| Package | tw.gov.mohw.cdc.twidir |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://twidir.cdc.gov.tw/twidir/https://twidir.cdc.gov.tw/twidir/0.1.1/StructureDefinition-observation-reporting.html |
| Url | https://twidir.cdc.gov.tw/twidir/StructureDefinition/observation-reporting |
| Version | 0.1.1 |
| Status | active |
| Date | 2024-02-02T13:16:12+08:00 |
| Name | Observationreporting |
| Title | 檢驗檢查(Observation reporting) |
| Experimental | False |
| Realm | tw |
| Authority | national |
| Description | 此檢驗檢查(Observation reporting)Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result) Profile以呈現傳染病檢驗報告之檢驗資料 |
| Type | Observation |
| Kind | resource |
| StructureDefinition | |
bundle-request-reporting  | 檢驗機構上傳傳染病檢驗報告(Bundle Request reporting) |
| diagnosticreport-reporting | 診斷報告(DiagnosticReport reporting) |
| messageheader-request-reporting | 檢驗機構上傳傳染病檢驗報告訊息(MessageHeader Request reporting) |
| StructureDefinition | |
| https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore | TW Core Observation Laboratory Result |
| device-reporting | 檢驗設備(Device reporting) |
| patient-reporting | 病患資料(Patient reporting) |
| specimen-reporting | 檢驗檢體(Specimen reporting) |
| https://twidir.cdc.gov.tw/twidir/ValueSet/loinc-method-details-values | LOINC檢驗方法值集 |
| https://twidir.cdc.gov.tw/twidir/ValueSet/snomedct-methodtype-values | SNOMED CT檢驗檢查方法種類值集 |
| https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-loinc-code-values | CDC-LOINC實驗室通報項目值集 |
| https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-observation-code-values | CDC-LIMS系統-Observation Code值集 |
| https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-testresult-values | CDC-LIMS系統-檢驗結果值集 |
Note: links and images are rebased to the (stated) source
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | TWCoreObservationLaboratoryResult | |||
  identifier | S | 0..1 | Identifier | 由疾管署(CDC)所提供之Barcode編號，即是「送驗單編號」，如無填寫轉入LIMS系統後由系統自動給號 |
| status | 1..1 | code | FHIR必填欄位 | |
 category:SnomedctMethodtype | S | 0..1 | CodeableConcept | 檢驗方法代碼，當檢驗疾病的LOINC Code=99999時，此欄位則為必填 Binding: SNOMED CT檢驗檢查方法種類值集 (required) |
| code | ||||
 coding:LOINCObservationCode | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: CDC-LOINC實驗室通報項目值集 (required) | |
 coding:TWCDCObservationCode | S | 0..1 | CodingTW | 當檢驗疾病的LOINC Code是99999時，使用此欄位 Binding: CDC-LIMS系統-Observation Code值集 (required) |
  system | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twidir.cdc.gov.tw/twidir/CodeSystem/twcdc-observation-code-values | |
 subject | 1..1 | Reference(病患資料(Patient reporting)) | 檢驗檢查有關的對象及（或）事物 | |
 Slices for effective[x] | 1..1 | dateTime | 檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this | |
 effective[x]:effectiveDateTime | S | 1..1 | dateTime | 疾病檢驗結果日期與時間 |
| Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 檢驗檢查的實際結果 Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity | S | 0..1 | Quantity | 血清學測量單位，當category=67922002(血清)且檢驗疾病的LOINC Code=99999時，此欄位則為必填 |
| system | S | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| interpretation | S | 1..1 | CodeableConceptTW | 高、低、正常等 Binding: CDC-LIMS系統-檢驗結果值集 (required) |
| method | S | 0..1 | CodeableConceptTW | 檢驗方法細項代碼，當檢驗疾病的LOINC Code=99999時，此欄位為則必填 Binding: LOINC檢驗方法值集 (required) |
| specimen | S | 1..1 | Reference(檢驗檢體(Specimen reporting)) | 此檢驗檢查的檢體 |
| device | S | 0..1 | Reference(檢驗設備(Device reporting)) | （測量）設備 |
| Documentation for this format | ||||
FHIR{
"resourceType" : "StructureDefinition",
"id" : "observation-reporting",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Observation-laboratoryResult-twcore.html\">TWCoreObservationLaboratoryResult</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.identifier\">identifier</a><a name=\"Observation.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">由疾管署(CDC)所æ供之Barcode編號，å³æ˜¯ã€Œé€é©—單編號ã€ï¼Œå¦‚無填寫轉入LIMS系統後由系統自動給號</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.status\">status</a><a name=\"Observation.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">FHIR必填欄ä½</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.category:SnomedctMethodtype\" title=\"Slice SnomedctMethodtype\">category:SnomedctMethodtype</a><a name=\"Observation.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">檢驗方法代碼，當檢驗疾病的LOINC Code=99999時，æ¤æ¬„ä½å‰‡ç‚ºå¿…å¡«<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-snomedct-methodtype-values.html\" title=\"https://twidir.cdc.gov.tw/twidir/ValueSet/snomedct-methodtype-values\">SNOMED CT檢驗檢查方法種類值集</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.code.coding:LOINCObservationCode\" title=\"Slice LOINCObservationCode\">coding:LOINCObservationCode</a><a name=\"Observation.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Coding-tw.html\" title=\"Coding\">CodingTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">由專門術語系統（terminology system）定義的代碼</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-twcdc-loinc-code-values.html\" title=\"https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-loinc-code-values\">CDC-LOINCå¯¦é©—å®¤é€šå ±é …ç›®å€¼é›†</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck105.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.code.coding:TWCDCObservationCode\" title=\"Slice TWCDCObservationCode\">coding:TWCDCObservationCode</a><a name=\"Observation.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Coding-tw.html\" title=\"Coding\">CodingTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">當檢驗疾病的LOINC Code是99999時，使用æ¤æ¬„ä½<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-twcdc-observation-code-values.html\" title=\"https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-observation-code-values\">CDC-LIMS系統-Observation Code值集</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1040.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.code.coding:TWCDCObservationCode.system\">system</a><a name=\"Observation.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">專門術語系統（terminology system）的è˜åˆ¥</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">https://twidir.cdc.gov.tw/twidir/CodeSystem/twcdc-observation-code-values</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.subject\">subject</a><a name=\"Observation.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-patient-reporting.html\">病患資料(Patient reporting)</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">檢驗檢查有關的å°è±¡åŠï¼ˆæˆ–）事物</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-observation-reporting-definitions.html#Observation.effective[x]\">Slices for effective[x]</a><a name=\"Observation.effective_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">1</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">檢驗檢查執行日期或時間å€é–“</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by type:$this</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.effective[x]:effectiveDateTime\" title=\"Slice effectiveDateTime\">effective[x]:effectiveDateTime</a><a name=\"Observation.effective_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">疾病檢驗çµæžœæ—¥æœŸèˆ‡æ™‚é–“</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-observation-reporting-definitions.html#Observation.value[x]\">Slices for value[x]</a><a name=\"Observation.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Range\">Range</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Ratio\">Ratio</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#SampledData\">SampledData</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#time\">time</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">檢驗檢查的實際çµæžœ</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by type:$this</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.value[x]:valueQuantity\" title=\"Slice valueQuantity\">value[x]:valueQuantity</a><a name=\"Observation.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">血清å¸æ¸¬é‡å–®ä½ï¼Œç•¶category=67922002(血清)且檢驗疾病的LOINC Code=99999時，æ¤æ¬„ä½å‰‡ç‚ºå¿…å¡«</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.value[x]:valueQuantity.system\">system</a><a name=\"Observation.value_x_.