description: 此檢驗檢查(Observation ClinEMR)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以呈現西醫/牙醫/中醫診所門診病摘之檢驗檢查的詳細資料。
package_name: tw.cohesion.fhir.clinemr
derivation: constraint
name: ObservationClinEMR
type: Observation
elements:
  category:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
    index: 3
    elements:
      coding: {mustSupport: true, index: 4}
    required: [coding]
  hasMember:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/MolecularSequence', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr']
    index: 20
  derivedFrom:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/MolecularSequence', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr', 'https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore']
    index: 21
  interpretation: {short: '高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]', mustSupport: true, index: 18}
  encounter:
    type: Reference
    refers: ['https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr']
    index: 8
  value:
    short: '[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。'
    choices: []
    index: 17
  component:
    short: 組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。
    index: 22
    elements:
      code:
        short: '[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)]'
        index: 23
        elements:
          text: {index: 24}
        required: [text]
      value:
        short: '[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]'
        choices: []
        index: 26
      interpretation:
        short: 高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]
        mustSupport: true
        index: 27
        elements:
          text: {short: '[應填入門診病摘檢驗檢查結果備註說明Result Comment]', index: 28}
  note: {short: '關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment]', mustSupport: true, index: 19}
  effectiveDateTime:
    short: 檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date]
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 13
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {short: '檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date]', type: dateTime, mustSupport: true, choiceOf: effective, index: 13}
          min: 0
          max: 1
  status:
    pattern: {type: Code, value: final}
    index: 2
  effective:
    choices: []
    index: 10
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            short: 檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date]
            mustSupport: true
            choices: [effectiveDateTime]
            index: 12
          min: 0
          max: 1
  code:
    short: 概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)]
    index: 5
    elements:
      text: {index: 6}
    required: [text]
  issued: {short: '[應填入檢驗檢查完成的日期或時間]', mustSupport: true, index: 14}
  basedOn:
    type: Reference
    refers: ['https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr']
    index: 0
  partOf:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Immunization', 'http://hl7.org/fhir/StructureDefinition/MedicationAdministration', 'https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-mcr', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore']
    index: 1
  subject:
    type: Reference
    refers: ['https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr']
    index: 7
  performer:
    type: Reference
    short: '[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name]'
    refers: ['https://fhir.cohesiondata.com/clinemr/StructureDefinition/organizationinspection-clinemr']
    index: 15
package_version: 1.0.0
class: profile
kind: resource
url: https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr
base: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore
version: 1.0.0
required: [issued, category, performer]