<?xml version="1.0" encoding="UTF-8"?><StructureDefinition xmlns="http://hl7.org/fhir"><id value="Observation-lj"/><text><status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: 结构定义 Observation-lj</b></p><a name="Observation-lj"> </a><a name="hcObservation-lj"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation">Observation</a><a name="Observation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-Observation-laboratoryResult-twcore.html">TWCoreObservationLaboratoryResult</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.status">status</a><a name="Observation.status"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">registered ｜ preliminary ｜ final ｜ amended +</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">final</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code">code</a><a name="Observation.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code.coding">coding</a><a name="Observation.code.coding"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-Coding-tw.html" title="Coding">CodingTW</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">由專門術語系統（terminology system）定義的代碼</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> Slices for coding<a name="Observation.code.coding.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content/Rules for all slices</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code.coding:LOINCObservationCode" title="Slice LOINCObservationCode">coding:LOINCObservationCode</a><a name="Observation.code.coding:LOINCObservationCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-Coding-tw.html" title="Coding">CodingTW</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">LOINC代碼</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code.coding:TWLaboratoryCategory" title="Slice TWLaboratoryCategory">coding:TWLaboratoryCategory</a><a name="Observation.code.coding:TWLaboratoryCategory"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-Coding-tw.html" title="Coding">CodingTW</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">健保署醫療服務給付項目</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code.coding:CDC" title="Slice CDC">coding:CDC</a><a name="Observation.code.coding:CDC"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-Coding-tw.html" title="Coding">CodingTW</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">CDC內部代碼<br class="binding"/><span style="font-weight:bold" title="" class="binding">Binding: </span><a href="ValueSet-cdc-report-type.html" title="https://tb.cdc.gov.tw/tb/ValueSet/cdc-report-type" class="binding">CDC-TB檢驗通報-報告類型值集</a><span title="" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code.coding:CDC.system">system</a><a name="Observation.code.coding:CDC.system"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">專門術語系統（terminology system）的識別</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">https://tb.cdc.gov.tw/tb/CodeSystem/cdc-report-type</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.code.coding:CDC.code">code</a><a name="Observation.code.coding:CDC.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">系統定義的語法之符號</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">lj</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.subject">subject</a><a name="Observation.subject"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Patient-tb.html">病人資訊-Patient TB</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">檢驗檢查有關的對象及（或）事物</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.effective[x]">effective[x]</a><a name="Observation.effective_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">L-J培養結果報告日期</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.performer">performer</a><a name="Observation.performer"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Organization-tb.html">醫事機構-Organization TB</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">送驗單位(醫療院所)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.value[x]">value[x]</a><a name="Observation.value_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">L-J培養結果<br class="binding"/><span style="font-weight:bold" title="" class="binding">Binding: </span><a href="ValueSet-cdc-culture-result.html" title="https://tb.cdc.gov.tw/tb/ValueSet/cdc-culture-result" class="binding">CDC-TB檢驗通報-培養結果值集</a><span title="" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Observation-lj-definitions.html#Observation.method">method</a><a name="Observation.method"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-CodeableConcept-tw.html" title="CodeableConcept">CodeableConceptTW</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">概念（Concept）— 參照一個專門術語或只是文字表述</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div></text><url value="https://tb.cdc.gov.tw/tb/StructureDefinition/Observation-lj"/><version value="0.1.0"/><name value="ObservationLJ"/><title value="L-J培養結果報告-Observation LJ"/><status value="active"/><date value="2026-08-05T07:22:30+00:00"/><publisher value="衛福部疾病管制署"/><contact><name value="衛福部疾病管制署"/><telecom><system value="url"/><value value="https://www.cdc.gov.tw"/></telecom></contact><description value="此L-J培養結果報告-Observation LJ 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 L-J培養結果報告"/><jurisdiction><coding><system value="urn:iso:std:iso:3166"/><code value="TW"/></coding></jurisdiction><fhirVersion value="4.0.1"/><mapping><identity value="workflow"/><uri value="http://hl7.org/fhir/workflow"/><name value="Workflow Pattern"/></mapping><mapping><identity value="sct-concept"/><uri value="http://snomed.info/conceptdomain"/><name value="SNOMED CT Concept Domain Binding"/></mapping><mapping><identity value="v2"/><uri value="http://hl7.org/v2"/><name value="HL7 v2 Mapping"/></mapping><mapping><identity value="rim"/><uri value="http://hl7.org/v3"/><name value="RIM Mapping"/></mapping><mapping><identity value="w5"/><uri value="http://hl7.org/fhir/fivews"/><name value="FiveWs Pattern Mapping"/></mapping><mapping><identity value="sct-attr"/><uri value="http://snomed.org/attributebinding"/><name value="SNOMED CT Attribute Binding"/></mapping><kind value="resource"/><abstract value="false"/><type value="Observation"/><baseDefinition value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"/><derivation value="constraint"/><snapshot><extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"><valueString value="0.3.2"/></extension><element id="Observation"><path value="Observation"/><short value="檢驗檢查，測量及簡單的判定。"/><definition value="對病人、設備或其他對象進行的測量和簡單判定。"/><comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc."/><alias value="Vital Signs"/><alias value="Measurement"/><alias value="Results"/><alias value="Tests"/><min value="0"/><max value="*"/><base><path value="Observation"/><min value="0"/><max value="*"/></base><constraint><key value="dom-2"/><severity value="error"/><human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/><expression value="contained.contained.empty()"/><xpath value="not(parent::f:contained and f:contained)"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint><key value="dom-3"/><severity value="error"/><human value="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"/><expression value="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()"/><xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint><key value="dom-4"/><severity value="error"/><human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/><expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/><xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint><key value="dom-5"/><severity value="error"/><human value="If a resource is contained in another resource, it SHALL NOT have a security label"/><expression value="contained.meta.security.empty()"/><xpath value="not(exists(f:contained/*/f:meta/f:security))"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"><valueBoolean value="true"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"><valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/></extension><key value="dom-6"/><severity value="warning"/><human value="A resource should have narrative for robust management"/><expression value="text.`div`.exists()"/><xpath value="exists(f:text/h:div)"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint><key value="obs-6"/><severity value="error"/><human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present"/><expression value="dataAbsentReason.empty() or value.empty()"/><xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))"/><source value="http://hl7.org/fhir/StructureDefinition/Observation"/></constraint><constraint><key value="obs-7"/><severity value="error"/><human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present"/><expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()"/><xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))"/><source value="http://hl7.org/fhir/StructureDefinition/Observation"/></constraint><constraint><key value="tw-core-4"/><severity value="error"/><human value="If there is no component or hasMember element then either a value[x] or a data absent reason must be present."