Observation CRLF-癌症部位特定因子4(ssf4) - 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

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4(ssf4)

Official URL: https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Observation-LF8-ssf4				Version: 0.1.0
Active as of 2024-09-01				Computable Name: ObservationLF8ssf4

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4(ssf4)

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.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints
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
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 42089-3
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:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	癌症部位特定因子 4。[CRLF.ssf4] ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	癌症部位特定因子 4。[CRLF.ssf4] ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit	SΣ	1..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:breast	SΣ	0..1	Coding	乳癌-哨兵淋巴結檢查數目 Binding: SSF4 乳癌-哨兵淋巴結檢查數目值集 (required) ele-1: All FHIR elements must have a @value or children
coding:colon	SΣ	0..1	Coding	結腸癌-病理環切緣 Binding: SSF4 結腸癌-病理環切緣值集 (required) ele-1: All FHIR elements must have a @value or children
coding:esophagus	SΣ	0..1	Coding	食道癌-放射治療後的臨床反應 Binding: SSF4 食道癌-放射治療後的臨床反應值集 (required) ele-1: All FHIR elements must have a @value or children
coding:liver	SΣ	0..1	Coding	肝癌-肌酸(酐) 檢驗值 Binding: SSF4 肝癌-肌酸(酐) 檢驗值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lung	SΣ	0..1	Coding	肺癌-惡性肋膜積水 Binding: SSF4 肺癌-惡性肋膜積水值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lymphoma	SΣ	0..1	Coding	淋巴瘤-FLIPI score 評估 Binding: SSF4 淋巴瘤-FLIPI score 的評估值集 (required) ele-1: All FHIR elements must have a @value or children
coding:neck	SΣ	0..1	Coding	頭頸癌-頸部第 IV-V 區及後咽區淋巴結侵犯範圍 Binding: SSF4 頭頸癌-頸部第 IV-V 區及後咽區淋巴結侵犯範圍值集 (required) ele-1: All FHIR elements must have a @value or children
coding:pancreas	SΣ	0..1	Coding	胰臟癌-Ki-67 Binding: SSF4 胰臟癌-Ki-67值集 (required) ele-1: All FHIR elements must have a @value or children
coding:prostate	SΣ	0..1	Coding	攝護腺癌-攝護腺全切除或大體解剖檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF4 攝護腺癌-攝護腺全切除或大體解剖檢體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-病理環切緣 Binding: SSF4 直腸乙狀結腸、直腸癌-病理環切緣值集 (required) ele-1: All FHIR elements must have a @value or children
coding:stomach	SΣ	0..1	Coding	胃癌-病理報告中的腫瘤深度 Binding: SSF4 胃癌-病理報告中的腫瘤深度值集 (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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status\|4.0.1` from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator\|4.0.1` from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:breast	required	SSF4breastVS (a valid code from SSF4 乳癌-哨兵淋巴結檢查數目代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF4colonVS (a valid code from SSF4 結腸癌-病理環切緣深度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:esophagus	required	SSF4esophagusVS (a valid code from SSF4 食道癌-放射治療後的臨床反應代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-esophagus-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF4liverVS (a valid code from SSF4 肝癌-肌酸(酐) 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF4lungVS (a valid code from SSF4 肺癌-惡性肋膜積水代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma	required	SSF4lymphomaVS (a valid code from SSF4 淋巴瘤-FLIPI score 的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF4neckVS (a valid code from SSF4 頭頸癌-頸部第 IV-V 區及後咽區淋巴結侵犯範圍代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-neck-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF4pancreasVS (a valid code from SSF4 胰臟癌-Ki-67代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF4prostateVS (a valid code from SSF4 攝護腺癌-攝護腺全切除或大體解剖檢體Gleason氏分級主要型態級數與次要型態級數代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF4rectumVS (a valid code from SSF4 直腸乙狀結腸、直腸癌-病理環切緣代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach	required	SSF4stomachVS (a valid code from SSF4 胃癌-病理報告中的腫瘤深度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-stomach-valueset` from this IG

Constraints

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

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
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: 42089-3
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
focus	S	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
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:$this
value[x]:valueString	S	0..1	string	癌症部位特定因子 4。[CRLF.ssf4]
value[x]:valueQuantity	S	0..1	Quantity	Actual result
value	S	1..1	decimal	癌症部位特定因子 4。[CRLF.ssf4]
unit	S	1..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Actual result
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:breast	S	0..1	Coding	乳癌-哨兵淋巴結檢查數目 Binding: SSF4 乳癌-哨兵淋巴結檢查數目值集 (required)
coding:colon	S	0..1	Coding	結腸癌-病理環切緣 Binding: SSF4 結腸癌-病理環切緣值集 (required)
coding:esophagus	S	0..1	Coding	食道癌-放射治療後的臨床反應 Binding: SSF4 食道癌-放射治療後的臨床反應值集 (required)
coding:liver	S	0..1	Coding	肝癌-肌酸(酐) 檢驗值 Binding: SSF4 肝癌-肌酸(酐) 檢驗值值集 (required)
coding:lung	S	0..1	Coding	肺癌-惡性肋膜積水 Binding: SSF4 肺癌-惡性肋膜積水值集 (required)
coding:lymphoma	S	0..1	Coding	淋巴瘤-FLIPI score 評估 Binding: SSF4 淋巴瘤-FLIPI score 的評估值集 (required)
coding:neck	S	0..1	Coding	頭頸癌-頸部第 IV-V 區及後咽區淋巴結侵犯範圍 Binding: SSF4 頭頸癌-頸部第 IV-V 區及後咽區淋巴結侵犯範圍值集 (required)
coding:pancreas	S	0..1	Coding	胰臟癌-Ki-67 Binding: SSF4 胰臟癌-Ki-67值集 (required)
coding:prostate	S	0..1	Coding	攝護腺癌-攝護腺全切除或大體解剖檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF4 攝護腺癌-攝護腺全切除或大體解剖檢體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-病理環切緣 Binding: SSF4 直腸乙狀結腸、直腸癌-病理環切緣值集 (required)
coding:stomach	S	0..1	Coding	胃癌-病理報告中的腫瘤深度 Binding: SSF4 胃癌-病理報告中的腫瘤深度值集 (required)
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]:valueCodeableConcept.coding:breast	required	SSF4breastVS (a valid code from SSF4 乳癌-哨兵淋巴結檢查數目代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF4colonVS (a valid code from SSF4 結腸癌-病理環切緣深度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:esophagus	required	SSF4esophagusVS (a valid code from SSF4 食道癌-放射治療後的臨床反應代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-esophagus-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF4liverVS (a valid code from SSF4 肝癌-肌酸(酐) 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF4lungVS (a valid code from SSF4 肺癌-惡性肋膜積水代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma	required	SSF4lymphomaVS (a valid code from SSF4 淋巴瘤-FLIPI score 的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF4neckVS (a valid code from SSF4 頭頸癌-頸部第 IV-V 區及後咽區淋巴結侵犯範圍代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-neck-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF4pancreasVS (a valid code from SSF4 胰臟癌-Ki-67代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF4prostateVS (a valid code from SSF4 攝護腺癌-攝護腺全切除或大體解剖檢體Gleason氏分級主要型態級數與次要型態級數代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF4rectumVS (a valid code from SSF4 直腸乙狀結腸、直腸癌-病理環切緣代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach	required	SSF4stomachVS (a valid code from SSF4 胃癌-病理報告中的腫瘤深度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-4-stomach-valueset` from this IG

Description & Constraints

Observation

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

0..1

Logical id of this artifact