臺灣結核病實作指引
0.1.0 - ci-build Taiwan, Province of China flag

臺灣結核病實作指引, published by 衛福部疾病管制署. 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/omnifhir/tb/ and changes regularly. See the Directory of published versions

Resource Profile: 生化檢查-Observation TB Check

Official URL: https://tb.cdc.gov.tw/tb/StructureDefinition/Observation-tb-check Version: 0.1.0
Active as of 2026-10-28 Computable Name: ObservationTBCheck

此生化檢查-Observation TB Check Profile說明本IG如何進一步定義臺灣核心-實驗室檢驗檢查（TW Core Observation Laboratory Result） Profile以呈現TB生化檢查結果報告

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: doco
Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查，測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 1..1 Identifier 報告序號
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。
Required Pattern: final (extensions allowed)
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Observation.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 檢驗項目名稱
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(病人資訊-Patient TB) 檢驗檢查有關的對象及（或）事物
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
Observation.effective[x] This element must be supported. This element is included in summaries. C 1..1 dateTime This type must be supported. 實際檢查日期時間
Constraints: tw-core-3
Observation.issued This element must be supported. This element is included in summaries. 0..1 instant 報告日期時間
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 誰負責這項檢驗檢查
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗報告結果值
Slice: Unordered, Closed by type:$this
Constraints: tw-core-5
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity This type must be supported.
Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.Slices for value[x].valueString string This target must be supported.
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity This type must be supported. 檢驗檢查的實際結果
Constraints: tw-core-5
Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal 檢驗報告結果值
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code 單位
Observation.dataAbsentReason This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.interpretation This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗（查）結果值註記。 ND:Not detected | DET:Detected
Binding: HL7-生化檢查通報-Observation Interpretation Codes值集 (required)
Observation.note This element must be supported. 0..1 Annotation 備註
Observation.method This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗方法
Binding: ObservationMethods (extensible)
Observation.referenceRange C 0..1 BackboneElement 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Constraints: obs-3
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity 參考值下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity 參考值上限
Constraints: sqty-1
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 組成之（部分）檢驗檢查的檢驗結果
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Observation.component.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.component.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.component.value[x] This element must be supported. This element is included in summaries. 0..1 組成之檢驗檢查的實際結果
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period

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:twcore Base required 臺灣衛福部資訊處Observation Clinical Result類型值集 📦0.3.0 臺灣核心實作指引 v0.3
Observation.code Base extensible LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
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 required HL7-生化檢查通報-Observation Interpretation Codes值集 📦0.1.0 This IG
Observation.method Base extensible Observation Methods 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
tw-core-3 error Observation.effective[x] Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationLaboratoryResult

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation TWCoreObservationLaboratoryResult
Observation.identifier This element must be supported. 1..1 Identifier 報告序號
Observation.status 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Required Pattern: final (extensions allowed)
Observation.code
Observation.code.text 0..1 string 檢驗項目名稱
Observation.effective[x] 1..1 dateTime 實際檢查日期時間
Observation.issued This element must be supported. 0..1 instant 報告日期時間
Observation.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗報告結果值
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].value[x]:valueQuantity 0..1 Quantity 檢驗檢查的實際結果
Observation.Slices for value[x].value[x]:valueQuantity.value 0..1 decimal 檢驗報告結果值
Observation.Slices for value[x].value[x]:valueQuantity.code 0..1 code 單位
Observation.interpretation This element must be supported. 0..1 CodeableConceptTW 檢驗（查）結果值註記。 ND:Not detected | DET:Detected
Binding: HL7-生化檢查通報-Observation Interpretation Codes值集 (required)
Observation.note This element must be supported. 0..1 Annotation 備註
Observation.method This element must be supported. 0..1 CodeableConceptTW 檢驗方法
Observation.referenceRange 0..1 BackboneElement 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Observation.referenceRange.low This element must be supported. 0..1 SimpleQuantity 參考值下限
Observation.referenceRange.high This element must be supported. 0..1 SimpleQuantity 參考值上限

