# 檢驗檢查(Observation TWCM) - 臺灣中醫實作指引 v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **檢驗檢查(Observation TWCM)**

## Resource Profile: 檢驗檢查(Observation TWCM) 

| | |
| :--- | :--- |
| *Official URL*:https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm | *Version*:0.1.0 |
| Draft as of 2026-08-31 | *Computable Name*:ObservationTWCM |

 
此檢驗檢查(Observation TWCM)Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result)Profile以呈現中醫門診單之檢驗檢查的詳細資料。 

**Usages:**

* Use this Profile: [中醫-資料交換基本單位(Bundle TWCM)](StructureDefinition-bundle-twcm.md)
* Refer to this Profile: [關懷計畫(CarePlan TWCM)](StructureDefinition-careplan-twcm.md), [中醫-臨床文件架構(Composition TWCM)](StructureDefinition-composition-twcm.md), [病人主訴(ConditionChiefComplaint TWCM)](StructureDefinition-conditionchiefcomplaint-twcm.md), [病情、問題或診斷(ConditionDiagnosis TWCM)](StructureDefinition-conditiondiagnosis-twcm.md)... Show 16 more, [重大傷病(ConditionMajorIllness TWCM)](StructureDefinition-conditionmajorillness-twcm.md), [過去病史(ConditionPastMedicalHistory TWCM)](StructureDefinition-conditionpastmedicalhistory-twcm.md), [診斷報告(DiagnosticReport TWCM)](StructureDefinition-diagnosticreport-twcm.md), [就醫事件(Encounter TWCM)](StructureDefinition-encounter-twcm.md), [中醫-藥品請求(MedicationRequest TWCM)](StructureDefinition-medicationrequest-twcm.md), [檢驗檢查(Observation TWCM)](StructureDefinition-observation-twcm.md), [血型(ObservationBloodtype TWCM)](StructureDefinition-observationbloodtype-twcm.md), [教育程度(ObservationEducationLevel TWCM)](StructureDefinition-observationeducationlevel-twcm.md), [重大傷病註記(ObservationMajorIllness TWCM)](StructureDefinition-observationmajorillness-twcm.md), [職業(ObservationOccupation TWCM)](StructureDefinition-observationoccupation-twcm.md), [病人脈象(ObservationPulseCondition TWCM)](StructureDefinition-observationpulsecondition-twcm.md), [病人證型(ObservationSyndromeType TWCM)](StructureDefinition-observationsyndrometype-twcm.md), [病人治則(ObservationTherapeuticPrinciples TWCM)](StructureDefinition-observationtherapeuticprinciples-twcm.md), [病人舌象(ObservationTongueCondition TWCM)](StructureDefinition-observationtonguecondition-twcm.md), [中醫-處置或手術(Procedure TWCM)](StructureDefinition-procedure-twcm.md) and [服務請求(ServiceRequest TWCM)](StructureDefinition-servicerequest-twcm.md)
* Examples for this Profile: [Observation/ObservationTWCM-min](Observation-ObservationTWCM-min.md) and [Observation/ObservationTWCM-pro](Observation-ObservationTWCM-pro.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/tw.gov.mohw.nricm.twcm|current/StructureDefinition/StructureDefinition-observation-twcm.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-observation-twcm.csv), [Excel](StructureDefinition-observation-twcm.xlsx), [Schematron](StructureDefinition-observation-twcm.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "observation-twcm",
  "url" : "https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm",
  "version" : "0.1.0",
  "name" : "ObservationTWCM",
  "title" : "檢驗檢查(Observation TWCM)",
  "status" : "draft",
  "date" : "2026-08-31T12:11:57+00:00",
  "publisher" : "衛生福利部國家中醫藥研究所",
  "contact" : [{
    "name" : "衛生福利部國家中醫藥研究所",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.nricm.edu.tw/"
    }]
  }],
  "description" : "此檢驗檢查(Observation TWCM)Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result)Profile以呈現中醫門診單之檢驗檢查的詳細資料。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation",
      "constraint" : [{
        "key" : "observation-code-match",
        "severity" : "error",
        "human" : "Observation.code 必須與對應的 ServiceRequest.code 相同",
        "expression" : "basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)",
        "source" : "https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm"
      }]
    },
    {
      "id" : "Observation.partOf",
      "path" : "Observation.partOf",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore",
        "https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Immunization-twcore",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore"]
      }]
    },
    {
      "id" : "Observation.status",
      "path" : "Observation.status",
      "patternCode" : "final"
    },
    {
      "id" : "Observation.code",
      "path" : "Observation.code",
      "short" : "概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)。若為非健保署規範的院內碼，可另加一組coding表示，system請填入醫事機構自訂的代碼系統]"
    },
    {
      "id" : "Observation.code.coding",
      "path" : "Observation.code.coding",
      "min" : 1,
      "max" : "2"
    },
    {
      "id" : "Observation.code.text",
      "path" : "Observation.code.text",
      "min" : 1
    },
    {
      "id" : "Observation.subject",
      "path" : "Observation.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm"]
      }]
    },
    {
      "id" : "Observation.encounter",
      "path" : "Observation.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm"]
      }]
    },
    {
      "id" : "Observation.effective[x]",
      "path" : "Observation.effective[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.effective[x]:effectiveDateTime",
      "path" : "Observation.effective[x]",
      "sliceName" : "effectiveDateTime",
      "short" : "檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date]",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
          "valueBoolean" : true
        }],
        "code" : "dateTime"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.issued",
      "path" : "Observation.issued",
      "short" : "[應填入檢驗檢查完成的日期或時間]",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.performer",
      "path" : "Observation.performer",
      "short" : "[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name]",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/organizationinspection-twcm"]
      }]
    },
    {
      "id" : "Observation.value[x]",
      "path" : "Observation.value[x]",
      "short" : "[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。"
    },
    {
      "id" : "Observation.interpretation",
      "path" : "Observation.interpretation",
      "short" : "高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]",
      "mustSupport" : true
    },
    {
      "id" : "Observation.note",
      "path" : "Observation.note",
      "short" : "關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment]",
      "mustSupport" : true
    },
    {
      "id" : "Observation.hasMember",
      "path" : "Observation.hasMember",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
      }]
    },
    {
      "id" : "Observation.derivedFrom",
      "path" : "Observation.derivedFrom",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore",
        "https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
      }]
    },
    {
      "id" : "Observation.component",
      "path" : "Observation.component",
      "short" : "組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。"
    },
    {
      "id" : "Observation.component.code",
      "path" : "Observation.component.code",
      "short" : "[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)]"
    },
    {
      "id" : "Observation.component.code.text",
      "path" : "Observation.component.code.text",
      "min" : 1
    },
    {
      "id" : "Observation.component.value[x]",
      "path" : "Observation.component.value[x]",
      "short" : "[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]"
    },
    {
      "id" : "Observation.component.interpretation",
      "path" : "Observation.component.interpretation",
      "short" : "高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]",
      "mustSupport" : true
    },
    {
      "id" : "Observation.component.interpretation.text",
      "path" : "Observation.component.interpretation.text",
      "short" : "[應填入門診病摘檢驗檢查結果備註說明Result Comment]"
    }]
  }
}

```