/><expression value="(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())"/><source value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-clinical-result-twcore"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="Entity. Role, or Act"/></mapping><mapping><identity value="workflow"/><map value="Event"/></mapping><mapping><identity value="sct-concept"/><map value="&lt; 363787002 |Observable entity|"/></mapping><mapping><identity value="v2"/><map value="OBX"/></mapping><mapping><identity value="rim"/><map value="Observation[classCode=OBS, moodCode=EVN]"/></mapping></element><element id="Observation.id"><path value="Observation.id"/><short value="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。"/><definition value="resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。"/><comment value="一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。"/><min value="0"/><max value="1"/><base><path value="Resource.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="id"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="true"/></element><element id="Observation.meta"><path value="Observation.meta"/><short value="此Observation Resource的metadata"/><definition value="關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。"/><min value="0"/><max value="1"/><base><path value="Resource.meta"/><min value="0"/><max value="1"/></base><type><code value="Meta"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/></element><element id="Observation.implicitRules"><path value="Observation.implicitRules"/><short value="創建此內容所依據的一組規則"/><definition value="構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。"/><comment value="宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。"/><min value="0"/><max value="1"/><base><path value="Resource.implicitRules"/><min value="0"/><max value="1"/></base><type><code value="uri"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="true"/><isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/><isSummary value="true"/></element><element id="Observation.language"><path value="Observation.language"/><short value="用以表述Observation Resource內容的語言。"/><definition value="編寫此resource的語言"/><comment value="提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。"/><min value="0"/><max value="1"/><base><path value="Resource.language"/><min value="0"/><max value="1"/></base><type><code value="code"/></type><example><label value="Value"/><valueString value="zh-TW"/></example><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"><valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="Language"/></extension><strength value="preferred"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/languages"/></binding></element><element id="Observation.text"><path value="Observation.text"/><short value="Observation Resource之內容摘要以供人閱讀"/><definition value="人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。"/><comment value="內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。"/><alias value="narrative"/><alias value="html"/><alias value="xhtml"/><alias value="display"/><min value="0"/><max value="1"/><base><path value="DomainResource.text"/><min value="0"/><max value="1"/></base><type><code value="Narrative"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="Act.text?"/></mapping></element><element id="Observation.contained"><path value="Observation.contained"/><short value="Contained, inline Resources"/><definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/><comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/><alias value="inline resources"/><alias value="anonymous resources"/><alias value="contained resources"/><min value="0"/><max value="*"/><base><path value="DomainResource.contained"/><min value="0"/><max value="*"/></base><type><code value="Resource"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="N/A"/></mapping></element><element id="Observation.extension"><path value="Observation.extension"/><short value="Additional content defined by implementations"/><definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/><comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base><path value="DomainResource.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="N/A"/></mapping></element><element id="Observation.modifierExtension"><path value="Observation.modifierExtension"/><short value="Extensions that cannot be ignored"/><definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/><comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/><requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base><path value="DomainResource.modifierExtension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="true"/><isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/><isSummary value="false"/><mapping><identity value="rim"/><map value="N/A"/></mapping></element><element id="Observation.identifier"><path value="Observation.identifier"/><short value="檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。"/><definition value="此檢驗檢查的唯一識別碼"/><requirements value="允許對檢驗檢查結果進行區分和參照"/><min value="0"/><max value="*"/><base><path value="Observation.identifier"/><min value="0"/><max value="*"/></base><type><code value="Identifier"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.identifier"/></mapping><mapping><identity value="w5"/><map value="FiveWs.identifier"/></mapping><mapping><identity value="v2"/><map value="OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."/></mapping><mapping><identity value="rim"/><map value="id"/></mapping></element><element id="Observation.basedOn"><path value="Observation.basedOn"/><short value="依據的照護計畫／提議／醫令"/><definition value="依據的計劃、提議或醫令或其部分要求進行檢驗檢查。例如：一個MedicationRequest可能要求給病人藥之前要先進行實驗室檢查。"/><requirements value="允許授權追踪檢驗檢查事件並追踪提議／建議是否有落實"/><alias value="Fulfills"/><min value="0"/><max value="*"/><base><path value="Observation.basedOn"/><min value="0"/><max value="*"/></base><type><code value="Reference"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CarePlan-twcore"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ServiceRequest-twcore"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.basedOn"/></mapping><mapping><identity value="v2"/><map value="ORC"/></mapping><mapping><identity value="rim"/><map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/></mapping></element><element id="Observation.partOf"><path value="Observation.partOf"/><short value="此檢驗檢查是哪個參照事件的一部分"/><definition value="此特定的檢驗檢查（Observation）是一個更大事件中的一個組成或步驟。例如：一項處置裡的一項檢驗檢查。"/><comment value="使用encounter將一個檢驗檢查（Observation）與一個就醫（Encounter）連結起來。關於參照另一個Observation的作法，請參閱下面的Notes小節。"/><alias value="Container"/><min value="0"/><max value="*"/><base><path value="Observation.partOf"/><min value="0"/><max value="*"/></base><type><code value="Reference"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Immunization-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.partOf"/></mapping><mapping><identity value="v2"/><map value="Varies by domain"/></mapping><mapping><identity value="rim"/><map value=".outboundRelationship[typeCode=FLFS].target"/></mapping></element><element id="Observation.status"><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"><valueString value="default: final"/></extension><path value="Observation.status"/><short value="registered ｜ preliminary ｜ final ｜ amended +"/><definition value="結果值的狀態"/><comment value="這個資料項目被標記為修飾語／修飾用，因為附加到其他文件上的文件，其本身是不完整的文件。"/><requirements value="需要追踪單個結果狀態，有些結果在整個報告確定之前就已經確定了。"/><min value="1"/><max value="1"/><base><path value="Observation.status"/><min value="1"/><max value="1"/></base><type><code value="code"/></type><patternCode value="final"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="true"/><isModifierReason value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/><isSummary value="true"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationStatus"/></extension><strength value="required"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.0.1"/></binding><mapping><identity value="workflow"/><map value="Event.status"/></mapping><mapping><identity value="w5"/><map value="FiveWs.status"/></mapping><mapping><identity value="sct-concept"/><map value="&lt; 445584004 |Report by finality status|"/></mapping><mapping><identity value="v2"/><map value="OBX-11"/></mapping><mapping><identity value="rim"/><map value="status  Amended &amp; Final are differentiated by whether it is the subject of a ControlAct event with a type of &quot;revise&quot;"/></mapping></element><element id="Observation.category"><path value="Observation.category"/><slicing><discriminator><type value="pattern"/><path value="$this"/></discriminator><rules value="open"/></slicing><short value="概念（concept）－參照一個專門術語或只是純文字。"