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.interpretation Base required HL7-生化檢查通報-Observation Interpretation Codes值集 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查，測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
Observation.id This element is included in summaries. 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
Observation.meta This element is included in summaries. 0..1 Meta 此Observation Resource的metadata
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.language 0..1 code 用以表述Observation Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
Observation.text 0..1 Narrative Observation Resource之內容摘要以供人閱讀
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 This element must be supported. This element is included in summaries. 1..1 Identifier 報告序號
Observation.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 依據的照護計畫／提議／醫令
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 此檢驗檢查是哪個參照事件的一部分
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。
Required Pattern: final (extensions allowed)
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Observation.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:LOINCObservationCode.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.code.Slices for coding.coding:LOINCObservationCode.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:LOINCObservationCode.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.Slices for coding.coding:LOINCObservationCode.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:TWLaboratoryCategory.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.code.Slices for coding.coding:TWLaboratoryCategory.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.code.Slices for coding.coding:TWLaboratoryCategory.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.Slices for coding.coding:TWLaboratoryCategory.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 檢驗項目名稱
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(病人資訊-Patient TB) 檢驗檢查有關的對象及（或）事物
Observation.focus This element is included in summaries. 0..* Reference(Resource) 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
Observation.effective[x] This element must be supported. This element is included in summaries. C 1..1 dateTime This type must be supported. 實際檢查日期時間
Constraints: tw-core-3
Observation.issued This element must be supported. This element is included in summaries. 0..1 instant 報告日期時間
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 誰負責這項檢驗檢查
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗報告結果值
Slice: Unordered, Closed by type:$this
Constraints: tw-core-5
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity This type must be supported.
Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.Slices for value[x].valueString string This target must be supported.
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity This type must be supported. 檢驗檢查的實際結果
Constraints: tw-core-5
Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal 檢驗報告結果值
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code 單位
Observation.dataAbsentReason This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.interpretation This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗（查）結果值註記。 ND:Not detected | DET:Detected
Binding: HL7-生化檢查通報-Observation Interpretation Codes值集 (required)
Observation.note This element must be supported. 0..1 Annotation 備註
Observation.bodySite 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: SNOMEDCTBodyStructures (extensible)
Observation.method This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗方法
Binding: ObservationMethods (extensible)
Observation.specimen 0..1 Reference(TW Core Specimen) 此檢驗檢查的檢體
Observation.device 0..1 Reference(Device | DeviceMetric) （測量）設備
Observation.referenceRange C 0..1 BackboneElement 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
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. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity 參考值下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity 參考值上限
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Observation.referenceRange.appliesTo 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
Observation.referenceRange.age 0..1 Range 適用的年齡範圍值，如果相關。
Observation.referenceRange.text 0..1 string 檢驗檢查中以文字表述的參考範圍值
Observation.hasMember This element is included in summaries. 0..* Reference(TW Core Observation Laboratory Result | TW Core QuestionnaireResponse | MolecularSequence) 屬於此組檢驗檢查的相關Resource
Observation.derivedFrom This element is included in summaries. 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Laboratory Result | MolecularSequence) 檢驗檢查源自哪些相關測量
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 組成之（部分）檢驗檢查的檢驗結果
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Observation.component.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.component.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.component.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:LOINCObservationCode.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.component.code.Slices for coding.coding:LOINCObservationCode.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:LOINCObservationCode.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.component.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.Slices for coding.coding:LOINCObservationCode.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.component.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.component.value[x] This element must be supported. This element is included in summaries. 0..1 組成之檢驗檢查的實際結果
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.component.interpretation 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.component.referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引

