Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 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	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀 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): 檢驗檢查的狀態代碼；應填入ObservationStatus代碼表中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	急性病床天數/慢性病床天數代碼。[TOTFB.d14/TOTFB.d15] ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15] ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(TW Core Patient | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	檢驗檢查有關的對象及（或）事物 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
encounter	SΣ	1..1	Reference(Encounter TOTFB-案件分類)	檢驗檢查是哪一次就醫時執行的 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
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查 ele-1: All FHIR elements must have a @value or children
Slices for value[x]	SΣC	1..1	Quantity	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SΣC	1..1	Quantity	檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15] 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 Fixed Value: days
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Fixed Value: d
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 ele-1: All FHIR elements must have a @value or children
note	S	1..1	Annotation	關於此檢驗檢查之解說。註記急性病床天數或慢性病床天數 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children Example Example: 急性病床天數
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。 ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 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
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueQuantity	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common 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.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason 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-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()

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。
status	S	1..1	code	registered ｜ preliminary ｜ final ｜ amended +
code	S	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。
coding
system		1..1	uri	專門術語系統（terminology system）的識別
code		1..1	code	急性病床天數/慢性病床天數代碼。[TOTFB.d14/TOTFB.d15]
text		0..1	string	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
subject	S	1..1	Reference(TW Core Patient | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	檢驗檢查有關的對象及（或）事物
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	S	1..1	Reference(Encounter TOTFB-案件分類)	檢驗檢查是哪一次就醫時執行的
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]		1..1	Quantity	檢驗檢查的實際結果 Slice: Unordered, Open by type:$this
value[x]:valueQuantity		1..1	Quantity	檢驗檢查的實際結果
value	S	1..1	decimal	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
unit	S	1..1	string	Unit representation Fixed Value: days
system	S	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	0..1	code	Coded form of the unit Fixed Value: d
note	S	1..1	Annotation	關於此檢驗檢查之解說。註記急性病床天數或慢性病床天數
text	S	1..1	markdown	The annotation - text content (as markdown) Example Example: 急性病床天數
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 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	不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Observation Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Observation Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Example Value: zh-TW
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest)	依據的照護計畫／提議／醫令
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | TW Core Procedure | Immunization | ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status	?!SΣ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入ObservationStatus代碼表中的其中一個代碼。
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
code	S	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	急性病床天數/慢性病床天數代碼。[TOTFB.d14/TOTFB.d15]
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
subject	SΣ	1..1	Reference(TW Core Patient | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	檢驗檢查有關的對象及（或）事物
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
focus	Σ	0..*	Reference(Resource)	當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
encounter	SΣ	1..1	Reference(Encounter TOTFB-案件分類)	檢驗檢查是哪一次就醫時執行的
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
effective[x]	Σ	0..1		檢驗檢查執行日期或時間區間
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	此版本檢驗檢查完成的日期或時間
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查
Slices for value[x]	SΣC	1..1	Quantity	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
value[x]:valueQuantity	SΣC	1..1	Quantity	檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
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 Fixed Value: days
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit Fixed Value: d
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
note	S	1..1	Annotation	關於此檢驗檢查之解說。註記急性病床天數或慢性病床天數
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown) Example Example: 急性病床天數
bodySite		0..1	CodeableConceptTW	接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (example): 代碼說明解剖學位置，可能包含側邊；可參考SNOMEDCTBodyStructures代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
method		0..1	CodeableConceptTW	此檢驗檢查使用何種方法完成 Binding: ObservationMethods (example): 檢驗檢查的方法；可參考ObservationMethods代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
specimen		0..1	Reference(Specimen)	此檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	（測量）設備
referenceRange	C	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
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	參考範圍值的下限值，如果相關。
high	C	0..1	SimpleQuantity	參考範圍值的上限值，如果相關。
type		0..1	CodeableConceptTW	參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用ObservationReferenceRangeMeaningCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
appliesTo		0..*	CodeableConceptTW	參考範圍值的人群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的人群之代碼；可參考ObservationReferenceRangeAppliesToCodes代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
age		0..1	Range	適用的年齡範圍值，如果相關。
text		0..1	string	檢驗檢查中以文字表述的參考範圍值
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	檢驗檢查源自哪些相關測量
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
referenceRange		0..*	See referenceRange (Observation)	解釋此組成之檢驗驗查的結果值之指引
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueQuantity	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common 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.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	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common 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()

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 12 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