/><definition value="可以正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。"/><comment value="並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。"/><requirements value="用於篩選取得及顯示之檢驗檢查"/><min value="1"/><max value="*"/><base><path value="Observation.category"/><min value="0"/><max value="*"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationCategory"/></extension><strength value="preferred"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/observation-category"/></binding><mapping><identity value="w5"/><map value="FiveWs.class"/></mapping><mapping><identity value="rim"/><map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/></mapping></element><element id="Observation.category:twcore"><path value="Observation.category"/><sliceName value="twcore"/><short value="Classification of  type of observation"/><definition value="A code that classifies the general type of observation being made."/><comment value="In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set."/><requirements value="Used for filtering what observations are retrieved and displayed."/><min value="1"/><max value="1"/><base><path value="Observation.category"/><min value="0"/><max value="*"/></base><type><code value="CodeableConcept"/></type><patternCodeableConcept><coding><system value="http://terminology.hl7.org/CodeSystem/observation-category"/><code value="laboratory"/></coding></patternCodeableConcept><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="false"/><binding><strength value="required"/><description value="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。"/><valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category"/></binding><mapping><identity value="w5"/><map value="FiveWs.class"/></mapping><mapping><identity value="rim"/><map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/></mapping></element><element id="Observation.code"><path value="Observation.code"/><short value="概念（concept）－參照一個專門術語或只是純文字。"/><definition value="可以透過正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。"/><comment value="並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。"/><requirements value="知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵"/><alias value="Name"/><min value="1"/><max value="1"/><base><path value="Observation.code"/><min value="1"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="extensible"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/observation-codes"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.code.id"><path value="Observation.code.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.code.extension"><path value="Observation.code.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="擴充的資料項目"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.code.coding"><path value="Observation.code.coding"/><slicing><discriminator><type value="pattern"/><path value="system"/></discriminator><rules value="open"/></slicing><short value="由專門術語系統（terminology system）定義的代碼"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/><min value="1"/><max value="3"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode"><path value="Observation.code.coding"/><sliceName value="LOINCObservationCode"/><short value="LOINC代碼"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/><min value="0"/><max value="1"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="required"/><description value="應填入所綁定值集中的其中一個代碼。"/><valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode.id"><path value="Observation.code.coding.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode.extension"><path value="Observation.code.coding.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。"/><comment value="無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.code.coding:LOINCObservationCode.system"><path value="Observation.code.coding.system"/><short value="專門術語系統（terminology system）的識別"/><definition value="定義代碼中符號意義的代碼系統識別。"/><comment value="URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。"/><requirements value="需要明確說明符號定義的來源"/><min value="1"/><max value="1"/><base><path value="Coding.system"/><min value="0"/><max value="1"/></base><type><code value="uri"/></type><patternUri value="http://loinc.org"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.3"/></mapping><mapping><identity value="rim"/><map value="./codeSystem"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode.version"><path value="Observation.code.coding.version"/><short value="系統的版本—如果相關的話"/><definition value="選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。"/><comment value="如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。"/><min value="0"/><max value="1"/><base><path value="Coding.version"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.7"/></mapping><mapping><identity value="rim"/><map value="./codeSystemVersion"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode.code"><path value="Observation.code.coding.code"/><short value="系統定義的語法之符號"/><definition value="系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。"/><requirements value="需要參照系統中的一個特定代碼"/><min value="1"/><max value="1"/><base><path value="Coding.code"/><min value="0"/><max value="1"/></base><type><code value="code"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.1"/></mapping><mapping><identity value="rim"/><map value="./code"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode.display"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.code.coding.display"/><short value="由系統定義的表示法"/><definition value="遵循系統的規則以呈現代碼含義的表示法"/><requirements value="需要能為不了解此系統的讀者呈現可讀的代碼含義"/><min value="0"/><max value="1"/><base><path value="Coding.display"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.2 - but note this is not well followed"/></mapping><mapping><identity value="rim"/><map value="CV.displayName"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/></mapping></element><element id="Observation.code.coding:LOINCObservationCode.userSelected"><path value="Observation.code.coding.userSelected"/><short value="此編碼是否由使用者直接選擇？"/><definition value="表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。"/><comment value="在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。"/><requirements value="已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。"/><min value="0"/><max value="1"/><base><path value="Coding.userSelected"/><min value="0"/><max value="1"/></base><type><code value="boolean"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Sometimes implied by being first"/></mapping><mapping><identity value="rim"/><map value="CD.codingRationale"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory"><path value="Observation.code.coding"/><sliceName value="TWLaboratoryCategory"/><short value="健保署醫療服務給付項目"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/><min value="0"/><max value="1"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="required"/><description value="應填入所綁定值集中的其中一個代碼。"/><valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory.id"><path value="Observation.code.coding.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory.extension"><path value="Observation.code.coding.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。"/><comment value="無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.code.coding:TWLaboratoryCategory.system"><path value="Observation.code.coding.system"/><short value="專門術語系統（terminology system）的識別"/><definition value="定義代碼中符號意義的代碼系統識別。"/><comment value="URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。"/><requirements value="需要明確說明符號定義的來源"/><min value="1"/><max value="1"/><base><path value="Coding.system"/><min value="0"/><max value="1"/></base><type><code value="uri"/></type><patternUri value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.3"/></mapping><mapping><identity value="rim"/><map value="./codeSystem"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory.version"><path value="Observation.code.coding.version"/><short value="系統的版本—如果相關的話"/><definition value="選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。"/><comment value="如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。"/><min value="0"/><max value="1"/><base><path value="Coding.version"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.7"/></mapping><mapping><identity value="rim"/><map value="./codeSystemVersion"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory.code"><path value="Observation.code.coding.code"/><short value="系統定義的語法之符號"/><definition value="系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。"