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">System that defines coded unit form</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://unitsofmeasure.org</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.interpretation\">interpretation</a><a name=\"Observation.interpretation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-CodeableConcept-tw.html\" title=\"CodeableConcept\">CodeableConceptTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">高ã€ä½Žã€æ£å¸¸ç‰</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-twcdc-testresult-values.html\" title=\"https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-testresult-values\">CDC-LIMS系統-檢驗çµæžœå€¼é›†</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.method\">method</a><a name=\"Observation.method\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-CodeableConcept-tw.html\" title=\"CodeableConcept\">CodeableConceptTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">æª¢é©—æ–¹æ³•ç´°é …ä»£ç¢¼ï¼Œç•¶æª¢é©—ç–¾ç—…çš„LOINC Code=99999時，æ¤æ¬„ä½ç‚ºå‰‡å¿…å¡«<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-loinc-method-details-values.html\" title=\"https://twidir.cdc.gov.tw/twidir/ValueSet/loinc-method-details-values\">LOINC檢驗方法值集</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.specimen\">specimen</a><a name=\"Observation.specimen\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-specimen-reporting.html\">檢驗檢體(Specimen reporting)</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">æ¤æª¢é©—檢查的檢體</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-observation-reporting-definitions.html#Observation.device\">device</a><a name=\"Observation.device\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-device-reporting.html\">檢驗è¨å‚™(Device reporting)</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">（測é‡ï¼‰è¨å‚™</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "https://twidir.cdc.gov.tw/twidir/StructureDefinition/observation-reporting",
"version" : "0.1.1",
"name" : "Observationreporting",
"title" : "檢驗檢查(Observation reporting)",
"status" : "active",
"date" : "2024-02-02T13:16:12+08:00",
"publisher" : "è¡›ç¦éƒ¨ç–¾ç—…管制署",
"contact" : [
{
"name" : "è¡›ç¦éƒ¨ç–¾ç—…管制署",
"telecom" : [
{
"system" : "url",
"value" : "https://www.cdc.gov.tw"
}
]
}
],
"description" : "æ¤æª¢é©—檢查(Observation reporting)Profile說明本IG如何進一æ¥å®šç¾©è‡ºç£æ ¸å¿ƒ-檢驗檢查(TW Core Observation Laboratory Result) Profile以呈ç¾å‚³æŸ“ç—…æª¢é©—å ±å‘Šä¹‹æª¢é©—è³‡æ–™",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "sct-concept",
"uri" : "http://snomed.info/conceptdomain",
"name" : "SNOMED CT Concept Domain Binding"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "sct-attr",
"uri" : "http://snomed.org/attributebinding",
"name" : "SNOMED CT Attribute Binding"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"short" : "檢驗檢查，測é‡åŠç°¡å–®çš„判定。",
"definition" : "å°ç—…人ã€è¨å‚™æˆ–其他å°è±¡é€²è¡Œçš„測é‡å’Œç°¡å–®åˆ¤å®šã€‚",
"comment" : "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
"alias" : [
"Vital Signs",
"Measurement",
"Results",
"Tests"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "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",
"expression" : "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()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "obs-6",
"severity" : "error",
"human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
"expression" : "dataAbsentReason.empty() or value.empty()",
"xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
"source" : "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key" : "obs-7",
"severity" : "error",
"human" : "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
"expression" : "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
"xpath" : "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
"source" : "http://hl7.org/fhir/StructureDefinition/Observation"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "sct-concept",
"map" : "< 363787002 |Observable entity|"
},
{
"identity" : "v2",
"map" : "OBX"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Observation.id",
"path" : "Observation.id",
"short" : "ä¸é‡è¤‡çš„ID用以è˜åˆ¥å„²å˜åœ¨ç‰¹å®šFHIR Serverä¸çš„Observation紀錄，通常åˆç¨±ç‚ºé‚輯性ID。",
"definition" : "resourceçš„é‚輯ID，在resourceçš„URLä¸ä½¿ç”¨ã€‚一旦指定，這個值永é ä¸æœƒæ”¹è®Šã€‚",
"comment" : "一個resource使用新增æ“作（create operation）æ交給伺æœå™¨æ™‚是æ¤resource唯一沒有id的時刻",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Observation.meta",
"path" : "Observation.meta",
"short" : "æ¤Observation Resourceçš„metadata",
"definition" : "關於resourceçš„metadata。這是由基礎建è¨ç¶è·çš„內容。å°å…§å®¹çš„改變å¯èƒ½ä¸¦ä¸ç¸½æ˜¯èˆ‡resource的版本改變相關。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Observation.implicitRules",
"path" : "Observation.implicitRules",
"short" : "創建æ¤å…§å®¹æ‰€ä¾æ“šçš„一組è¦å‰‡",
"definition" : "構建resource時éµå¾ªçš„一系列è¦å‰‡çš„åƒç…§ï¼Œåœ¨è™•ç†å…§å®¹æ™‚å¿…é ˆç†è§£é€™äº›è¦å‰‡ã€‚通常這是IG定義特殊è¦å‰‡åŠå…¶ä»–profilesçš„åƒç…§ã€‚",
"comment" : "宣告這套è¦å‰‡é™åˆ¶äº†å…§å®¹åªèƒ½è¢«æœ‰é™çš„貿易夥伴所ç†è§£ã€‚這從本質上é™åˆ¶äº†è³‡æ–™çš„長期有用性。然而，ç¾æœ‰çš„å¥åº·ç”Ÿæ…‹é«”系高度分裂，還沒有準備好以普éå¯è¨ˆç®—çš„æ–¹å¼å®šç¾©ã€æ”¶é›†å’Œäº¤æ›è³‡æ–™ã€‚åªè¦æœ‰å¯èƒ½ï¼Œå¯¦ä½œè€…å’Œï¼æˆ–è¦ç¯„編寫者應該é¿å…ä½¿ç”¨é€™å€‹è³‡æ–™é …ç›®ã€‚é€šå¸¸ï¼Œåœ¨ä½¿ç”¨æ™‚ï¼Œæ¤URL是å°å¯¦ä½œæŒ‡å¼•çš„åƒç…§ï¼Œæ¤æŒ‡å¼•å°‡é€™äº›ç‰¹æ®Šè¦å‰‡èˆ‡å…¶ä»–profilesã€value setsç‰ä¸€èµ·å®šç¾©ç‚ºå…¶æ•˜è¿°çš„一部分。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "Observation.language",
"path" : "Observation.language",
"short" : "用以表述Observation Resource內容的語言",
"definition" : "編寫æ¤resource的基礎語言",
"comment" : "æ供語言是為了支æ´ç´¢å¼•å’Œå¯å˜å–性（通常，文å—表述轉語音ç‰æœå‹™ä½¿ç”¨æ¤èªžè¨€æ¨™ç±¤ï¼‰ã€‚html lanuage tagé©ç”¨æ–¼æ¤æ•˜è¿°ã€‚resource上的語言標籤å¯ç”¨æ–¼æŒ‡å®šå¾žresourceä¸çš„資料所產æˆçš„其他表述之語言。ä¸æ˜¯æ‰€æœ‰çš„å…§å®¹éƒ½å¿…é ˆä½¿ç”¨æ¤åŸºç¤Žèªžè¨€ã€‚ä¸æ‡‰è©²å‡å®šResource.language自動é©ç”¨æ–¼æ•˜è¿°ã€‚如果指定語言，它也應該被指定在htmlä¸çš„divå…ƒç´ ï¼ˆé—œæ–¼xml:langå’Œhtml lang屬性之間的關係，見HTML5ä¸çš„è¦å‰‡ï¼‰ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"example" : [
{
"label" : "Value",
"valueString" : "zh-TW"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
}
],
"strength" : "preferred",
"description" : "人類語言；鼓勵使用[CommonLanguages](http://hl7.org/fhir/R4/valueset-languages.html)值集ä¸çš„代碼，但ä¸å¼·åˆ¶ä¸€å®šè¦ä½¿ç”¨æ¤å€¼é›†ï¼Œä½ 也å¯ä½¿ç”¨å…¶ä»–值集的代碼或單純以文å—表示。",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "Observation.text",
"path" : "Observation.text",
"short" : "Observation Resource之內容摘è¦ä»¥ä¾›äººé–±è®€",
"definition" : "人å¯è®€çš„敘述，包å«resource的摘è¦ï¼Œå¯ç”¨æ–¼å‘人表述resource的內容。敘述ä¸éœ€è¦å°æ‰€æœ‰çš„çµæ§‹åŒ–資料進行編碼，但需è¦åŒ…å«è¶³å¤ 的細節使人在閱讀敘述時ç†è§£ã€Œè‡¨åºŠå®‰å…¨æ€§ã€ã€‚resource定義å¯å®šç¾©å“ªäº›å…§å®¹æ‡‰è©²åœ¨æ•˜è¿°ä¸è¡¨ç¤ºï¼Œä»¥ç¢ºä¿è‡¨åºŠå®‰å…¨ã€‚",
"comment" : "內嵌（contained）的resource沒有敘述，éžå…§åµŒï¼ˆcontained）的resource則 **建è°æ‡‰è©²ï¼ˆSHOULD）** 有敘述。在æŸäº›æƒ…æ³ä¸‹ï¼Œresourceå¯èƒ½åªæœ‰æ–‡å—表述，很少或沒有é¡å¤–的離散資料（åªè¦æ»¿è¶³æ‰€æœ‰minOccurs=1çš„è³‡æ–™é …ç›®ï¼‰ã€‚é€™å°æ–¼ä¾†è‡ªèˆŠæœ‰ç³»çµ±çš„資料å¯èƒ½æ˜¯å¿…è¦çš„，在這些系統ä¸ï¼Œå¾ž 「文å—表述å€å¡Šï¼ˆtext blob） ã€ç²å–訊æ¯ï¼Œæˆ–者文å—表述是é¡å¤–的原始輸入或敘述，而編碼訊æ¯æ˜¯å¾Œä¾†æ·»åŠ 的。",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Observation.contained",
"path" : "Observation.contained",
"short" : "內嵌的（contained）ã€è¡Œå…§çš„Resources",
"definition" : "這些resource內嵌（contains）的resourceä¸æœƒå¦å¤–å˜æ–¼ä»»ä½•FHIR伺æœå™¨ï¼Œæ„å³å®ƒå€‘無法在任何FHIR伺æœå™¨ä¸è¢«æ‰¾åˆ°ï¼Œä¹Ÿç„¡æ³•æœ‰è‡ªå·±ç¨ç«‹çš„資料異動ï¼äº¤æ˜“（transaction）範åœã€‚",
"comment" : "當內容å¯ä»¥å¾žä»»ä½•FHIR伺æœå™¨æ‰¾åˆ°æ™‚，ä¸æ‡‰è©²ä»¥å…§åµŒï¼ˆcontained）resourceçš„æ–¹å¼å‘ˆç¾ï¼Œå› 為一旦è˜åˆ¥ä¸Ÿå¤±ï¼Œè¦å†æ¬¡æ¢å¾©å®ƒæ˜¯éžå¸¸å›°é›£çš„（並且å–決於情境）。內嵌（contained）的resourceå¯åœ¨å®ƒå€‘çš„metaè³‡æ–™é …ç›®ä¸è¡¨è¿°profileså’Œtag（標籤），但 **å¿…é ˆæ²’æœ‰ï¼ˆSHALL NOT）** 資訊安全標號（security labels）。",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Observation.extension",
"path" : "Observation.extension",
"short" : "æ“´å……çš„è³‡æ–™é …ç›®",
"definition" : "å¯ç”¨æ–¼è¡¨ç¤ºä¸å±¬æ–¼æ¤è³‡æ–™é …ç›®åŸºæœ¬å®šç¾©çš„é™„åŠ è³‡è¨Šã€‚ç‚ºäº†æ“´å……çš„ä½¿ç”¨å®‰å…¨å’Œå¯ç®¡ç†ï¼Œå°æ“´å……çš„å®šç¾©å’Œä½¿ç”¨æœ‰ä¸€å¥—åš´æ ¼çš„ç®¡ç†ã€‚儘管任何實作者都å¯ä»¥å®šç¾©ä¸€å€‹æ“´å……，但作為擴充定義的一部分，有一套è¦æ±‚ **å¿…é ˆï¼ˆSHALL）** 滿足。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Observation.modifierExtension",
"path" : "Observation.modifierExtension",
"short" : "æ¤æ“´å……çš„è³‡æ–™é …ç›®å¯èƒ½æœƒå®Œå…¨ä¿®æ£æˆ–æ”¹è®Šå…¶ä»–è³‡æ–™é …ç›®çš„æ„涵，需特別留æ„。",
"definition" : "å¯ä»¥ç”¨ä¾†è¡¨ç¤ºä¸å±¬æ–¼è³‡æ–™é …ç›®çš„åŸºæœ¬å®šç¾©çš„é™„åŠ è³‡è¨Šï¼Œä¸¦ä¸”ä¿®æ”¹å°å®ƒæ‰€å…§åµŒï¼ˆcontainedï¼‰çš„è³‡æ–™é …ç›®çš„ç†è§£å’Œï¼ˆæˆ–）å°åŒ…å«è³‡æ–™é …目之後續使用的ç†è§£ã€‚é€šå¸¸ï¼Œä¿®é£¾ç”¨çš„è³‡æ–™é …ç›®æä¾›å¦å®šæˆ–é™å®šã€‚為了使擴充的使用安全和å¯ç®¡ç†ï¼Œå°æ“´å……çš„å®šç¾©å’Œä½¿ç”¨æœ‰ä¸€å¥—åš´æ ¼çš„ç®¡ç†ã€‚儘管任何實作者都å¯ä»¥å®šç¾©ä¸€å€‹æ“´å……，但作為擴充定義的一部分，有一套è¦æ±‚ **å¿…é ˆï¼ˆSHALL）** 滿足。處ç†resource的應用程å¼è¢«è¦æ±‚æª¢æŸ¥ä¿®é£¾ç”¨çš„æ“´å……è³‡æ–™é …ç›®ã€‚ \r\nä¿®é£¾ç”¨çš„æ“´å……è³‡æ–™é …ç›® **å¿…é ˆæ²’æœ‰ï¼ˆSHALL NOT）** 改變resource或DomainResourceä¸Šä»»ä½•è³‡æ–™é …ç›®çš„å«ç¾©ï¼ˆåŒ…括ä¸èƒ½æ”¹è®ŠmodifierExtension本身的å«ç¾©ï¼‰ã€‚",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false
},
{
"id" : "Observation.identifier",
"path" : "Observation.identifier",
"short" : "由疾管署(CDC)所æ供之Barcode編號，å³æ˜¯ã€Œé€é©—單編號ã€ï¼Œå¦‚無填寫轉入LIMS系統後由系統自動給號",
"definition" : "æ¤æª¢é©—檢查的唯一è˜åˆ¥ç¢¼",
"requirements" : "å…許å°æª¢é©—檢查çµæžœé€²è¡Œå€åˆ†å’Œåƒç…§",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "v2",
"map" : "OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."
