臺灣社政領域基礎實作指引
0.0.1 - ci-build

臺灣社政領域基礎實作指引, published by 衛生福利部社會及家庭署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/sfaassn2025-source/base/ and changes regularly. See the Directory of published versions

Resource Profile: 視力檢查-Observation TWSS Base

Official URL: https://sfaa.gov.tw/base/StructureDefinition/VisualAcuityObservation-twss-base Version: 0.0.1
Draft as of 2026-10-21 Computable Name: VisualAcuityObservationTWSSBase

以 LOINC 視力檢查 panel 記錄左右眼矯正與未矯正視力。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98497-1",
      "display" : "Visual acuity panel"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient TWSS Base) Who and/or what the observation is about
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:correctedVisionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65897-1",
      "display" : "Visual acuity best corrected Left eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98498-9",
      "display" : "Visual acuity uncorrected Left eye"
    }
  ]
}
Observation.Slices for component.component:visionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:correctedVisionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65893-0",
      "display" : "Visual acuity best corrected Right eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98499-7",
      "display" : "Visual acuity uncorrected Right eye"
    }
  ]
}
Observation.Slices for component.component:visionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Observation Measurements and simple assertions
Observation.status This element must be supported. 1..1 code registered | preliminary | final | amended +
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98497-1",
      "display" : "Visual acuity panel"
    }
  ]
}
Observation.subject This element must be supported. 1..1 Reference(個案資料-Patient TWSS Base) Who and/or what the observation is about
Observation.Slices for component 0..* BackboneElement Component results
Slice: Unordered, Closed by pattern:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:correctedVisionLeft This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionLeft.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65897-1",
      "display" : "Visual acuity best corrected Left eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionLeft.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionLeft.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionLeft This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionLeft.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98498-9",
      "display" : "Visual acuity uncorrected Left eye"
    }
  ]
}
Observation.Slices for component.component:visionLeft.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:visionLeft.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionRight This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionRight.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65893-0",
      "display" : "Visual acuity best corrected Right eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionRight.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionRight.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionRight This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionRight.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98499-7",
      "display" : "Visual acuity uncorrected Right eye"
    }
  ]
}
Observation.Slices for component.component:visionRight.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:visionRight.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98497-1",
      "display" : "Visual acuity panel"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient TWSS Base) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.effective[x].effectiveTiming Timing
Observation.effective[x].effectiveInstant instant
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:correctedVisionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionLeft.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionLeft.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:correctedVisionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65897-1",
      "display" : "Visual acuity best corrected Left eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionLeft.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionLeft.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:correctedVisionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:correctedVisionLeft.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:correctedVisionLeft.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:correctedVisionLeft.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:correctedVisionLeft.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:correctedVisionLeft.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:correctedVisionLeft.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:visionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionLeft.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionLeft.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:visionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98498-9",
      "display" : "Visual acuity uncorrected Left eye"
    }
  ]
}
Observation.Slices for component.component:visionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionLeft.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionLeft.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:visionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionLeft.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:visionLeft.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:visionLeft.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:visionLeft.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:visionLeft.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:visionLeft.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:correctedVisionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionRight.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionRight.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:correctedVisionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65893-0",
      "display" : "Visual acuity best corrected Right eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionRight.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionRight.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:correctedVisionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:correctedVisionRight.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:correctedVisionRight.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:correctedVisionRight.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:correctedVisionRight.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:correctedVisionRight.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:correctedVisionRight.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:visionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionRight.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionRight.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:visionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98499-7",
      "display" : "Visual acuity uncorrected Right eye"
    }
  ]
}
Observation.Slices for component.component:visionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionRight.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionRight.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:visionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionRight.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:visionRight.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:visionRight.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:visionRight.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:visionRight.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:visionRight.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:visionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionRight.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:visionRight.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98497-1",
      "display" : "Visual acuity panel"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient TWSS Base) Who and/or what the observation is about
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:correctedVisionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65897-1",
      "display" : "Visual acuity best corrected Left eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98498-9",
