臺灣癌症用藥事前審查實作指引
1.0.0 - release
臺灣癌症用藥事前審查實作指引
1.0.0 - release
This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-cancer-stage-twpas | Version: 1.0.0 | |||
| Active as of 2024-10-16 | Computable Name: ObservationCancerStageTWPAS | |||
此癌症分期量表-Observation Cancer Stage TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現癌藥事前審查中疾病資訊之癌症分期量表相關資料
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions cancer-stage-score: 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 |
  code |
S | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NHI-癌症分期量表項目值集 (required) |
  coding |
1..1 | Coding | Code defined by a terminology system | |
  code |
1..1 | code | Symbol in syntax defined by the system | |
  subject |
S | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about |
 Slices for effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
  effective[x]:effectiveDateTime |
S | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 |
| performer |
S | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 |
| Slices for value[x] |
S | 1..1 | Actual result Slice: Unordered, Open by type:$this | |
  valueCodeableConcept |
CodeableConcept | |||
 valueString |
string | |||
| valueInteger |
integer | |||
 value[x]:valueCodeableConcept |
S | 0..1 | CodeableConcept | 癌症分期分數或結果 Binding: NCI-FIGO癌症分期量表結果值集 (required) |
  coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| value[x]:valueString |
S | 0..1 | string | Actual result |
| value[x]:valueInteger |
S | 0..1 | integer | Actual result |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.code | required | CancerStagehttps://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stagefrom this IG | |
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI Thesaurus)https://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stage-scorefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| cancer-stage-score | error | Observation | 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 : ((code.coding.exists(code='385377005')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='1149131009')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 4)) and ((code.coding.exists(code='1149099005')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='385361009')) implies (value.ofType(CodeableConcept).coding.exists(system='https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus'))) and ((code.coding.exists(code='CNS')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 4 or value.ofType(integer) = 9)) and ((code.coding.exists(code='NET_2010')) implies (value.ofType(string) = 'G1' or value.ofType(string) = 'G2' or value.ofType(string) = 'G3')) and ((code.coding.exists(code='399390009')) implies (value.ofType(string) = 'T1NXMX' or value.ofType(string) = 'T1NXM0' or value.ofType(string) = 'T1NXM1' or value.ofType(string) = 'T1N0MX' or value.ofType(string) = 'T1N0M0' or value.ofType(string) = 'T1N0M1' or value.ofType(string) = 'T1N1MX' or value.ofType(string) = 'T1N1M0' or value.ofType(string) = 'T1N1M1' or value.ofType(string) = 'T1N2MX' or value.ofType(string) = 'T1N2M0' or value.ofType(string) = 'T1N2M1' or value.ofType(string) = 'T1N3MX' or value.ofType(string) = 'T1N3M0' or value.ofType(string) = 'T1N3M1' or value.ofType(string) = 'T2NXMX' or value.ofType(string) = 'T2NXM0' or value.ofType(string) = 'T2NXM1' or value.ofType(string) = 'T2N0MX' or value.ofType(string) = 'T2N0M0' or value.ofType(string) = 'T2N0M1' or value.ofType(string) = 'T2N1MX' or value.ofType(string) = 'T2N1M0' or value.ofType(string) = 'T2N1M1' or value.ofType(string) = 'T2N2MX' or value.ofType(string) = 'T2N2M0' or value.ofType(string) = 'T2N2M1' or value.ofType(string) = 'T2N3MX' or value.ofType(string) = 'T2N3M0' or value.ofType(string) = 'T2N3M1' or value.ofType(string) = 'T3NXMX' or value.ofType(string) = 'T3NXM0' or value.ofType(string) = 'T3NXM1' or value.ofType(string) = 'T3N0MX' or