},
{
"identity" : "rim",
"map" : "id"
}
]
},
{
"id" : "Observation.basedOn",
"path" : "Observation.basedOn",
"short" : "ä¾æ“šçš„ç…§è·è¨ˆç•«ï¼æè°ï¼é†«ä»¤",
"definition" : "ä¾æ“šçš„計劃ã€æè°æˆ–醫令或其部分è¦æ±‚進行檢驗檢查。例如：一個MedicationRequestå¯èƒ½è¦æ±‚給病人藥之å‰è¦å…ˆé€²è¡Œå¯¦é©—室檢查。",
"requirements" : "å…許授權追踪檢驗檢查事件並追踪æè°ï¼å»ºè°æ˜¯å¦æœ‰è½å¯¦",
"alias" : [
"Fulfills"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/CarePlan",
"http://hl7.org/fhir/StructureDefinition/DeviceRequest",
"http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore",
"http://hl7.org/fhir/StructureDefinition/NutritionOrder",
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "v2",
"map" : "ORC"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
}
]
},
{
"id" : "Observation.partOf",
"path" : "Observation.partOf",
"short" : "æ¤æª¢é©—檢查是哪個åƒç…§äº‹ä»¶çš„一部分",
"definition" : "æ¤ç‰¹å®šçš„檢驗檢查（Observation）是一個更大事件ä¸çš„一個組æˆæˆ–æ¥é©Ÿã€‚ä¾‹å¦‚ï¼šä¸€é …è™•ç½®è£¡çš„ä¸€é …æª¢é©—æª¢æŸ¥ã€‚",
"comment" : "使用encounter將一個檢驗檢查（Observation）與一個就醫（Encounter）連çµèµ·ä¾†ã€‚關於åƒç…§å¦ä¸€å€‹Observation的作法，請åƒé–±ä¸‹é¢çš„Noteså°ç¯€ã€‚",
"alias" : [
"Container"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
"http://hl7.org/fhir/StructureDefinition/MedicationDispense",
"http://hl7.org/fhir/StructureDefinition/MedicationStatement",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore",
"http://hl7.org/fhir/StructureDefinition/Immunization",
"http://hl7.org/fhir/StructureDefinition/ImagingStudy"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.partOf"
},
{
"identity" : "v2",
"map" : "Varies by domain"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=FLFS].target"
}
]
},
{
"id" : "Observation.status",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString" : "default: final"
}
],
"path" : "Observation.status",
"short" : "FHIR必填欄ä½",
"definition" : "çµæžœå€¼çš„狀態",
"comment" : "é€™å€‹è³‡æ–™é …ç›®è¢«æ¨™è¨˜ç‚ºä¿®é£¾èªžï¼ä¿®é£¾ç”¨ï¼Œå› ç‚ºé™„åŠ åˆ°å…¶ä»–æ–‡ä»¶ä¸Šçš„æ–‡ä»¶ï¼Œå…¶æœ¬èº«æ˜¯ä¸å®Œæ•´çš„文件。",
"requirements" : "需è¦è¿½è¸ªå–®å€‹çµæžœç‹€æ…‹ï¼Œæœ‰äº›çµæžœåœ¨æ•´å€‹å ±å‘Šç¢ºå®šä¹‹å‰å°±å·²ç¶“確定了。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationStatus"
}
],
"strength" : "required",
"description" : "檢驗檢查的狀態代碼；應填入[ObservationStatus](http://hl7.org/fhir/R4/valueset-observation-status.html)值集ä¸çš„å…¶ä¸ä¸€å€‹ä»£ç¢¼ã€‚",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.1"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "sct-concept",
"map" : "< 445584004 |Report by finality status|"
},
{
"identity" : "v2",
"map" : "OBX-11"
},
{
"identity" : "rim",
"map" : "status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
}
]
},
{
"id" : "Observation.category",
"path" : "Observation.category",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "$this"
}
],
"rules" : "open"
},
"short" : "概念（concept）ï¼åƒç…§ä¸€å€‹å°ˆé–€è¡“語或åªæ˜¯ç´”æ–‡å—。",
"definition" : "å¯ä»¥æ£å¼åƒç…§ä¸€å€‹å°ˆé–€è¡“語或本體論來定義一個概念，或者也å¯ä»¥æ–‡å—表述æ¤æ¦‚念。",
"comment" : "並éžæ‰€æœ‰çš„專門術語使用都符åˆé€™å€‹ä¸€èˆ¬æ¨¡å¼ã€‚在æŸäº›æƒ…æ³ä¸‹ï¼Œè³‡æ–™æ¨¡åž‹ä¸æ‡‰è©²ä½¿ç”¨CodeableConcept而應直接使用Coding，並æ供他們自己的çµæ§‹ä¾†ç®¡ç†textã€codingsã€translationã€è³‡æ–™é …目之間的關係ã€ä»¥åŠå…ˆçµ„åˆé…å°ï¼å‰çµ„åˆå¼ï¼ˆpre-coordination）和後組åˆé…å°ï¼å¾Œçµ„åˆå¼ï¼ˆpost-coordination）。",
"requirements" : "用於篩é¸å–å¾—åŠé¡¯ç¤ºä¹‹æª¢é©—檢查",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCategory"
}
],
"strength" : "preferred",
"description" : "高層次的檢驗檢查分類；鼓勵使用[ObservationCategoryCodes](http://hl7.org/fhir/R4/valueset-observation-category.html)值集ä¸çš„代碼，但ä¸å¼·åˆ¶ä¸€å®šè¦ä½¿ç”¨æ¤å€¼é›†ï¼Œä½ 也å¯ä½¿ç”¨å…¶ä»–值集的代碼或單純以文å—表示。",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.category:ObservationCategoryCodes",
"path" : "Observation.category",
"sliceName" : "ObservationCategoryCodes",
"short" : "Classification of type of observation",
"definition" : "A code that classifies the general type of observation being made.",
"comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
"requirements" : "Used for filtering what observations are retrieved and displayed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCategory"
}
],
"strength" : "preferred",
"description" : "Codes for high level observation categories.",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.category:SnomedctMethodtype",
"path" : "Observation.category",
"sliceName" : "SnomedctMethodtype",
"short" : "檢驗方法代碼，當檢驗疾病的LOINC Code=99999時，æ¤æ¬„ä½å‰‡ç‚ºå¿…å¡«",
"definition" : "å¯ä»¥æ£å¼åƒç…§ä¸€å€‹å°ˆé–€è¡“語或本體論來定義一個概念，或者也å¯ä»¥æ–‡å—表述æ¤æ¦‚念。",
"comment" : "並éžæ‰€æœ‰çš„專門術語使用都符åˆé€™å€‹ä¸€èˆ¬æ¨¡å¼ã€‚在æŸäº›æƒ…æ³ä¸‹ï¼Œè³‡æ–™æ¨¡åž‹ä¸æ‡‰è©²ä½¿ç”¨CodeableConcept而應直接使用Coding，並æ供他們自己的çµæ§‹ä¾†ç®¡ç†textã€codingsã€translationã€è³‡æ–™é …目之間的關係ã€ä»¥åŠå…ˆçµ„åˆé…å°ï¼å‰çµ„åˆå¼ï¼ˆpre-coordination）和後組åˆé…å°ï¼å¾Œçµ„åˆå¼ï¼ˆpost-coordination）。",
"requirements" : "用於篩é¸å–å¾—åŠé¡¯ç¤ºä¹‹æª¢é©—檢查",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/snomedct-methodtype-values"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"short" : "概念（concept）ï¼åƒç…§ä¸€å€‹å°ˆé–€è¡“語或åªæ˜¯ç´”æ–‡å—。",
"definition" : "å¯ä»¥é€éŽæ£å¼åƒç…§ä¸€å€‹å°ˆé–€è¡“語或本體論來定義一個概念，或者也å¯ä»¥æ–‡å—表述æ¤æ¦‚念。",
"comment" : "並éžæ‰€æœ‰çš„專門術語使用都符åˆé€™å€‹ä¸€èˆ¬æ¨¡å¼ã€‚在æŸäº›æƒ…æ³ä¸‹ï¼Œè³‡æ–™æ¨¡åž‹ä¸æ‡‰è©²ä½¿ç”¨CodeableConcept而應直接使用Coding，並æ供他們自己的çµæ§‹ä¾†ç®¡ç†textã€codingsã€translationã€è³‡æ–™é …目之間的關係ã€ä»¥åŠå…ˆçµ„åˆé…å°ï¼å‰çµ„åˆå¼ï¼ˆpre-coordination）和後組åˆé…å°ï¼å¾Œçµ„åˆå¼ï¼ˆpost-coordination）。",
"requirements" : "知é“æ£åœ¨é€²è¡Œçš„是哪種檢驗檢查是ç†è§£æª¢é©—檢查的關éµ",
"alias" : [
"Name"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCode"
}
],
"strength" : "example",
"description" : "鼓勵使用[LOINCCodes](http://hl7.org/fhir/R4/valueset-observation-codes.html)值集ä¸çš„代碼，但ä¸å¼·åˆ¶ä¸€å®šè¦ä½¿ç”¨æ¤å€¼é›†ï¼Œä½ 也å¯ä½¿ç”¨å…¶ä»–值集的代碼或單純以文å—表示。",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.code.id",
"path" : "Observation.code.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一å¯è˜åˆ¥IDï¼Œä»¥ä¾›è³‡æ–™é …ç›®é–“ç›¸äº’åƒç…§ã€‚",
"definition" : "resourceä¸è³‡æ–™é …目的唯一ID（用於內部åƒç…§ï¼‰ã€‚這å¯ä»¥æ˜¯ä»»ä½•ä¸å«ç©ºæ ¼çš„å—串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.code.extension",
"path" : "Observation.code.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "æ“´å……çš„è³‡æ–™é …ç›®",
"definition" : "å¯ç”¨æ–¼è¡¨ç¤ºä¸å±¬æ–¼æ¤è³‡æ–™é …ç›®åŸºæœ¬å®šç¾©çš„é™„åŠ è³‡è¨Šã€‚ç‚ºäº†æ“´å……çš„ä½¿ç”¨å®‰å…¨å’Œå¯ç®¡ç†ï¼Œå°æ“´å……çš„å®šç¾©å’Œä½¿ç”¨æœ‰ä¸€å¥—åš´æ ¼çš„ç®¡ç†ã€‚儘管任何實作者都å¯ä»¥å®šç¾©ä¸€å€‹æ“´å……，但作為擴充定義的一部分，有一套è¦æ±‚ **å¿…é ˆï¼ˆSHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄å€ï¼Œä»»ä½•æ‡‰ç”¨ç¨‹å¼ã€å°ˆæ¡ˆæˆ–標準使用擴充都ä¸èƒŒè² 任何汙å（stigma）。使用擴充是å…許FHIRè¦ç¯„為æ¯å€‹äººä¿ç•™ä¸€å€‹æ ¸å¿ƒçš„簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Observation.code.coding",
"path" : "Observation.code.coding",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "system"
}
],
"rules" : "open"
},
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的åƒç…§ã€‚",
"comment" : "代碼å¯ä»¥åœ¨åˆ—舉清單（enumerations）或代碼清單（code lists）ä¸éžå¸¸éš¨æ„地定義，直至有éžå¸¸æ£å¼çš„定義，如SNOMED CT—更多資訊見HL7 v3æ ¸å¿ƒåŽŸå‰‡ï¼ˆCore Principles ）。編碼的排åºæ˜¯æœªå®šç¾©çš„å› è€Œ **å¿…é ˆæ²’æœ‰ï¼ˆSHALL NOT）** 被用來推斷æ„義。一般來說，最多åªæœ‰ä¸€å€‹ç·¨ç¢¼å€¼ï¼ˆcoding values）會被標記為UserSelected = true。",
