Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
identifier	S	1..*	Identifier	Business Identifier for observation
system	S	1..1	uri	The namespace for the identifier value Fixed Value: https://build.fhir.org/ig/HL7/fhir-mCODE-ig/
value	S	1..1	string	Stage Group
status	S	1..1	code	資料狀態[registered | preliminary | final | amended +] Fixed Value: final
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:StageGroup_Clinical	S	0..*	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: 21908-9
display	S	1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
coding:StageGroup_Pathology	S	0..*	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
display	S	1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
text		0..1	string	[臨床期別組合|病理期別組合]
subject	S	1..1	Reference(Cancer Patient)	Who and/or what the observation is about
reference	S	1..1	string	患者 Resource Link
focus	S	1..*	Reference(Condition-Primary Cancer)	What the observation is about, when it is not about the subject of record
reference	S	1..1	string	Condition LF-Primary Cancer Profile 的 Link
value[x]	S	1..1	CodeableConcept	使用valueCodeableConcept
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:StageGroup_Clinical	S	0..*	Coding	臨床期別組合
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.cstage]
display	S	1..1	string	[臨床期別組合]
coding:StageGroup_Pathology	S	0..*	Coding	病理期別組合
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.pstage]
display	S	1..1	string	[臨床期別組合]
text		0..1	string	[臨床期別組合|病理期別組合]
Slices for hasMember	S	3..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	S	1..1	Reference(TNM Primary Tumor Category Profile)	Observation LF-TNM Primary Tumor Category Profile (臨床/病理) 的 Link
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmRegionalNodesCategory	S	1..1	Reference(TNM Regional Nodes Category Profile)	Observation LF-TNM Regional Nodes Category Profile (臨床/病理) 的 Link
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmDistantMetastasesCategory	S	1..1	Reference(TNM Distant Metastases Category Profile)	Observation LF-TNM Distant Metastases Category Profile (臨床/病理) 的 Link
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:$this
component:StageGroup_Clinical		0..*	BackboneElement	Component results
code	S	1..1	CodeableConcept	Type of component observation (code / type)
text		0..1	string	[臨床分期字根/字首]
value[x]	S	0..1	CodeableConcept	Actual component result
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.cdescr]
display	S	1..1	string	[臨床分期字根/字首]
text		0..1	string	[臨床分期字根/字首]
component:StageGroup_Pathology		0..*	BackboneElement	Component results
code	S	1..1	CodeableConcept	Type of component observation (code / type)
text		0..1	string	[病理分期字根/字首]
value[x]	S	0..1	CodeableConcept	Actual component result
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.pdescr]
display	S	1..1	string	[病理分期字根/字首]
text		0..1	string	[病理分期字根/字首]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://build.fhir.org/ig/HL7/fhir-mCODE-ig/
value	SΣ	1..1	string	Stage Group Example General: 123456
status	?!SΣ	1..1	code	資料狀態[registered | preliminary | final | amended +] Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:StageGroup_Clinical	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
coding:StageGroup_Pathology	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
text	Σ	0..1	string	[臨床期別組合|病理期別組合]
subject	SΣ	1..1	Reference(Cancer Patient)	Who and/or what the observation is about
reference	SΣC	1..1	string	患者 Resource Link
focus	SΣ	1..*	Reference(Condition-Primary Cancer)	What the observation is about, when it is not about the subject of record
reference	SΣC	1..1	string	Condition LF-Primary Cancer Profile 的 Link
value[x]	SΣC	1..1	CodeableConcept	使用valueCodeableConcept
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:StageGroup_Clinical	SΣ	0..*	Coding	臨床期別組合
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.cstage]
display	SΣ	1..1	string	[臨床期別組合]
coding:StageGroup_Pathology	SΣ	0..*	Coding	病理期別組合
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.pstage]
display	SΣ	1..1	string	[臨床期別組合]
text	Σ	0..1	string	[臨床期別組合|病理期別組合]
Slices for hasMember	SΣ	3..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	SΣ	1..1	Reference(TNM Primary Tumor Category Profile)	Observation LF-TNM Primary Tumor Category Profile (臨床/病理) 的 Link
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmRegionalNodesCategory	SΣ	1..1	Reference(TNM Regional Nodes Category Profile)	Observation LF-TNM Regional Nodes Category Profile (臨床/病理) 的 Link
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmDistantMetastasesCategory	SΣ	1..1	Reference(TNM Distant Metastases Category Profile)	Observation LF-TNM Distant Metastases Category Profile (臨床/病理) 的 Link
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:$this
component:All Slices				Content/Rules for all slices
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.
