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

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Resource Profile: Observation CRLF-癌症部位特定因子5(ssf5)

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5(ssf5)

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: 42090-1
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:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	癌症部位特定因子 5。[CRLF.ssf5] ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	癌症部位特定因子 5。[CRLF.ssf5] ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit	SΣ	1..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:breast	SΣ	0..1	Coding	乳癌-哨兵淋巴結侵犯數目 Binding: SSF5 乳癌-哨兵淋巴結侵犯數目值集 (required) ele-1: All FHIR elements must have a @value or children
coding:colon	SΣ	0..1	Coding	結腸癌-BRAF 基因突變 Binding: SSF5 結腸癌-BRAF 基因突變值集 (required) ele-1: All FHIR elements must have a @value or children
coding:liver	SΣ	0..1	Coding	肝癌-總膽紅素檢驗值 Binding: SSF5 肝癌-總膽紅素檢驗值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lung	SΣ	0..1	Coding	肺癌-縱膈腔淋巴結取樣或廓清 Binding: SSF5 肺癌-縱膈腔淋巴結取樣或廓清值集 (required) ele-1: All FHIR elements must have a @value or children
coding:neck	SΣ	0..1	Coding	頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍 Binding: SSF5 頭頸癌-頸部第 VI-VII 區及顏面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-Mitotic Count Binding: SSF5 胰臟癌-Mitotic Count值集 (required) ele-1: All FHIR elements must have a @value or children
coding:prostate	SΣ	0..1	Coding	攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數 Binding: SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數值集 (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-BRAF 基因突變 Binding: SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變值集 (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	SSF5breastVS (a valid code from SSF5 乳癌-哨兵淋巴結侵犯數目代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-breast-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF5colonVS (a valid code from SSF5 結腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-colon-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF5liverVS (a valid code from SSF5 肝癌-總膽紅素檢驗值代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-liver-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF5lungVS (a valid code from SSF5 肺癌-縱膈腔淋巴結取樣或廓清代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-lung-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF5neckVS (a valid code from SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-neck-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF5pancreasVS (a valid code from SSF5 胰臟癌-Mitotic Count代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-pancreas-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF5prostateVS (a valid code from SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-prostate-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF5rectumVS (a valid code from SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-rectum-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: 42090-1
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:$this
value[x]:valueString	S	0..1	string	癌症部位特定因子 5。[CRLF.ssf5]
value[x]:valueQuantity	S	0..1	Quantity	Actual result
value	S	1..1	decimal	癌症部位特定因子 5。[CRLF.ssf5]
unit	S	1..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Actual result
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:breast	S	0..1	Coding	乳癌-哨兵淋巴結侵犯數目 Binding: SSF5 乳癌-哨兵淋巴結侵犯數目值集 (required)
coding:colon	S	0..1	Coding	結腸癌-BRAF 基因突變 Binding: SSF5 結腸癌-BRAF 基因突變值集 (required)
coding:liver	S	0..1	Coding	肝癌-總膽紅素檢驗值 Binding: SSF5 肝癌-總膽紅素檢驗值值集 (required)
coding:lung	S	0..1	Coding	肺癌-縱膈腔淋巴結取樣或廓清 Binding: SSF5 肺癌-縱膈腔淋巴結取樣或廓清值集 (required)
coding:neck	S	0..1	Coding	頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍 Binding: SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍值集 (required)
coding:pancreas	S	0..1	Coding	胰臟癌-Mitotic Count Binding: SSF5 胰臟癌-Mitotic Count值集 (required)
coding:prostate	S	0..1	Coding	攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數 Binding: SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數值集 (required)
coding:rectum	S	0..1	Coding	直腸乙狀結腸、直腸癌-BRAF 基因突變 Binding: SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變值集 (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	SSF5breastVS (a valid code from SSF5 乳癌-哨兵淋巴結侵犯數目代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-breast-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF5colonVS (a valid code from SSF5 結腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-colon-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF5liverVS (a valid code from SSF5 肝癌-總膽紅素檢驗值代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-liver-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF5lungVS (a valid code from SSF5 肺癌-縱膈腔淋巴結取樣或廓清代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-lung-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF5neckVS (a valid code from SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-neck-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF5pancreasVS (a valid code from SSF5 胰臟癌-Mitotic Count代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-pancreas-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF5prostateVS (a valid code from SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-prostate-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF5rectumVS (a valid code from SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-rectum-valueset from this IG

