國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)
0.1.0 - trial-use

This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Observation CRLF-癌症部位特定因子2(ssf2)

Official URL: https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Observation-LF8-ssf2 Version: 0.1.0
Active as of 2024-09-01 Computable Name: ObservationLF8ssf2

此Profiles用於描述癌症登記長表資料檔(CRLF)之癌症部位特定因子2(ssf2)

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
.... coding SΣ 1..1 Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
..... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Fixed Value: http://loinc.org
..... code SΣ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
Fixed Value: 42087-7
.... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(Patient CRLF-病患基本資料) Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string 患者 Resource Link
ele-1: All FHIR elements must have a @value or children
... focus SΣ 1..1 Reference(Condition CRLF-原發性癌症情況) What the observation is about, when it is not about the subject of record
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string 癌症部位特定因子2。[CRLF.ssf2]
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
ele-1: All FHIR elements must have a @value or children
..... value SΣ 1..1 decimal 癌症部位特定因子2。[CRLF.ssf2]
ele-1: All FHIR elements must have a @value or children
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.


ele-1: All FHIR elements must have a @value or children
..... unit SΣ 1..1 string Unit representation
ele-1: All FHIR elements must have a @value or children
..... system SΣC 0..1 uri System that defines coded unit form
ele-1: All FHIR elements must have a @value or children
..... code SΣ 0..1 code Coded form of the unit
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
ele-1: All FHIR elements must have a @value or children
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
...... coding:bladder SΣ 0..1 Coding 膀胱癌-區域淋巴結夾膜外侵犯情形
Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:breastPRresponse SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:breastPRAllredScore SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-Allred score
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:breastPR SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:cervix SΣ 0..1 Coding 子宮頸癌-SCC 抗原
Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:colon SΣ 0..1 Coding 結腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:leukemia SΣ 0..1 Coding 白血病-白血病分子生物學檢查評估
Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:liver SΣ 0..1 Coding 肝癌-肝纖維化程度
Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:lung SΣ 0..1 Coding 肺癌-波及臟層膜/彈性層
Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:lymphoma SΣ 0..1 Coding 淋巴瘤-診斷時全身性之症狀
Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:ovaries SΣ 0..1 Coding 卵巢癌-療後最低 CA 125 檢驗值
Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:pancreas SΣ 0..1 Coding 胰臟癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:prostate SΣ 0..1 Coding 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數
Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:rectum SΣ 0..1 Coding 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:stomach SΣ 0..1 Coding 胃癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:uterus SΣ 0..1 Coding 子宮體癌-黃體激素接受體檢測(PRA)
Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
ele-1: All FHIR elements must have a @value or children
..... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladderrequiredSSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponserequiredSSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScorerequiredSSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRrequiredSSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:cervixrequiredSSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:colonrequiredSSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemiarequiredSSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:liverrequiredSSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lungrequiredSSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphomarequiredSSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:ovariesrequiredSSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreasrequiredSSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:prostaterequiredSSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:rectumrequiredSSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:stomachrequiredSSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:uterusrequiredSSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
.... coding S 1..1 Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 42087-7
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient CRLF-病患基本資料) Who and/or what the observation is about
.... reference S 1..1 string 患者 Resource Link
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for value[x] S 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueString S 0..1 string 癌症部位特定因子2。[CRLF.ssf2]
.... value[x]:valueQuantity S 0..1 Quantity Actual result
..... value S 1..1 decimal 癌症部位特定因子2。[CRLF.ssf2]
..... unit S 1..1 string Unit representation
..... system S 0..1 uri System that defines coded unit form
..... code S 0..1 code Coded form of the unit
.... value[x]:valueCodeableConcept S 0..1 CodeableConcept Actual result
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:bladder S 0..1 Coding 膀胱癌-區域淋巴結夾膜外侵犯情形
Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
...... coding:breastPRresponse S 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
...... coding:breastPRAllredScore S 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-Allred score
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
...... coding:breastPR S 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
...... coding:cervix S 0..1 Coding 子宮頸癌-SCC 抗原
Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
...... coding:colon S 0..1 Coding 結腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:leukemia S 0..1 Coding 白血病-白血病分子生物學檢查評估
Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
...... coding:liver S 0..1 Coding 肝癌-肝纖維化程度
Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
...... coding:lung S 0..1 Coding 肺癌-波及臟層膜/彈性層
Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
...... coding:lymphoma S 0..1 Coding 淋巴瘤-診斷時全身性之症狀
Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
...... coding:ovaries S 0..1 Coding 卵巢癌-療後最低 CA 125 檢驗值
Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
...... coding:pancreas S 0..1 Coding 胰臟癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:prostate S 0..1 Coding 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數
Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
...... coding:rectum S 0..1 Coding 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:stomach S 0..1 Coding 胃癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:uterus S 0..1 Coding 子宮體癌-黃體激素接受體檢測(PRA)
Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
..... text S 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueCodeableConcept.coding:bladderrequiredSSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponserequiredSSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScorerequiredSSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRrequiredSSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:cervixrequiredSSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:colonrequiredSSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemiarequiredSSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:liverrequiredSSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lungrequiredSSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphomarequiredSSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:ovariesrequiredSSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreasrequiredSSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:prostaterequiredSSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:rectumrequiredSSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:stomachrequiredSSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:uterusrequiredSSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 42087-7
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient CRLF-病患基本資料) Who and/or what the observation is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 患者 Resource Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... focus SΣ 1..1 Reference(Condition CRLF-原發性癌症情況) What the observation is about, when it is not about the subject of record
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string 癌症部位特定因子2。[CRLF.ssf2]
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal 癌症部位特定因子2。[CRLF.ssf2]
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 1..1 string Unit representation
..... system SΣC 0..1 uri System that defines coded unit form
..... code SΣ 0..1 code Coded form of the unit
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:bladder SΣ 0..1 Coding 膀胱癌-區域淋巴結夾膜外侵犯情形
Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
...... coding:breastPRresponse SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
...... coding:breastPRAllredScore SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-Allred score
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
...... coding:breastPR SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
...... coding:cervix SΣ 0..1 Coding 子宮頸癌-SCC 抗原
Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
...... coding:colon SΣ 0..1 Coding 結腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:leukemia SΣ 0..1 Coding 白血病-白血病分子生物學檢查評估
Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
...... coding:liver SΣ 0..1 Coding 肝癌-肝纖維化程度
Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
...... coding:lung SΣ 0..1 Coding 肺癌-波及臟層膜/彈性層
Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
...... coding:lymphoma SΣ 0..1 Coding 淋巴瘤-診斷時全身性之症狀
Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
...... coding:ovaries SΣ 0..1 Coding 卵巢癌-療後最低 CA 125 檢驗值
Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
...... coding:pancreas SΣ 0..1 Coding 胰臟癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:prostate SΣ 0..1 Coding 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數
Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
...... coding:rectum SΣ 0..1 Coding 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:stomach SΣ 0..1 Coding 胃癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:uterus SΣ 0..1 Coding 子宮體癌-黃體激素接受體檢測(PRA)
Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
..... text SΣ 0..1 string Plain text representation of the concept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.focus.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladderrequiredSSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponserequiredSSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScorerequiredSSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRrequiredSSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:cervixrequiredSSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:colonrequiredSSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemiarequiredSSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:liverrequiredSSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lungrequiredSSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphomarequiredSSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:ovariesrequiredSSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreasrequiredSSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:prostaterequiredSSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:rectumrequiredSSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:stomachrequiredSSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:uterusrequiredSSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 36 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.value[x]
  • The element 1 is sliced based on the value of Observation.value[x].coding

