This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: 病人狀態評估-Observation Patient Assessment TWPAS

此病人狀態評估-Observation Patient Assessment 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評估資訊之病人狀態評估

Usage:

• Use this Resource Profile: 事前審查-Bundle TWPAS
• Refer to this Resource Profile: 事前審查-Claim TWPAS
• Examples for this Resource Profile: Observation/obs-pat-nyha and Observation/obs-pat-pdai

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions pat-ast-value: 若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。
category		1..1	CodeableConcept	因設計而須必填。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
code	S	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + NHI-健保事前審查-病人狀態評估項目值集 (extensible): 最新參考代碼清單請參考此檔案。
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the 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
effective[x]	S	1..1	dateTime	病人狀態評估日期，YYYY-MM-DD，西元年月日。
performer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
value[x]	S	1..1		病人狀態評估結果
valueString			string
valueInteger			integer
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	PatAst https://twcore.mohw.gov.tw/ig/pas/ValueSet/pat-ast from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。 : ((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='IPS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 7)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 263)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 56)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 10)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 26))

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 pat-ast-value: 若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	因設計而須必填。 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
code	SΣ	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + NHI-健保事前審查-病人狀態評估項目值集 (extensible): 最新參考代碼清單請參考此檔案。 ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	病人狀態評估日期，YYYY-MM-DD，西元年月日。 ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號 ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1		病人狀態評估結果 ele-1: All FHIR elements must have a @value or children
valueString			string
valueInteger			integer
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Pattern: patientAssessment http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	PatAst https://twcore.mohw.gov.tw/ig/pas/ValueSet/pat-ast from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。 : ((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='IPS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 7)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 263)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 56)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 10)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 26))

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 pat-ast-value: 若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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		1..1	CodeableConcept	因設計而須必填。 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + NHI-健保事前審查-病人狀態評估項目值集 (extensible): 最新參考代碼清單請參考此檔案。
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	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
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
effective[x]	SΣ	1..1	dateTime	病人狀態評估日期，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)	評估項目醫事人員身分證號
value[x]	SΣC	1..1		病人狀態評估結果
valueString			string
valueInteger			integer
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Pattern: patientAssessment http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	PatAst https://twcore.mohw.gov.tw/ig/pas/ValueSet/pat-ast from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。 : ((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='IPS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 7)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 263)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 56)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 10)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 26))

This structure is derived from Observation

Summary

Mandatory: 8 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-twpas)

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions pat-ast-value: 若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。
category		1..1	CodeableConcept	因設計而須必填。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
code	S	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + NHI-健保事前審查-病人狀態評估項目值集 (extensible): 最新參考代碼清單請參考此檔案。
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the 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
effective[x]	S	1..1	dateTime	病人狀態評估日期，YYYY-MM-DD，西元年月日。
performer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號
value[x]	S	1..1		病人狀態評估結果
valueString			string
valueInteger			integer
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	PatAst https://twcore.mohw.gov.tw/ig/pas/ValueSet/pat-ast from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。 : ((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='IPS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 7)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 263)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 56)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 10)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 26))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 pat-ast-value: 若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	因設計而須必填。 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
code	SΣ	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + NHI-健保事前審查-病人狀態評估項目值集 (extensible): 最新參考代碼清單請參考此檔案。 ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	病人狀態評估日期，YYYY-MM-DD，西元年月日。 ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	評估項目醫事人員身分證號 ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1		病人狀態評估結果 ele-1: All FHIR elements must have a @value or children
valueString			string
valueInteger			integer
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Pattern: patientAssessment http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	PatAst https://twcore.mohw.gov.tw/ig/pas/ValueSet/pat-ast from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。 : ((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='IPS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 7)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 263)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 56)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 10)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 26))

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 pat-ast-value: 若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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		1..1	CodeableConcept	因設計而須必填。 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	病人狀態評估項目代碼 Binding: LOINC + NHI-健保事前審查-病人狀態評估項目值集 (extensible): 最新參考代碼清單請參考此檔案。
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	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
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
effective[x]	SΣ	1..1	dateTime	病人狀態評估日期，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)	評估項目醫事人員身分證號
value[x]	SΣC	1..1		病人狀態評估結果
valueString			string
valueInteger			integer
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Pattern: patientAssessment http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	PatAst https://twcore.mohw.gov.tw/ig/pas/ValueSet/pat-ast from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
pat-ast-value	error	Observation	若病人狀態評估項目代碼(code)為88020-3，結果值(valueString)須填寫class1/class2/class3/class4其中一項；若病人狀態評估項目代碼(code)為98153-0，結果值(valueString)須填寫A/B/C其中一項；若病人狀態評估項目代碼(code)為89247-1，結果值(valueInteger)須填寫0~5其中的值；若病人狀態評估項目代碼(code)為89243-0，結果值(valueInteger)須填寫0~100其中的值；若病人狀態評估項目代碼(code)為IPS，結果值(valueInteger)須填寫0~7其中的值；若病人狀態評估項目代碼(code)為PDAI，結果值(valueInteger)須填寫0~263其中的值；若病人狀態評估項目代碼(code)為CIRS，結果值(valueInteger)須填寫0~56其中的值；若病人狀態評估項目代碼(code)為75633-8，結果值(valueInteger)須填寫0~10其中的值；若病人狀態評估項目代碼(code)為HCTCI，結果值(valueInteger)須填寫0~26其中的值。 : ((code.coding.exists(code='88020-3')) implies (value.ofType(string) = 'class1' or value.ofType(string) = 'class2' or value.ofType(string) = 'class3' or value.ofType(string) = 'class4')) and ((code.coding.exists(code='98153-0')) implies (value.ofType(string) = 'A' or value.ofType(string) = 'B' or value.ofType(string) = 'C')) and ((code.coding.exists(code='89247-1')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 5)) and ((code.coding.exists(code='IPS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 7)) and ((code.coding.exists(code='PDAI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 263)) and ((code.coding.exists(code='CIRS')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 56)) and ((code.coding.exists(code='75633-8')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 10)) and ((code.coding.exists(code='HCTCI')) implies (value.ofType(integer) >= 0 and value.ofType(integer) <= 26))

This structure is derived from Observation

Summary

Mandatory: 8 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-twpas)

Other representations of profile: CSV, Excel, Schematron