/><requirements value="需要參照系統中的一個特定代碼"/><min value="1"/><max value="1"/><base><path value="Coding.code"/><min value="0"/><max value="1"/></base><type><code value="code"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.1"/></mapping><mapping><identity value="rim"/><map value="./code"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory.display"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.code.coding.display"/><short value="由系統定義的表示法"/><definition value="遵循系統的規則以呈現代碼含義的表示法"/><requirements value="需要能為不了解此系統的讀者呈現可讀的代碼含義"/><min value="0"/><max value="1"/><base><path value="Coding.display"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.2 - but note this is not well followed"/></mapping><mapping><identity value="rim"/><map value="CV.displayName"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/></mapping></element><element id="Observation.code.coding:TWLaboratoryCategory.userSelected"><path value="Observation.code.coding.userSelected"/><short value="此編碼是否由使用者直接選擇？"/><definition value="表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。"/><comment value="在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。"/><requirements value="已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。"/><min value="0"/><max value="1"/><base><path value="Coding.userSelected"/><min value="0"/><max value="1"/></base><type><code value="boolean"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Sometimes implied by being first"/></mapping><mapping><identity value="rim"/><map value="CD.codingRationale"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/></mapping></element><element id="Observation.code.coding:CDC"><path value="Observation.code.coding"/><sliceName value="CDC"/><short value="CDC內部代碼"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/><min value="1"/><max value="1"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="required"/><valueSet value="https://tb.cdc.gov.tw/tb/ValueSet/cdc-report-type"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.code.coding:CDC.id"><path value="Observation.code.coding.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.code.coding:CDC.extension"><path value="Observation.code.coding.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。"/><comment value="無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.code.coding:CDC.system"><path value="Observation.code.coding.system"/><short value="專門術語系統（terminology system）的識別"/><definition value="定義代碼中符號意義的代碼系統識別"/><comment value="URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。"/><requirements value="需要明確說明符號定義的來源"/><min value="1"/><max value="1"/><base><path value="Coding.system"/><min value="0"/><max value="1"/></base><type><code value="uri"/></type><patternUri value="https://tb.cdc.gov.tw/tb/CodeSystem/cdc-report-type"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.3"/></mapping><mapping><identity value="rim"/><map value="./codeSystem"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/></mapping></element><element id="Observation.code.coding:CDC.version"><path value="Observation.code.coding.version"/><short value="系統的版本—如果相關的話"/><definition value="選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。"/><comment value="如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。"/><min value="0"/><max value="1"/><base><path value="Coding.version"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.7"/></mapping><mapping><identity value="rim"/><map value="./codeSystemVersion"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/></mapping></element><element id="Observation.code.coding:CDC.code"><path value="Observation.code.coding.code"/><short value="系統定義的語法之符號"/><definition value="系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。"/><requirements value="需要參照系統中的一個特定代碼"/><min value="1"/><max value="1"/><base><path value="Coding.code"/><min value="0"/><max value="1"/></base><type><code value="code"/></type><patternCode value="lj"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.1"/></mapping><mapping><identity value="rim"/><map value="./code"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/></mapping></element><element id="Observation.code.coding:CDC.display"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.code.coding.display"/><short value="由系統定義的表示法"/><definition value="遵循系統的規則以呈現代碼含義的表示法"/><requirements value="需要能為不了解此系統的讀者呈現可讀的代碼含義"/><min value="0"/><max value="1"/><base><path value="Coding.display"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.2 - but note this is not well followed"/></mapping><mapping><identity value="rim"/><map value="CV.displayName"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/></mapping></element><element id="Observation.code.coding:CDC.userSelected"><path value="Observation.code.coding.userSelected"/><short value="此編碼是否由使用者直接選擇？"/><definition value="表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。"/><comment value="在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。"/><requirements value="已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。"/><min value="0"/><max value="1"/><base><path value="Coding.userSelected"/><min value="0"/><max value="1"/></base><type><code value="boolean"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Sometimes implied by being first"/></mapping><mapping><identity value="rim"/><map value="CD.codingRationale"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/></mapping></element><element id="Observation.code.text"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.code.text"/><short value="概念的文字表示法"/><definition value="輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。"/><comment value="很多時候，此文字表述與其中一個代碼的顯示名稱相同。"/><requirements value="專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。"/><min value="0"/><max value="1"/><base><path value="CodeableConcept.text"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.9. But note many systems use C*E.2 for this"/></mapping><mapping><identity value="rim"/><map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/></mapping></element><element id="Observation.subject"><path value="Observation.subject"/><short value="檢驗檢查有關的對象及（或）事物"/><definition value="此檢驗檢查是關於一位病人、一群病人、地點、或設備。如果檢驗檢查的實際焦點與對象（或其樣本、其部分或其區域）不同，則焦點資料項目或代碼本身會具體說明檢驗檢查的實際焦點。"/><comment value="人們期望這個資料項目的cardinality為1...1。唯一可能缺少對象的情況是當檢驗檢查是由一個不認識病人的設備進行的。在這種情況下，應透過一些情境／通道對應（context／channel matching）技術將檢驗檢查與病人對應，此時，應更新檢驗檢查資訊。"/><requirements value="如果你不知道他們是誰或關於什麼，檢驗檢查不會有值。"/><min value="1"/><max value="1"/><base><path value="Observation.subject"/><min value="0"/><max value="1"/></base><type><code value="Reference"/><targetProfile value="https://tb.cdc.gov.tw/tb/StructureDefinition/Patient-tb"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.subject"/></mapping><mapping><identity value="w5"/><map value="FiveWs.subject[x]"/></mapping><mapping><identity value="v2"/><map value="PID-3"/></mapping><mapping><identity value="rim"/><map value="participation[typeCode=RTGT]"/></mapping><mapping><identity value="w5"/><map value="FiveWs.subject"/></mapping></element><element id="Observation.focus"><path value="Observation.focus"/><short value="當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。"/><definition value="檢驗檢查的實際焦點，當它不是記錄病人時，代表是與病人有關的事物或人，如配偶、父母、胎兒或捐贈者。例如：母親的記錄中有關胎兒檢驗檢查。檢驗檢查的焦點也可以是現有的狀況、疾病或問題（condition）、介入（intervention）、此對象的飲食、對此對象的另一項檢驗檢查，或身體結構像是腫瘤或植入裝置。有一個案例是使用Observation Resource來取得母親是否已接受更換她的小孩的氣管插管訓練之資訊，在這個例子中，孩子是此記錄的病人，而母親是focus。"/><comment value="通常檢驗檢查的對象是一位病人或一群病人、地點或設備，檢驗檢查對象與直接測量內容之間的區別在observation.code已具體說明（例如： 「血糖」），不需要使用這個資料項目（focus）單獨表示。如果需要參照檢體，則使用specimen，如果需要一個代碼而不是一個resource，則使用bodysite來表示bodysites或標準擴充focusCode。"/><min value="0"/><max value="*"/><base><path value="Observation.focus"/><min value="0"/><max value="*"/></base><type><code value="Reference"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="w5"/><map value="FiveWs.subject[x]"/></mapping><mapping><identity value="v2"/><map value="OBX-3"/></mapping><mapping><identity value="rim"/><map value="participation[typeCode=SBJ]"/></mapping><mapping><identity value="w5"/><map value="FiveWs.subject"/></mapping></element><element id="Observation.encounter"><path value="Observation.encounter"/><short value="檢驗檢查是哪一次就醫時執行的"/><definition value="執行檢驗檢查的健康照護事件（例如：病人及健康照護提供人員的互動）"/><comment value="這通常指檢驗檢查發生於哪次就醫，但有些檢驗檢查可能是在就醫前或就醫後發生，但仍與就醫的情境有關（如入院前的實驗室檢驗檢查）。"/><requirements value="對於某些檢驗檢查來說，知道某個檢驗檢查和某個特定的就醫事件之間的連結可能很重要。"/><alias value="Context"/><min value="0"/><max value="1"/><base><path value="Observation.encounter"/><min value="0"/><max value="1"/></base><type><code value="Reference"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.context"/></mapping><mapping><identity value="w5"/><map value="FiveWs.context"/></mapping><mapping><identity value="v2"/><map value="PV1"/></mapping><mapping><identity value="rim"/><map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/></mapping></element><element id="Observation.effective[x]"><path value="Observation.effective[x]"/><short value="L-J培養結果報告日期"/><definition value="宣告檢驗檢查值的產出時間或時間區段是真的。