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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: 42090-1
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:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	癌症部位特定因子 5。[CRLF.ssf5]
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	癌症部位特定因子 5。[CRLF.ssf5]
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:breast	SΣ	0..1	Coding	乳癌-哨兵淋巴結侵犯數目 Binding: SSF5 乳癌-哨兵淋巴結侵犯數目值集 (required)
coding:colon	SΣ	0..1	Coding	結腸癌-BRAF 基因突變 Binding: SSF5 結腸癌-BRAF 基因突變值集 (required)
coding:liver	SΣ	0..1	Coding	肝癌-總膽紅素檢驗值 Binding: SSF5 肝癌-總膽紅素檢驗值值集 (required)
coding:lung	SΣ	0..1	Coding	肺癌-縱膈腔淋巴結取樣或廓清 Binding: SSF5 肺癌-縱膈腔淋巴結取樣或廓清值集 (required)
coding:neck	SΣ	0..1	Coding	頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍 Binding: SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍值集 (required)
coding:pancreas	SΣ	0..1	Coding	胰臟癌-Mitotic Count Binding: SSF5 胰臟癌-Mitotic Count值集 (required)
coding:prostate	SΣ	0..1	Coding	攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數 Binding: SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數值集 (required)
coding:rectum	SΣ	0..1	Coding	直腸乙狀結腸、直腸癌-BRAF 基因突變 Binding: SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變值集 (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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category 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.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.focus.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	SSF5breastVS (a valid code from SSF5 乳癌-哨兵淋巴結侵犯數目代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-breast-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF5colonVS (a valid code from SSF5 結腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-colon-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF5liverVS (a valid code from SSF5 肝癌-總膽紅素檢驗值代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-liver-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF5lungVS (a valid code from SSF5 肺癌-縱膈腔淋巴結取樣或廓清代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-lung-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF5neckVS (a valid code from SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-neck-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF5pancreasVS (a valid code from SSF5 胰臟癌-Mitotic Count代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-pancreas-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF5prostateVS (a valid code from SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-prostate-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF5rectumVS (a valid code from SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-rectum-valueset from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Patient CRLF-病患基本資料 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/PatientCRLF)
• Condition CRLF-原發性癌症情況 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Condition-Primary)

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

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: 42090-1
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:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	癌症部位特定因子 5。[CRLF.ssf5] ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	癌症部位特定因子 5。[CRLF.ssf5] ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit	SΣ	1..1	string	Unit representation ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:breast	SΣ	0..1	Coding	乳癌-哨兵淋巴結侵犯數目 Binding: SSF5 乳癌-哨兵淋巴結侵犯數目值集 (required) ele-1: All FHIR elements must have a @value or children
coding:colon	SΣ	0..1	Coding	結腸癌-BRAF 基因突變 Binding: SSF5 結腸癌-BRAF 基因突變值集 (required) ele-1: All FHIR elements must have a @value or children
coding:liver	SΣ	0..1	Coding	肝癌-總膽紅素檢驗值 Binding: SSF5 肝癌-總膽紅素檢驗值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lung	SΣ	0..1	Coding	肺癌-縱膈腔淋巴結取樣或廓清 Binding: SSF5 肺癌-縱膈腔淋巴結取樣或廓清值集 (required) ele-1: All FHIR elements must have a @value or children
coding:neck	SΣ	0..1	Coding	頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍 Binding: SSF5 頭頸癌-頸部第 VI-VII 區及顏面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-Mitotic Count Binding: SSF5 胰臟癌-Mitotic Count值集 (required) ele-1: All FHIR elements must have a @value or children
coding:prostate	SΣ	0..1	Coding	攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數 Binding: SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數值集 (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-BRAF 基因突變 Binding: SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變值集 (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	SSF5breastVS (a valid code from SSF5 乳癌-哨兵淋巴結侵犯數目代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-breast-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF5colonVS (a valid code from SSF5 結腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-colon-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF5liverVS (a valid code from SSF5 肝癌-總膽紅素檢驗值代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-liver-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF5lungVS (a valid code from SSF5 肺癌-縱膈腔淋巴結取樣或廓清代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-lung-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF5neckVS (a valid code from SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-neck-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF5pancreasVS (a valid code from SSF5 胰臟癌-Mitotic Count代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-pancreas-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF5prostateVS (a valid code from SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-prostate-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF5rectumVS (a valid code from SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-rectum-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()

