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: 脈搏(ObservationHeartRate TWCM)

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

此脈搏(ObservationHeartRate TWCM) Profile說明本IG如何進一步定義臺灣核心-心率（TW Core Observation Heart Rate） Profile以呈現中醫門診單之病人脈搏的詳細資料。

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationHeartRate FHIR Heart Rate Profile
Constraints: obs-6, obs-7, vs-2
... 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
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code S 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... Slices for coding SΣ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:code, value:system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... version 0..1 string Version of the system - if relevant
..... display 1..1 string Representation defined by the system
Fixed Value: Heart rate
..... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
... subject SΣ 1..1 Reference(病人資料(Patient TWCM)) Who and/or what the observation is about
... encounter SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Healthcare event during which this observation is made
... Slices for effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 1..1 Quantity [應填入門診病摘之病人脈博Pulse]
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... derivedFrom Σ 0..* Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from TWCoreObservationHeartRate

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation TWCoreObservationHeartRate
... 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
... code
.... coding S 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:code, value:system
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
..... display 1..1 string Representation defined by the system
Fixed Value: Heart rate
... encounter S 0..1 Reference(就醫事件(Encounter TWCM)) Healthcare event during which this observation is made
... Slices for effective[x] 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Often just a dateTime for Vital Signs
... performer 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... value[x] 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 1..1 Quantity [應填入門診病摘之病人脈博Pulse]
... derivedFrom 0..* Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationHeartRate FHIR Heart Rate Profile
Constraints: obs-6, obs-7, vs-2
... 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 BindingsPurpose
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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... 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 SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:code, value:system

Required Pattern: At least the following
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
...... display Σ 0..1 string Representation defined by the system
Fixed Value: Heart rate
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 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 SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Healthcare event during which this observation is made
... Slices for effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 1..1 Quantity [應填入門診病摘之病人脈博Pulse]
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 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 Low Range, if relevant
.... high C 0..1 SimpleQuantity 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(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-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
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 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

doco 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.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍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 TWCoreObservationHeartRate

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.code.coding (Closed)
  • The element 1 is sliced based on the value of Observation.effective[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationHeartRate FHIR Heart Rate Profile
Constraints: obs-6, obs-7, vs-2
... 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
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code S 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... Slices for coding SΣ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:code, value:system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... version 0..1 string Version of the system - if relevant
..... display 1..1 string Representation defined by the system
Fixed Value: Heart rate
..... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
... subject SΣ 1..1 Reference(病人資料(Patient TWCM)) Who and/or what the observation is about
... encounter SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Healthcare event during which this observation is made
... Slices for effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 1..1 Quantity [應填入門診病摘之病人脈博Pulse]
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... derivedFrom Σ 0..* Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from TWCoreObservationHeartRate

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation TWCoreObservationHeartRate
... 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
... code
.... coding S 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:code, value:system
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
..... display 1..1 string Representation defined by the system
Fixed Value: Heart rate
... encounter S 0..1 Reference(就醫事件(Encounter TWCM)) Healthcare event during which this observation is made
... Slices for effective[x] 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Often just a dateTime for Vital Signs
... performer 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... value[x] 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 1..1 Quantity [應填入門診病摘之病人脈博Pulse]
... derivedFrom 0..* Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationHeartRate FHIR Heart Rate Profile
Constraints: obs-6, obs-7, vs-2
... 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 BindingsPurpose
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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... 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 SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:code, value:system

Required Pattern: At least the following
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
...... display Σ 0..1 string Representation defined by the system
Fixed Value: Heart rate
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 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 SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Healthcare event during which this observation is made
... Slices for effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 1..1 Quantity [應填入門診病摘之病人脈博Pulse]
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 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 Low Range, if relevant
.... high C 0..1 SimpleQuantity 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(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(文件參照(DocumentReference TWCM) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-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
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 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

doco 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.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📦4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📦4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍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 TWCoreObservationHeartRate

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.code.coding (Closed)
  • The element 1 is sliced based on the value of Observation.effective[x]

 

Other representations of profile: CSV, Excel, Schematron