"requirements" : "å…許使用者在ä¸çŸ¥é“è˜åˆ¥ç¢¼ç³»çµ±çš„情æ³ä¸‹åˆ©ç”¨è˜åˆ¥ç¢¼",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Observation.code.coding:LOINCObservationCode",
"path" : "Observation.code.coding",
"sliceName" : "LOINCObservationCode",
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的åƒç…§",
"comment" : "代碼å¯ä»¥åœ¨åˆ—舉清單（enumerations）或代碼清單（code lists）ä¸éžå¸¸éš¨æ„地定義，直至有éžå¸¸æ£å¼çš„定義，例如：SNOMED CT—更多資訊見HL7 v3æ ¸å¿ƒåŽŸå‰‡ï¼ˆCore Principles ）。編碼的排åºæ˜¯æœªå®šç¾©çš„å› è€Œ **å¿…é ˆæ²’æœ‰ï¼ˆSHALL NOT）** 被用來推斷æ„義。一般來說，最多åªæœ‰ä¸€å€‹ç·¨ç¢¼å€¼ï¼ˆcoding values）會被標記為UserSelected = true。",
"requirements" : "å…許代碼系統ä¸çš„替代編碼，以åŠç¿»è¯åˆ°å…¶ä»–編碼系統。",
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-observation-code-values"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.id",
"path" : "Observation.code.coding.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一å¯è˜åˆ¥IDï¼Œä»¥ä¾›è³‡æ–™é …ç›®é–“ç›¸äº’åƒç…§ã€‚",
"definition" : "resourceä¸è³‡æ–™é …目的唯一ID（用於內部åƒç…§ï¼‰ï¼Œé€™å¯ä»¥æ˜¯ä»»ä½•ä¸å«ç©ºæ ¼çš„å—串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.extension",
"path" : "Observation.code.coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "æ“´å……çš„è³‡æ–™é …ç›®",
"definition" : "å¯ç”¨æ–¼è¡¨ç¤ºä¸å±¬æ–¼æ¤è³‡æ–™é …ç›®åŸºæœ¬å®šç¾©çš„é™„åŠ è³‡è¨Šã€‚ç‚ºäº†æ“´å……çš„ä½¿ç”¨å®‰å…¨å’Œå¯ç®¡ç†ï¼Œå°æ“´å……çš„å®šç¾©å’Œä½¿ç”¨æœ‰ä¸€å¥—åš´æ ¼çš„ç®¡ç†ã€‚儘管任何實作者都å¯ä»¥å®šç¾©ä¸€å€‹æ“´å……，但作為擴充定義的一部分，有一套è¦æ±‚ **å¿…é ˆï¼ˆSHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄å€ï¼Œä»»ä½•æ‡‰ç”¨ç¨‹å¼ã€å°ˆæ¡ˆæˆ–標準使用擴充都ä¸èƒŒè² 任何污å（stigma）。使用擴充是å…許FHIRè¦ç¯„為æ¯å€‹äººä¿ç•™ä¸€å€‹æ ¸å¿ƒçš„簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.system",
"path" : "Observation.code.coding.system",
"short" : "專門術語系統（terminology system）的è˜åˆ¥",
"definition" : "定義代碼ä¸ç¬¦è™Ÿæ„義的代碼系統è˜åˆ¥",
"comment" : "URIå¯ä»¥æ˜¯ä¸€å€‹OID（urn:oid:...）或一個UUID（urn:uuid:...）；OIDå’ŒUUID **å¿…é ˆ(SHALL)** åƒç…§HL7 OID註冊ä¸å¿ƒï¼›å¦å‰‡ï¼ŒURI應該來自HL7çš„FHIR定義的特殊URI列表，或者它應該åƒç…§ä¸€äº›æ˜Žç¢ºå»ºç«‹çš„系统定義。",
"requirements" : "需è¦æ˜Žç¢ºèªªæ˜Žç¬¦è™Ÿå®šç¾©çš„來æº",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"patternUri" : "https://twidir.cdc.gov.tw/twidir/CodeSystem/twcdc-observation-code-values",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.version",
"path" : "Observation.code.coding.version",
"short" : "系統的版本—如果相關的話",
"definition" : "é¸æ“‡æ¤ä»£ç¢¼æ™‚使用的代碼系統版本；請注æ„，一個ç¶è·è‰¯å¥½çš„代碼系統ä¸éœ€è¦ç‰ˆæœ¬å ±å‘Šï¼Œå› 為代碼的æ„義在ä¸åŒç³»çµ±ç‰ˆæœ¬ä¸æ˜¯ä¸€è‡´çš„；然而，ä¸èƒ½å§‹çµ‚ä¿è‰é€™é»žï¼Œç•¶ä¸èƒ½ä¿è‰æ„義一致時， **å¿…é ˆ(SHALL)** 將版本資訊也一併作交æ›ã€‚",
"comment" : "如果專門術語沒有明確定義應該使用什麼å—串來è˜åˆ¥ä»£ç¢¼ç³»çµ±çš„版本，建è°ä½¿ç”¨ç‰ˆæœ¬æ£å¼ç™¼å¸ƒçš„日期（用FHIRæ—¥æœŸæ ¼å¼è¡¨ç¤ºï¼‰ä½œç‚ºç‰ˆæœ¬æ—¥æœŸã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.version",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.code",
"path" : "Observation.code.coding.code",
"short" : "系統定義的語法之符號",
"definition" : "系統定義的語法之符號；符號å¯èƒ½æ˜¯ä¸€å€‹é 先定義的代碼，也å¯èƒ½æ˜¯ä»£ç¢¼ç³»çµ±å®šç¾©çš„語法ä¸çš„表é”å¼ï¼ˆå¦‚後組åˆé…å°ï¼å¾Œçµ„åˆå¼ï¼‰ã€‚",
"requirements" : "需è¦åƒç…§ç³»çµ±ä¸çš„一個特定代碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.code.coding.display",
"short" : "由系統定義的表示法",
"definition" : "éµå¾ªç³»çµ±çš„è¦å‰‡ä»¥å‘ˆç¾ä»£ç¢¼å«ç¾©çš„表示法",
"requirements" : "需è¦èƒ½ç‚ºä¸äº†è§£æ¤ç³»çµ±çš„讀者呈ç¾å¯è®€çš„代碼å«ç¾©",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.userSelected",
"path" : "Observation.code.coding.userSelected",
"short" : "æ¤ç·¨ç¢¼æ˜¯å¦ç”±ä½¿ç”¨è€…直接é¸æ“‡ï¼Ÿ",
"definition" : "表明æ¤ç·¨ç¢¼æ˜¯ç”±ä½¿ç”¨è€…直接é¸æ“‡ï¼Œä¾‹å¦‚：從å¯ç”¨é …目（代碼或顯示å稱）的清單ä¸é¸æ“‡ã€‚",
"comment" : "在一系列備é¸æ–¹æ¡ˆä¸ï¼Œç›´æŽ¥é¸æ“‡çš„代碼是新翻è¯æœ€åˆé©çš„起點；關於「直接é¸æ“‡ã€çš„確切æ„義，å˜åœ¨æ¨¡ç³Šä¸æ¸…之處，å¯èƒ½éœ€è¦è²¿æ˜“夥伴的åŒæ„，以更完整澄清æ¤è³‡æ–™é …目的使用åŠå…¶å¾Œæžœã€‚",
"requirements" : "已被確定為一個臨床安全準則—æ¤ç¢ºåˆ‡çš„系統ï¼ä»£ç¢¼å°(code pair)是被明確é¸æ“‡çš„，而ä¸æ˜¯ç”±ç³»çµ±æ ¹æ“šä¸€äº›è¦å‰‡æˆ–是程å¼èªžè¨€è™•ç†åˆ¤æ–·ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id" : "Observation.code.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.code.text",
"short" : "概念的文å—表示法",
"definition" : "輸入資料的使用者所見ï¼æ‰€é¸ï¼æ‰€èªªçš„人類å¯è®€æ–‡å—表述，和（或）其代表使用者的é 期å«ç¾©ã€‚",
"comment" : "很多時候，æ¤æ–‡å—表述與其ä¸ä¸€å€‹ä»£ç¢¼çš„顯示å稱相åŒã€‚",
"requirements" : "專門術語ä¸çš„代碼並ä¸ç¸½æ˜¯èƒ½æ•æ‰äººé¡žä½¿ç”¨çš„細微差別的æ£ç¢ºæ„ç¾©ï¼Œæˆ–è€…æ ¹æœ¬å°±æ²’æœ‰åˆé©çš„代碼；這些情æ³ä¸‹ï¼Œæ–‡å—表述被用來æ•æ‰ä¾†æºçš„全部æ„義。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"short" : "檢驗檢查有關的å°è±¡åŠï¼ˆæˆ–）事物",
"definition" : "æ¤æª¢é©—檢查是關於一ä½ç—…人ã€ä¸€ç¾¤ç—…人ã€åœ°é»žã€æˆ–è¨å‚™ã€‚如果檢驗檢查的實際焦點與å°è±¡ï¼ˆæˆ–其樣本ã€å…¶éƒ¨åˆ†æˆ–å…¶å€åŸŸï¼‰ä¸åŒï¼Œå‰‡ç„¦é»žè³‡æ–™é …目或代碼本身會具體說明檢驗檢查的實際焦點。",
"comment" : "äººå€‘æœŸæœ›é€™å€‹è³‡æ–™é …ç›®çš„cardinality為1...1。唯一å¯èƒ½ç¼ºå°‘å°è±¡çš„情æ³æ˜¯ç•¶æª¢é©—檢查是由一個ä¸èªè˜ç—…人的è¨å‚™é€²è¡Œçš„。在這種情æ³ä¸‹ï¼Œæ‡‰é€éŽä¸€äº›æƒ…境ï¼é€šé“å°æ‡‰ï¼ˆcontextï¼channel matching）技術將檢驗檢查與病人å°æ‡‰ï¼Œæ¤æ™‚，應更新檢驗檢查資訊。",
"requirements" : "å¦‚æžœä½ ä¸çŸ¥é“他們是誰或關於什麼，檢驗檢查ä¸æœƒæœ‰å€¼ã€‚",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.subject",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twidir.cdc.gov.tw/twidir/StructureDefinition/patient-reporting"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "rim",
"map" : "participation[typeCode=RTGT]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "Observation.focus",
"path" : "Observation.focus",
"short" : "當檢驗檢查並éžæœ‰é—œæ–¼èˆ‡ç—…人本身，檢驗檢查是關於什麼。",
"definition" : "檢驗檢查的實際焦點，當它ä¸æ˜¯è¨˜éŒ„病人時，代表是與病人有關的事物或人，如é…å¶ã€çˆ¶æ¯ã€èƒŽå…’或æ贈者。例如：æ¯è¦ªçš„記錄ä¸æœ‰é—œèƒŽå…’檢驗檢查。檢驗檢查的焦點也å¯ä»¥æ˜¯ç¾æœ‰çš„ç‹€æ³ã€ç–¾ç—…或å•é¡Œï¼ˆcondition）ã€ä»‹å…¥ï¼ˆintervention）ã€æ¤å°è±¡çš„飲食ã€å°æ¤å°è±¡çš„å¦ä¸€é …檢驗檢查，或身體çµæ§‹åƒæ˜¯è…«ç˜¤æˆ–æ¤å…¥è£ç½®ã€‚有一個案例是使用Observation Resource來å–å¾—æ¯è¦ªæ˜¯å¦å·²æŽ¥å—æ›´æ›å¥¹çš„å°å©çš„氣管æ’管訓練之資訊，在這個例åä¸ï¼Œå©å是æ¤è¨˜éŒ„的病人，而æ¯è¦ªæ˜¯focus。",
"comment" : "通常檢驗檢查的å°è±¡æ˜¯ä¸€ä½ç—…人或一群病人ã€åœ°é»žæˆ–è¨å‚™ï¼Œæª¢é©—檢查å°è±¡èˆ‡ç›´æŽ¥æ¸¬é‡å…§å®¹ä¹‹é–“çš„å€åˆ¥åœ¨observation.code已具體說明（例如： 「血糖ã€ï¼‰ï¼Œä¸éœ€è¦ä½¿ç”¨é€™å€‹è³‡æ–™é …目（focus）單ç¨è¡¨ç¤ºã€‚如果需è¦åƒç…§æª¢é«”，則使用specimen，如果需è¦ä¸€å€‹ä»£ç¢¼è€Œä¸æ˜¯ä¸€å€‹resource，則使用bodysite來表示bodysites或標準擴充focusCode。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.focus",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "OBX-3"
},
{
"identity" : "rim",
"map" : "participation[typeCode=SBJ]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "Observation.encounter",
"path" : "Observation.encounter",
"short" : "檢驗檢查是哪一次就醫時執行的",
"definition" : "執行檢驗檢查的å¥åº·ç…§è·äº‹ä»¶ï¼ˆä¾‹å¦‚：病人åŠå¥åº·ç…§è·æ供人員的互動）",
"comment" : "這通常指檢驗檢查發生於哪次就醫，但有些檢驗檢查å¯èƒ½æ˜¯åœ¨å°±é†«å‰æˆ–就醫後發生，但ä»èˆ‡å°±é†«çš„情境有關（如入院å‰çš„實驗室檢驗檢查）。",
"requirements" : "å°æ–¼æŸäº›æª¢é©—檢查來說，知é“æŸå€‹æª¢é©—檢查和æŸå€‹ç‰¹å®šçš„就醫事件之間的連çµå¯èƒ½å¾ˆé‡è¦ã€‚",
"alias" : [
"Context"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "w5",
"map" : "FiveWs.context"
},
{
"identity" : "v2",
"map" : "PV1"
},
{
"identity" : "rim",
"map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
},
{
"id" : "Observation.effective[x]",