Differential View

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: 42090-1
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:$this
value[x]:valueString	S	0..1	string	癌症部位特定因子 5。[CRLF.ssf5]
value[x]:valueQuantity	S	0..1	Quantity	Actual result
value	S	1..1	decimal	癌症部位特定因子 5。[CRLF.ssf5]
unit	S	1..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Actual result
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:breast	S	0..1	Coding	乳癌-哨兵淋巴結侵犯數目 Binding: SSF5 乳癌-哨兵淋巴結侵犯數目值集 (required)
coding:colon	S	0..1	Coding	結腸癌-BRAF 基因突變 Binding: SSF5 結腸癌-BRAF 基因突變值集 (required)
coding:liver	S	0..1	Coding	肝癌-總膽紅素檢驗值 Binding: SSF5 肝癌-總膽紅素檢驗值值集 (required)
coding:lung	S	0..1	Coding	肺癌-縱膈腔淋巴結取樣或廓清 Binding: SSF5 肺癌-縱膈腔淋巴結取樣或廓清值集 (required)
coding:neck	S	0..1	Coding	頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍 Binding: SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍值集 (required)
coding:pancreas	S	0..1	Coding	胰臟癌-Mitotic Count Binding: SSF5 胰臟癌-Mitotic Count值集 (required)
coding:prostate	S	0..1	Coding	攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數 Binding: SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數值集 (required)
coding:rectum	S	0..1	Coding	直腸乙狀結腸、直腸癌-BRAF 基因突變 Binding: SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變值集 (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	SSF5breastVS (a valid code from SSF5 乳癌-哨兵淋巴結侵犯數目代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-breast-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF5colonVS (a valid code from SSF5 結腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-colon-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF5liverVS (a valid code from SSF5 肝癌-總膽紅素檢驗值代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-liver-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF5lungVS (a valid code from SSF5 肺癌-縱膈腔淋巴結取樣或廓清代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-lung-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF5neckVS (a valid code from SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-neck-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF5pancreasVS (a valid code from SSF5 胰臟癌-Mitotic Count代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-pancreas-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF5prostateVS (a valid code from SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-prostate-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF5rectumVS (a valid code from SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-rectum-valueset from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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: 42090-1
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:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	癌症部位特定因子 5。[CRLF.ssf5]
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	癌症部位特定因子 5。[CRLF.ssf5]
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:breast	SΣ	0..1	Coding	乳癌-哨兵淋巴結侵犯數目 Binding: SSF5 乳癌-哨兵淋巴結侵犯數目值集 (required)
coding:colon	SΣ	0..1	Coding	結腸癌-BRAF 基因突變 Binding: SSF5 結腸癌-BRAF 基因突變值集 (required)
coding:liver	SΣ	0..1	Coding	肝癌-總膽紅素檢驗值 Binding: SSF5 肝癌-總膽紅素檢驗值值集 (required)
coding:lung	SΣ	0..1	Coding	肺癌-縱膈腔淋巴結取樣或廓清 Binding: SSF5 肺癌-縱膈腔淋巴結取樣或廓清值集 (required)
coding:neck	SΣ	0..1	Coding	頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍 Binding: SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍值集 (required)
coding:pancreas	SΣ	0..1	Coding	胰臟癌-Mitotic Count Binding: SSF5 胰臟癌-Mitotic Count值集 (required)
coding:prostate	SΣ	0..1	Coding	攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數 Binding: SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數值集 (required)
coding:rectum	SΣ	0..1	Coding	直腸乙狀結腸、直腸癌-BRAF 基因突變 Binding: SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變值集 (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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category 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.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.focus.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	SSF5breastVS (a valid code from SSF5 乳癌-哨兵淋巴結侵犯數目代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-breast-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:colon	required	SSF5colonVS (a valid code from SSF5 結腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-colon-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:liver	required	SSF5liverVS (a valid code from SSF5 肝癌-總膽紅素檢驗值代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-liver-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:lung	required	SSF5lungVS (a valid code from SSF5 肺癌-縱膈腔淋巴結取樣或廓清代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-lung-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:neck	required	SSF5neckVS (a valid code from SSF5 頭頸癌-頸部第 VI-VII 區及顏面淋巴結侵犯範圍代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-neck-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas	required	SSF5pancreasVS (a valid code from SSF5 胰臟癌-Mitotic Count代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-pancreas-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate	required	SSF5prostateVS (a valid code from SSF5 攝護腺癌-攝護腺全切除或解剖檢體 Gleason 氏分數代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-prostate-valueset from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum	required	SSF5rectumVS (a valid code from SSF5 直腸乙狀結腸、直腸癌-BRAF 基因突變代碼系統) https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-5-rectum-valueset from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Patient CRLF-病患基本資料 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/PatientCRLF)
• Condition CRLF-原發性癌症情況 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Condition-Primary)

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