對於生物學研究對象—例如病人—這通常被稱為「生理相關時間」。這通常是處置的時間或採樣的時間，但很多時候不知道日期或時間的來源，只知道日期或時間本身。"/><comment value="除非這是一份檢驗檢查的歷史報告，否則至少應該有一個日期。為了記錄不精確或「模煳」的時間（例如：測量「早餐後 」血糖），使用Timing datatype以允許測量能與常規生活事件連結。"/><requirements value="知道一項檢驗檢查何時被認為是真的，對其相關性和確定趨勢都很重要。"/><alias value="Occurrence"/><min value="1"/><max value="1"/><base><path value="Observation.effective[x]"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"><valueBoolean value="true"/></extension><code value="dateTime"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="tw-core-3"/><severity value="error"/><human value="Datetime must be at least to day."/><expression value="$this is dateTime implies $this.toString().length() &gt;= 10"/><source value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-clinical-result-twcore"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.occurrence[x]"/></mapping><mapping><identity value="w5"/><map value="FiveWs.done[x]"/></mapping><mapping><identity value="v2"/><map value="OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"/></mapping><mapping><identity value="rim"/><map value="effectiveTime"/></mapping></element><element id="Observation.issued"><path value="Observation.issued"/><short value="此版本檢驗檢查完成的日期或時間"/><definition value="此版本的檢驗檢查資訊可供健康照護提供人員取得的日期和時間，通常是在結果被審查與核實之後。"/><comment value="對於不需要審查和核實的檢驗檢查值，發佈日期時間可能與resource本身的最後更新日期時間相同。對於需要對某些更新進行審查和核實的檢驗檢查，若為非臨床上的重要更新則不需要對新版本進行再次審查和驗證，所以發佈日期時間可能與resource本身的最後更新日期時間不一樣。"/><min value="0"/><max value="1"/><base><path value="Observation.issued"/><min value="0"/><max value="1"/></base><type><code value="instant"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="w5"/><map value="FiveWs.recorded"/></mapping><mapping><identity value="v2"/><map value="OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"/></mapping><mapping><identity value="rim"/><map value="participation[typeCode=AUT].time"/></mapping></element><element id="Observation.performer"><path value="Observation.performer"/><short value="送驗單位(醫療院所)"/><definition value="誰負責宣告檢驗檢查結果值為「真的」"/><requirements value="可以對此檢驗檢查有一定程度的信任，並指出後續問題的方向。"/><min value="1"/><max value="1"/><base><path value="Observation.performer"/><min value="0"/><max value="*"/></base><type><code value="Reference"/><targetProfile value="https://tb.cdc.gov.tw/tb/StructureDefinition/Organization-tb"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="workflow"/><map value="Event.performer.actor"/></mapping><mapping><identity value="w5"/><map value="FiveWs.actor"/></mapping><mapping><identity value="v2"/><map value="OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"/></mapping><mapping><identity value="rim"/><map value="participation[typeCode=PRF]"/></mapping></element><element id="Observation.value[x]"><path value="Observation.value[x]"/><short value="L-J培養結果"/><definition value="如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。"/><comment value="一項檢驗檢查可能有：（1）單一值、（2）一個值及一組相關或組成之檢驗檢查的多個值、或者（3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。"/><requirements value="通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。"/><min value="0"/><max value="1"/><base><path value="Observation.value[x]"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"><valueBoolean value="true"/></extension><code value="CodeableConcept"/></type><condition value="obs-7"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="tw-core-5"/><severity value="error"/><human value="SHALL use UCUM for coded quantity units."/><expression value="ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'"/><source value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-clinical-result-twcore"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><binding><strength value="required"/><valueSet value="https://tb.cdc.gov.tw/tb/ValueSet/cdc-culture-result"/></binding><mapping><identity value="sct-concept"/><map value="&lt; 441742003 |Evaluation finding|"/></mapping><mapping><identity value="v2"/><map value="OBX.2, OBX.5, OBX.6"/></mapping><mapping><identity value="rim"/><map value="value"/></mapping><mapping><identity value="sct-attr"/><map value="363714003 |Interprets|"/></mapping></element><element id="Observation.dataAbsentReason"><path value="Observation.dataAbsentReason"/><short value="缺少檢驗檢查結果的原因"/><definition value="提供資料項目Observation.value[x]中的預期值缺少的原因"/><comment value="空值（Null）或例外值可以在FHIR Observations中以兩種方式表示，一種方法是簡單地將它們含括在值集中，並在值中表示例外。例如：血清檢測的測量值可以是「檢測到」、「未檢測到」、「不確定」或「檢測未完成」。&#xA;&#xA;另一種方法是使用資料項目value呈現實際檢驗檢查值，並使用資料項目dataAbsentReason來明確記錄例外值。例如：當測量沒有完成，可使用dataAbsentReason代碼「error」。請注意，只有在有值的情況下，才可以報告檢驗檢查。例如：只有在&gt;0的情況下才可能報告細胞計數的差值。由於有這些選項，所以需要有使用案例協議（use-case agreements）來解釋一般檢驗檢查的例外值。"/><requirements value="對於許多結果，必須處理測量中的異常值。"/><min value="0"/><max value="1"/><base><path value="Observation.dataAbsentReason"/><min value="0"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationValueAbsentReason"/></extension><strength value="extensible"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.interpretation"><path value="Observation.interpretation"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="對於某些結果，特別是數值結果，需有一個解釋以便完全理解結果之意義。"/><alias value="Abnormal Flag"/><min value="0"/><max value="*"/><base><path value="Observation.interpretation"/><min value="0"/><max value="*"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationInterpretation"/></extension><strength value="extensible"/><description value="代碼指明檢驗檢查結果的解釋；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。"/><valueSet value="http://hl7.org/fhir/ValueSet/observation-interpretation"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.note"><path value="Observation.note"/><short value="關於此檢驗檢查之解說"/><definition value="關於檢驗檢查或結果的解說"/><comment value="可包括關於檢驗檢查的一般陳述，或關於重要的、非預期的或不可靠的結果值的陳述，或與資料項目interpretation有關的來源資訊。"/><requirements value="需能提供純文字表述的附加資訊"/><min value="0"/><max value="*"/><base><path value="Observation.note"/><min value="0"/><max value="*"/></base><type><code value="Annotation"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="v2"/><map value="NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"/></mapping><mapping><identity value="rim"/><map value="subjectOf.observationEvent[code=&quot;annotation&quot;].value"/></mapping></element><element id="Observation.bodySite"><path value="Observation.bodySite"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><min value="0"/><max value="1"/><base><path value="Observation.bodySite"/><min value="0"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><binding><strength value="extensible"/><valueSet value="http://hl7.org/fhir/ValueSet/body-site"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.method"><path value="Observation.method"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="在某些情況下，方法會影響結果，因此用於確認結果是否可以比較或確認結果的顯著性（significance）。"/><min value="0"/><max value="1"/><base><path value="Observation.method"/><min value="0"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="extensible"/><valueSet value="http://hl7.org/fhir/ValueSet/observation-methods"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.specimen"><path value="Observation.specimen"/><short value="此檢驗檢查的檢體"/><definition value="進行這項檢驗檢查時使用的檢體"/><comment value="只有在Observation.code中的代碼未隱含此資料項目概念時才會使用。&#xA;檢驗檢查不是針對檢體本身進行，而是針對對象，但在很多情況下是透過檢體的方式進行檢驗檢查。請注意，雖然經常涉及到檢體，但並不總是明確地對其進行追踪和報告。還要注意的是Observation resources可在明確追踪檢體的情境下使用（例如：Diagnostic Report）。"/><min value="0"/><max value="1"/><base><path value="Observation.specimen"/><min value="0"/><max value="1"/></base><type><code value="Reference"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Specimen-twcore"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="sct-concept"/><map value="&lt; 123038009 |Specimen|"/></mapping><mapping><identity value="v2"/><map value="SPM segment"/></mapping><mapping><identity value="rim"/><map value="participation[typeCode=SPC].specimen"/></mapping><mapping><identity value="sct-attr"/><map value="704319004 |Inherent in|"/></mapping></element><element id="Observation.device"><path value="Observation.device"/><short value="（測量）設備"/><definition value="用於產生檢驗檢查資料的設備"/><comment value="請注意，這不是用來表示結果傳輸的設備，例如：閘道器（gateway）等可在相關情況下使用 Provenance resource進行記錄。"/><min value="0"/><max value="1"/><base><path value="Observation.device"/><min value="0"/><max value="1"/></base><type><code value="Reference"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="sct-concept"/><map value="&lt; 49062001 |Device|"/></mapping><mapping><identity value="v2"/><map value="OBX-17 / PRT -10"/></mapping><mapping><identity value="rim"/><map value="participation[typeCode=DEV]"/></mapping><mapping><identity value="sct-attr"/><map value="424226004 |Using device|"/></mapping></element><element id="Observation.referenceRange"><path value="Observation.referenceRange"/><short value="解釋結果值的指引。