"path" : "Observation.effective[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "closed"
},
"short" : "檢驗檢查執行日期或時間å€é–“",
"definition" : "宣告檢驗檢查值的產出時間或時間å€æ®µæ˜¯çœŸçš„。å°æ–¼ç”Ÿç‰©å¸ç ”究å°è±¡â€”例如病人—這通常被稱為「生ç†ç›¸é—œæ™‚é–“ã€ã€‚這通常是處置的時間或採樣的時間，但很多時候ä¸çŸ¥é“日期或時間的來æºï¼ŒåªçŸ¥é“日期或時間本身。",
"comment" : "除éžé€™æ˜¯ä¸€ä»½æª¢é©—檢查的æ·å²å ±å‘Šï¼Œå¦å‰‡è‡³å°‘應該有一個日期。為了記錄ä¸ç²¾ç¢ºæˆ–「模煳ã€çš„時間（例如：測é‡ã€Œæ—©é¤å¾Œ ã€è¡€ç³–），使用Timing datatype以å…許測é‡èƒ½èˆ‡å¸¸è¦ç”Ÿæ´»äº‹ä»¶é€£çµã€‚",
"requirements" : "知é“ä¸€é …æª¢é©—æª¢æŸ¥ä½•æ™‚è¢«èªç‚ºæ˜¯çœŸçš„，å°å…¶ç›¸é—œæ€§å’Œç¢ºå®šè¶¨å‹¢éƒ½å¾ˆé‡è¦ã€‚",
"alias" : [
"Occurrence"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.effective[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.done[x]"
},
{
"identity" : "v2",
"map" : "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"
},
{
"identity" : "rim",
"map" : "effectiveTime"
}
]
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effective[x]",
"sliceName" : "effectiveDateTime",
"short" : "疾病檢驗çµæžœæ—¥æœŸèˆ‡æ™‚é–“",
"definition" : "宣告檢驗檢查值的產出時間或時間å€æ®µæ˜¯çœŸçš„。å°æ–¼ç”Ÿç‰©å¸ç ”究å°è±¡â€”例如病人—這通常被稱為「生ç†ç›¸é—œæ™‚é–“ã€ã€‚這通常是處置的時間或採樣的時間，但很多時候ä¸çŸ¥é“日期或時間的來æºï¼ŒåªçŸ¥é“日期或時間本身。",
"comment" : "除éžé€™æ˜¯ä¸€ä»½æª¢é©—檢查的æ·å²å ±å‘Šï¼Œå¦å‰‡è‡³å°‘應該有一個日期。為了記錄ä¸ç²¾ç¢ºæˆ–「模煳ã€çš„時間（例如：測é‡ã€Œæ—©é¤å¾Œ ã€è¡€ç³–），使用Timing datatype以å…許測é‡èƒ½èˆ‡å¸¸è¦ç”Ÿæ´»äº‹ä»¶é€£çµã€‚",
"requirements" : "知é“ä¸€é …æª¢é©—æª¢æŸ¥ä½•æ™‚è¢«èªç‚ºæ˜¯çœŸçš„，å°å…¶ç›¸é—œæ€§å’Œç¢ºå®šè¶¨å‹¢éƒ½å¾ˆé‡è¦ã€‚",
"alias" : [
"Occurrence"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.effective[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.done[x]"
},
{
"identity" : "v2",
"map" : "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"
},
{
"identity" : "rim",
"map" : "effectiveTime"
}
]
},
{
"id" : "Observation.issued",
"path" : "Observation.issued",
"short" : "æ¤ç‰ˆæœ¬æª¢é©—檢查完æˆçš„日期或時間",
"definition" : "æ¤ç‰ˆæœ¬çš„檢驗檢查資訊å¯ä¾›å¥åº·ç…§è·æ供人員å–得的日期和時間，通常是在çµæžœè¢«å¯©æŸ¥èˆ‡æ ¸å¯¦ä¹‹å¾Œã€‚",
"comment" : "å°æ–¼ä¸éœ€è¦å¯©æŸ¥å’Œæ ¸å¯¦çš„檢驗檢查值，發佈日期時間å¯èƒ½èˆ‡resource本身的最後更新日期時間相åŒã€‚å°æ–¼éœ€è¦å°æŸäº›æ›´æ–°é€²è¡Œå¯©æŸ¥å’Œæ ¸å¯¦çš„檢驗檢查，若為éžè‡¨åºŠä¸Šçš„é‡è¦æ›´æ–°å‰‡ä¸éœ€è¦å°æ–°ç‰ˆæœ¬é€²è¡Œå†æ¬¡å¯©æŸ¥å’Œé©—è‰ï¼Œæ‰€ä»¥ç™¼ä½ˆæ—¥æœŸæ™‚é–“å¯èƒ½èˆ‡resource本身的最後更新日期時間ä¸ä¸€æ¨£ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.issued",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "instant"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.recorded"
},
{
"identity" : "v2",
"map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
},
{
"identity" : "rim",
"map" : "participation[typeCode=AUT].time"
}
]
},
{
"id" : "Observation.performer",
"path" : "Observation.performer",
"short" : "èª°è² è²¬é€™é …æª¢é©—æª¢æŸ¥",
"definition" : "èª°è² è²¬å®£å‘Šæª¢é©—æª¢æŸ¥çµæžœå€¼ç‚ºã€ŒçœŸçš„ã€",
"requirements" : "å¯ä»¥å°æ¤æª¢é©—檢查有一定程度的信任，並指出後續å•é¡Œçš„æ–¹å‘。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://hl7.org/fhir/StructureDefinition/CareTeam"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "v2",
"map" : "OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"
},
{
"identity" : "rim",
"map" : "participation[typeCode=PRF]"
}
]
},
{
"id" : "Observation.value[x]",
"path" : "Observation.value[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "檢驗檢查的實際çµæžœ",
"definition" : "如果æ¤è³‡è¨Šæœ‰ä¸€å€‹ç°¡å–®çš„值，則將其作為æ¤é …檢驗檢查的çµæžœã€‚",
"comment" : "ä¸€é …æª¢é©—æª¢æŸ¥å¯èƒ½æœ‰ï¼š1）單一值ã€2）一個值åŠä¸€çµ„相關或組æˆä¹‹æª¢é©—檢查的多個值ã€æˆ–者3）åªæœ‰ä¸€çµ„相關或組æˆä¹‹æª¢é©—æª¢æŸ¥çš„å¤šå€‹å€¼ã€‚å¦‚æžœæœ‰ä¸€å€‹å€¼ï¼Œé€™å€‹è³‡æ–™é …ç›®çš„datatype應該由Observation.codeæ±ºå®šã€‚å¦‚æžœé€™å€‹è³‡æ–™é …ç›®æ˜¯ç·¨ç¢¼æˆ–è€…å¦‚æžœèˆ‡Observation.code相關的type定義一個編碼值，那麼將使用åªæœ‰æ–‡å—表述的CodeableConcept來代替å—串。若需è¦æ›´å¤šçš„說明，請åƒé–±ä¸‹é¢Noteså°ç¯€ã€‚",
"requirements" : "é€šå¸¸ä¸€é …æª¢é©—æª¢æŸ¥å°±æœƒæœ‰ä¸€å€‹å€¼ï¼Œé›–ç„¶è‹¥å®ƒæœ‰éŒ¯èª¤æˆ–è€…å®ƒä»£è¡¨ä¸€çµ„æª¢é©—æª¢æŸ¥å¯èƒ½ä¸æœƒæœ‰å€¼ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
},
{
"code" : "CodeableConcept"
},
{
"code" : "string"
},
{
"code" : "boolean"
},
{
"code" : "integer"
},
{
"code" : "Range"
},
{
"code" : "Ratio"
},
{
"code" : "SampledData"
},
{
"code" : "time"
},
{
"code" : "dateTime"
},
{
"code" : "Period"
}
],
"condition" : [
"obs-7"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 441742003 |Evaluation finding|"
},
{
"identity" : "v2",
"map" : "OBX.2, OBX.5, OBX.6"
},
{
"identity" : "rim",
"map" : "value"
},
{
"identity" : "sct-attr",
"map" : "363714003 |Interprets|"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity",
"path" : "Observation.value[x]",
"sliceName" : "valueQuantity",
"short" : "血清å¸æ¸¬é‡å–®ä½ï¼Œç•¶category=67922002(血清)且檢驗疾病的LOINC Code=99999時，æ¤æ¬„ä½å‰‡ç‚ºå¿…å¡«",
"definition" : "如果æ¤è³‡è¨Šæœ‰ä¸€å€‹ç°¡å–®çš„值，則將其作為æ¤é …檢驗檢查的çµæžœã€‚",
"comment" : "ä¸€é …æª¢é©—æª¢æŸ¥å¯èƒ½æœ‰ï¼š1）單一值ã€2）一個值åŠä¸€çµ„相關或組æˆä¹‹æª¢é©—檢查的多個值ã€æˆ–者3）åªæœ‰ä¸€çµ„相關或組æˆä¹‹æª¢é©—æª¢æŸ¥çš„å¤šå€‹å€¼ã€‚å¦‚æžœæœ‰ä¸€å€‹å€¼ï¼Œé€™å€‹è³‡æ–™é …ç›®çš„datatype應該由Observation.codeæ±ºå®šã€‚å¦‚æžœé€™å€‹è³‡æ–™é …ç›®æ˜¯ç·¨ç¢¼æˆ–è€…å¦‚æžœèˆ‡Observation.code相關的type定義一個編碼值，那麼將使用åªæœ‰æ–‡å—表述的CodeableConcept來代替å—串。若需è¦æ›´å¤šçš„說明，請åƒé–±ä¸‹é¢Noteså°ç¯€ã€‚",
"requirements" : "é€šå¸¸ä¸€é …æª¢é©—æª¢æŸ¥å°±æœƒæœ‰ä¸€å€‹å€¼ï¼Œé›–ç„¶è‹¥å®ƒæœ‰éŒ¯èª¤æˆ–è€…å®ƒä»£è¡¨ä¸€çµ„æª¢é©—æª¢æŸ¥å¯èƒ½ä¸æœƒæœ‰å€¼ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
}
],
"condition" : [
"obs-7"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 441742003 |Evaluation finding|"
},
{
"identity" : "v2",
"map" : "OBX.2, OBX.5, OBX.6"
},
{
"identity" : "rim",
"map" : "value"
},
{
"identity" : "sct-attr",
"map" : "363714003 |Interprets|"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.id",
"path" : "Observation.value[x].id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.extension",
"path" : "Observation.value[x].extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.value",
"path" : "Observation.value[x].value",
"short" : "Numerical value (with implicit precision)",
"definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
"comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
"requirements" : "Precision is handled implicitly in almost all cases of measurement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "SN.2 / CQ - N/A"
},
{
"identity" : "rim",
"map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.comparator",
"path" : "Observation.value[x].comparator",
"short" : "< | <= | >= | > - how to understand the value",
"definition" : "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.",
"requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.comparator",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"meaningWhenMissing" : "If there is no comparator, then there is no modification of the value",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "QuantityComparator"
}
],
"strength" : "required",
"description" : "How the Quantity should be understood and represented.",
"valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"
},
"mapping" : [
{
"identity" : "v2",
"map" : "SN.1 / CQ.1"
},
{
"identity" : "rim",
