臺灣核心實作指引(TW Core IG)
0.2.0 - Trial Use
臺灣核心實作指引(TW Core IG)
0.2.0 - Trial Use
This page is part of the 臺灣核心實作指引(TW Core IG) (v0.2.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-bmi-twcore | Version: 0.2.0 | |||
| Active as of 2024-03-21 | Computable Name: TWCoreObservationBMI | |||
此臺灣核心-身體質量指數(TW Core Observation BMI) Profile說明本IG如何進一步定義臺灣核心-生命體徵(TW Core Observation Vital Signs) Profile以呈現身體質量指數。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from TWCoreObservationVitalSigns
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 | |
  code | 1..1 | CodeableConceptTW | BMI 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: http://loinc.org | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 39156-5 | |
 Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this | |
  value[x]:valueQuantity | S | 0..1 | Quantity S | 檢驗檢查的實際結果 |
 value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
 code | S | 1..1 | code | Coded form of the unit Fixed Value: kg/m2 |
| bodySite | 0..1 | CodeableConceptTW | 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible) | |
| method | 0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
 implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
 modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 |
| status | ?!SΣ | 1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 |
| Slices for category | S | 1..* | CodeableConceptTW | 概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 |
| category:VSCat | S | 1..1 | CodeableConceptTW | 檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 |
  coding | SΣ | 1..* | Coding | 由專門術語系統（terminology system）定義的代碼 |
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs |
| code | S | 1..1 | CodeableConceptTW | BMI Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 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: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 39156-5 | |
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 |
| text | SΣ | 0..1 | string | 概念的文字表示法 |
 subject | SΣ | 1..1 | Reference(TW Core Patient) | 檢驗檢查有關的對象及（或）事物 |
 effective[x] | SΣC | 1..1 | 檢驗檢查執行日期或時間區間 vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |
| effectiveDateTime | dateTime | |||
| performer | SΣ | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | CareTeam) | 誰負責這項檢驗檢查 |
| Slices for value[x] | SΣC | 0..1 | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
 valueQuantity | Quantity | |||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: kg/m2 |
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| bodySite | 0..1 | CodeableConceptTW | 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible) | |
| method | 0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible) | |
| component | SΣC | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 vs-3: If there is no a value a data absent reason must be present |
| modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 |
| code | S | 1..1 | CodeableConceptTW | 組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (required): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 |
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |
| valueQuantity | Quantity | |||
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | Pattern: LOINC code 39156-5http://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | |
| Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | required | TWVitalSignshttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-twfrom this IG | |
| Observation.component.value[x] | required | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| 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() | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | ||||
| id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。 | ||||
| meta | Σ | 0..1 | Meta | 此Observation Resource的metadata | ||||
| implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
| language | 0..1 | code | 用以表述Observation Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text | 0..1 | Narrative | Observation Resource之內容摘要以供人閱讀 | |||||
| contained | 0..* | Resource | 內嵌的（contained）、行內的Resources | |||||
 extension | 0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | ||||
| identifier | Σ | 0..* | Identifier | 檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。 | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest) | 依據的照護計畫／提議／醫令 | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | Immunization | TW Core ImagingStudy) | 此檢驗檢查是哪個參照事件的一部分 | ||||
| status | ?!SΣ | 1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 | ||||
| Slices for category | S | 1..* | CodeableConceptTW | 概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | ||||
| category:VSCat | S | 1..1 | CodeableConceptTW | 檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
 coding | SΣ | 1..* | Coding | 由專門術語系統（terminology system）定義的代碼 | ||||
 id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs | ||||
| display | Σ | 0..1 | string | 由系統定義的表示法 | ||||
| userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？ | ||||
| text | Σ | 0..1 | string | 概念的文字表示法 | ||||
| code | S | 1..1 | CodeableConceptTW | BMI Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 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: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 39156-5 | |||||
| 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 | |||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 | ||||
| text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
| subject | SΣ | 1..1 | Reference(TW Core Patient) | 檢驗檢查有關的對象及（或）事物 | ||||
| focus | Σ | 0..* | Reference(Resource) | 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。 | ||||
| encounter | Σ | 0..1 | Reference(TW Core Encounter) | 檢驗檢查是哪一次就醫時執行的 | ||||
| effective[x] | SΣC | 1..1 | 檢驗檢查執行日期或時間區間 vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |||||
| effectiveDateTime | dateTime S | |||||||
| effectivePeriod | Period | |||||||
| issued | Σ | 0..1 | instant | 此版本檢驗檢查完成的日期或時間 | ||||
| performer | SΣ | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | CareTeam) | 誰負責這項檢驗檢查 | ||||