value.ofType(string) = 'T3N0M0' or value.ofType(string) = 'T3N0M1' or value.ofType(string) = 'T3N1MX' or value.ofType(string) = 'T3N1M0' or value.ofType(string) = 'T3N1M1' or value.ofType(string) = 'T3N2MX' or value.ofType(string) = 'T3N2M0' or value.ofType(string) = 'T3N2M1' or value.ofType(string) = 'T3N3MX' or value.ofType(string) = 'T3N3M0' or value.ofType(string) = 'T3N3M1' or value.ofType(string) = 'T4NXMX' or value.ofType(string) = 'T4NXM0' or value.ofType(string) = 'T4NXM1' or value.ofType(string) = 'T4N0MX' or value.ofType(string) = 'T4N0M0' or value.ofType(string) = 'T4N0M1' or value.ofType(string) = 'T4N1MX' or value.ofType(string) = 'T4N1M0' or value.ofType(string) = 'T4N1M1' or value.ofType(string) = 'T4N2MX' or value.ofType(string) = 'T4N2M0' or value.ofType(string) = 'T4N2M1' or value.ofType(string) = 'T4N3MX' or value.ofType(string) = 'T4N3M0' or value.ofType(string) = 'T4N3M1')) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present cancer-stage-score: 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code |
SΣ | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NHI-癌症分期量表項目值集 (required) |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| subject |
SΣ | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about |
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 |
| performer |
SΣ | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 |
| Slices for value[x] |
SΣC | 1..1 | Actual result Slice: Unordered, Closed by type:$this | |
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueInteger |
integer | |||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | 癌症分期分數或結果 Binding: NCI-FIGO癌症分期量表結果值集 (required) |
| value[x]:valueString |
SΣC | 0..1 | string | Actual result |
| value[x]:valueInteger |
SΣC | 0..1 | integer | Actual result |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.code | required | CancerStagehttps://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stagefrom this IG | |
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI Thesaurus)https://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stage-scorefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| cancer-stage-score | error | Observation | 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 : ((code.coding.exists(code='385377005')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='1149131009')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 4)) and ((code.coding.exists(code='1149099005')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='385361009')) implies (value.ofType(CodeableConcept).coding.exists(system='https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus'))) and ((code.coding.exists(code='CNS')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 4 or value.ofType(integer) = 9)) and ((code.coding.exists(code='NET_2010')) implies (value.ofType(string) = 'G1' or value.ofType(string) = 'G2' or value.ofType(string) = 'G3')) and ((code.coding.exists(code='399390009')) implies (value.ofType(string) = 'T1NXMX' or value.ofType(string) = 'T1NXM0' or value.ofType(string) = 'T1NXM1' or value.ofType(string) = 'T1N0MX' or value.ofType(string) = 'T1N0M0' or value.ofType(string) = 'T1N0M1' or value.ofType(string) = 'T1N1MX' or value.ofType(string) = 'T1N1M0' or value.ofType(string) = 'T1N1M1' or value.ofType(string) = 'T1N2MX' or value.ofType(string) = 'T1N2M0' or value.ofType(string) = 'T1N2M1' or value.ofType(string) = 'T1N3MX' or value.ofType(string) = 'T1N3M0' or value.ofType(string) = 'T1N3M1' or value.ofType(string) = 'T2NXMX' or value.ofType(string) = 'T2NXM0' or value.ofType(string) = 'T2NXM1' or value.ofType(string) = 'T2N0MX' or value.ofType(string) = 'T2N0M0' or value.ofType(string) = 'T2N0M1' or value.ofType(string) = 'T2N1MX' or value.ofType(string) = 'T2N1M0' or value.ofType(string) = 'T2N1M1' or value.ofType(string) = 'T2N2MX' or value.ofType(string) = 'T2N2M0' or