:guan.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:guan.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:guan.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#885
Observation.Slices for component.component:guan.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 關脈
Observation.Slices for component.component:guan.value[x]	S This element must be supported.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:guan.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:chi	S This element must be supported.	0..*	BackboneElement	尺部脈象
Observation.Slices for component.component:chi.code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
Observation.Slices for component.component:chi.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:chi.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:chi.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#886
Observation.Slices for component.component:chi.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 尺脈
Observation.Slices for component.component:chi.value[x]	S This element must be supported.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:chi.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x].​coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.bodySite	Base	required	中醫脈診左右手值集	📦0.1.0	This IG
Observation.component.​code	Base	required	中醫脈診部位值集	📦0.1.0	This IG
Observation.component:cun.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:guan.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:chi.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pulsecondition-component-bodysite	error	Observation	填寫寸關尺分部位脈象（component）時，須同時填寫把脈手別（bodySite）	component.exists() implies bodySite.exists()
pulsecondition-value-or-component	error	Observation	病人脈象須至少填寫整體脈象（valueCodeableConcept）或寸關尺分部位脈象（component）其中之一	value.exists() or component.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, pulsecondition-value-or-component, pulsecondition-component-bodysite
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 | NutritionOrder)	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://snomed.info/sct
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: 421608007
Observation.code.coding.display		1..1	string	Representation defined by the system Fixed Value: Finding of pulse taking by palpation (finding)
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.	0..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.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	[應填入中醫門診單之病人整體脈象（未區分寸關尺時使用）。可對應之WHO傳統醫學術語應優先使用coding；無法對應時僅填text即可]
Observation.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
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	S This element must be supported.	0..1	CodeableConcept	[應填入把脈手別：左腕或右腕。有記錄左右手時，左、右手各建立一筆Observation；未記錄左右手時可不填] Binding: 中醫脈診左右手值集 (required)
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.Slices for component	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	[依寸、關、尺部位分別填入脈象；同一部位有多種脈象時，每種脈象各填一筆component] Slice: Unordered, Closed by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. 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	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: 中醫脈診部位值集 (required)
Observation.Slices for component.component:All Slices.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:cun	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	寸部脈象
Observation.Slices for component.component:cun.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.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:cun.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. Required Pattern: At least the following
Observation.Slices for component.component:cun.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:cun.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:cun.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:cun.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#884
Observation.Slices for component.component:cun.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 寸脈
Observation.Slices for component.component:cun.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:cun.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:cun.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:cun.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:cun.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:cun.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:cun.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:cun.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:cun.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:guan	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	關部脈象
Observation.Slices for component.component:guan.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.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:guan.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. Required Pattern: At least the following
Observation.Slices for component.component:guan.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:guan.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:guan.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:guan.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#885
Observation.Slices for component.component:guan.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 關脈
Observation.Slices for component.component:guan.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:guan.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:guan.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:guan.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:guan.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:guan.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:guan.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:guan.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:guan.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:chi	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	尺部脈象
Observation.Slices for component.component:chi.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.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:chi.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. Required Pattern: At least the following
Observation.Slices for component.component:chi.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:chi.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:chi.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:chi.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#886
Observation.Slices for component.component:chi.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 尺脈
Observation.Slices for component.component:chi.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:chi.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:chi.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:chi.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:chi.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:chi.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:chi.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:chi.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:chi.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.value[x].​coding	Base	required	病人脈象值集	📦0.1.0	This IG
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	required	中醫脈診左右手值集	📦0.1.0	This IG
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	required	中醫脈診部位值集	📦0.1.0	This IG
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:cun.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cun.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:cun.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:cun.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:guan.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:guan.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:guan.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:guan.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:chi.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:chi.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:chi.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:chi.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
pulsecondition-component-bodysite	error	Observation	填寫寸關尺分部位脈象（component）時，須同時填寫把脈手別（bodySite）	component.exists() implies bodySite.exists()
pulsecondition-value-or-component	error	Observation	病人脈象須至少填寫整體脈象（valueCodeableConcept）或寸關尺分部位脈象（component）其中之一	value.exists() or component.exists()

This structure is derived from Observation

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-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.component (Closed)