| Slices for value[x] | SΣC | 0..1 | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| valueQuantity | Quantity S | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity S | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: kg/m2 | ||||
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| interpretation | 0..* | CodeableConceptTW | 高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| note | 0..* | Annotation | 關於此檢驗檢查之解說 | |||||
| bodySite | 0..1 | CodeableConceptTW | 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible) | |||||
| method | 0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible) | |||||
| specimen | 0..1 | Reference(TW Core Specimen) | 此檢驗檢查的檢體 | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | （測量）設備 | |||||
| referenceRange | C | 0..* | BackboneElement | 解釋結果值的指引。
obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | ||||
| low | C | 0..1 | SimpleQuantity | 參考範圍值的下限值，如果相關。 | ||||
| high | C | 0..1 | SimpleQuantity | 參考範圍值的上限值，如果相關。 | ||||
| type | 0..1 | CodeableConceptTW | 參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| appliesTo | 0..* | CodeableConceptTW | 參考範圍值是用適用的對象或人口群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。 | |||||
| age | 0..1 | Range | 適用的年齡範圍值，如果相關。 | |||||
| text | 0..1 | string | 檢驗檢查中以文字表述的參考範圍值 | |||||
| hasMember | Σ | 0..* | Reference(TW Core Observation Vital Signs | QuestionnaireResponse | MolecularSequence) | 屬於此組檢驗檢查的相關Resource | ||||
| derivedFrom | Σ | 0..* | Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) | 檢驗檢查源自哪些相關測量 | ||||
| component | SΣC | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 vs-3: If there is no a value a data absent reason must be present | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | ||||
| code | S | 1..1 | CodeableConceptTW | 組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (required): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity | Quantity S | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| interpretation | 0..* | CodeableConceptTW | 高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| referenceRange | 0..* | See referenceRange (Observation) | 解釋此組成之檢驗驗查的結果值之指引 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | extensible | Pattern: LOINC code 39156-5http://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | required | TWVitalSignshttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-twfrom this IG | ||||
| Observation.component.value[x] | required | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from TWCoreObservationVitalSigns
Summary
Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 2 elements
Slices
This structure defines the following Slices:
Differential View
This structure is derived from TWCoreObservationVitalSigns
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 | |
| code | 1..1 | CodeableConceptTW | BMI Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 39156-5 | |
| Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity | S | 0..1 | Quantity S | 檢驗檢查的實際結果 |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: kg/m2 |
| bodySite | 0..1 | CodeableConceptTW | 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible) | |
| method | 0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
| implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
| modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 |
| status | ?!SΣ | 1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 |
| Slices for category | S | 1..* | CodeableConceptTW | 概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 |
| category:VSCat | S | 1..1 | CodeableConceptTW | 檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 |
| coding | SΣ | 1..* | Coding | 由專門術語系統（terminology system）定義的代碼 |
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs |
| code | S | 1..1 | CodeableConceptTW | BMI Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 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: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 39156-5 | |
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 |
| text | SΣ | 0..1 | string | 概念的文字表示法 |
| subject | SΣ | 1..1 | Reference(TW Core Patient) | 檢驗檢查有關的對象及（或）事物 |
| effective[x] | SΣC | 1..1 | 檢驗檢查執行日期或時間區間 vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |
| effectiveDateTime | dateTime | |||
| performer | SΣ | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | CareTeam) | 誰負責這項檢驗檢查 |
| Slices for value[x] | SΣC | 0..1 | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| valueQuantity | Quantity | |||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: kg/m2 |
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| bodySite | 0..1 | CodeableConceptTW | 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible) | |
| method | 0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible) | |
| component | SΣC | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 vs-3: If there is no a value a data absent reason must be present |
| modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 |
| code | S | 1..1 | CodeableConceptTW | 組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (required): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 |
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |
| valueQuantity | Quantity | |||
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | Pattern: LOINC code 39156-5http://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | |
| Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | required | TWVitalSignshttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-twfrom this IG | |
| Observation.component.value[x] | required | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| 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() | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | TWCoreObservationVitalSigns | 檢驗檢查，測量及簡單的判定。 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | ||||
| id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。 | ||||
| meta | Σ | 0..1 | Meta | 此Observation Resource的metadata | ||||
| implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
| language | 0..1 | code | 用以表述Observation Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text | 0..1 | Narrative | Observation Resource之內容摘要以供人閱讀 | |||||
