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-病理期別

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

The extent of the cancer in the body, according to a given cancer staging classification system, based on evidence such as physical examination, imaging, and/or biopsy or based on pathologic analysis of a specimen. 用於表示癌症登記長表資料檔(CRLF)之病理期別組合或其他分期系統

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..* 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: 21902-2
.... 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 0..* 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 Condition LF-Primary Cancer Profile 的 Link
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 1..1 CodeableConcept Actual result
ele-1: All FHIR elements must have a @value or children
.... coding SΣ 1..* Coding Code defined by a terminology system
Binding: 病理期別組合值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


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
..... code SΣ 1..1 code 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
ele-1: All FHIR elements must have a @value or children
... method S 1..1 CodeableConcept "AJCC 癌症分期版本與章節"或"其他分期系統期別(病理)"
Binding: ObservationMethods (example): Methods for simple observations.


ele-1: All FHIR elements must have a @value or children
.... coding SΣ 1..* Coding Code defined by a terminology system
Binding: AJCC癌症分期版本與章節值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


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
..... code SΣ 1..1 code AJCC 癌症分期版本與章節或其他分期系統期別(病理)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string AJCC 癌症分期版本與章節或其他分期系統期別(臨床)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
ele-1: All FHIR elements must have a @value or children
... Slices for hasMember SΣ 3..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
ele-1: All FHIR elements must have a @value or children
.... hasMember:tnmPrimaryTumorCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理T) 病理T之Resource Link
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
.... hasMember:tnmRegionalNodesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理N) 病理N之Resource Link
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
.... hasMember:tnmDistantMetastasesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理M) 病理M之Resource Link
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

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].codingextensibleCRLFPathologyStageGroupValueSet (a valid code from 病理期別組合代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-Pathology-StageGroup
from this IG
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.method.codingextensibleCRLFAJCCStagingValueSet (a valid code from AJCC癌症分期版本與章節代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-AJCC-Staging
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..* 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: 21902-2
.... 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 Condition LF-Primary Cancer Profile 的 Link
... value[x] S 1..1 CodeableConcept Actual result
.... coding S 1..* Coding Code defined by a terminology system
Binding: 病理期別組合值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
.... text S 0..1 string 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
... method S 1..1 CodeableConcept "AJCC 癌症分期版本與章節"或"其他分期系統期別(病理)"
.... coding S 1..* Coding Code defined by a terminology system
Binding: AJCC癌症分期版本與章節值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code AJCC 癌症分期版本與章節或其他分期系統期別(病理)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
.... text S 0..1 string AJCC 癌症分期版本與章節或其他分期系統期別(臨床)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
... Slices for hasMember S 3..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategoryPathology S 1..1 Reference(Observation CRLF-病理T) 病理T之Resource Link
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... hasMember:tnmRegionalNodesCategoryPathology S 1..1 Reference(Observation CRLF-病理N) 病理N之Resource Link
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... hasMember:tnmDistantMetastasesCategoryPathology S 1..1 Reference(Observation CRLF-病理M) 病理M之Resource Link
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x].codingextensibleCRLFPathologyStageGroupValueSet (a valid code from 病理期別組合代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-Pathology-StageGroup
from this IG
Observation.method.codingextensibleCRLFAJCCStagingValueSet (a valid code from AJCC癌症分期版本與章節代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-AJCC-Staging
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..* 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: 21902-2
..... 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 0..* 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 Condition LF-Primary Cancer Profile 的 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
... 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
... value[x] SΣC 1..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
.... coding SΣ 1..* Coding Code defined by a terminology system
Binding: 病理期別組合值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


..... 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
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
..... 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 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
... 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 S 1..1 CodeableConcept "AJCC 癌症分期版本與章節"或"其他分期系統期別(病理)"
Binding: ObservationMethods (example): Methods for 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..* Coding Code defined by a terminology system
Binding: AJCC癌症分期版本與章節值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


..... 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
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code AJCC 癌症分期版本與章節或其他分期系統期別(病理)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
..... 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 AJCC 癌症分期版本與章節或其他分期系統期別(臨床)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
... 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
... Slices for hasMember SΣ 3..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理T) 病理T之Resource Link
..... 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
.... hasMember:tnmRegionalNodesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理N) 病理N之Resource Link
..... 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
.... hasMember:tnmDistantMetastasesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理M) 病理M之Resource Link
..... 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
... 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].codingextensibleCRLFPathologyStageGroupValueSet (a valid code from 病理期別組合代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-Pathology-StageGroup
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.method.codingextensibleCRLFAJCCStagingValueSet (a valid code from AJCC癌症分期版本與章節代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-AJCC-Staging
from this IG
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.hasMember:tnmPrimaryTumorCategoryPathology.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.hasMember:tnmRegionalNodesCategoryPathology.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.hasMember:tnmDistantMetastasesCategoryPathology.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
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()