value.ofType(string) = 'T2N2M1' or value.ofType(string) = 'T2N3MX' or value.ofType(string) = 'T2N3M0' or value.ofType(string) = 'T2N3M1' or value.ofType(string) = 'T3NXMX' or value.ofType(string) = 'T3NXM0' or value.ofType(string) = 'T3NXM1' or value.ofType(string) = 'T3N0MX' or value.ofType(string) = 'T3N0M0' or value.ofType(string) = 'T3N0M1' or value.ofType(string) = 'T3N1MX' or value.ofType(string) = 'T3N1M0' or value.ofType(string) = 'T3N1M1' or value.ofType(string) = 'T3N2MX' or value.ofType(string) = 'T3N2M0' or value.ofType(string) = 'T3N2M1' or value.ofType(string) = 'T3N3MX' or value.ofType(string) = 'T3N3M0' or value.ofType(string) = 'T3N3M1' or value.ofType(string) = 'T4NXMX' or value.ofType(string) = 'T4NXM0' or value.ofType(string) = 'T4NXM1' or value.ofType(string) = 'T4N0MX' or value.ofType(string) = 'T4N0M0' or value.ofType(string) = 'T4N0M1' or value.ofType(string) = 'T4N1MX' or value.ofType(string) = 'T4N1M0' or value.ofType(string) = 'T4N1M1' or value.ofType(string) = 'T4N2MX' or value.ofType(string) = 'T4N2M0' or value.ofType(string) = 'T4N2M1' or value.ofType(string) = 'T4N3MX' or value.ofType(string) = 'T4N3M0' or value.ofType(string) = 'T4N3M1')) | |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present cancer-stage-score: 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code |
SΣ | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NHI-癌症分期量表項目值集 (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣ | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 | ||||
| Slices for value[x] |
SΣC | 1..1 | Actual result Slice: Unordered, Closed by type:$this | |||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueInteger |
integer | |||||||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | 癌症分期分數或結果 Binding: NCI-FIGO癌症分期量表結果值集 (required) | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
 text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| value[x]:valueString |
SΣC | 0..1 | string | Actual result | ||||
| value[x]:valueInteger |
SΣC | 0..1 | integer | Actual result | ||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component |
Σ | 0..* | BackboneElement | Component results | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
 value[x] |
Σ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | required | CancerStagehttps://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stagefrom this IG | ||||
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI Thesaurus)https://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stage-scorefrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cancer-stage-score | error | Observation | 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 : ((code.coding.exists(code='385377005')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='1149131009')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 4)) and ((code.coding.exists(code='1149099005')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='385361009')) implies (value.ofType(CodeableConcept).coding.exists(system='https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus'))) and ((code.coding.exists(code='CNS')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 4 or value.ofType(integer) = 9)) and ((code.coding.exists(code='NET_2010')) implies (value.ofType(string) = 'G1' or value.ofType(string) = 'G2' or value.ofType(string) = 'G3')) and ((code.coding.exists(code='399390009')) implies (value.ofType(string) = 'T1NXMX' or value.ofType(string) = 'T1NXM0' or value.ofType(string) = 'T1NXM1' or value.ofType(string) = 'T1N0MX' or value.ofType(string) = 'T1N0M0' or value.ofType(string) = 'T1N0M1' or value.ofType(string) = 'T1N1MX' or value.ofType(string) = 'T1N1M0' or value.ofType(string) = 'T1N1M1' or value.ofType(string) = 'T1N2MX' or value.ofType(string) = 'T1N2M0' or value.ofType(string) = 'T1N2M1' or value.ofType(string) = 'T1N3MX' or value.ofType(string) = 'T1N3M0' or