| contained | 0..* | Resource | 內嵌的（contained）、行內的Resources | |||||
| extension | 0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | ||||
| identifier | Σ | 0..* | Identifier | 檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。 | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest) | 依據的照護計畫／提議／醫令 | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | Immunization | TW Core ImagingStudy) | 此檢驗檢查是哪個參照事件的一部分 | ||||
| status | ?!SΣ | 1..1 | code | registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 | ||||
| Slices for category | S | 1..* | CodeableConceptTW | 概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | ||||
| category:VSCat | S | 1..1 | CodeableConceptTW | 檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding | SΣ | 1..* | Coding | 由專門術語系統（terminology system）定義的代碼 | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: vital-signs | ||||
| display | Σ | 0..1 | string | 由系統定義的表示法 | ||||
| userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？ | ||||
| text | Σ | 0..1 | string | 概念的文字表示法 | ||||
| code | S | 1..1 | CodeableConceptTW | BMI Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 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: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 39156-5 | |||||
| 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 | |||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 | ||||
| text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
| subject | SΣ | 1..1 | Reference(TW Core Patient) | 檢驗檢查有關的對象及（或）事物 | ||||
| focus | Σ | 0..* | Reference(Resource) | 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。 | ||||
| encounter | Σ | 0..1 | Reference(TW Core Encounter) | 檢驗檢查是哪一次就醫時執行的 | ||||
| effective[x] | SΣC | 1..1 | 檢驗檢查執行日期或時間區間 vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |||||
| effectiveDateTime | dateTime S | |||||||
| effectivePeriod | Period | |||||||
| issued | Σ | 0..1 | instant | 此版本檢驗檢查完成的日期或時間 | ||||
| performer | SΣ | 0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | CareTeam) | 誰負責這項檢驗檢查 | ||||
| Slices for value[x] | SΣC | 0..1 | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| valueQuantity | Quantity S | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity S | 檢驗檢查的實際結果 Binding: VitalSignsUnits (extensible): 用於記錄生命體徵的常用UCUM單元；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: kg/m2 | ||||
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| interpretation | 0..* | CodeableConceptTW | 高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| note | 0..* | Annotation | 關於此檢驗檢查之解說 | |||||
| bodySite | 0..1 | CodeableConceptTW | 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (extensible) | |||||
| method | 0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible) | |||||
| specimen | 0..1 | Reference(TW Core Specimen) | 此檢驗檢查的檢體 | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | （測量）設備 | |||||
| referenceRange | C | 0..* | BackboneElement | 解釋結果值的指引。
obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | ||||
| low | C | 0..1 | SimpleQuantity | 參考範圍值的下限值，如果相關。 | ||||
| high | C | 0..1 | SimpleQuantity | 參考範圍值的上限值，如果相關。 | ||||
| type | 0..1 | CodeableConceptTW | 參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| appliesTo | 0..* | CodeableConceptTW | 參考範圍值是用適用的對象或人口群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。 | |||||
| age | 0..1 | Range | 適用的年齡範圍值，如果相關。 | |||||
| text | 0..1 | string | 檢驗檢查中以文字表述的參考範圍值 | |||||
| hasMember | Σ | 0..* | Reference(TW Core Observation Vital Signs | QuestionnaireResponse | MolecularSequence) | 屬於此組檢驗檢查的相關Resource | ||||
| derivedFrom | Σ | 0..* | Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) | 檢驗檢查源自哪些相關測量 | ||||
| component | SΣC | 0..* | BackboneElement | 組成之（部分）檢驗檢查的檢驗結果 vs-3: If there is no a value a data absent reason must be present | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | ||||
| code | S | 1..1 | CodeableConceptTW | 組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (required): 代碼指明檢驗檢查的名稱；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity | Quantity S | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | S | 0..1 | CodeableConceptTW | 為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
| interpretation | 0..* | CodeableConceptTW | 高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| referenceRange | 0..* | See referenceRange (Observation) | 解釋此組成之檢驗驗查的結果值之指引 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | extensible | Pattern: LOINC code 39156-5http://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-commonfrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | required | TWVitalSignshttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-twfrom this IG | ||||
| Observation.component.value[x] | required | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from TWCoreObservationVitalSigns
Summary
Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 2 elements
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單，請參閱TW Core Server能力聲明。
建議應該(SHOULD) 支援透過查詢參數 _id 查詢所有Observation：
(如何透過token查詢)
GET [base]/Observation?_id=[id]
GET [base]/Observation/[id]
例子：
(1) GET [base]/Observation?_id=obs-bmi-example
(2) GET [base]/Observation/obs-bmi-example
建議應該(SHOULD) 支援透過查詢參數 category 查詢所有Observation：
(如何透過token查詢)
GET [base]/Observation?category={system|}[code]
例子：
(1) GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs
建議應該(SHOULD) 支援透過查詢參數 code 查詢所有Observation：
(如何透過token查詢)
GET [base]/Observation?code={system|}[code]
例子：
(1) GET [base]/Observation?code=http://loinc.org|39156-5
建議應該(SHOULD) 支援透過查詢參數 performer 查詢所有Observation：
(如何透過reference查詢)
GET [base]/Observation?performer={Type/}[id]
例子：
(1) GET [base]/Observation?performer=Practitioner/pra-dr-example
建議應該(SHOULD) 支援透過查詢參數 status 查詢所有Observation：
(如何透過token查詢)
GET [base]/Observation?status=[code]
例子：
(1) GET [base]/Observation?status=registered
建議應該(SHOULD) 支援透過查詢參數 subject 查詢所有Observation：
(如何透過reference查詢)
GET [base]/Observation?subject={Type/}[id]
例子：
(1) GET [base]/Observation?subject=Patient/pat-example
建議應該(SHOULD) 支援透過查詢參數 subject 查詢所有Observation：
(如何透過date查詢)
GET [base]/Observation?date={gt|lt|ge|le}[date]
例子：
(1) GET [base]/Observation?date=gt2022-07-31