"map" : "IVL properties"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.unit",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.value[x].unit",
"short" : "Unit representation",
"definition" : "A human-readable form of the unit.",
"requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.unit",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "(see OBX.6 etc.) / CQ.2"
},
{
"identity" : "rim",
"map" : "PQ.unit"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.system",
"path" : "Observation.value[x].system",
"short" : "System that defines coded unit form",
"definition" : "The identification of the system that provides the coded form of the unit.",
"requirements" : "Need to know the system that defines the coded form of the unit.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://unitsofmeasure.org",
"condition" : [
"qty-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "(see OBX.6 etc.) / CQ.2"
},
{
"identity" : "rim",
"map" : "CO.codeSystem, PQ.translation.codeSystem"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity.code",
"path" : "Observation.value[x].code",
"short" : "Coded form of the unit",
"definition" : "A computer processable form of the unit in some unit representation system.",
"comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.",
"requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Quantity.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "(see OBX.6 etc.) / CQ.2"
},
{
"identity" : "rim",
"map" : "PQ.code, MO.currency, PQ.translation.code"
}
]
},
{
"id" : "Observation.dataAbsentReason",
"path" : "Observation.dataAbsentReason",
"short" : "缺少檢驗檢查çµæžœçš„åŽŸå› ",
"definition" : "æä¾›è³‡æ–™é …ç›®Observation.value[x]ä¸çš„é æœŸå€¼ç¼ºå°‘çš„åŽŸå› ",
"comment" : "空值（Null）或例外值å¯ä»¥åœ¨FHIR Observationsä¸ä»¥å…©ç¨®æ–¹å¼è¡¨ç¤ºï¼Œä¸€ç¨®æ–¹æ³•æ˜¯ç°¡å–®åœ°å°‡å®ƒå€‘å«æ‹¬åœ¨å€¼é›†ä¸ï¼Œä¸¦åœ¨å€¼ä¸è¡¨ç¤ºä¾‹å¤–。例如：血清檢測的測é‡å€¼å¯ä»¥æ˜¯ã€Œæª¢æ¸¬åˆ°ã€ã€ã€Œæœªæª¢æ¸¬åˆ°ã€ã€ã€Œä¸ç¢ºå®šã€æˆ–「檢測未完æˆã€ã€‚\r\n\r\nå¦ä¸€ç¨®æ–¹æ³•æ˜¯ä½¿ç”¨è³‡æ–™é …ç›®value呈ç¾å¯¦éš›æª¢é©—æª¢æŸ¥å€¼ï¼Œä¸¦ä½¿ç”¨è³‡æ–™é …ç›®dataAbsentReason來明確記錄例外值。例如：當測é‡æ²’有完æˆï¼Œå¯ä½¿ç”¨dataAbsentReason代碼「errorã€ã€‚請注æ„，åªæœ‰åœ¨æœ‰å€¼çš„情æ³ä¸‹ï¼Œæ‰å¯ä»¥å ±å‘Šæª¢é©—檢查。例如：åªæœ‰åœ¨>0的情æ³ä¸‹æ‰å¯èƒ½å ±å‘Šç´°èƒžè¨ˆæ•¸çš„差值。由於有這些é¸é …，所以需è¦æœ‰ä½¿ç”¨æ¡ˆä¾‹å”è°ï¼ˆuse-case agreements）來解釋一般檢驗檢查的例外值。",
"requirements" : "å°æ–¼è¨±å¤šçµæžœï¼Œå¿…é ˆè™•ç†æ¸¬é‡ä¸çš„異常值。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.dataAbsentReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationValueAbsentReason"
}
],
"strength" : "extensible",
"description" : "代碼具體說明檢驗檢查çµæžœç¼ºå°‘çš„åŽŸå› ï¼›æ‡‰å¡«å…¥[DataAbsentReason](http://hl7.org/fhir/R4/valueset-data-absent-reason.html)值集ä¸é©åˆçš„代碼，確定無é©åˆçš„代碼æ‰å¯ä»¥ä½¿ç”¨å…¶ä»–值集的代碼來表示。",
"valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.interpretation",
"path" : "Observation.interpretation",
"short" : "高ã€ä½Žã€æ£å¸¸ç‰",
"definition" : "å°ä¸€é …檢驗檢查值的分類評估，例如：高ã€ä½Žã€æ£å¸¸ã€‚",
"comment" : "æ·å²ä¸Šç”¨æ–¼å¯¦é©—室çµæžœã€è¢«ç¨±ç‚º 「異常標記（abnormal flag）ã€ã€‘，它的使用延伸到其他與編碼解釋有關的使用情æ³ä¸ã€‚é€šå¸¸å ±å‘Šç‚ºä¸€å€‹æˆ–å¤šå€‹ç°¡å–®çš„ç·Šå¯†ç¢¼ï¼ˆcompact code，一種å¯ä»¥è§£è¯ä¸”具有最å°å¹³å‡å—é•·çš„å”¯ä¸€è³‡æ–™ä»£ç¢¼ï¼‰ï¼Œé€™å€‹è³‡æ–™é …ç›®ç¶“å¸¸è¢«æ”¾ç½®åœ¨å ±å‘Šå’Œæµç¨‹è¡¨çš„çµæžœå€¼çš„æ—邊，以表示çµæžœçš„æ„義或æ£å¸¸ç‹€æ…‹ã€‚",
"requirements" : "å°æ–¼æŸäº›çµæžœï¼Œç‰¹åˆ¥æ˜¯æ•¸å€¼çµæžœï¼Œéœ€æœ‰ä¸€å€‹è§£é‡‹ä»¥ä¾¿å®Œå…¨ç†è§£çµæžœä¹‹æ„義。",
"alias" : [
"Abnormal Flag"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.interpretation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-testresult-values"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.note",
"path" : "Observation.note",
"short" : "關於æ¤æª¢é©—檢查之解說",
"definition" : "關於檢驗檢查或çµæžœçš„解說",
"comment" : "å¯åŒ…括關於檢驗檢查的一般陳述，或關於é‡è¦çš„ã€éžé 期的或ä¸å¯é çš„çµæžœå€¼çš„é™³è¿°ï¼Œæˆ–èˆ‡è³‡æ–™é …ç›®interpretation有關的來æºè³‡è¨Šã€‚",
"requirements" : "需能æ供純文å—è¡¨è¿°çš„é™„åŠ è³‡è¨Š",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
},
{
"identity" : "rim",
"map" : "subjectOf.observationEvent[code=\"annotation\"].value"
}
]
},
{
"id" : "Observation.bodySite",
"path" : "Observation.bodySite",
"short" : "接å—檢驗檢查的身體部ä½ã€‚æ¤ç‚ºSNOMED CT代碼，若機構已有購買相關授權，亦å¯ä½¿ç”¨ã€‚",
"definition" : "表示在檢驗檢查å°è±¡èº«ä¸Šé€²è¡Œæª¢é©—檢查的部ä½ï¼ˆå³ç›®æ¨™éƒ¨ä½ï¼‰",
"comment" : "åªæœ‰åœ¨Observation.codeä¸çš„代碼未隱å«æ™‚æ‰æœƒä½¿ç”¨ã€‚在許多系統ä¸ï¼Œé€™å¯èƒ½è¢«è¡¨ç¤ºç‚ºä¸€å€‹ç›¸é—œçš„檢驗檢查，而ä¸æ˜¯ä¸€å€‹è¡Œå…§çš„組æˆä¹‹æª¢é©—檢查（inline component）。\r\n\r\n如果使用案例（use-case）è¦æ±‚å°‡BodySite作為一個單ç¨çš„resource來處ç†ï¼ˆä¾‹å¦‚：單ç¨æŒ‡æ˜Žå’Œè¿½è¸ªï¼‰ï¼Œé‚£éº¼å°±ä½¿ç”¨æ¨™æº–çš„è³‡æ–™é …ç›®æ“´å……æ–¹å¼ä¾†æ“´å……bodySite。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.bodySite",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}
],
"strength" : "example",
"description" : "代碼說明解剖å¸ä½ç½®ï¼Œå¯èƒ½åŒ…å«å´é‚Šï¼›å¯åƒè€ƒ[SNOMEDCTBodyStructures](http://hl7.org/fhir/R4/valueset-body-site.html)值集，但æ¤å€¼é›†åªæ˜¯é‡å°é€™å€‹æ¬„ä½çš„一個å¯èƒ½å€¼çš„範例，ä¸é 期也ä¸é¼“勵使用者一定è¦ä½¿ç”¨æ¤å€¼é›†çš„代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.method",
"path" : "Observation.method",
"short" : "æª¢é©—æ–¹æ³•ç´°é …ä»£ç¢¼ï¼Œç•¶æª¢é©—ç–¾ç—…çš„LOINC Code=99999時，æ¤æ¬„ä½ç‚ºå‰‡å¿…å¡«",
"definition" : "指明用於執行檢驗檢查的機制",
"comment" : "åªæœ‰åœ¨Observation.codeä¸çš„代碼未隱å«æ¤è³‡æ–™é …目概念時æ‰æœƒä½¿ç”¨ã€‚",
"requirements" : "在æŸäº›æƒ…æ³ä¸‹ï¼Œæ–¹æ³•æœƒå½±éŸ¿çµæžœï¼Œå› æ¤ç”¨æ–¼ç¢ºèªçµæžœæ˜¯å¦å¯ä»¥æ¯”較或確èªçµæžœçš„顯著性（significance）。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.method",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/loinc-method-details-values"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.specimen",
"path" : "Observation.specimen",
"short" : "æ¤æª¢é©—檢查的檢體",
"definition" : "é€²è¡Œé€™é …æª¢é©—æª¢æŸ¥æ™‚ä½¿ç”¨çš„æª¢é«”",
"comment" : "åªæœ‰åœ¨Observation.codeä¸çš„代碼未隱å«æ¤è³‡æ–™é …目概念時æ‰æœƒä½¿ç”¨ã€‚\r\n檢驗檢查ä¸æ˜¯é‡å°æª¢é«”本身進行，而是é‡å°å°è±¡ï¼Œä½†åœ¨å¾ˆå¤šæƒ…æ³ä¸‹æ˜¯é€éŽæª¢é«”çš„æ–¹å¼é€²è¡Œæª¢é©—檢查。請注æ„，雖然經常涉åŠåˆ°æª¢é«”，但並ä¸ç¸½æ˜¯æ˜Žç¢ºåœ°å°å…¶é€²è¡Œè¿½è¸ªå’Œå ±å‘Šã€‚é‚„è¦æ³¨æ„的是Observation resourceså¯åœ¨æ˜Žç¢ºè¿½è¸ªæª¢é«”的情境下使用（例如：Diagnostic Report）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.specimen",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twidir.cdc.gov.tw/twidir/StructureDefinition/specimen-reporting"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 123038009 |Specimen|"
},
{
"identity" : "v2",
"map" : "SPM segment"
},
{
"identity" : "rim",
"map" : "participation[typeCode=SPC].specimen"
},
{
"identity" : "sct-attr",
"map" : "704319004 |Inherent in|"
}
]
},
{
"id" : "Observation.device",
"path" : "Observation.device",
"short" : "（測é‡ï¼‰è¨å‚™",
"definition" : "用於產生檢驗檢查資料的è¨å‚™",
"comment" : "請注æ„，這ä¸æ˜¯ç”¨ä¾†è¡¨ç¤ºçµæžœå‚³è¼¸çš„è¨å‚™ï¼Œä¾‹å¦‚：閘é“器（gateway）ç‰å¯åœ¨ç›¸é—œæƒ…æ³ä¸‹ä½¿ç”¨ Provenance resource進行記錄。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.device",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twidir.cdc.gov.tw/twidir/StructureDefinition/device-reporting"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 49062001 |Device|"
},
{
"identity" : "v2",
"map" : "OBX-17 / PRT -10"