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, pulsecondition-value-or-component, pulsecondition-component-bodysite
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 | NutritionOrder)	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://snomed.info/sct
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: 421608007
Observation.code.coding.display		1..1	string	Representation defined by the system Fixed Value: Finding of pulse taking by palpation (finding)
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.	0..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.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	[應填入中醫門診單之病人整體脈象（未區分寸關尺時使用）。可對應之WHO傳統醫學術語應優先使用coding；無法對應時僅填text即可]
Observation.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	[應填入把脈手別：左腕或右腕。有記錄左右手時，左、右手各建立一筆Observation；未記錄左右手時可不填] Binding: 中醫脈診左右手值集 (required)
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
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	[依寸、關、尺部位分別填入脈象；同一部位有多種脈象時，每種脈象各填一筆component] Slice: Unordered, Closed by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. 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	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: 中醫脈診部位值集 (required)
Observation.Slices for component.component:cun	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	寸部脈象
Observation.Slices for component.component:cun.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:cun.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. Required Pattern: At least the following
Observation.Slices for component.component:cun.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:cun.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:cun.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:cun.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#884
Observation.Slices for component.component:cun.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 寸脈
Observation.Slices for component.component:cun.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:cun.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:cun.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:cun.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:guan	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	關部脈象
Observation.Slices for component.component:guan.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:guan.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. Required Pattern: At least the following
Observation.Slices for component.component:guan.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:guan.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:guan.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:guan.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#885
Observation.Slices for component.component:guan.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 關脈
Observation.Slices for component.component:guan.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:guan.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:guan.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:guan.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:chi	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	尺部脈象
Observation.Slices for component.component:chi.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:chi.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. Required Pattern: At least the following
Observation.Slices for component.component:chi.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:chi.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:chi.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:chi.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#886
Observation.Slices for component.component:chi.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 尺脈
Observation.Slices for component.component:chi.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:chi.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:chi.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:chi.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
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.
Observation.value[x].​coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.bodySite	Base	required	中醫脈診左右手值集	📦0.1.0	This IG
Observation.component.​code	Base	required	中醫脈診部位值集	📦0.1.0	This IG
Observation.component:cun.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cun.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:guan.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:guan.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:chi.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:chi.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pulsecondition-component-bodysite	error	Observation	填寫寸關尺分部位脈象（component）時，須同時填寫把脈手別（bodySite）	component.exists() implies bodySite.exists()
pulsecondition-value-or-component	error	Observation	病人脈象須至少填寫整體脈象（valueCodeableConcept）或寸關尺分部位脈象（component）其中之一	value.exists() or component.exists()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: pulsecondition-value-or-component, pulsecondition-component-bodysite
Observation.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | NutritionOrder)	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://snomed.info/sct
Observation.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 421608007
Observation.code.coding.display		1..1	string	Representation defined by the system Fixed Value: Finding of pulse taking by palpation (finding)
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.	0..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.value[x]	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診單之病人整體脈象（未區分寸關尺時使用）。可對應之WHO傳統醫學術語應優先使用coding；無法對應時僅填text即可]
Observation.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	[應填入把脈手別：左腕或右腕。有記錄左右手時，左、右手各建立一筆Observation；未記錄左右手時可不填] Binding: 中醫脈診左右手值集 (required)
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
Observation.Slices for component	S This element must be supported.	0..*	BackboneElement	[依寸、關、尺部位分別填入脈象；同一部位有多種脈象時，每種脈象各填一筆component] Slice: Unordered, Closed by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.code		1..1	CodeableConcept	Type of component observation (code / type) Binding: 中醫脈診部位值集 (required)
Observation.Slices for component.component:cun	S This element must be supported.	0..*	BackboneElement	寸部脈象
Observation.Slices for component.component:cun.code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
Observation.Slices for component.component:cun.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:cun.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:cun.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#884
Observation.Slices for component.component:cun.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 寸脈
Observation.Slices for component.component:cun.value[x]	S This element must be supported.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:cun.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:guan	S This element must be supported.	0..*	BackboneElement	關部脈象
Observation.Slices for component.component:guan.code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
Observation.Slices for component.component:guan.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:guan.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:guan.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#885
Observation.Slices for component.component:guan.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 關脈
Observation.Slices for component.component:guan.value[x]	S This element must be supported.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:guan.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:chi	S This element must be supported.	0..*	BackboneElement	尺部脈象
Observation.Slices for component.component:chi.code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
Observation.Slices for component.component:chi.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:chi.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:chi.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#886
Observation.Slices for component.component:chi.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 尺脈
Observation.Slices for component.component:chi.value[x]	S This element must be supported.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:chi.value[x].coding	S This element must be supported.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x].​coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.bodySite	Base	required	中醫脈診左右手值集	📦0.1.0	This IG
Observation.component.​code	Base	required	中醫脈診部位值集	📦0.1.0	This IG
Observation.component:cun.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:guan.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:chi.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pulsecondition-component-bodysite	error	Observation	填寫寸關尺分部位脈象（component）時，須同時填寫把脈手別（bodySite）	component.exists() implies bodySite.exists()
pulsecondition-value-or-component	error	Observation	病人脈象須至少填寫整體脈象（valueCodeableConcept）或寸關尺分部位脈象（component）其中之一	value.exists() or component.exists()