value.ofType(string) = 'T1N3M1' or value.ofType(string) = 'T2NXMX' or value.ofType(string) = 'T2NXM0' or value.ofType(string) = 'T2NXM1' or value.ofType(string) = 'T2N0MX' or value.ofType(string) = 'T2N0M0' or value.ofType(string) = 'T2N0M1' or value.ofType(string) = 'T2N1MX' or value.ofType(string) = 'T2N1M0' or value.ofType(string) = 'T2N1M1' or value.ofType(string) = 'T2N2MX' or value.ofType(string) = 'T2N2M0' or value.ofType(string) = 'T2N2M1' or value.ofType(string) = 'T2N3MX' or value.ofType(string) = 'T2N3M0' or value.ofType(string) = 'T2N3M1' or value.ofType(string) = 'T3NXMX' or value.ofType(string) = 'T3NXM0' or value.ofType(string) = 'T3NXM1' or value.ofType(string) = 'T3N0MX' or value.ofType(string) = 'T3N0M0' or value.ofType(string) = 'T3N0M1' or value.ofType(string) = 'T3N1MX' or value.ofType(string) = 'T3N1M0' or value.ofType(string) = 'T3N1M1' or value.ofType(string) = 'T3N2MX' or value.ofType(string) = 'T3N2M0' or value.ofType(string) = 'T3N2M1' or value.ofType(string) = 'T3N3MX' or value.ofType(string) = 'T3N3M0' or value.ofType(string) = 'T3N3M1' or value.ofType(string) = 'T4NXMX' or value.ofType(string) = 'T4NXM0' or value.ofType(string) = 'T4NXM1' or value.ofType(string) = 'T4N0MX' or value.ofType(string) = 'T4N0M0' or value.ofType(string) = 'T4N0M1' or value.ofType(string) = 'T4N1MX' or value.ofType(string) = 'T4N1M0' or value.ofType(string) = 'T4N1M1' or value.ofType(string) = 'T4N2MX' or value.ofType(string) = 'T4N2M0' or value.ofType(string) = 'T4N2M1' or value.ofType(string) = 'T4N3MX' or value.ofType(string) = 'T4N3M0' or value.ofType(string) = 'T4N3M1')) | |
| 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() |
This structure is derived from Observation
Summary
Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions cancer-stage-score: 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 |
| code |
S | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NHI-癌症分期量表項目值集 (required) |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
S | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about |
| Slices for effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
| effective[x]:effectiveDateTime |
S | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 |
| performer |
S | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 |
| Slices for value[x] |
S | 1..1 | Actual result Slice: Unordered, Open by type:$this | |
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueInteger |
integer | |||
| value[x]:valueCodeableConcept |
S | 0..1 | CodeableConcept | 癌症分期分數或結果 Binding: NCI-FIGO癌症分期量表結果值集 (required) |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| value[x]:valueString |
S | 0..1 | string | Actual result |
| value[x]:valueInteger |
S | 0..1 | integer | Actual result |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.code | required | CancerStagehttps://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stagefrom this IG | |
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI Thesaurus)https://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stage-scorefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| cancer-stage-score | error | Observation | 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 : ((code.coding.exists(code='385377005')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='1149131009')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 4)) and ((code.coding.exists(code='1149099005')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='385361009')) implies (value.ofType(CodeableConcept).coding.exists(system='https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus'))) and ((code.coding.exists(code='CNS')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 4 or value.ofType(integer) = 9)) and ((code.coding.exists(code='NET_2010')) implies (value.ofType(string) = 'G1' or value.ofType(string) = 'G2' or value.ofType(string) = 