      "display" : "Visual acuity uncorrected Left eye"
    }
  ]
}
Observation.Slices for component.component:visionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:correctedVisionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65893-0",
      "display" : "Visual acuity best corrected Right eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98499-7",
      "display" : "Visual acuity uncorrected Right eye"
    }
  ]
}
Observation.Slices for component.component:visionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Observation Measurements and simple assertions
Observation.status This element must be supported. 1..1 code registered | preliminary | final | amended +
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98497-1",
      "display" : "Visual acuity panel"
    }
  ]
}
Observation.subject This element must be supported. 1..1 Reference(個案資料-Patient TWSS Base) Who and/or what the observation is about
Observation.value[x] 0..0 Actual result
Observation.Slices for component 0..* BackboneElement Component results
Slice: Unordered, Closed by pattern:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:correctedVisionLeft This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionLeft.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65897-1",
      "display" : "Visual acuity best corrected Left eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionLeft.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionLeft.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionLeft This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionLeft.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98498-9",
      "display" : "Visual acuity uncorrected Left eye"
    }
  ]
}
Observation.Slices for component.component:visionLeft.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:visionLeft.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionRight This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionRight.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65893-0",
      "display" : "Visual acuity best corrected Right eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionRight.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionRight.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionRight This element must be supported. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionRight.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98499-7",
      "display" : "Visual acuity uncorrected Right eye"
    }
  ]
}
Observation.Slices for component.component:visionRight.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:visionRight.value[x].value This element must be supported. 1..1 decimal Numerical value (with implicit precision)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98497-1",
      "display" : "Visual acuity panel"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(個案資料-Patient TWSS Base) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.effective[x].effectiveTiming Timing
Observation.effective[x].effectiveInstant instant
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:correctedVisionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionLeft.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionLeft.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:correctedVisionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65897-1",
      "display" : "Visual acuity best corrected Left eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionLeft.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionLeft.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:correctedVisionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:correctedVisionLeft.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:correctedVisionLeft.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:correctedVisionLeft.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:correctedVisionLeft.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:correctedVisionLeft.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:correctedVisionLeft.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:visionLeft This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionLeft.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionLeft.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:visionLeft.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionLeft.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98498-9",
      "display" : "Visual acuity uncorrected Left eye"
    }
  ]
}
Observation.Slices for component.component:visionLeft.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionLeft.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionLeft.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:visionLeft.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionLeft.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionLeft.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:visionLeft.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:visionLeft.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:visionLeft.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:visionLeft.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:visionLeft.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:correctedVisionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:correctedVisionRight.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionRight.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:correctedVisionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:correctedVisionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "65893-0",
      "display" : "Visual acuity best corrected Right eye"
    }
  ]
}
Observation.Slices for component.component:correctedVisionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:correctedVisionRight.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:correctedVisionRight.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:correctedVisionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:correctedVisionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:correctedVisionRight.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:correctedVisionRight.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:correctedVisionRight.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:correctedVisionRight.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:correctedVisionRight.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:correctedVisionRight.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:visionRight This element must be supported. This element is included in summaries. 0..1 BackboneElement Component results
Observation.Slices for component.component:visionRight.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionRight.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:visionRight.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:visionRight.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "98499-7",
      "display" : "Visual acuity uncorrected Right eye"
    }
  ]
}
Observation.Slices for component.component:visionRight.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:visionRight.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:visionRight.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:visionRight.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:visionRight.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:visionRight.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:visionRight.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:visionRight.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:visionRight.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:visionRight.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:visionRight.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:correctedVisionLeft.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:visionLeft.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:correctedVisionRight.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:visionRight.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:visionRight.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:visionRight.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:visionRight.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component (Closed)

 

Other representations of profile: CSV, Excel, Schematron

Notes:

視力-Observation TWSS Base

本 Profile 用於記錄個案視力評估結果。

實作者可能可以（MAY）支援 FHIR R4 Observation 所定義之查詢參數；更多內容請參考 FHIR R4 Observation 查詢參數。