• TW Core Patient (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore)
• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/PatientCDM)
• Encounter TOTFB-案件分類 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/EncounterTOTFB)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 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	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀 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): 檢驗檢查的狀態代碼；應填入ObservationStatus代碼表中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	急性病床天數/慢性病床天數代碼。[TOTFB.d14/TOTFB.d15] ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15] ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(TW Core Patient | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	檢驗檢查有關的對象及（或）事物 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
encounter	SΣ	1..1	Reference(Encounter TOTFB-案件分類)	檢驗檢查是哪一次就醫時執行的 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
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查 ele-1: All FHIR elements must have a @value or children
Slices for value[x]	SΣC	1..1	Quantity	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity	SΣC	1..1	Quantity	檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15] 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 Fixed Value: days
system	SΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Fixed Value: d
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 ele-1: All FHIR elements must have a @value or children
note	S	1..1	Annotation	關於此檢驗檢查之解說。註記急性病床天數或慢性病床天數 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children Example Example: 急性病床天數
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。 ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 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
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueQuantity	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common 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.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason 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-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()

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。
status	S	1..1	code	registered ｜ preliminary ｜ final ｜ amended +
code	S	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。
coding
system		1..1	uri	專門術語系統（terminology system）的識別
code		1..1	code	急性病床天數/慢性病床天數代碼。[TOTFB.d14/TOTFB.d15]
text		0..1	string	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
subject	S	1..1	Reference(TW Core Patient | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	檢驗檢查有關的對象及（或）事物
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	S	1..1	Reference(Encounter TOTFB-案件分類)	檢驗檢查是哪一次就醫時執行的
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]		1..1	Quantity	檢驗檢查的實際結果 Slice: Unordered, Open by type:$this
value[x]:valueQuantity		1..1	Quantity	檢驗檢查的實際結果
value	S	1..1	decimal	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
unit	S	1..1	string	Unit representation Fixed Value: days
system	S	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	0..1	code	Coded form of the unit Fixed Value: d
note	S	1..1	Annotation	關於此檢驗檢查之解說。註記急性病床天數或慢性病床天數
text	S	1..1	markdown	The annotation - text content (as markdown) Example Example: 急性病床天數
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 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	不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Observation Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Observation Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Example Value: zh-TW
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest)	依據的照護計畫／提議／醫令
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | TW Core Procedure | Immunization | ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status	?!SΣ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入ObservationStatus代碼表中的其中一個代碼。
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
code	S	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Binding: LOINC生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	急性病床天數/慢性病床天數代碼。[TOTFB.d14/TOTFB.d15]
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
subject	SΣ	1..1	Reference(TW Core Patient | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	檢驗檢查有關的對象及（或）事物
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
focus	Σ	0..*	Reference(Resource)	當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
encounter	SΣ	1..1	Reference(Encounter TOTFB-案件分類)	檢驗檢查是哪一次就醫時執行的
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
effective[x]	Σ	0..1		檢驗檢查執行日期或時間區間
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	此版本檢驗檢查完成的日期或時間
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查
Slices for value[x]	SΣC	1..1	Quantity	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
value[x]:valueQuantity	SΣC	1..1	Quantity	檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	急性病床天數/慢性病床天數。[TOTFB.d14/TOTFB.d15]
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 Fixed Value: days
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit Fixed Value: d
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
note	S	1..1	Annotation	關於此檢驗檢查之解說。註記急性病床天數或慢性病床天數
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown) Example Example: 急性病床天數
bodySite		0..1	CodeableConceptTW	接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (example): 代碼說明解剖學位置，可能包含側邊；可參考SNOMEDCTBodyStructures代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
method		0..1	CodeableConceptTW	此檢驗檢查使用何種方法完成 Binding: ObservationMethods (example): 檢驗檢查的方法；可參考ObservationMethods代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
specimen		0..1	Reference(Specimen)	此檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	（測量）設備
referenceRange	C	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
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	參考範圍值的下限值，如果相關。
high	C	0..1	SimpleQuantity	參考範圍值的上限值，如果相關。
type		0..1	CodeableConceptTW	參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用ObservationReferenceRangeMeaningCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
appliesTo		0..*	CodeableConceptTW	參考範圍值的人群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的人群之代碼；可參考ObservationReferenceRangeAppliesToCodes代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
age		0..1	Range	適用的年齡範圍值，如果相關。
text		0..1	string	檢驗檢查中以文字表述的參考範圍值
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	檢驗檢查源自哪些相關測量
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: LOINC生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
referenceRange		0..*	See referenceRange (Observation)	解釋此組成之檢驗驗查的結果值之指引
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueQuantity	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common 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.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	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common 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()

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 12 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

• TW Core Patient (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore)
• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/PatientCDM)
• Encounter TOTFB-案件分類 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/EncounterTOTFB)

Slices

This structure defines the following Slices:

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