'G3')) and ((code.coding.exists(code='399390009')) implies (value.ofType(string) = 'T1NXMX' or value.ofType(string) = 'T1NXM0' or value.ofType(string) = 'T1NXM1' or value.ofType(string) = 'T1N0MX' or value.ofType(string) = 'T1N0M0' or value.ofType(string) = 'T1N0M1' or value.ofType(string) = 'T1N1MX' or value.ofType(string) = 'T1N1M0' or value.ofType(string) = 'T1N1M1' or value.ofType(string) = 'T1N2MX' or value.ofType(string) = 'T1N2M0' or value.ofType(string) = 'T1N2M1' or value.ofType(string) = 'T1N3MX' or value.ofType(string) = 'T1N3M0' or value.ofType(string) = 'T1N3M1' or value.ofType(string) = 'T2NXMX' or value.ofType(string) = 'T2NXM0' or value.ofType(string) = 'T2NXM1' or value.ofType(string) = 'T2N0MX' or value.ofType(string) = 'T2N0M0' or value.ofType(string) = 'T2N0M1' or value.ofType(string) = 'T2N1MX' or value.ofType(string) = 'T2N1M0' or value.ofType(string) = 'T2N1M1' or value.ofType(string) = 'T2N2MX' or value.ofType(string) = 'T2N2M0' or value.ofType(string) = 'T2N2M1' or value.ofType(string) = 'T2N3MX' or value.ofType(string) = 'T2N3M0' or value.ofType(string) = 'T2N3M1' or value.ofType(string) = 'T3NXMX' or value.ofType(string) = 'T3NXM0' or value.ofType(string) = 'T3NXM1' or value.ofType(string) = 'T3N0MX' or value.ofType(string) = 'T3N0M0' or value.ofType(string) = 'T3N0M1' or value.ofType(string) = 'T3N1MX' or value.ofType(string) = 'T3N1M0' or value.ofType(string) = 'T3N1M1' or value.ofType(string) = 'T3N2MX' or value.ofType(string) = 'T3N2M0' or value.ofType(string) = 'T3N2M1' or value.ofType(string) = 'T3N3MX' or value.ofType(string) = 'T3N3M0' or value.ofType(string) = 'T3N3M1' or value.ofType(string) = 'T4NXMX' or value.ofType(string) = 'T4NXM0' or value.ofType(string) = 'T4NXM1' or value.ofType(string) = 'T4N0MX' or value.ofType(string) = 'T4N0M0' or value.ofType(string) = 'T4N0M1' or value.ofType(string) = 'T4N1MX' or value.ofType(string) = 'T4N1M0' or value.ofType(string) = 'T4N1M1' or value.ofType(string) = 'T4N2MX' or value.ofType(string) = 'T4N2M0' or value.ofType(string) = 'T4N2M1' or value.ofType(string) = 'T4N3MX' or value.ofType(string) = 'T4N3M0' or value.ofType(string) = 'T4N3M1')) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present cancer-stage-score: 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code |
SΣ | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NHI-癌症分期量表項目值集 (required) |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| subject |
SΣ | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about |
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 |
| performer |
SΣ | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 |
| Slices for value[x] |
SΣC | 1..1 | Actual result Slice: Unordered, Closed by type:$this | |
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueInteger |
integer | |||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | 癌症分期分數或結果 Binding: NCI-FIGO癌症分期量表結果值集 (required) |
| value[x]:valueString |
SΣC | 0..1 | string | Actual result |
| value[x]:valueInteger |
SΣC | 0..1 | integer | Actual result |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.code | required | CancerStagehttps://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stagefrom this IG | |
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI Thesaurus)https://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stage-scorefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| cancer-stage-score | error | Observation | 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 : ((code.coding.exists(code='385377005')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='1149131009')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 4)) and ((code.coding.exists(code='1149099005')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='385361009')) implies (value.ofType(CodeableConcept).coding.exists(system='https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus'))) and ((code.coding.exists(code='CNS')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 4 or value.ofType(integer) = 9)) and ((code.coding.exists(code='NET_2010')) implies (value.ofType(string) = 'G1' or value.ofType(string) = 'G2' or value.ofType(string) = 'G3')) and ((code.coding.exists(code='399390009')) implies (value.ofType(string) = 'T1NXMX' or value.ofType(string) = 'T1NXM0' or value.ofType(string) = 'T1NXM1' or value.ofType(string) = 'T1N0MX' or value.ofType(string) = 'T1N0M0' or value.ofType(string) = 'T1N0M1' or value.ofType(string) = 'T1N1MX' or value.ofType(string) = 'T1N1M0' or value.ofType(string) = 'T1N1M1' or value.ofType(string) = 'T1N2MX' or value.ofType(string) = 'T1N2M0' or value.ofType(string) = 'T1N2M1' or value.ofType(string) = 'T1N3MX' or value.ofType(string) = 'T1N3M0' or value.ofType(string) = 'T1N3M1' or value.ofType(string) = 'T2NXMX' or value.ofType(string) = 'T2NXM0' or value.ofType(string) = 'T2NXM1' or value.ofType(string) = 'T2N0MX' or value.ofType(string) = 'T2N0M0' or value.ofType(string) = 'T2N0M1' or value.ofType(string) = 'T2N1MX' or value.ofType(string) = 'T2N1M0' or value.ofType(string) = 'T2N1M1' or value.ofType(string) = 'T2N2MX' or value.ofType(string) = 'T2N2M0' or value.ofType(string) = 'T2N2M1' or value.ofType(string) = 'T2N3MX' or value.ofType(string) = 'T2N3M0' or value.ofType(string) = 'T2N3M1' or value.ofType(string) = 'T3NXMX' or value.ofType(string) = 'T3NXM0' or value.ofType(string) = 'T3NXM1' or value.ofType(string) = 'T3N0MX' or value.ofType(string) = 'T3N0M0' or value.ofType(string) = 'T3N0M1' or value.ofType(string) = 'T3N1MX' or value.ofType(string) = 'T3N1M0' or value.ofType(string) = 'T3N1M1' or value.ofType(string) = 'T3N2MX' or value.ofType(string) = 'T3N2M0' or value.ofType(string) = 'T3N2M1' or value.ofType(string) = 'T3N3MX' or value.ofType(string) = 'T3N3M0' or value.ofType(string) = 'T3N3M1' or value.ofType(string) = 'T4NXMX' or value.ofType(string) = 'T4NXM0' or value.ofType(string) = 'T4NXM1' or value.ofType(string) = 'T4N0MX' or value.ofType(string) = 'T4N0M0' or value.ofType(string) = 'T4N0M1' or value.ofType(string) = 'T4N1MX' or value.ofType(string) = 'T4N1M0' or value.ofType(string) = 'T4N1M1' or value.ofType(string) = 'T4N2MX' or value.ofType(string) = 'T4N2M0' or value.ofType(string) = 'T4N2M1' or value.ofType(string) = 'T4N3MX' or value.ofType(string) = 'T4N3M0' or value.ofType(string) = 'T4N3M1')) | |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present cancer-stage-score: 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code |
SΣ | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NHI-癌症分期量表項目值集 (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣ | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 | ||||
| Slices for value[x] |
SΣC | 1..1 | Actual result Slice: Unordered, Closed by type:$this | |||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueInteger |
integer | |||||||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | 癌症分期分數或結果 Binding: NCI-FIGO癌症分期量表結果值集 (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| value[x]:valueString |
SΣC | 0..1 | string | Actual result | ||||
| value[x]:valueInteger |
SΣC | 0..1 | integer | Actual result | ||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| component |
Σ | 0..* | BackboneElement | Component results | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
Σ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | required | CancerStagehttps://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stagefrom this IG | ||||