&#xA;obs-3：必須至少有低、高或文字表述。"/><definition value="指導如何透過與正常或建議範圍值的比較來解釋此值。多個參考範圍值以「OR」解釋。換句話說，為了代表兩個不同的目標人群，將使用兩個referenceRange資料項目。"/><comment value="大多數檢驗檢查只有一個通用的參考範圍值。系統 **可能可以（MAY）** 選擇限制只提供病人的相關參考範圍值（例如：具體的病人年齡、性別、體重和其他因素），但這可能是不可能的或也不合適。只要提供了一個以上的參考範圍值，就 **建議應該（SHOULD）** 提供不同年齡的參考範圍值差異。"/><requirements value="知道什麼值被認為是「正常的」，可以幫助評估某一特定結果的意義。需要能夠為不同的情境提供多個參考範圍值。"/><min value="0"/><max value="*"/><base><path value="Observation.referenceRange"/><min value="0"/><max value="*"/></base><type><code value="BackboneElement"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="obs-3"/><severity value="error"/><human value="Must have at least a low or a high or text"/><expression value="low.exists() or high.exists() or text.exists()"/><xpath value="(exists(f:low) or exists(f:high)or exists(f:text))"/><source value="http://hl7.org/fhir/StructureDefinition/Observation"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="v2"/><map value="OBX.7"/></mapping><mapping><identity value="rim"/><map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/></mapping></element><element id="Observation.referenceRange.id"><path value="Observation.referenceRange.id"/><representation value="xmlAttr"/><short value="Unique id for inter-element referencing"/><definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.referenceRange.extension"><path value="Observation.referenceRange.extension"/><short value="Additional content defined by implementations"/><definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/><comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.referenceRange.modifierExtension"><path value="Observation.referenceRange.modifierExtension"/><short value="Extensions that cannot be ignored even if unrecognized"/><definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/><comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/><requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/><alias value="extensions"/><alias value="user content"/><alias value="modifiers"/><min value="0"/><max value="*"/><base><path value="BackboneElement.modifierExtension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="true"/><isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/><isSummary value="true"/><mapping><identity value="rim"/><map value="N/A"/></mapping></element><element id="Observation.referenceRange.low"><path value="Observation.referenceRange.low"/><short value="參考範圍值的下限值，如果相關。"/><definition value="參考範圍值的下限值。參考範圍值endpoint的下限值包含在此值中（例如：參考範圍值是&gt;=5 - &lt;=9）。如果省略下限值，則被認為是沒有意義的（例如：參考範圍值是&lt;=2.3）。"/><min value="0"/><max value="1"/><base><path value="Observation.referenceRange.low"/><min value="0"/><max value="1"/></base><type><code value="Quantity"/><profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/></type><condition value="obs-3"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="v2"/><map value="OBX-7"/></mapping><mapping><identity value="rim"/><map value="value:IVL_PQ.low"/></mapping></element><element id="Observation.referenceRange.high"><path value="Observation.referenceRange.high"/><short value="參考範圍值的上限值，如果相關。"/><definition value="參考範圍值的下限值。參考範圍值endpoint的下限值包含在此值中（例如：參考範圍值是&gt;=5 - &lt;=9）。如果省略下限值，則被認為是沒有意義的（例如：參考範圍值是&lt;=2.3）。"/><min value="0"/><max value="1"/><base><path value="Observation.referenceRange.high"/><min value="0"/><max value="1"/></base><type><code value="Quantity"/><profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/></type><condition value="obs-3"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="v2"/><map value="OBX-7"/></mapping><mapping><identity value="rim"/><map value="value:IVL_PQ.high"/></mapping></element><element id="Observation.referenceRange.type"><path value="Observation.referenceRange.type"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="需要能夠說出這是什麼樣的參考範圍值：正常的、建議的、治療的等，以便正確解釋。"/><min value="0"/><max value="1"/><base><path value="Observation.referenceRange.type"/><min value="0"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationRangeMeaning"/></extension><strength value="preferred"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.referenceRange.appliesTo"><path value="Observation.referenceRange.appliesTo"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="需要能夠指明目標人群以進行適當的解釋。"/><min value="0"/><max value="*"/><base><path value="Observation.referenceRange.appliesTo"/><min value="0"/><max value="*"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationRangeType"/></extension><strength value="example"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/referencerange-appliesto"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.referenceRange.age"><path value="Observation.referenceRange.age"/><short value="適用的年齡範圍值，如果相關。"/><definition value="此參考範圍值適用的年齡，如果意思是說足月時的週數，這就是指新生兒年齡。"/><requirements value="有些分析隨著年齡的增長變化很大"/><min value="0"/><max value="1"/><base><path value="Observation.referenceRange.age"/><min value="0"/><max value="1"/></base><type><code value="Range"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=&quot;age&quot;].value"/></mapping></element><element id="Observation.referenceRange.text"><path value="Observation.referenceRange.text"/><short value="檢驗檢查中以文字表述的參考範圍值"/><definition value="檢驗檢查中以文字表述的參考範圍值，可在不適合以定量範圍值呈現某項檢驗檢查時使用。例如：「陰性」的參照值或 「正常」的清單／列表。"/><min value="0"/><max value="1"/><base><path value="Observation.referenceRange.text"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="v2"/><map value="OBX-7"/></mapping><mapping><identity value="rim"/><map value="value:ST"/></mapping></element><element id="Observation.hasMember"><path value="Observation.hasMember"/><short value="屬於此組檢驗檢查的相關Resource"/><definition value="這項檢驗檢查是一組檢驗檢查，例如：一個套組（battery）、一個檢驗套組（panel）或一組生命徵象測量，其組成的檢驗檢查為此資料項目的目標resource。"/><comment value="使用這個資料項目時，一項檢驗檢查通常會有一個值或者一組相關的resources，儘管在某些情況下兩者都可能存在。有關討論如何將Observations組合在一起的方法，請參閱下面的Notes小節。請注意，系統可能針對問卷調查的結果（ QuestionnaireResponse）計算成一個最終的分數，並將這個分數表示為一個Observation。"/><min value="0"/><max value="*"/><base><path value="Observation.hasMember"/><min value="0"/><max value="*"/></base><type><code value="Reference"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Relationships established by OBX-4 usage"/></mapping><mapping><identity value="rim"/><map value="outBoundRelationship"/></mapping></element><element id="Observation.derivedFrom"><path value="Observation.derivedFrom"/><short value="檢驗檢查源自哪些相關測量"/><definition value="目標resource為一種測量，此檢驗檢查就是從那個測量中得出。例如：陰離子間隙（an anion gap）或胎兒的測量值是從超音波影像計算而得。"/><comment value="在這個資料項目中列出可以代表臨床檢檢查和其他測量的所有參照選項，可能是衍生值的來源。最常見參照另一個Observation，關於Observations如何組合在一起的討論，請參閱下面的Notes小節。"/><min value="0"/><max value="*"/><base><path value="Observation.derivedFrom"/><min value="0"/><max value="*"/></base><type><code value="Reference"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DocumentReference-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore"/><targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"/><targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Relationships established by OBX-4 usage"/></mapping><mapping><identity value="rim"/><map value=".targetObservation"/></mapping></element><element id="Observation.component"><path value="Observation.component"/><short value="組成之（部分）檢驗檢查的檢驗結果"/><definition value="有有些檢驗檢查有多個組成之檢驗檢查，這些組成之檢驗檢查被表達為具有相同屬性的獨立的代碼值對（code value pair）。例子包括血壓測量的收縮壓和舒張壓即為組成之檢驗檢查（component observations），以及遺傳學檢驗檢查的多個組成之檢驗檢查。"/><comment value="有關如何組合Observations的方法討論，請參閱下面的Notes小節。"/><requirements value="組成之檢驗檢查在Obsrvation resource中與主要檢驗檢查共享相同的屬性，並且總是被視為單個檢驗檢查的一部分（它們是不可分離的）。然而，主要檢驗檢查的參考範圍值並不被組成之檢驗檢查所繼承，在適當的時候需給予每項組成之檢驗檢查參考範圍值。"/><min value="0"/><max value="*"/><base><path value="Observation.component"/><min value="0"/><max value="*"/></base><type><code value="BackboneElement"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="containment by OBX-4?"