臺灣核心實作指引(TW Core IG)
1.0.0 - STU 1.0.0 Taiwan flag

This page is part of the 臺灣核心實作指引(TW Core IG) (v1.0.0: 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

Resource Profile: TW Core Observation Average Blood Pressure

Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-averageBloodPressure-twcore Version: 1.0.0
Active as of 2025-12-10 Computable Name: TWCoreObservationAverageBloodPressure

此臺灣核心-平均血壓（TW Core Observation Average Blood Pressure）Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource 以呈現平均血壓資料。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation 測量與簡單陳述
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri 建立本內容所依據的一組規則
... modifierExtension ?! 0..* Extension 不可被忽略的擴充資訊
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 實現計畫、提案或指示
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConceptTW 觀察類型的分類
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding Σ 1..* Coding 由術語系統所定義的代碼
...... system Σ 1..1 uri 術語系統的識別碼
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code 由系統定義的語法符號
Required Pattern: vital-signs
... code SΣ 1..1 CodeableConceptTW 血壓
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96607-7
..... 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
... subject SΣ 0..1 Reference(TW Core Patient) 此觀察所關於的對象
... encounter Σ 0..1 Reference(TW Core Encounter) 進行此觀察時的醫療事件
... effective[x] SΣ 1..1 觀察在臨床上相關的時間/時間區間
.... effectivePeriod Period S
.... effectiveDateTime dateTime
.... effectiveTiming Timing
.... effectiveInstant instant
... performer Σ 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 對觀察結果負責的人
... specimen 0..1 Reference(TW Core Specimen) 用於此觀察的標本
... hasMember Σ 0..* Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 屬於觀察群組的相關資源
... derivedFrom Σ 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) 此觀察值衍生自的相關測量
... Slices for component SΣC 2..* BackboneElement 平均收縮壓、平均舒張壓及其他相關指標
Slice: Unordered, Open by pattern:code
Constraints: tw-core-2
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code Σ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 生命徵象組成項目數值
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Systolic SΣ 1..1 BackboneElement 平均收縮壓
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均收縮壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96608-5
....... 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
..... value[x] SΣC 0..1 Quantity 平均收縮壓數值
...... value SΣ 1..1 decimal 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Diastolic SΣ 1..1 BackboneElement 平均舒張壓
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均舒張壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96609-3
....... 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
..... value[x] SΣC 0..1 Quantity 平均舒張壓數值
...... value SΣ 1..1 decimal 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Number SΣ 0..1 BackboneElement 測量次數
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246432004
....... 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
..... Slices for value[x] SΣ 0..1 Quantity 生命徵象組成項目數值
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity SΣ 0..1 Quantity Actual component result
....... value SΣ 1..1 decimal 數值（具隱含精確度）
....... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Systolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Systolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Number.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Number.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Number.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-2 error Observation.component If there is no value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation 測量與簡單陳述
... implicitRules 0..1 uri 建立本內容所依據的一組規則
... modifierExtension 0..* Extension 不可被忽略的擴充資訊
... basedOn 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 實現計畫、提案或指示
... status S 1..1 code registered | preliminary | final | amended +
... Slices for category S 1..* CodeableConceptTW 觀察類型的分類
Slice: Unordered, Open by value:coding.code, value:coding.system
.... category:VSCat S 0..1 CodeableConcept Classification of type of observation
..... coding 1..* Coding 由術語系統所定義的代碼
...... system 1..1 uri 術語系統的識別碼
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code 由系統定義的語法符號
Required Pattern: vital-signs
... code S 1..1 CodeableConceptTW 血壓
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: 96607-7
... subject S 0..1 Reference(TW Core Patient) 此觀察所關於的對象
... encounter 0..1 Reference(TW Core Encounter) 進行此觀察時的醫療事件
... effective[x] S 1..1 觀察在臨床上相關的時間/時間區間
.... effectivePeriod Period S
.... effectiveDateTime dateTime
.... effectiveTiming Timing
.... effectiveInstant instant
... performer 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 對觀察結果負責的人
... value[x] 0..0 實際結果
... specimen 0..1 Reference(TW Core Specimen) 用於此觀察的標本
... hasMember 0..* Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 屬於觀察群組的相關資源
... derivedFrom 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) 此觀察值衍生自的相關測量
... Slices for component SC 2..* BackboneElement 平均收縮壓、平均舒張壓及其他相關指標
Slice: Unordered, Open by pattern:code
Constraints: tw-core-2
.... component:All Slices Content/Rules for all slices
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
..... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 生命徵象組成項目數值
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
.... component:Systolic S 1..1 BackboneElement 平均收縮壓
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code S 1..1 CodeableConceptTW 平均收縮壓代碼
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: 96608-5
..... value[x] C 0..1 Quantity 平均收縮壓數值
...... value S 1..1 decimal 數值（具隱含精確度）
...... comparator 0..1 code < | <= | >= | > - 如何理解數值
...... unit S 1..1 string 單位表示
...... system S 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code S 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
.... component:Diastolic S 1..1 BackboneElement 平均舒張壓
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code S 1..1 CodeableConceptTW 平均舒張壓代碼
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: 96609-3
..... value[x] C 0..1 Quantity 平均舒張壓數值
...... value S 1..1 decimal 數值（具隱含精確度）
...... comparator 0..1 code < | <= | >= | > - 如何理解數值
...... unit S 1..1 string 單位表示
...... system S 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code S 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
.... component:Number S 0..1 BackboneElement 測量次數
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code S 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
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://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246432004
..... Slices for value[x] 0..1 Quantity 生命徵象組成項目數值
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Actual component result
....... value S 1..1 decimal 數值（具隱含精確度）
....... comparator 0..1 code < | <= | >= | > - 如何理解數值

