臺灣中醫實作指引
0.1.0 - ci-build

臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions

## Resource Profile: 病人證型(ObservationSyndromeType TWCM)

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

此病人證型(ObservationSyndromeType 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證型的詳細資料。

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)
- Examples for this Profile: Observation/ObservationSyndromeTypeTWCM-min

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM)) | Fulfills plan, proposal or order
partOf | Σ | 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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 38276004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Multiple symptoms (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | Who and/or what the observation is about
encounter | S Σ | 0..1 | Reference(就醫事件(Encounter TWCM)) | Healthcare event during which this observation is made
performer | Σ | 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
value[x] | S Σ C | 1..1 | CodeableConcept | [應填入中醫門診單之病人證型Manifestation]
coding | S Σ | 0..* | Coding | Code defined by a terminology system Binding: 病人證型值集 (required)
specimen |  | 0..1 | Reference(TW Core Specimen) | Specimen used for this observation
hasMember | Σ | 0..* | Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.value[x].​coding | Base | required | 病人證型值集 | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  |  | Observation |
basedOn |  | 0..* | Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM)) | Fulfills plan, proposal or order
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
status |  | 1..1 | code | registered | preliminary | final | amended + Required Pattern: final
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 38276004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Multiple symptoms (finding)
subject | S | 1..1 | Reference(病人資料(Patient TWCM)) | Who and/or what the observation is about
encounter | S | 0..1 | Reference(就醫事件(Encounter TWCM)) | Healthcare event during which this observation is made
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
value[x] | S | 1..1 | CodeableConcept | [應填入中醫門診單之病人證型Manifestation]
coding | S | 0..* | Coding | Code defined by a terminology system Binding: 病人證型值集 (required)
specimen |  | 0..1 | Reference(TW Core Specimen) | Specimen used for this observation
hasMember |  | 0..* | Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom |  | 0..* | Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.value[x].​coding | Base | required | 病人證型值集 | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM)) | Fulfills plan, proposal or order
partOf | Σ | 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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 38276004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Multiple symptoms (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | S Σ | 0..1 | Reference(就醫事件(Encounter TWCM)) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 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
value[x] | S Σ C | 1..1 | CodeableConcept | [應填入中醫門診單之病人證型Manifestation]
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 0..* | Coding | Code defined by a terminology system Binding: 病人證型值集 (required)
text | Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(TW Core Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 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
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
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 | 病人證型值集 | 📦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 | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression

This structure is derived from Observation

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

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

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM)) | Fulfills plan, proposal or order
partOf | Σ | 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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 38276004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Multiple symptoms (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | Who and/or what the observation is about
encounter | S Σ | 0..1 | Reference(就醫事件(Encounter TWCM)) | Healthcare event during which this observation is made
performer | Σ | 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
value[x] | S Σ C | 1..1 | CodeableConcept | [應填入中醫門診單之病人證型Manifestation]
coding | S Σ | 0..* | Coding | Code defined by a terminology system Binding: 病人證型值集 (required)
specimen |  | 0..1 | Reference(TW Core Specimen) | Specimen used for this observation
hasMember | Σ | 0..* | Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.value[x].​coding | Base | required | 病人證型值集 | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  |  | Observation |
basedOn |  | 0..* | Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM)) | Fulfills plan, proposal or order
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
status |  | 1..1 | code | registered | preliminary | final | amended + Required Pattern: final
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 38276004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Multiple symptoms (finding)
subject | S | 1..1 | Reference(病人資料(Patient TWCM)) | Who and/or what the observation is about
encounter | S | 0..1 | Reference(就醫事件(Encounter TWCM)) | Healthcare event during which this observation is made
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
value[x] | S | 1..1 | CodeableConcept | [應填入中醫門診單之病人證型Manifestation]
coding | S | 0..* | Coding | Code defined by a terminology system Binding: 病人證型值集 (required)
specimen |  | 0..1 | Reference(TW Core Specimen) | Specimen used for this observation
hasMember |  | 0..* | Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom |  | 0..* | Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | 檢驗檢查(Observation TWCM) | MolecularSequence) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.value[x].​coding | Base | required | 病人證型值集 | 📦0.1.0 | This IG

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
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(關懷計畫(CarePlan TWCM) | DeviceRequest | ImmunizationRecommendation | 中醫-藥品請求(MedicationRequest TWCM) | NutritionOrder | 服務請求(ServiceRequest TWCM)) | Fulfills plan, proposal or order
partOf | Σ | 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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 38276004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Multiple symptoms (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(病人資料(Patient TWCM)) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | S Σ | 0..1 | Reference(就醫事件(Encounter TWCM)) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 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
value[x] | S Σ C | 1..1 | CodeableConcept | [應填入中醫門診單之病人證型Manifestation]
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 0..* | Coding | Code defined by a terminology system Binding: 病人證型值集 (required)
text | Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(TW Core Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(檢驗檢查(Observation TWCM) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 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
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
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 | 病人證型值集 | 📦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 | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression

This structure is derived from Observation

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

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

Other representations of profile: CSV, Excel, Schematron