},
{
"identity" : "rim",
"map" : "participation[typeCode=DEV]"
},
{
"identity" : "sct-attr",
"map" : "424226004 |Using device|"
}
]
},
{
"id" : "Observation.referenceRange",
"path" : "Observation.referenceRange",
"short" : "解釋çµæžœå€¼çš„指引。\r\nobs-3ï¼šå¿…é ˆè‡³å°‘æœ‰ä½Žã€é«˜æˆ–æ–‡å—表述。",
"definition" : "指導如何é€éŽèˆ‡æ£å¸¸æˆ–建è°ç¯„åœå€¼çš„比較來解釋æ¤å€¼ã€‚多個åƒè€ƒç¯„åœå€¼ä»¥ã€ŒORã€è§£é‡‹ã€‚æ›å¥è©±èªªï¼Œç‚ºäº†ä»£è¡¨å…©å€‹ä¸åŒçš„目標人群，將使用兩個referenceRangeè³‡æ–™é …ç›®ã€‚",
"comment" : "大多數檢驗檢查åªæœ‰ä¸€å€‹é€šç”¨çš„åƒè€ƒç¯„åœå€¼ã€‚系統 **å¯èƒ½å¯ä»¥ï¼ˆMAY）** é¸æ“‡é™åˆ¶åªæ供病人的相關åƒè€ƒç¯„åœå€¼ï¼ˆä¾‹å¦‚：具體的病人年齡ã€æ€§åˆ¥ã€é«”é‡å’Œå…¶ä»–å› ç´ ï¼‰ï¼Œä½†é€™å¯èƒ½æ˜¯ä¸å¯èƒ½çš„或也ä¸åˆé©ã€‚åªè¦æ供了一個以上的åƒè€ƒç¯„åœå€¼ï¼Œå°± **建è°æ‡‰è©²ï¼ˆSHOULD）** æä¾›ä¸åŒå¹´é½¡çš„åƒè€ƒç¯„åœå€¼å·®ç•°ã€‚",
"requirements" : "知é“什麼值被èªç‚ºæ˜¯ã€Œæ£å¸¸çš„ã€ï¼Œå¯ä»¥å¹«åŠ©è©•ä¼°æŸä¸€ç‰¹å®šçµæžœçš„æ„義。需è¦èƒ½å¤ 為ä¸åŒçš„情境æ供多個åƒè€ƒç¯„åœå€¼ã€‚",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.referenceRange",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "obs-3",
"severity" : "error",
"human" : "Must have at least a low or a high or text",
"expression" : "low.exists() or high.exists() or text.exists()",
"xpath" : "(exists(f:low) or exists(f:high)or exists(f:text))",
"source" : "http://hl7.org/fhir/StructureDefinition/Observation"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX.7"
},
{
"identity" : "rim",
"map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Observation.referenceRange.id",
"path" : "Observation.referenceRange.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一å¯è˜åˆ¥IDï¼Œä»¥ä¾›è³‡æ–™é …ç›®é–“ç›¸äº’åƒç…§ã€‚",
"definition" : "resourceä¸è³‡æ–™é …目的唯一ID（用於內部åƒç…§ï¼‰ã€‚這å¯ä»¥æ˜¯ä»»ä½•ä¸å«ç©ºæ ¼çš„å—串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.referenceRange.extension",
"path" : "Observation.referenceRange.extension",
"short" : "æ“´å……çš„è³‡æ–™é …ç›®",
"definition" : "å¯ç”¨æ–¼è¡¨ç¤ºä¸å±¬æ–¼æ¤è³‡æ–™é …ç›®åŸºæœ¬å®šç¾©çš„é™„åŠ è³‡è¨Šã€‚ç‚ºäº†æ“´å……çš„ä½¿ç”¨å®‰å…¨å’Œå¯ç®¡ç†ï¼Œå°æ“´å……çš„å®šç¾©å’Œä½¿ç”¨æœ‰ä¸€å¥—åš´æ ¼çš„ç®¡ç†ã€‚儘管任何實作者都å¯ä»¥å®šç¾©ä¸€å€‹æ“´å……，但作為擴充定義的一部分，有一套è¦æ±‚ **å¿…é ˆï¼ˆSHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄å€ï¼Œä»»ä½•æ‡‰ç”¨ç¨‹å¼ã€å°ˆæ¡ˆæˆ–標準使用擴充都ä¸èƒŒè² 任何污å（stigma）。使用擴充是å…許FHIRè¦ç¯„為æ¯å€‹äººä¿ç•™ä¸€å€‹æ ¸å¿ƒçš„簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Observation.referenceRange.modifierExtension",
"path" : "Observation.referenceRange.modifierExtension",
"short" : "æ¤æ“´å……çš„è³‡æ–™é …ç›®å¯èƒ½æœƒå®Œå…¨ä¿®æ£æˆ–æ”¹è®Šå…¶ä»–è³‡æ–™é …ç›®çš„æ„涵，需特別留æ„。",
"definition" : "å¯ä»¥ç”¨ä¾†è¡¨ç¤ºä¸å±¬æ–¼è³‡æ–™é …ç›®çš„åŸºæœ¬å®šç¾©çš„é™„åŠ è³‡è¨Šï¼Œä¸¦ä¸”ä¿®æ”¹å°å®ƒæ‰€å…§åµŒï¼ˆcontainedï¼‰çš„è³‡æ–™é …ç›®çš„ç†è§£å’Œï¼ˆæˆ–）å°åŒ…å«è³‡æ–™é …目之後續使用的ç†è§£ã€‚é€šå¸¸ï¼Œä¿®é£¾ç”¨çš„è³‡æ–™é …ç›®æä¾›å¦å®šæˆ–é™å®šã€‚為了使擴充的使用安全和å¯ç®¡ç†ï¼Œå°æ“´å……çš„å®šç¾©å’Œä½¿ç”¨æœ‰ä¸€å¥—åš´æ ¼çš„ç®¡ç†ã€‚儘管任何實作者都å¯ä»¥å®šç¾©ä¸€å€‹æ“´å……，但作為擴充定義的一部分，有一套è¦æ±‚ **å¿…é ˆï¼ˆSHALL）** 滿足。處ç†resource的應用程å¼è¢«è¦æ±‚æª¢æŸ¥ä¿®é£¾ç”¨çš„æ“´å……è³‡æ–™é …ç›®ã€‚ \r\nä¿®é£¾ç”¨çš„æ“´å……è³‡æ–™é …ç›® **å¿…é ˆæ²’æœ‰ï¼ˆSHALL NOT）** 改變resource或DomainResourceä¸Šä»»ä½•è³‡æ–™é …ç›®çš„å«ç¾©ï¼ˆåŒ…括ä¸èƒ½æ”¹è®ŠmodifierExtension本身的å«ç¾©ï¼‰ã€‚",
"comment" : "無論使用或定義擴充的機構或管轄å€ï¼Œä»»ä½•æ‡‰ç”¨ç¨‹å¼ã€å°ˆæ¡ˆæˆ–標準使用擴充都ä¸èƒŒè² 任何污å（stigma）。使用擴充是å…許FHIRè¦ç¯„為æ¯å€‹äººä¿ç•™ä¸€å€‹æ ¸å¿ƒçš„簡易性。",
"requirements" : "ä¿®é£¾ç”¨çš„è³‡æ–™é …ç›®æ“´å……å°‡ä¸èƒ½å®‰å…¨åœ°å¿½ç•¥çš„擴充與絕大多數å¯ä»¥å®‰å…¨åœ°å¿½ç•¥çš„擴充明確å€åˆ†é–‹ä¾†ã€‚é€éŽæ¶ˆé™¤ç¦æ¢å¯¦ä½œè€…æ“´å……å˜åœ¨çš„需求來促進å¯äº’æ“作性。更多訊æ¯ï¼Œè«‹åƒè¦‹[ä¿®é£¾ç”¨çš„è³‡æ–™é …ç›®æ“´å……ä¹‹å®šç¾©](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true
},
{
"id" : "Observation.referenceRange.low",
"path" : "Observation.referenceRange.low",
"short" : "åƒè€ƒç¯„åœå€¼çš„下é™å€¼ï¼Œå¦‚果相關。",
"definition" : "åƒè€ƒç¯„åœå€¼çš„下é™å€¼ã€‚åƒè€ƒç¯„åœå€¼endpoint的下é™å€¼åŒ…å«åœ¨æ¤å€¼ä¸ï¼ˆä¾‹å¦‚：åƒè€ƒç¯„åœå€¼æ˜¯>=5 - <=9）。如果çœç•¥ä¸‹é™å€¼ï¼Œå‰‡è¢«èªç‚ºæ˜¯æ²’有æ„義的（例如：åƒè€ƒç¯„åœå€¼æ˜¯<=2.3）。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.low",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"condition" : [
"obs-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX-7"
},
{
"identity" : "rim",
„版本，建è°ä½¿ç”¨ç‰ˆæœ¬æ£å¼ç™¼å¸ƒçš„日期（用FHIRæ—¥æœŸæ ¼å¼è¡¨ç¤ºï¼‰ä½œç‚ºç‰ˆæœ¬æ—¥æœŸã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.version",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Observation.component.code.coding:TWLaboratoryCategory.code",
"path" : "Observation.component.code.coding.code",
"short" : "系統定義的語法之符號",
"definition" : "系統定義的語法之符號；符號å¯èƒ½æ˜¯ä¸€å€‹é 先定義的代碼，也å¯èƒ½æ˜¯ä»£ç¢¼ç³»çµ±å®šç¾©çš„語法ä¸çš„表é”å¼ï¼ˆå¦‚後組åˆé…å°ï¼å¾Œçµ„åˆå¼ï¼‰ã€‚",
"requirements" : "需è¦åƒç…§ç³»çµ±ä¸çš„一個特定代碼",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Observation.component.code.coding:TWLaboratoryCategory.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.component.code.coding.display",
"short" : "由系統定義的表示法",
"definition" : "éµå¾ªç³»çµ±çš„è¦å‰‡ä»¥å‘ˆç¾ä»£ç¢¼å«ç¾©çš„表示法",
"requirements" : "需è¦èƒ½ç‚ºä¸äº†è§£æ¤ç³»çµ±çš„讀者呈ç¾å¯è®€çš„代碼å«ç¾©",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Observation.component.code.coding:TWLaboratoryCategory.userSelected",
"path" : "Observation.component.code.coding.userSelected",
"short" : "æ¤ç·¨ç¢¼æ˜¯å¦ç”±ä½¿ç”¨è€…直接é¸æ“‡ï¼Ÿ",
"definition" : "表明æ¤ç·¨ç¢¼æ˜¯ç”±ä½¿ç”¨è€…直接é¸æ“‡ï¼Œä¾‹å¦‚：從å¯ç”¨é …目（代碼或顯示å稱）的清單ä¸é¸æ“‡ã€‚",
"comment" : "在一系列備é¸æ–¹æ¡ˆä¸ï¼Œç›´æŽ¥é¸æ“‡çš„代碼是新翻è¯æœ€åˆé©çš„起點；關於「直接é¸æ“‡ã€çš„確切æ„義，å˜åœ¨æ¨¡ç³Šä¸æ¸…之處，å¯èƒ½éœ€è¦è²¿æ˜“夥伴的åŒæ„，以更完整澄清æ¤è³‡æ–™é …目的使用åŠå…¶å¾Œæžœã€‚",
"requirements" : "已被確定為一個臨床安全準則—æ¤ç¢ºåˆ‡çš„系統ï¼ä»£ç¢¼å°(code pair)是被明確é¸æ“‡çš„，而ä¸æ˜¯ç”±ç³»çµ±æ ¹æ“šä¸€äº›è¦å‰‡æˆ–是程å¼èªžè¨€è™•ç†åˆ¤æ–·ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id" : "Observation.component.code.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Observation.component.code.text",
"short" : "概念的文å—表示法",
"definition" : "輸入資料的使用者所見ï¼æ‰€é¸ï¼æ‰€èªªçš„人類å¯è®€æ–‡å—表述，和（或）其代表使用者的é 期å«ç¾©ã€‚",
"comment" : "很多時候，æ¤æ–‡å—表述與其ä¸ä¸€å€‹ä»£ç¢¼çš„顯示å稱相åŒã€‚",
"requirements" : "專門術語ä¸çš„代碼並ä¸ç¸½æ˜¯èƒ½æ•æ‰äººé¡žä½¿ç”¨çš„細微差別的æ£ç¢ºæ„ç¾©ï¼Œæˆ–è€…æ ¹æœ¬å°±æ²’æœ‰åˆé©çš„代碼；這些情æ³ä¸‹ï¼Œæ–‡å—表述被用來æ•æ‰ä¾†æºçš„全部æ„義。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Observation.component.value[x]",
"path" : "Observation.component.value[x]",
"short" : "組æˆä¹‹æª¢é©—檢查的實際çµæžœ",
"definition" : "如果資訊ä¸å¸¶æœ‰ä¸€å€‹å€¼ï¼ˆsimple value）則其å¯ä½œç‚ºæª¢é©—檢查的çµæžœã€‚",
"comment" : "ä¸€é …æª¢é©—æª¢æŸ¥å¯èƒ½æœ‰ä¸€å€‹å€¼ï¼ˆå¦‚Apgar評分）和組æˆä¹‹æª¢é©—檢查值（Apgarè©•åˆ†æ‰€ä¾†è‡ªå¤šé …æª¢é©—æª¢æŸ¥ï¼‰ã€‚å¦‚æžœæœ‰ä¸€å€‹å€¼ï¼Œé€™å€‹è³‡æ–™é …ç›®çš„datatype應該由Observation.codeæ±ºå®šã€‚å¦‚æžœé€™å€‹è³‡æ–™é …ç›®æ˜¯ç·¨ç¢¼æˆ–è€…å¦‚æžœèˆ‡Observation.code相關的type定義一個編碼值，那麼將使用åªæœ‰æ–‡å—表述的CodeableConcept來代替å—串。若需è¦æ›´å¤šçš„說明，請åƒé–±ä¸‹é¢Noteså°ç¯€ã€‚",
"requirements" : "é€šå¸¸ä¸€é …æª¢é©—æª¢æŸ¥å°±æœƒæœ‰ä¸€å€‹å€¼ï¼Œé›–ç„¶è‹¥å®ƒæœ‰éŒ¯èª¤æˆ–è€…å®ƒä»£è¡¨ä¸€çµ„æª¢é©—æª¢æŸ¥å¯èƒ½ä¸æœƒæœ‰å€¼ã€‚",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.component.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
},
{