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
tw-core-2 error Observation.component If there is no value a data absent reason must be present value.exists() or dataAbsentReason.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation 測量與簡單陳述
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri 建立本內容所依據的一組規則
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension 不可被忽略的擴充資訊
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 實現計畫、提案或指示
... partOf Σ 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 所屬的參照事件
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConceptTW 觀察類型的分類
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... 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..* Coding 由術語系統所定義的代碼
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri 術語系統的識別碼
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code 由系統定義的語法符號
Required Pattern: vital-signs
...... 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
... code SΣ 1..1 CodeableConceptTW 血壓
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96607-7
..... 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
... subject SΣ 0..1 Reference(TW Core Patient) 此觀察所關於的對象
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(TW Core Encounter) 進行此觀察時的醫療事件
... effective[x] SΣ 1..1 觀察在臨床上相關的時間/時間區間
.... effectivePeriod Period S
.... effectiveDateTime dateTime
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 對觀察結果負責的人
... 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(TW Core Specimen) 用於此觀察的標本
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... 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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) 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(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 屬於觀察群組的相關資源
... derivedFrom Σ 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) 此觀察值衍生自的相關測量
... Slices for component SΣC 2..* BackboneElement 平均收縮壓、平均舒張壓及其他相關指標
Slice: Unordered, Open by pattern:code
Constraints: tw-core-2
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code Σ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 生命徵象組成項目數值
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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
.... component:Systolic SΣ 1..1 BackboneElement 平均收縮壓
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均收縮壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96608-5
....... 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
..... value[x] SΣC 0..1 Quantity 平均收縮壓數值
...... 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 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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
.... component:Diastolic SΣ 1..1 BackboneElement 平均舒張壓
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均舒張壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96609-3
....... 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
..... value[x] SΣC 0..1 Quantity 平均舒張壓數值
...... 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 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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
.... component:Number SΣ 0..1 BackboneElement 測量次數
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246432004
....... 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
..... Slices for value[x] SΣ 0..1 Quantity 生命徵象組成項目數值
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity SΣ 0..1 Quantity Actual component result
....... 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 數值（具隱含精確度）
....... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-2 error Observation.component If there is no value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements(12 nested mandatory elements)
Must-Support: 25 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.value[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation 測量與簡單陳述
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri 建立本內容所依據的一組規則
... modifierExtension ?! 0..* Extension 不可被忽略的擴充資訊
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 實現計畫、提案或指示
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConceptTW 觀察類型的分類
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding Σ 1..* Coding 由術語系統所定義的代碼
...... system Σ 1..1 uri 術語系統的識別碼
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code 由系統定義的語法符號
Required Pattern: vital-signs
... code SΣ 1..1 CodeableConceptTW 血壓
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96607-7
..... 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
... subject SΣ 0..1 Reference(TW Core Patient) 此觀察所關於的對象
... encounter Σ 0..1 Reference(TW Core Encounter) 進行此觀察時的醫療事件
... effective[x] SΣ 1..1 觀察在臨床上相關的時間/時間區間
.... effectivePeriod Period S
.... effectiveDateTime dateTime
.... effectiveTiming Timing
.... effectiveInstant instant
... performer Σ 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 對觀察結果負責的人
... specimen 0..1 Reference(TW Core Specimen) 用於此觀察的標本
... hasMember Σ 0..* Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 屬於觀察群組的相關資源
... derivedFrom Σ 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) 此觀察值衍生自的相關測量
... Slices for component SΣC 2..* BackboneElement 平均收縮壓、平均舒張壓及其他相關指標
Slice: Unordered, Open by pattern:code
Constraints: tw-core-2
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code Σ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 生命徵象組成項目數值
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Systolic SΣ 1..1 BackboneElement 平均收縮壓
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均收縮壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96608-5
....... 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
..... value[x] SΣC 0..1 Quantity 平均收縮壓數值
...... value SΣ 1..1 decimal 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Diastolic SΣ 1..1 BackboneElement 平均舒張壓
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均舒張壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96609-3
....... 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
..... value[x] SΣC 0..1 Quantity 平均舒張壓數值
...... value SΣ 1..1 decimal 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Number SΣ 0..1 BackboneElement 測量次數
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246432004
....... 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
..... Slices for value[x] SΣ 0..1 Quantity 生命徵象組成項目數值
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity SΣ 0..1 Quantity Actual component result
....... value SΣ 1..1 decimal 數值（具隱含精確度）
....... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Systolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Systolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Number.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Number.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Number.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-2 error Observation.component If there is no value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation 測量與簡單陳述
... implicitRules 0..1 uri 建立本內容所依據的一組規則
... modifierExtension 0..* Extension 不可被忽略的擴充資訊
... basedOn 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 實現計畫、提案或指示
... status S 1..1 code registered | preliminary | final | amended +
... Slices for category S 1..* CodeableConceptTW 觀察類型的分類
Slice: Unordered, Open by value:coding.code, value:coding.system
.... category:VSCat S 0..1 CodeableConcept Classification of type of observation
..... coding 1..* Coding 由術語系統所定義的代碼
...... system 1..1 uri 術語系統的識別碼
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code 由系統定義的語法符號
Required Pattern: vital-signs
... code S 1..1 CodeableConceptTW 血壓
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: 96607-7
... subject S 0..1 Reference(TW Core Patient) 此觀察所關於的對象
... encounter 0..1 Reference(TW Core Encounter) 進行此觀察時的醫療事件
... effective[x] S 1..1 觀察在臨床上相關的時間/時間區間
.... effectivePeriod Period S
.... effectiveDateTime dateTime
.... effectiveTiming Timing
.... effectiveInstant instant
... performer 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 對觀察結果負責的人
... value[x] 0..0 實際結果
... specimen 0..1 Reference(TW Core Specimen) 用於此觀察的標本
... hasMember 0..* Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 屬於觀察群組的相關資源
... derivedFrom 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) 此觀察值衍生自的相關測量
... Slices for component SC 2..* BackboneElement 平均收縮壓、平均舒張壓及其他相關指標
Slice: Unordered, Open by pattern:code
Constraints: tw-core-2
.... component:All Slices Content/Rules for all slices
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
..... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 生命徵象組成項目數值
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
.... component:Systolic S 1..1 BackboneElement 平均收縮壓
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code S 1..1 CodeableConceptTW 平均收縮壓代碼
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: 96608-5
..... value[x] C 0..1 Quantity 平均收縮壓數值
...... value S 1..1 decimal 數值（具隱含精確度）
...... comparator 0..1 code < | <= | >= | > - 如何理解數值
...... unit S 1..1 string 單位表示
...... system S 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code S 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
.... component:Diastolic S 1..1 BackboneElement 平均舒張壓
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code S 1..1 CodeableConceptTW 平均舒張壓代碼
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: 96609-3
..... value[x] C 0..1 Quantity 平均舒張壓數值
...... value S 1..1 decimal 數值（具隱含精確度）
...... comparator 0..1 code < | <= | >= | > - 如何理解數值
...... unit S 1..1 string 單位表示
...... system S 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code S 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
.... component:Number S 0..1 BackboneElement 測量次數
..... modifierExtension 0..* Extension 不可被忽略的擴充資訊
..... code S 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
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://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246432004
..... Slices for value[x] 0..1 Quantity 生命徵象組成項目數值
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Actual component result
....... value S 1..1 decimal 數值（具隱含精確度）
....... comparator 0..1 code < | <= | >= | > - 如何理解數值

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
tw-core-2 error Observation.component If there is no value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation 測量與簡單陳述
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri 建立本內容所依據的一組規則
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension 不可被忽略的擴充資訊
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 實現計畫、提案或指示
... partOf Σ 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 所屬的參照事件
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConceptTW 觀察類型的分類
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... 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..* Coding 由術語系統所定義的代碼
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri 術語系統的識別碼
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code 由系統定義的語法符號
Required Pattern: vital-signs
...... 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
... code SΣ 1..1 CodeableConceptTW 血壓
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96607-7
..... 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
... subject SΣ 0..1 Reference(TW Core Patient) 此觀察所關於的對象
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(TW Core Encounter) 進行此觀察時的醫療事件
... effective[x] SΣ 1..1 觀察在臨床上相關的時間/時間區間
.... effectivePeriod Period S
.... effectiveDateTime dateTime
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 對觀察結果負責的人
... 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(TW Core Specimen) 用於此觀察的標本
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... 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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) 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(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 屬於觀察群組的相關資源
... derivedFrom Σ 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence) 此觀察值衍生自的相關測量
... Slices for component SΣC 2..* BackboneElement 平均收縮壓、平均舒張壓及其他相關指標
Slice: Unordered, Open by pattern:code
Constraints: tw-core-2
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code Σ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 生命徵象組成項目數值
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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
.... component:Systolic SΣ 1..1 BackboneElement 平均收縮壓
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均收縮壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96608-5
....... 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
..... value[x] SΣC 0..1 Quantity 平均收縮壓數值
...... 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 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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
.... component:Diastolic SΣ 1..1 BackboneElement 平均舒張壓
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 平均舒張壓代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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: 96609-3
....... 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
..... value[x] SΣC 0..1 Quantity 平均舒張壓數值
...... 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 數值（具隱含精確度）
...... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string 單位表示
...... system SΣC 1..1 uri 定義單位編碼形式的系統
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 單位的編碼形式
Required Pattern: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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
.... component:Number SΣ 0..1 BackboneElement 測量次數
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension 不可被忽略的擴充資訊
..... code SΣ 1..1 CodeableConceptTW 組件觀察的類型（代碼/類型）
Binding: LOINCCodes (example): Codes identifying names of simple observations.
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://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246432004
....... 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
..... Slices for value[x] SΣ 0..1 Quantity 生命徵象組成項目數值
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity SΣ 0..1 Quantity Actual component result
....... 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 數值（具隱含精確度）
....... comparator ?!Σ 0..1 code < | <= | >= | > - 如何理解數值
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
..... dataAbsentReason SC 0..1 CodeableConcept 為什麼組成項目的結果會缺少
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

