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: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS

此治療後疾病狀態評估-Observation Treatment 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結果資訊之治療後疾病狀態評估

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-tx-min

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 nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。
code	S	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (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
effective[x]	S	1..1	dateTime	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
value[x]	S	1..1	string	治療後疾病狀態評估結果
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	NHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目) https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-tx-ast from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。 : ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))

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 nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。
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
code	SΣ	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required) 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
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	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。 ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1	string	治療後疾病狀態評估結果 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	required	NHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目) https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-tx-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()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。 : ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
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 nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable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. 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		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (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
effective[x]	SΣ	1..1	dateTime	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	string	治療後疾病狀態評估結果
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	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	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	NHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目) https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-tx-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()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。 : ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
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: 5 elements
Must-Support: 4 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)

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。
code	S	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (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
effective[x]	S	1..1	dateTime	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
value[x]	S	1..1	string	治療後疾病狀態評估結果
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	NHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目) https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-tx-ast from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。 : ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))

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 nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。
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
code	SΣ	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (required) 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
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	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。 ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1	string	治療後疾病狀態評估結果 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	required	NHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目) https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-tx-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()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。 : ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
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 nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable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. 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		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	治療後疾病狀態評估項目 Binding: NHI-健保事前審查-治療後疾病狀態評估項目值集 (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
effective[x]	SΣ	1..1	dateTime	治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	string	治療後疾病狀態評估結果
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	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	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	NHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目) https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-tx-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()
nhi-tx-ast-value	error	Observation	若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。 : ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
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: 5 elements
Must-Support: 4 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)

Other representations of profile: CSV, Excel, Schematron