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI Thesaurus)https://twcore.mohw.gov.tw/ig/pas/ValueSet/cancer-stage-scorefrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cancer-stage-score | error | Observation | 若癌症分期量表項目代碼(code)為385377005，結果值(valueInteger)須填寫`1`~`5`其中的值；若癌症分期量表項目代碼(code)為1149131009，結果值(valueInteger)須填寫`0`~`4`其中的值；若癌症分期量表項目代碼(code)為1149099005，結果值(valueString)須填寫`A`/`B`/`C`其中一項；若癌症分期量表項目代碼(code)為385361009，結果值(valueCodeableConcept)須來自CancerStageScore值集中的代碼；若癌症分期量表項目代碼(code)為CNS，結果值(valueInteger)須填寫`1`~`4`、`9`其中的值；若癌症分期量表項目代碼(code)為NET_2010，結果值(valueString)須填寫`G1`/`G2`/`G3`其中一項；若癌症分期量表項目代碼(code)為399390009，結果值(valueString)須填寫`T1NXMX`/`T1NXM0`/`T1NXM1`/`T1N0MX`/`T1N0M0`/`T1N0M1`/`T1N1MX`/`T1N1M0`/`T1N1M1`/`T1N2MX`/`T1N2M0`/`T1N2M1`/`T1N3MX`/`T1N3M0`/`T1N3M1`/`T2NXMX`/`T2NXM0`/`T2NXM1`/`T2N0MX`/`T2N0M0`/`T2N0M1`/`T2N1MX`/`T2N1M0`/`T2N1M1`/`T2N2MX`/`T2N2M0`/`T2N2M1`/`T2N3MX`/`T2N3M0`/`T2N3M1`/`T3NXMX`/`T3NXM0`/`T3NXM1`/`T3N0MX`/`T3N0M0`/`T3N0M1`/`T3N1MX`/`T3N1M0`/`T3N1M1`/`T3N2MX`/`T3N2M0`/`T3N2M1`/`T3N3MX`/`T3N3M0`/`T3N3M1`/`T4NXMX`/`T4NXM0`/`T4NXM1`/`T4N0MX`/`T4N0M0`/`T4N0M1`/`T4N1MX`/`T4N1M0`/`T4N1M1`/`T4N2MX`/`T4N2M0`/`T4N2M1`/`T4N3MX`/`T4N3M0`/`T4N3M1`其中一項。 : ((code.coding.exists(code='385377005')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='1149131009')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 4)) and ((code.coding.exists(code='1149099005')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='385361009')) implies (value.ofType(CodeableConcept).coding.exists(system='https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus'))) and ((code.coding.exists(code='CNS')) implies (value.ofType(integer) >= 1 and value.ofType(integer) <= 4 or value.ofType(integer) = 9)) and ((code.coding.exists(code='NET_2010')) implies (value.ofType(string) = 'G1' or value.ofType(string) = 'G2' or value.ofType(string) = 'G3')) and ((code.coding.exists(code='399390009')) implies (value.ofType(string) = 'T1NXMX' or value.ofType(string) = 'T1NXM0' or value.ofType(string) = 'T1NXM1' or value.ofType(string) = 'T1N0MX' or value.ofType(string) = 'T1N0M0' or value.ofType(string) = 'T1N0M1' or value.ofType(string) = 'T1N1MX' or value.ofType(string) = 'T1N1M0' or value.ofType(string) = 'T1N1M1' or value.ofType(string) = 'T1N2MX' or value.ofType(string) = 'T1N2M0' or value.ofType(string) = 'T1N2M1' or value.ofType(string) = 'T1N3MX' or value.ofType(string) = 'T1N3M0' or value.ofType(string) = 'T1N3M1' or value.ofType(string) = 'T2NXMX' or value.ofType(string) = 'T2NXM0' or value.ofType(string) = 'T2NXM1' or value.ofType(string) = 'T2N0MX' or value.ofType(string) = 'T2N0M0' or value.ofType(string) = 'T2N0M1' or value.ofType(string) = 'T2N1MX' or value.ofType(string) = 'T2N1M0' or value.ofType(string) = 'T2N1M1' or value.ofType(string) = 'T2N2MX' or value.ofType(string) = 'T2N2M0' or value.ofType(string) = 'T2N2M1' or value.ofType(string) = 'T2N3MX' or value.ofType(string) = 'T2N3M0' or value.ofType(string) = 'T2N3M1' or value.ofType(string) = 'T3NXMX' or value.ofType(string) = 'T3NXM0' or value.ofType(string) = 'T3NXM1' or value.ofType(string) = 'T3N0MX' or value.ofType(string) = 'T3N0M0' or value.ofType(string) = 'T3N0M1' or value.ofType(string) = 'T3N1MX' or value.ofType(string) = 'T3N1M0' or value.ofType(string) = 'T3N1M1' or value.ofType(string) = 'T3N2MX' or value.ofType(string) = 'T3N2M0' or value.ofType(string) = 'T3N2M1' or value.ofType(string) = 'T3N3MX' or value.ofType(string) = 'T3N3M0' or value.ofType(string) = 'T3N3M1' or value.ofType(string) = 'T4NXMX' or value.ofType(string) = 'T4NXM0' or value.ofType(string) = 'T4NXM1' or value.ofType(string) = 'T4N0MX' or value.ofType(string) = 'T4N0M0' or value.ofType(string) = 'T4N0M1' or value.ofType(string) = 'T4N1MX' or value.ofType(string) = 'T4N1M0' or value.ofType(string) = 'T4N1M1' or value.ofType(string) = 'T4N2MX' or value.ofType(string) = 'T4N2M0' or value.ofType(string) = 'T4N2M1' or value.ofType(string) = 'T4N3MX' or value.ofType(string) = 'T4N3M0' or value.ofType(string) = 'T4N3M1')) | |
| 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() |
This structure is derived from Observation
Summary
Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron