臺灣長期照顧實作指引 (Taiwan Long-Term Care FHIR Implementation Guide) - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: TWLTC Observation Vital Signs
| Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCObservationVitalSigns | Version: 0.1.1 | |||
| Draft as of 2024-09-16 | Computable Name: LTCObservationVitalSigns | |||
長照機構住民的生命徵象資料
Usage:
- This Resource Profile is not used by any profiles in this Implementation Guide
Formal Views of Profile Content
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 | 量測的生命徵象項目 | |
| subject |
1..1 | Reference(TW Core Patient) | 此生命徵象資料的量測對象 | |
 value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 生命徵象量測值 | |
| Documentation for this format | ||||
| 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 | 量測的生命徵象項目 Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 |
| 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) | 此生命徵象資料的量測對象 |
 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 |
| value[x] |
SΣC | 0..1 | 生命徵象量測值 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 | |||
| 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。 |
 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 | Extensions that cannot be ignored even if unrecognized |
| 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 (extensible): 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 | ||||
Terminology Bindings
| Path | Conformance | ValueSet | 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 | VitalSignshttp://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.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component.code | required | TWVitalSignshttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw | |
| Observation.component.value[x] | extensible | 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 |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations 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 | 量測的生命徵象項目 Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 | ||||
| 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 | |||||
| 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) | 此生命徵象資料的量測對象 | ||||
| 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 | ||||
| value[x] |
SΣC | 0..1 | 生命徵象量測值 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 | |||||||
| 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): 代碼說明解剖學位置，可能包含側邊；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。 | |||||
| method |
0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible): 檢驗檢查的方法；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。 | |||||
| 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 | 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 | 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
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 (extensible): 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 | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | 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 | VitalSignshttp://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.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-tw | ||||
| Observation.component.value[x] | extensible | 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 |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| 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
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 | 量測的生命徵象項目 | |
| subject |
1..1 | Reference(TW Core Patient) | 此生命徵象資料的量測對象 | |
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 生命徵象量測值 | |
| Documentation for this format | ||||
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 | 量測的生命徵象項目 Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 |
| 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) | 此生命徵象資料的量測對象 |
| 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 |
| value[x] |
SΣC | 0..1 | 生命徵象量測值 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 | |||
| 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。 |
| 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 | Extensions that cannot be ignored even if unrecognized |
| 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 (extensible): 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 | ||||
Terminology Bindings
| Path | Conformance | ValueSet | 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 | VitalSignshttp://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.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component.code | required | TWVitalSignshttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw | |
| Observation.component.value[x] | extensible | 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 |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations 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 | 量測的生命徵象項目 Binding: VitalSigns (extensible): 應填入所綁定值集中的其中一個代碼。 | ||||
| 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 | |||||
| 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) | 此生命徵象資料的量測對象 | ||||
| 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 | ||||
| value[x] |
SΣC | 0..1 | 生命徵象量測值 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 | |||||||
| 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): 代碼說明解剖學位置，可能包含側邊；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。 | |||||
| method |
0..1 | CodeableConceptTW | 此檢驗檢查使用何種方法完成 Binding: ObservationMethods (extensible): 檢驗檢查的方法；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。 | |||||
| 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 | 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 | 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
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 (extensible): 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 | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | 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 | VitalSignshttp://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.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-tw | ||||
| Observation.component.value[x] | extensible | 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 |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| 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
Other representations of profile: CSV, Excel, Schematron