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
.... coding SΣ 1..1 Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
..... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Fixed Value: http://loinc.org
..... code SΣ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
Fixed Value: 42087-7
.... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(Patient CRLF-病患基本資料) Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string 患者 Resource Link
ele-1: All FHIR elements must have a @value or children
... focus SΣ 1..1 Reference(Condition CRLF-原發性癌症情況) What the observation is about, when it is not about the subject of record
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string 癌症部位特定因子2。[CRLF.ssf2]
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
ele-1: All FHIR elements must have a @value or children
..... value SΣ 1..1 decimal 癌症部位特定因子2。[CRLF.ssf2]
ele-1: All FHIR elements must have a @value or children
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.


ele-1: All FHIR elements must have a @value or children
..... unit SΣ 1..1 string Unit representation
ele-1: All FHIR elements must have a @value or children
..... system SΣC 0..1 uri System that defines coded unit form
ele-1: All FHIR elements must have a @value or children
..... code SΣ 0..1 code Coded form of the unit
ele-1: All FHIR elements must have a @value or children
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
ele-1: All FHIR elements must have a @value or children
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
...... coding:bladder SΣ 0..1 Coding 膀胱癌-區域淋巴結夾膜外侵犯情形
Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:breastPRresponse SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:breastPRAllredScore SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-Allred score
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:breastPR SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:cervix SΣ 0..1 Coding 子宮頸癌-SCC 抗原
Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:colon SΣ 0..1 Coding 結腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:leukemia SΣ 0..1 Coding 白血病-白血病分子生物學檢查評估
Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:liver SΣ 0..1 Coding 肝癌-肝纖維化程度
Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:lung SΣ 0..1 Coding 肺癌-波及臟層膜/彈性層
Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:lymphoma SΣ 0..1 Coding 淋巴瘤-診斷時全身性之症狀
Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:ovaries SΣ 0..1 Coding 卵巢癌-療後最低 CA 125 檢驗值
Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:pancreas SΣ 0..1 Coding 胰臟癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:prostate SΣ 0..1 Coding 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數
Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:rectum SΣ 0..1 Coding 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:stomach SΣ 0..1 Coding 胃癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
ele-1: All FHIR elements must have a @value or children
...... coding:uterus SΣ 0..1 Coding 子宮體癌-黃體激素接受體檢測(PRA)
Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
ele-1: All FHIR elements must have a @value or children
..... text SΣ 0..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladderrequiredSSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponserequiredSSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScorerequiredSSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRrequiredSSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:cervixrequiredSSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:colonrequiredSSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemiarequiredSSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:liverrequiredSSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lungrequiredSSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphomarequiredSSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:ovariesrequiredSSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreasrequiredSSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:prostaterequiredSSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:rectumrequiredSSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:stomachrequiredSSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:uterusrequiredSSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
.... coding S 1..1 Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 42087-7
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient CRLF-病患基本資料) Who and/or what the observation is about
.... reference S 1..1 string 患者 Resource Link
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for value[x] S 1..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueString S 0..1 string 癌症部位特定因子2。[CRLF.ssf2]
.... value[x]:valueQuantity S 0..1 Quantity Actual result
..... value S 1..1 decimal 癌症部位特定因子2。[CRLF.ssf2]
..... unit S 1..1 string Unit representation
..... system S 0..1 uri System that defines coded unit form
..... code S 0..1 code Coded form of the unit
.... value[x]:valueCodeableConcept S 0..1 CodeableConcept Actual result
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:bladder S 0..1 Coding 膀胱癌-區域淋巴結夾膜外侵犯情形
Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
...... coding:breastPRresponse S 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
...... coding:breastPRAllredScore S 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-Allred score
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
...... coding:breastPR S 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
...... coding:cervix S 0..1 Coding 子宮頸癌-SCC 抗原
Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
...... coding:colon S 0..1 Coding 結腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:leukemia S 0..1 Coding 白血病-白血病分子生物學檢查評估
Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
...... coding:liver S 0..1 Coding 肝癌-肝纖維化程度
Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
...... coding:lung S 0..1 Coding 肺癌-波及臟層膜/彈性層
Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
...... coding:lymphoma S 0..1 Coding 淋巴瘤-診斷時全身性之症狀
Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
...... coding:ovaries S 0..1 Coding 卵巢癌-療後最低 CA 125 檢驗值
Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
...... coding:pancreas S 0..1 Coding 胰臟癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:prostate S 0..1 Coding 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數
Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
...... coding:rectum S 0..1 Coding 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:stomach S 0..1 Coding 胃癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:uterus S 0..1 Coding 子宮體癌-黃體激素接受體檢測(PRA)
Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
..... text S 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueCodeableConcept.coding:bladderrequiredSSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponserequiredSSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScorerequiredSSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRrequiredSSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:cervixrequiredSSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:colonrequiredSSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemiarequiredSSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:liverrequiredSSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lungrequiredSSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphomarequiredSSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:ovariesrequiredSSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreasrequiredSSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:prostaterequiredSSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:rectumrequiredSSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:stomachrequiredSSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:uterusrequiredSSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 42087-7
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient CRLF-病患基本資料) Who and/or what the observation is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 患者 Resource Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... focus SΣ 1..1 Reference(Condition CRLF-原發性癌症情況) What the observation is about, when it is not about the subject of record
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueString SΣC 0..1 string 癌症部位特定因子2。[CRLF.ssf2]
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal 癌症部位特定因子2。[CRLF.ssf2]
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 1..1 string Unit representation
..... system SΣC 0..1 uri System that defines coded unit form
..... code SΣ 0..1 code Coded form of the unit
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:bladder SΣ 0..1 Coding 膀胱癌-區域淋巴結夾膜外侵犯情形
Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
...... coding:breastPRresponse SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
...... coding:breastPRAllredScore SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)-Allred score
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
...... coding:breastPR SΣ 0..1 Coding 乳癌-黃體激素接受體檢測(PRA)
Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
...... coding:cervix SΣ 0..1 Coding 子宮頸癌-SCC 抗原
Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
...... coding:colon SΣ 0..1 Coding 結腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:leukemia SΣ 0..1 Coding 白血病-白血病分子生物學檢查評估
Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
...... coding:liver SΣ 0..1 Coding 肝癌-肝纖維化程度
Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
...... coding:lung SΣ 0..1 Coding 肺癌-波及臟層膜/彈性層
Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
...... coding:lymphoma SΣ 0..1 Coding 淋巴瘤-診斷時全身性之症狀
Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
...... coding:ovaries SΣ 0..1 Coding 卵巢癌-療後最低 CA 125 檢驗值
Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
...... coding:pancreas SΣ 0..1 Coding 胰臟癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:prostate SΣ 0..1 Coding 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數
Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
...... coding:rectum SΣ 0..1 Coding 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:stomach SΣ 0..1 Coding 胃癌-癌胚抗原 CEA 檢驗正常值
Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
...... coding:uterus SΣ 0..1 Coding 子宮體癌-黃體激素接受體檢測(PRA)
Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
..... text SΣ 0..1 string Plain text representation of the concept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.focus.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladderrequiredSSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponserequiredSSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScorerequiredSSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRrequiredSSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:cervixrequiredSSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:colonrequiredSSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemiarequiredSSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:liverrequiredSSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lungrequiredSSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphomarequiredSSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:ovariesrequiredSSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreasrequiredSSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:prostaterequiredSSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:rectumrequiredSSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:stomachrequiredSSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset
from this IG
Observation.value[x]:valueCodeableConcept.coding:uterusrequiredSSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 36 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.value[x]
  • The element 1 is sliced based on the value of Observation.value[x].coding

 

Other representations of profile: CSV, Excel, Schematron