/></mapping><mapping><identity value="rim"/><map value="outBoundRelationship[typeCode=COMP]"/></mapping></element><element id="Observation.component.id"><path value="Observation.component.id"/><representation value="xmlAttr"/><short value="Unique id for inter-element referencing"/><definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.component.extension"><path value="Observation.component.extension"/><short value="Additional content defined by implementations"/><definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/><comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.component.modifierExtension"><path value="Observation.component.modifierExtension"/><short value="Extensions that cannot be ignored even if unrecognized"/><definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/><comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/><requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/><alias value="extensions"/><alias value="user content"/><alias value="modifiers"/><min value="0"/><max value="*"/><base><path value="BackboneElement.modifierExtension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="true"/><isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/><isSummary value="true"/><mapping><identity value="rim"/><map value="N/A"/></mapping></element><element id="Observation.component.code"><path value="Observation.component.code"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵"/><min value="1"/><max value="1"/><base><path value="Observation.component.code"/><min value="1"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="example"/><valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.component.code.id"><path value="Observation.component.code.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.component.code.extension"><path value="Observation.component.code.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="擴充的資料項目"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.component.code.coding"><path value="Observation.component.code.coding"/><slicing><discriminator><type value="pattern"/><path value="system"/></discriminator><rules value="open"/></slicing><short value="由專門術語系統（terminology system）定義的代碼"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/><min value="0"/><max value="*"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode"><path value="Observation.component.code.coding"/><sliceName value="LOINCObservationCode"/><short value="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。"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/><min value="0"/><max value="1"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="required"/><description value="應填入所綁定值集中的其中一個代碼。"/><valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode.id"><path value="Observation.component.code.coding.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode.extension"><path value="Observation.component.code.coding.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。"/><comment value="無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.component.code.coding:LOINCObservationCode.system"><path value="Observation.component.code.coding.system"/><short value="專門術語系統（terminology system）的識別"/><definition value="定義代碼中符號意義的代碼系統識別"/><comment value="URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。"/><requirements value="需要明確說明符號定義的來源"/><min value="1"/><max value="1"/><base><path value="Coding.system"/><min value="0"/><max value="1"/></base><type><code value="uri"/></type><patternUri value="http://loinc.org"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.3"/></mapping><mapping><identity value="rim"/><map value="./codeSystem"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode.version"><path value="Observation.component.code.coding.version"/><short value="系統的版本—如果相關的話"/><definition value="選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。"/><comment value="如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。"/><min value="0"/><max value="1"/><base><path value="Coding.version"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.7"/></mapping><mapping><identity value="rim"/><map value="./codeSystemVersion"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode.code"><path value="Observation.component.code.coding.code"/><short value="系統定義的語法之符號"/><definition value="系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。"/><requirements value="需要參照系統中的一個特定代碼"/><min value="1"/><max value="1"/><base><path value="Coding.code"/><min value="0"/><max value="1"/></base><type><code value="code"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.1"/></mapping><mapping><identity value="rim"/><map value="./code"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode.display"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.component.code.coding.display"/><short value="由系統定義的表示法"/><definition value="遵循系統的規則以呈現代碼含義的表示法"/><requirements value="需要能為不了解此系統的讀者呈現可讀的代碼含義"/><min value="0"/><max value="1"/><base><path value="Coding.display"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.2 - but note this is not well followed"/></mapping><mapping><identity value="rim"/><map value="CV.displayName"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/></mapping></element><element id="Observation.component.code.coding:LOINCObservationCode.userSelected"><path value="Observation.component.code.coding.userSelected"/><short value="此編碼是否由使用者直接選擇？"/><definition value="表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。"/><comment value="在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。"/><requirements value="已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。"/><min value="0"/><max value="1"/><base><path value="Coding.userSelected"/><min value="0"/><max value="1"/></base><type><code value="boolean"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Sometimes implied by being first"/></mapping><mapping><identity value="rim"/><map value="CD.codingRationale"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory"><path value="Observation.component.code.coding"/><sliceName value="TWLaboratoryCategory"/><short value="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。"/><definition value="由專門術語系統（terminology system）所定義之代碼的參照"/><comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/><requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/><min value="0"/><max value="1"/><base><path value="CodeableConcept.coding"/><min value="0"/><max value="*"/></base><type><code value="Coding"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><binding><strength value="required"/><description value="應填入所綁定值集中的其中一個代碼。"/><valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/></mapping><mapping><identity value="rim"/><map value="CV"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory.id"><path value="Observation.component.code.coding.id"/><representation value="xmlAttr"/><short value="唯一可識別ID，以供資料項目間相互參照。"/><definition value="resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。"/><min value="0"/><max value="1"/><base><path value="Element.id"/><min value="0"/><max value="1"/></base><type><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrl value="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping><identity value="rim"/><map value="n/a"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory.extension"><path value="Observation.component.code.coding.extension"/><slicing><discriminator><type value="value"/><path value="url"/></discriminator><description value="Extensions are always sliced by (at least) url"/><rules value="open"/></slicing><short value="擴充的資料項目"/><definition value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。"/><comment value="無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/><min value="0"/><max value="*"/><base><path value="Element.extension"/><min value="0"/><max value="*"/></base><type><code value="Extension"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/></element><element id="Observation.component.code.coding:TWLaboratoryCategory.system"><path value="Observation.component.code.coding.system"/><short value="專門術語系統（terminology system）的識別"/><definition value="定義代碼中符號意義的代碼系統識別"/><comment value="URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。"/><requirements value="需要明確說明符號定義的來源"/><min value="1"/><max value="1"/><base><path value="Coding.system"/><min value="0"/><max value="1"/></base><type><code value="uri"/></type><patternUri value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.3"/></mapping><mapping><identity value="rim"/><map value="./codeSystem"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory.version"><path value="Observation.component.code.coding.version"/><short value="系統的版本—如果相關的話"/><definition value="選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。"/><comment value="如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。"/><min value="0"/><max value="1"/><base><path value="Coding.version"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.7"/></mapping><mapping><identity value="rim"/><map value="./codeSystemVersion"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory.code"><path value="Observation.component.code.coding.code"/><short value="系統定義的語法之符號"/><definition value="系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。"