description: 此臺灣核心-檢驗檢查(TW Core Observation) Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現身體檢驗數據的詳細資料 [[*FMM1*](http://build.fhir.org/versions.html#maturity)] package_name: tw.gov.mohw.nhi.empd derivation: constraint name: TWCoreObservation type: Observation elements: category: type: CodeableConcept short: 檢驗檢查分類 binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'} index: 10 elements: coding: index: 11 elements: id: {index: 12} system: {index: 13} code: {index: 14} required: [system, code] required: [coding] referenceRange: short: "解釋結果值的指引。\r\nobs-3：必須至少有低、高或文字表述。" index: 32 elements: id: {short: 唯一可識別ID，以供資料項目間相互參照。, index: 33} low: {short: 參考範圍值的下限值，如果相關。, index: 34} high: {short: 參考範圍值的上限值，如果相關。, index: 35} type: type: CodeableConcept short: 參考範圍值的限定詞 binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-meaning'} index: 36 appliesTo: type: CodeableConcept short: 參考範圍值的人群 binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-appliesto'} index: 37 age: {short: 適用的年齡範圍值，如果相關。, index: 38} text: {short: 檢驗檢查中以文字表述的參考範圍值, index: 39} hasMember: {short: 屬於此組檢驗檢查的相關Resource, index: 40} meta: {short: 此Observation Resource的metadata, index: 1} derivedFrom: {short: 檢驗檢查源自哪些相關測量, index: 41} interpretation: type: CodeableConcept short: 高、低、正常等 binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-interpretation'} index: 26 encounter: type: Reference short: 檢驗檢查是哪一次就醫時執行的 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore'] index: 18 method: type: CodeableConcept short: 此檢驗檢查使用何種方法完成 binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/observation-methods'} index: 29 specimen: {short: 此檢驗檢查的檢體, index: 30} value: short: 檢驗檢查的實際結果 mustSupport: true choices: [] index: 24 implicitRules: {short: 創建此內容所依據的一組規則, index: 2} component: short: 組成之（部分）檢驗檢查的檢驗結果 mustSupport: true index: 42 elements: id: {short: 唯一可識別ID，以供資料項目間相互參照。, index: 43} code: short: 組成之檢驗檢查的型別（代碼／型別） type: CodeableConcept mustSupport: true binding: {strength: example, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw'} index: 44 value: short: 組成之檢驗檢查的實際結果 mustSupport: true choices: [] index: 46 dataAbsentReason: short: 為什麼缺少組成之檢驗檢查結果 type: CodeableConcept mustSupport: true binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/data-absent-reason'} index: 47 interpretation: type: CodeableConcept short: 高、低、正常等。 binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-interpretation'} index: 48 referenceRange: {short: 解釋此組成之檢驗驗查的結果值之指引, index: 49} note: {short: 關於此檢驗檢查之解說, index: 27} contained: {short: 內嵌的（contained）、行內的Resources, index: 5} status: short: registered ｜ preliminary ｜ final ｜ amended + binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/observation-status|4.0.1'} index: 9 language: short: 用以表述Observation Resource內容的語言 binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/languages'} index: 3 effective: short: 檢驗檢查執行日期或時間區間 choices: [] index: 20 id: {short: 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。, index: 0} code: type: CodeableConcept short: 概念（concept）－參照一個專門術語或只是純文字。 binding: {strength: example, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw'} index: 15 identifier: {short: 檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。, index: 6} bodySite: type: CodeableConcept short: 接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'} index: 28 focus: {short: 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。, index: 17} issued: {short: 此版本檢驗檢查完成的日期或時間, index: 21} device: {short: （測量）設備, index: 31} basedOn: type: Reference short: 依據的照護計畫／提議／醫令 refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore'] index: 7 partOf: type: Reference short: 此檢驗檢查是哪個參照事件的一部分 refers: ['http://hl7.org/fhir/StructureDefinition/ImagingStudy', 'http://hl7.org/fhir/StructureDefinition/Immunization', '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'] index: 8 subject: short: 檢驗檢查有關的對象及（或）事物 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore'] type: Reference index: 16 performer: type: Reference short: 誰負責這項檢驗檢查 mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore'] index: 22 dataAbsentReason: short: 缺少檢驗檢查結果的原因 type: CodeableConcept mustSupport: true binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/data-absent-reason'} index: 25 text: {short: Observation Resource之內容摘要以供人閱讀, mustSupport: true, index: 4} package_version: 0.1.0 class: profile kind: resource url: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Observationtwcore base: http://hl7.org/fhir/StructureDefinition/Observation version: 0.1.0 required: [subject]