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:twcore Base required 臺灣衛福部資訊處Observation Clinical Result類型值集 📦0.3.0 臺灣核心實作指引 v0.3
Observation.code Base extensible LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
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 required HL7-生化檢查通報-Observation Interpretation Codes值集 📦0.1.0 This IG
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base extensible 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實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
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
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
tw-core-3 error Observation.effective[x] Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 1 element
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the values of Observation.value[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查，測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 1..1 Identifier 報告序號
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。
Required Pattern: final (extensions allowed)
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Observation.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 檢驗項目名稱
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(病人資訊-Patient TB) 檢驗檢查有關的對象及（或）事物
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
Observation.effective[x] This element must be supported. This element is included in summaries. C 1..1 dateTime This type must be supported. 實際檢查日期時間
Constraints: tw-core-3
Observation.issued This element must be supported. This element is included in summaries. 0..1 instant 報告日期時間
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 誰負責這項檢驗檢查
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗報告結果值
Slice: Unordered, Closed by type:$this
Constraints: tw-core-5
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity This type must be supported.
Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.Slices for value[x].valueString string This target must be supported.
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity This type must be supported. 檢驗檢查的實際結果
Constraints: tw-core-5
Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal 檢驗報告結果值
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code 單位
Observation.dataAbsentReason This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.interpretation This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗（查）結果值註記。 ND:Not detected | DET:Detected
Binding: HL7-生化檢查通報-Observation Interpretation Codes值集 (required)
Observation.note This element must be supported. 0..1 Annotation 備註
Observation.method This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗方法
Binding: ObservationMethods (extensible)
Observation.referenceRange C 0..1 BackboneElement 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Constraints: obs-3
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity 參考值下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity 參考值上限
Constraints: sqty-1
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 組成之（部分）檢驗檢查的檢驗結果
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Observation.component.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.component.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.component.value[x] This element must be supported. This element is included in summaries. 0..1 組成之檢驗檢查的實際結果
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period

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:twcore Base required 臺灣衛福部資訊處Observation Clinical Result類型值集 📦0.3.0 臺灣核心實作指引 v0.3
Observation.code Base extensible LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
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 required HL7-生化檢查通報-Observation Interpretation Codes值集 📦0.1.0 This IG
Observation.method Base extensible Observation Methods 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
tw-core-3 error Observation.effective[x] Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

Differential View

This structure is derived from TWCoreObservationLaboratoryResult

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation TWCoreObservationLaboratoryResult
Observation.identifier This element must be supported. 1..1 Identifier 報告序號
Observation.status 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Required Pattern: final (extensions allowed)
Observation.code
Observation.code.text 0..1 string 檢驗項目名稱
Observation.subject 1..1 Reference(病人資訊-Patient TB) 檢驗檢查有關的對象及（或）事物
Observation.effective[x] 1..1 dateTime 實際檢查日期時間
Observation.issued This element must be supported. 0..1 instant 報告日期時間
Observation.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗報告結果值
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].value[x]:valueQuantity 0..1 Quantity 檢驗檢查的實際結果
Observation.Slices for value[x].value[x]:valueQuantity.value 0..1 decimal 檢驗報告結果值
Observation.Slices for value[x].value[x]:valueQuantity.code 0..1 code 單位
Observation.interpretation This element must be supported. 0..1 CodeableConceptTW 檢驗（查）結果值註記。 ND:Not detected | DET:Detected
Binding: HL7-生化檢查通報-Observation Interpretation Codes值集 (required)
Observation.note This element must be supported. 0..1 Annotation 備註
Observation.method This element must be supported. 0..1 CodeableConceptTW 檢驗方法
Observation.referenceRange 0..1 BackboneElement 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Observation.referenceRange.low This element must be supported. 0..1 SimpleQuantity 參考值下限
Observation.referenceRange.high This element must be supported. 0..1 SimpleQuantity 參考值上限