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-2 error Observation.component If there is no value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements(12 nested mandatory elements)
Must-Support: 25 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.value[x]

 

Other representations of profile: CSV, Excel, Schematron

Notes:

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。

必須支援以下查詢參數：

  1. 必須（SHALL） 支援透過查詢參數 patient 及 category 查詢所有Observation：
    (如何透過reference查詢)
    (如何透過token查詢)
    GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs

    例子：
    (1) GET [base]/Observation?patient=Patient/pat-example&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs

  2. 必須（SHALL） 支援透過查詢參數 patient 及 code 查詢所有Observation：
    (如何透過reference查詢)
    (如何透過token查詢)
    GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}

    例子：
    (1) GET [base]/Observation?patient=Patient/pat-example&code=http://loinc.org|8867-4,http://loinc.org|85354-9,http://loinc.org|96607-7

  3. 必須（SHALL） 支援透過查詢參數 patient 、 category 及 date 查詢所有Observation：
    (如何透過reference查詢)
    (如何透過token查詢)
    (如何透過date查詢)
    GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

    例子：
    (1) GET [base]/Observation?patient=Patient/pat-example&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&date=ge2020-01-01T00:00:00Z

建議應該支援以下查詢參數：

  1. 建議應該（SHOULD） 支援透過查詢參數 patient 、 category 及 status 查詢所有Observation：
    (如何透過reference查詢)
    (如何透過token查詢)
    GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&status={system|}[code]{,{system|}[code],...}

    例子：
    (1) GET [base]/Observation?patient=Patient/pat-example&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&status=final

  2. 建議應該（SHOULD） 支援透過查詢參數 patient 、 category 及 _lastUpdated 查詢所有Observation：
    (如何透過reference查詢)
    (如何透過token查詢)
    (如何透過date查詢)
    GET [base]/Observation?patient={Type/}[id]&category={system|}[code]&_lastUpdated={gt|lt|ge|le}[date]{&_lastUpdated={gt|lt|ge|le}[date]&...}

    例子：
    (1) GET [base]/Observation?patient=Patient/pat-example&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&_lastUpdated=ge2024-01-01T00:00:00Z

  3. 建議應該（SHOULD） 支援透過查詢參數 patient 、 code 及 date 查詢所有Observation：
    (如何透過reference查詢)
    (如何透過token查詢)
    (如何透過date查詢)
    GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

    例子：
    (1) GET [base]/Observation?patient=Patient/pat-example&code=http://loinc.org|8867-4,http://loinc.org|85354-9,http://loinc.org|96607-7&date=ge2020-01-01T00:00:00Z