/><requirements value="需要參照系統中的一個特定代碼"/><min value="1"/><max value="1"/><base><path value="Coding.code"/><min value="0"/><max value="1"/></base><type><code value="code"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.1"/></mapping><mapping><identity value="rim"/><map value="./code"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory.display"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.component.code.coding.display"/><short value="由系統定義的表示法"/><definition value="遵循系統的規則以呈現代碼含義的表示法"/><requirements value="需要能為不了解此系統的讀者呈現可讀的代碼含義"/><min value="0"/><max value="1"/><base><path value="Coding.display"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.2 - but note this is not well followed"/></mapping><mapping><identity value="rim"/><map value="CV.displayName"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/></mapping></element><element id="Observation.component.code.coding:TWLaboratoryCategory.userSelected"><path value="Observation.component.code.coding.userSelected"/><short value="此編碼是否由使用者直接選擇？"/><definition value="表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。"/><comment value="在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。"/><requirements value="已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。"/><min value="0"/><max value="1"/><base><path value="Coding.userSelected"/><min value="0"/><max value="1"/></base><type><code value="boolean"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="Sometimes implied by being first"/></mapping><mapping><identity value="rim"/><map value="CD.codingRationale"/></mapping><mapping><identity value="orim"/><map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/></mapping></element><element id="Observation.component.code.text"><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"><valueBoolean value="true"/></extension><path value="Observation.component.code.text"/><short value="概念的文字表示法"/><definition value="輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。"/><comment value="很多時候，此文字表述與其中一個代碼的顯示名稱相同。"/><requirements value="專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。"/><min value="0"/><max value="1"/><base><path value="CodeableConcept.text"/><min value="0"/><max value="1"/></base><type><code value="string"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="v2"/><map value="C*E.9. But note many systems use C*E.2 for this"/></mapping><mapping><identity value="rim"/><map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/></mapping></element><element id="Observation.component.value[x]"><path value="Observation.component.value[x]"/><short value="組成之檢驗檢查的實際結果"/><definition value="如果資訊中帶有一個值（simple value）則其可作為檢驗檢查的結果。"/><comment value="一項檢驗檢查可能有一個值（如Apgar評分）和組成之檢驗檢查值（Apgar評分所來自多項檢驗檢查）。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。"/><requirements value="通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。"/><min value="0"/><max value="1"/><base><path value="Observation.component.value[x]"/><min value="0"/><max value="1"/></base><type><code value="Quantity"/></type><type><code value="CodeableConcept"/></type><type><code value="string"/></type><type><code value="boolean"/></type><type><code value="integer"/></type><type><code value="Range"/></type><type><code value="Ratio"/></type><type><code value="SampledData"/></type><type><code value="time"/></type><type><code value="dateTime"/></type><type><code value="Period"/></type><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><mustSupport value="true"/><isModifier value="false"/><isSummary value="true"/><mapping><identity value="sct-concept"/><map value="363714003 |Interprets| &lt; 441742003 |Evaluation finding|"/></mapping><mapping><identity value="v2"/><map value="OBX.2, OBX.5, OBX.6"/></mapping><mapping><identity value="rim"/><map value="value"/></mapping><mapping><identity value="sct-attr"/><map value="363714003 |Interprets|"/></mapping></element><element id="Observation.component.dataAbsentReason"><path value="Observation.component.dataAbsentReason"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="對於許多結果，必須處理測量中的異常值。"/><min value="0"/><max value="1"/><base><path value="Observation.component.dataAbsentReason"/><min value="0"/><max value="1"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationValueAbsentReason"/></extension><strength value="extensible"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.component.interpretation"><path value="Observation.component.interpretation"/><short value="概念（Concept）— 參照一個專門術語或只是文字表述"/><definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/><comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/><requirements value="對於某些結果，特別是數值結果，需有一個解釋以便完全理解結果之意義。"/><alias value="Abnormal Flag"/><min value="0"/><max value="*"/><base><path value="Observation.component.interpretation"/><min value="0"/><max value="*"/></base><type><code value="CodeableConcept"/><profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/></type><condition value="ele-1"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><binding><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueString value="ObservationInterpretation"/></extension><strength value="extensible"/><description value="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。"/><valueSet value="http://hl7.org/fhir/ValueSet/observation-interpretation"/></binding><mapping><identity value="rim"/><map value="n/a"/></mapping><mapping><identity value="v2"/><map value="CE/CNE/CWE"/></mapping><mapping><identity value="rim"/><map value="CD"/></mapping><mapping><identity value="orim"/><map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/></mapping></element><element id="Observation.component.referenceRange"><path value="Observation.component.referenceRange"/><short value="解釋此組成之檢驗驗查的結果值之指引"/><definition value="關於如何透過與正常值或建議範圍值的比較來解釋此值"/><comment value="大多數檢驗檢查只有一個通用的參考範圍值。系統 **可能可以（MAY）** 選擇限制只提供病人的相關參考範圍值（例如：具體的病人年齡、性別、體重和其他因素），但這可能是不可能的或也不合適。只要提供了一個以上的參考範圍值，就 **建議應該（SHOULD）** 提供不同年齡的參考範圍值差異。"/><requirements value="知道什麼值被認為是「正常的」，可以幫助評估某一特定結果的意義。需要能夠為不同的情境提供多個參考範圍值。"/><min value="0"/><max value="*"/><base><path value="Observation.component.referenceRange"/><min value="0"/><max value="*"/></base><contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange"/><constraint><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping><identity value="v2"/><map value="OBX.7"/></mapping><mapping><identity value="rim"/><map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/></mapping></element></snapshot><differential><element id="Observation.status"><path value="Observation.status"/><patternCode value="final"/></element><element id="Observation.code.coding"><path value="Observation.code.coding"/><min value="1"/><max value="3"/></element><element id="Observation.code.coding:LOINCObservationCode"><path value="Observation.code.coding"/><sliceName value="LOINCObservationCode"/><short value="LOINC代碼"/></element><element id="Observation.code.coding:TWLaboratoryCategory"><path value="Observation.code.coding"/><sliceName value="TWLaboratoryCategory"/><short value="健保署醫療服務給付項目"/></element><element id="Observation.code.coding:CDC"><path value="Observation.code.coding"/><sliceName value="CDC"/><short value="CDC內部代碼"/><min value="1"/><max value="1"/><mustSupport value="true"/><binding><strength value="required"/><valueSet value="https://tb.cdc.gov.tw/tb/ValueSet/cdc-report-type"/></binding></element><element id="Observation.code.coding:CDC.system"><path value="Observation.code.coding.system"/><min value="1"/><patternUri value="https://tb.cdc.gov.tw/tb/CodeSystem/cdc-report-type"/></element><element id="Observation.code.coding:CDC.code"><path value="Observation.code.coding.code"/><min value="1"/><patternCode value="lj"/></element><element id="Observation.subject"><path value="Observation.subject"/><type><code value="Reference"/><targetProfile value="https://tb.cdc.gov.tw/tb/StructureDefinition/Patient-tb"/></type></element><element id="Observation.effective[x]"><path value="Observation.effective[x]"/><short value="L-J培養結果報告日期"/><type><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"><valueBoolean value="true"/></extension><code value="dateTime"/></type></element><element id="Observation.performer"><path value="Observation.performer"/><short value="送驗單位(醫療院所)"/><min value="1"/><max value="1"/><type><code value="Reference"/><targetProfile value="https://tb.cdc.gov.tw/tb/StructureDefinition/Organization-tb"/></type></element><element id="Observation.value[x]"><path value="Observation.value[x]"/><short value="L-J培養結果"/><type><extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"><valueBoolean value="true"/></extension><code value="CodeableConcept"/></type><binding><strength value="required"/><valueSet value="https://tb.cdc.gov.tw/tb/ValueSet/cdc-culture-result"/></binding></element><element id="Observation.method"><path value="Observation.method"/><mustSupport value="true"/></element></differential></StructureDefinition>