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..* 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: 21902-2
.... 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 0..* 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 Condition LF-Primary Cancer Profile 的 Link
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 1..1 CodeableConcept Actual result
ele-1: All FHIR elements must have a @value or children
.... coding SΣ 1..* Coding Code defined by a terminology system
Binding: 病理期別組合值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


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
..... code SΣ 1..1 code 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
ele-1: All FHIR elements must have a @value or children
... method S 1..1 CodeableConcept "AJCC 癌症分期版本與章節"或"其他分期系統期別(病理)"
Binding: ObservationMethods (example): Methods for simple observations.


ele-1: All FHIR elements must have a @value or children
.... coding SΣ 1..* Coding Code defined by a terminology system
Binding: AJCC癌症分期版本與章節值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


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
..... code SΣ 1..1 code AJCC 癌症分期版本與章節或其他分期系統期別(病理)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string AJCC 癌症分期版本與章節或其他分期系統期別(臨床)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
ele-1: All FHIR elements must have a @value or children
... Slices for hasMember SΣ 3..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
ele-1: All FHIR elements must have a @value or children
.... hasMember:tnmPrimaryTumorCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理T) 病理T之Resource Link
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
.... hasMember:tnmRegionalNodesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理N) 病理N之Resource Link
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
.... hasMember:tnmDistantMetastasesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理M) 病理M之Resource Link
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

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].codingextensibleCRLFPathologyStageGroupValueSet (a valid code from 病理期別組合代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-Pathology-StageGroup
from this IG
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.method.codingextensibleCRLFAJCCStagingValueSet (a valid code from AJCC癌症分期版本與章節代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-AJCC-Staging
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..* 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: 21902-2
.... 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 Condition LF-Primary Cancer Profile 的 Link
... value[x] S 1..1 CodeableConcept Actual result
.... coding S 1..* Coding Code defined by a terminology system
Binding: 病理期別組合值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
.... text S 0..1 string 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
... method S 1..1 CodeableConcept "AJCC 癌症分期版本與章節"或"其他分期系統期別(病理)"
.... coding S 1..* Coding Code defined by a terminology system
Binding: AJCC癌症分期版本與章節值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code AJCC 癌症分期版本與章節或其他分期系統期別(病理)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
.... text S 0..1 string AJCC 癌症分期版本與章節或其他分期系統期別(臨床)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
... Slices for hasMember S 3..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategoryPathology S 1..1 Reference(Observation CRLF-病理T) 病理T之Resource Link
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... hasMember:tnmRegionalNodesCategoryPathology S 1..1 Reference(Observation CRLF-病理N) 病理N之Resource Link
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... hasMember:tnmDistantMetastasesCategoryPathology S 1..1 Reference(Observation CRLF-病理M) 病理M之Resource Link
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x].codingextensibleCRLFPathologyStageGroupValueSet (a valid code from 病理期別組合代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-Pathology-StageGroup
from this IG
Observation.method.codingextensibleCRLFAJCCStagingValueSet (a valid code from AJCC癌症分期版本與章節代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-AJCC-Staging
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..* 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: 21902-2
..... 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 0..* 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 Condition LF-Primary Cancer Profile 的 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
... 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
... value[x] SΣC 1..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
.... coding SΣ 1..* Coding Code defined by a terminology system
Binding: 病理期別組合值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


..... 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
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
..... 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 病理期別組合或其他分期系統。[CRLF.pstage/CRLF.ostage]，擇一使用
... 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 S 1..1 CodeableConcept "AJCC 癌症分期版本與章節"或"其他分期系統期別(病理)"
Binding: ObservationMethods (example): Methods for 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..* Coding Code defined by a terminology system
Binding: AJCC癌症分期版本與章節值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


..... 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
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code AJCC 癌症分期版本與章節或其他分期系統期別(病理)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
..... 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 AJCC 癌症分期版本與章節或其他分期系統期別(臨床)。[CRLF.ajcc_ed/CRLF.ostagep]，擇一使用
... 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
... Slices for hasMember SΣ 3..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理T) 病理T之Resource Link
..... 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
.... hasMember:tnmRegionalNodesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理N) 病理N之Resource Link
..... 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
.... hasMember:tnmDistantMetastasesCategoryPathology SΣ 1..1 Reference(Observation CRLF-病理M) 病理M之Resource Link
..... 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
... 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].codingextensibleCRLFPathologyStageGroupValueSet (a valid code from 病理期別組合代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-Pathology-StageGroup
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.method.codingextensibleCRLFAJCCStagingValueSet (a valid code from AJCC癌症分期版本與章節代碼系統)
https://www.ghd.tw/cdm-fhir/fhir/ValueSet/CRLF-AJCC-Staging
from this IG
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.hasMember:tnmPrimaryTumorCategoryPathology.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.hasMember:tnmRegionalNodesCategoryPathology.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.hasMember:tnmDistantMetastasesCategoryPathology.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
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()

 

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