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.interpretation Base required HL7-生化檢查通報-Observation Interpretation Codes值集 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查，測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4
Observation.id This element is included in summaries. 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
Observation.meta This element is included in summaries. 0..1 Meta 此Observation Resource的metadata
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.language 0..1 code 用以表述Observation Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
Observation.text 0..1 Narrative Observation Resource之內容摘要以供人閱讀
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 This element must be supported. This element is included in summaries. 1..1 Identifier 報告序號
Observation.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 依據的照護計畫／提議／醫令
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 此檢驗檢查是哪個參照事件的一部分
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。
Required Pattern: final (extensions allowed)
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore This element must be supported. 1..1 CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}
Observation.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（concept）－參照一個專門術語或只是純文字。
Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Observation.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:LOINCObservationCode.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.code.Slices for coding.coding:LOINCObservationCode.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:LOINCObservationCode.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.Slices for coding.coding:LOINCObservationCode.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.code.Slices for coding.coding:TWLaboratoryCategory.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.code.Slices for coding.coding:TWLaboratoryCategory.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.code.Slices for coding.coding:TWLaboratoryCategory.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.code.Slices for coding.coding:TWLaboratoryCategory.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 檢驗項目名稱
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(病人資訊-Patient TB) 檢驗檢查有關的對象及（或）事物
Observation.focus This element is included in summaries. 0..* Reference(Resource) 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Encounter) 檢驗檢查是哪一次就醫時執行的
Observation.effective[x] This element must be supported. This element is included in summaries. C 1..1 dateTime This type must be supported. 實際檢查日期時間
Constraints: tw-core-3
Observation.issued This element must be supported. This element is included in summaries. 0..1 instant 報告日期時間
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 誰負責這項檢驗檢查
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗報告結果值
Slice: Unordered, Closed by type:$this
Constraints: tw-core-5
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity This type must be supported.
Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.Slices for value[x].valueString string This target must be supported.
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity This type must be supported. 檢驗檢查的實際結果
Constraints: tw-core-5
Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal 檢驗報告結果值
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code 單位
Observation.dataAbsentReason This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 缺少檢驗檢查結果的原因
Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.interpretation This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗（查）結果值註記。 ND:Not detected | DET:Detected
Binding: HL7-生化檢查通報-Observation Interpretation Codes值集 (required)
Observation.note This element must be supported. 0..1 Annotation 備註
Observation.bodySite 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: SNOMEDCTBodyStructures (extensible)
Observation.method This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢驗方法
Binding: ObservationMethods (extensible)
Observation.specimen 0..1 Reference(TW Core Specimen) 此檢驗檢查的檢體
Observation.device 0..1 Reference(Device | DeviceMetric) （測量）設備
Observation.referenceRange C 0..1 BackboneElement 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
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. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low This element must be supported. C 0..1 SimpleQuantity 參考值下限
Constraints: sqty-1
Observation.referenceRange.high This element must be supported. C 0..1 SimpleQuantity 參考值上限
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Observation.referenceRange.appliesTo 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
Observation.referenceRange.age 0..1 Range 適用的年齡範圍值，如果相關。
Observation.referenceRange.text 0..1 string 檢驗檢查中以文字表述的參考範圍值
Observation.hasMember This element is included in summaries. 0..* Reference(TW Core Observation Laboratory Result | TW Core QuestionnaireResponse | MolecularSequence) 屬於此組檢驗檢查的相關Resource
Observation.derivedFrom This element is included in summaries. 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Laboratory Result | MolecularSequence) 檢驗檢查源自哪些相關測量
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement 組成之（部分）檢驗檢查的檢驗結果
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: LOINC實驗室檢驗檢查值集 (example)
Observation.component.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.component.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding This element must be supported. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:system
Observation.component.code.Slices for coding.coding:LOINCObservationCode This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:LOINCObservationCode.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.component.code.Slices for coding.coding:LOINCObservationCode.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding.coding:LOINCObservationCode.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:LOINCObservationCode.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.component.code.Slices for coding.coding:LOINCObservationCode.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:LOINCObservationCode.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.Slices for coding.coding:LOINCObservationCode.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory This element must be supported. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.system This element must be supported. This element is included in summaries. 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw (extensions allowed)
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.version This element is included in summaries. 0..1 string 系統的版本—如果相關的話
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.code This element must be supported. This element is included in summaries. 1..1 code 系統定義的語法之符號
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.display This element must be supported. This element is included in summaries. 0..1 string 由系統定義的表示法
Observation.component.code.Slices for coding.coding:TWLaboratoryCategory.userSelected This element is included in summaries. 0..1 boolean 此編碼是否由使用者直接選擇？
Observation.component.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.component.value[x] This element must be supported. This element is included in summaries. 0..1 組成之檢驗檢查的實際結果
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.component.interpretation 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.component.referenceRange 0..* See referenceRange (Observation) 解釋此組成之檢驗驗查的結果值之指引

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:twcore Base required 臺灣衛福部資訊處Observation Clinical Result類型值集 📦0.3.0 臺灣核心實作指引 v0.3
Observation.code Base extensible LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
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 required HL7-生化檢查通報-Observation Interpretation Codes值集 📦0.1.0 This IG
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base extensible 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實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:LOINCObservationCode Base required LOINC實驗室檢驗檢查值集 📦2.77 臺灣核心實作指引 v0.3
Observation.component.​code.coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
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
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
tw-core-3 error Observation.effective[x] Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 1 element
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the values of Observation.value[x]

 

Other representations of profile: CSV, Excel, Schematron