"code" : "CodeableConcept"
},
{
"code" : "string"
},
{
"code" : "boolean"
},
{
"code" : "integer"
},
{
"code" : "Range"
},
{
"code" : "Ratio"
},
{
"code" : "SampledData"
},
{
"code" : "time"
},
{
"code" : "dateTime"
},
{
"code" : "Period"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "363714003 |Interprets| < 441742003 |Evaluation finding|"
},
{
"identity" : "v2",
"map" : "OBX.2, OBX.5, OBX.6"
},
{
"identity" : "rim",
"map" : "value"
},
{
"identity" : "sct-attr",
"map" : "363714003 |Interprets|"
}
]
},
{
"id" : "Observation.component.dataAbsentReason",
"path" : "Observation.component.dataAbsentReason",
"short" : "為什麼缺少組æˆä¹‹æª¢é©—檢查çµæžœ",
"definition" : "æä¾›è³‡æ–™é …ç›®Observation.component.value[x]ä¸çš„é æœŸå€¼ç¼ºå°‘çš„åŽŸå› ",
"comment" : "空值（Null）或例外值å¯ä»¥åœ¨FHIR Observationsä¸ä»¥å…©ç¨®æ–¹å¼è¡¨ç¤ºï¼Œä¸€ç¨®æ–¹æ³•æ˜¯ç°¡å–®åœ°å°‡å®ƒå€‘å«æ‹¬åœ¨å€¼é›†ä¸ï¼Œä¸¦åœ¨å€¼ä¸è¡¨ç¤ºä¾‹å¤–。例如：血清檢測的測é‡å€¼å¯ä»¥æ˜¯ã€Œæª¢æ¸¬åˆ°ã€ã€ã€Œæœªæª¢æ¸¬åˆ°ã€ã€ã€Œä¸ç¢ºå®šã€æˆ–「檢測未完æˆã€ã€‚\r\n\r\nå¦ä¸€ç¨®æ–¹æ³•æ˜¯ä½¿ç”¨è³‡æ–™é …ç›®value呈ç¾å¯¦éš›æª¢é©—æª¢æŸ¥å€¼ï¼Œä¸¦ä½¿ç”¨è³‡æ–™é …ç›®dataAbsentReason來明確記錄例外值。例如：當測é‡æ²’有完æˆï¼Œå¯ä½¿ç”¨dataAbsentReason代碼「errorã€ã€‚請注æ„，åªæœ‰åœ¨æœ‰å€¼çš„情æ³ä¸‹ï¼Œæ‰å¯ä»¥å ±å‘Šæª¢é©—檢查。例如：åªæœ‰åœ¨>0的情æ³ä¸‹æ‰å¯èƒ½å ±å‘Šç´°èƒžè¨ˆæ•¸çš„差值。由於有這些é¸é …，所以需è¦æœ‰ä½¿ç”¨æ¡ˆä¾‹å”è°ï¼ˆuse-case agreements）來解釋一般檢驗檢查的例外值。",
"requirements" : "å°æ–¼è¨±å¤šçµæžœï¼Œå¿…é ˆè™•ç†æ¸¬é‡ä¸çš„異常值。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.component.dataAbsentReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationValueAbsentReason"
}
],
"strength" : "extensible",
"description" : "代碼指明為什麼çµæžœï¼ˆObservation.value[x]）缺少；應填入[DataAbsentReason](http://hl7.org/fhir/R4/valueset-data-absent-reason.html)值集ä¸é©åˆçš„代碼，確定無é©åˆçš„代碼æ‰å¯ä»¥ä½¿ç”¨å…¶ä»–值集的代碼來表示。",
"valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.component.interpretation",
"path" : "Observation.component.interpretation",
"short" : "高ã€ä½Žã€æ£å¸¸ç‰ã€‚",
"definition" : "å°ä¸€é …檢驗檢查值的分類評估，例如：高ã€ä½Žã€æ£å¸¸ã€‚",
"comment" : "æ·å²ä¸Šç”¨æ–¼å¯¦é©—室çµæžœã€è¢«ç¨±ç‚º 「異常標記（abnormal flag）ã€ã€‘，它的使用延伸到其他與編碼解釋有關的使用情æ³ä¸ã€‚é€šå¸¸å ±å‘Šç‚ºä¸€å€‹æˆ–å¤šå€‹ç°¡å–®çš„ç·Šå¯†ç¢¼ï¼ˆcompact code，一種å¯ä»¥è§£è¯ä¸”具有最å°å¹³å‡å—é•·çš„å”¯ä¸€è³‡æ–™ä»£ç¢¼ï¼‰ï¼Œé€™å€‹è³‡æ–™é …ç›®ç¶“å¸¸è¢«æ”¾ç½®åœ¨å ±å‘Šå’Œæµç¨‹è¡¨çš„çµæžœå€¼çš„æ—邊，以表示çµæžœçš„æ„義或æ£å¸¸ç‹€æ…‹ã€‚",
"requirements" : "å°æ–¼æŸäº›çµæžœï¼Œç‰¹åˆ¥æ˜¯æ•¸å€¼çµæžœï¼Œéœ€æœ‰ä¸€å€‹è§£é‡‹ä»¥ä¾¿å®Œå…¨ç†è§£çµæžœä¹‹æ„義。",
"alias" : [
"Abnormal Flag"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.component.interpretation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationInterpretation"
}
],
"strength" : "extensible",
"description" : "用以指明檢驗檢查的解釋之代碼。應填入[ObservationInterpretationCodes](http://hl7.org/fhir/R4/valueset-observation-interpretation.html)值集ä¸é©åˆçš„代碼，確定無é©åˆçš„代碼æ‰å¯ä»¥ä½¿ç”¨å…¶ä»–值集的代碼來表示。",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Observation.component.referenceRange",
"path" : "Observation.component.referenceRange",
"short" : "解釋æ¤çµ„æˆä¹‹æª¢é©—驗查的çµæžœå€¼ä¹‹æŒ‡å¼•",
"definition" : "關於如何é€éŽèˆ‡æ£å¸¸å€¼æˆ–建è°ç¯„åœå€¼çš„比較來解釋æ¤å€¼",
"comment" : "大多數檢驗檢查åªæœ‰ä¸€å€‹é€šç”¨çš„åƒè€ƒç¯„åœå€¼ã€‚系統 **å¯èƒ½å¯ä»¥ï¼ˆMAY）** é¸æ“‡é™åˆ¶åªæ供病人的相關åƒè€ƒç¯„åœå€¼ï¼ˆä¾‹å¦‚：具體的病人年齡ã€æ€§åˆ¥ã€é«”é‡å’Œå…¶ä»–å› ç´ ï¼‰ï¼Œä½†é€™å¯èƒ½æ˜¯ä¸å¯èƒ½çš„或也ä¸åˆé©ã€‚åªè¦æ供了一個以上的åƒè€ƒç¯„åœå€¼ï¼Œå°± **建è°æ‡‰è©²ï¼ˆSHOULD）** æä¾›ä¸åŒå¹´é½¡çš„åƒè€ƒç¯„åœå€¼å·®ç•°ã€‚",
"requirements" : "知é“什麼值被èªç‚ºæ˜¯ã€Œæ£å¸¸çš„ã€ï¼Œå¯ä»¥å¹«åŠ©è©•ä¼°æŸä¸€ç‰¹å®šçµæžœçš„æ„義。需è¦èƒ½å¤ 為ä¸åŒçš„情境æ供多個åƒè€ƒç¯„åœå€¼ã€‚",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.component.referenceRange",
"min" : 0,
"max" : "*"
},
"contentReference" : "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX.7"
},
{
"identity" : "rim",
"map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Observation.identifier",
"path" : "Observation.identifier",
"short" : "由疾管署(CDC)所æ供之Barcode編號，å³æ˜¯ã€Œé€é©—單編號ã€ï¼Œå¦‚無填寫轉入LIMS系統後由系統自動給號",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Observation.status",
"path" : "Observation.status",
"short" : "FHIR必填欄ä½"
},
{
"id" : "Observation.category:SnomedctMethodtype",
"path" : "Observation.category",
"sliceName" : "SnomedctMethodtype",
"short" : "檢驗方法代碼，當檢驗疾病的LOINC Code=99999時，æ¤æ¬„ä½å‰‡ç‚ºå¿…å¡«",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/snomedct-methodtype-values"
}
},
{
"id" : "Observation.code.coding:LOINCObservationCode",
"path" : "Observation.code.coding",
"sliceName" : "LOINCObservationCode",
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-loinc-code-values"
}
},
{
"id" : "Observation.code.coding:TWCDCObservationCode",
"path" : "Observation.code.coding",
"sliceName" : "TWCDCObservationCode",
"short" : "當檢驗疾病的LOINC Code是99999時，使用æ¤æ¬„ä½",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-observation-code-values"
}
},
{
"id" : "Observation.code.coding:TWCDCObservationCode.system",
"path" : "Observation.code.coding.system",
"min" : 1,
"patternUri" : "https://twidir.cdc.gov.tw/twidir/CodeSystem/twcdc-observation-code-values"
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twidir.cdc.gov.tw/twidir/StructureDefinition/patient-reporting"
]
}
]
},
{
"id" : "Observation.effective[x]",
"path" : "Observation.effective[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
}
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effective[x]",
"sliceName" : "effectiveDateTime",
"short" : "疾病檢驗çµæžœæ—¥æœŸèˆ‡æ™‚é–“",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true
},
{
"id" : "Observation.value[x]",
"path" : "Observation.value[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
}
},
{
"id" : "Observation.value[x]:valueQuantity",
"path" : "Observation.value[x]",
"sliceName" : "valueQuantity",
"short" : "血清å¸æ¸¬é‡å–®ä½ï¼Œç•¶category=67922002(血清)且檢驗疾病的LOINC Code=99999時，æ¤æ¬„ä½å‰‡ç‚ºå¿…å¡«",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Quantity"
}
],
"mustSupport" : true
},
{
"id" : "Observation.value[x]:valueQuantity.system",
"path" : "Observation.value[x].system",
"fixedUri" : "http://unitsofmeasure.org",
"mustSupport" : true
},
{
"id" : "Observation.interpretation",
"path" : "Observation.interpretation",
"min" : 1,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/twcdc-testresult-values"
}
},
{
"id" : "Observation.method",
"path" : "Observation.method",
"short" : "æª¢é©—æ–¹æ³•ç´°é …ä»£ç¢¼ï¼Œç•¶æª¢é©—ç–¾ç—…çš„LOINC Code=99999時，æ¤æ¬„ä½ç‚ºå‰‡å¿…å¡«",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://twidir.cdc.gov.tw/twidir/ValueSet/loinc-method-details-values"
}
},
{
"id" : "Observation.specimen",
"path" : "Observation.specimen",
"min" : 1,
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twidir.cdc.gov.tw/twidir/StructureDefinition/specimen-reporting"
]
}
],
"mustSupport" : true
},
{
"id" : "Observation.device",
"path" : "Observation.device",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twidir.cdc.gov.tw/twidir/StructureDefinition/device-reporting"
]
}
],
"mustSupport" : true
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.