臺灣核心實作指引(TW Core IG)
0.3.2 - Trial Use

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.2: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: TW Core Observation Pregnancy Status

Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-pregnancy-status-twcore Version: 0.3.2
Active as of 2024-12-12 Computable Name: TWCoreObservationPregnancyStatus

此臺灣核心-妊娠狀態(TW Core Observation Pregnancy Status) Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現妊娠狀態資料。

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... basedOn 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) Fulfills plan, proposal or order
... partOf 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) Part of referenced event
... status S 1..1 code registered | preliminary | final | amended +
.... category:twcore S 0..1 CodeableConcept Classification of type of observation
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: social-history
... code S 1..1 CodeableConceptTW Pregnancy Status
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: 82810-3
... subject S 1..1 Reference(TW Core Patient) Who and/or what the observation is about
... encounter 0..1 Reference(TW Core Encounter) Healthcare event during which this observation is made
... Slices for effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Clinically relevant time/time-period for observation
... performer 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) Who is responsible for the observation
... Slices for value[x] 1..1 CodeableConcept Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueCodeableConcept S 1..1 CodeableConceptTW Coded Responses from Pregnancy Status Value Set
Binding: SNOMED CT + HL7 NullFlavor妊娠狀態值集 (preferred)
... specimen 0..1 Reference(TW Core Specimen) Specimen used for this observation
... hasMember 0..* Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom 0..* Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Simple Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueCodeableConceptpreferredPregnancyStatusCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/snomed-pregnancy-status-code
from this IG

 

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 patientcategory 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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|social-history

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|social-history

  2. 必須(SHALL) 支援透過查詢參數 patientcode 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|82810-3

  3. 必須(SHALL) 支援透過查詢參數 patientcategorydate 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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|social-history&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|social-history&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 patientcategorystatus 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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|social-history&status={system|}[code]{,{system|}[code],...}

    例子:
    (1) GET [base]/Observation?patient=Patient/pat-example&category=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|social-history&status=final

  2. 建議應該(SHOULD) 支援透過查詢參數 patientcategory_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=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/category-code-tw|laboratory&_lastUpdated=ge2024-01-01T00:00:00Z

  3. 支援透過查詢參數 patientcodedate 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|886645&date=ge2020-01-01T00:00:00Z