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, pulsecondition-value-or-component, pulsecondition-component-bodysite
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 | NutritionOrder)	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://snomed.info/sct
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: 421608007
Observation.code.coding.display		1..1	string	Representation defined by the system Fixed Value: Finding of pulse taking by palpation (finding)
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.	0..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.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	[應填入中醫門診單之病人整體脈象（未區分寸關尺時使用）。可對應之WHO傳統醫學術語應優先使用coding；無法對應時僅填text即可]
Observation.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
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	S This element must be supported.	0..1	CodeableConcept	[應填入把脈手別：左腕或右腕。有記錄左右手時，左、右手各建立一筆Observation；未記錄左右手時可不填] Binding: 中醫脈診左右手值集 (required)
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.Slices for component	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	[依寸、關、尺部位分別填入脈象；同一部位有多種脈象時，每種脈象各填一筆component] Slice: Unordered, Closed by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. 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	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: 中醫脈診部位值集 (required)
Observation.Slices for component.component:All Slices.value[x]	Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:cun	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	寸部脈象
Observation.Slices for component.component:cun.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.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:cun.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. Required Pattern: At least the following
Observation.Slices for component.component:cun.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:cun.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:cun.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:cun.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:cun.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#884
Observation.Slices for component.component:cun.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 寸脈
Observation.Slices for component.component:cun.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:cun.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:cun.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:cun.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:cun.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:cun.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:cun.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:cun.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:cun.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:cun.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:guan	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	關部脈象
Observation.Slices for component.component:guan.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.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:guan.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. Required Pattern: At least the following
Observation.Slices for component.component:guan.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:guan.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:guan.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:guan.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:guan.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#885
Observation.Slices for component.component:guan.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 關脈
Observation.Slices for component.component:guan.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:guan.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:guan.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:guan.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:guan.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:guan.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:guan.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:guan.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:guan.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:guan.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:chi	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	尺部脈象
Observation.Slices for component.component:chi.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.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:chi.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. Required Pattern: At least the following
Observation.Slices for component.component:chi.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.Slices for component.component:chi.code.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.code.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:chi.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology
Observation.Slices for component.component:chi.code.coding.version		0..1	string	Version of the system - if relevant
Observation.Slices for component.component:chi.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGM2#886
Observation.Slices for component.component:chi.code.coding.display		1..1	string	Representation defined by the system Fixed Value: 尺脈
Observation.Slices for component.component:chi.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:chi.code.text		0..1	string	Plain text representation of the concept
Observation.Slices for component.component:chi.value[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Actual component result
Observation.Slices for component.component:chi.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:chi.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:chi.value[x].coding	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	Code defined by a terminology system Binding: 病人脈象值集 (required)
Observation.Slices for component.component:chi.value[x].text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:chi.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:chi.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:chi.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.value[x].​coding	Base	required	病人脈象值集	📦0.1.0	This IG
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	required	中醫脈診左右手值集	📦0.1.0	This IG
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	required	中醫脈診部位值集	📦0.1.0	This IG
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:cun.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cun.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:cun.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:cun.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:guan.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:guan.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:guan.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:guan.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:chi.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:chi.​value[x].coding	Base	required	病人脈象值集	📦0.1.0	This IG
Observation.component:chi.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:chi.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
pulsecondition-component-bodysite	error	Observation	填寫寸關尺分部位脈象（component）時，須同時填寫把脈手別（bodySite）	component.exists() implies bodySite.exists()
pulsecondition-value-or-component	error	Observation	病人脈象須至少填寫整體脈象（valueCodeableConcept）或寸關尺分部位脈象（component）其中之一	value.exists() or component.exists()

This structure is derived from Observation

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-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.component (Closed)