component:StageGroup_Clinical	Σ	0..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
text	Σ	0..1	string	[臨床分期字根/字首]
value[x]	SΣ	0..1	CodeableConcept	Actual component result
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.cdescr]
display	SΣ	1..1	string	[臨床分期字根/字首]
text	Σ	0..1	string	[臨床分期字根/字首]
component:StageGroup_Pathology	Σ	0..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
text	Σ	0..1	string	[病理分期字根/字首]
value[x]	SΣ	0..1	CodeableConcept	Actual component result
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.pdescr]
display	SΣ	1..1	string	[病理分期字根/字首]
text	Σ	0..1	string	[病理分期字根/字首]
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.identifier.use	required	IdentifierUse
Observation.status	required	Fixed Value: final
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:StageGroup_Clinical.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:StageGroup_Pathology.code	example	LOINCCodes (a valid code from LOINC)

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	C	0..*	Observation	Measurements and simple assertions
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://build.fhir.org/ig/HL7/fhir-mCODE-ig/
value	SΣ	1..1	string	Stage Group Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	資料狀態[registered | preliminary | final | amended +] Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
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
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:StageGroup_Clinical	SΣ	0..*	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: 21908-9
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:StageGroup_Pathology	SΣ	0..*	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	SΣ	1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[臨床期別組合|病理期別組合]
subject	SΣ	1..1	Reference(Cancer Patient)	Who and/or what the observation is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者 Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	SΣ	1..*	Reference(Condition-Primary Cancer)	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	使用valueCodeableConcept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:StageGroup_Clinical	SΣ	0..*	Coding	臨床期別組合
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	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[LF.cstage]
display	SΣ	1..1	string	[臨床期別組合]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:StageGroup_Pathology	SΣ	0..*	Coding	病理期別組合
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	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[LF.pstage]
display	SΣ	1..1	string	[臨床期別組合]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[臨床期別組合|病理期別組合]
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation
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:tnmPrimaryTumorCategory	SΣ	1..1	Reference(TNM Primary Tumor Category Profile)	Observation LF-TNM Primary Tumor Category Profile (臨床/病理) 的 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:tnmRegionalNodesCategory	SΣ	1..1	Reference(TNM Regional Nodes Category Profile)	Observation LF-TNM Regional Nodes Category Profile (臨床/病理) 的 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:tnmDistantMetastasesCategory	SΣ	1..1	Reference(TNM Distant Metastases Category Profile)	Observation LF-TNM Distant Metastases Category Profile (臨床/病理) 的 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
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:$this
component:All Slices				Content/Rules for all slices
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
component:StageGroup_Clinical	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	SΣ	1..1	CodeableConcept	Type of component 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	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	[臨床分期字根/字首]
value[x]	SΣ	0..1	CodeableConcept	Actual component 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	0..*	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	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[LF.cdescr]
display	SΣ	1..1	string	[臨床分期字根/字首]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[臨床分期字根/字首]
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
component:StageGroup_Pathology	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	SΣ	1..1	CodeableConcept	Type of component 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	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	[病理分期字根/字首]
value[x]	SΣ	0..1	CodeableConcept	Actual component 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	0..*	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	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[LF.pdescr]
display	SΣ	1..1	string	[病理分期字根/字首]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[病理分期字根/字首]
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier.use	required	IdentifierUse
Observation.identifier.type	extensible	Identifier Type Codes
Observation.status	required	Fixed Value: final
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.subject.type	extensible	ResourceType
Observation.focus.type	extensible	ResourceType
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.hasMember:tnmPrimaryTumorCategory.type	extensible	ResourceType
Observation.hasMember:tnmRegionalNodesCategory.type	extensible	ResourceType
Observation.hasMember:tnmDistantMetastasesCategory.type	extensible	ResourceType
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes
Observation.component:StageGroup_Clinical.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:StageGroup_Clinical.dataAbsentReason	extensible	DataAbsentReason
Observation.component:StageGroup_Clinical.interpretation	extensible	ObservationInterpretationCodes
Observation.component:StageGroup_Pathology.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:StageGroup_Pathology.dataAbsentReason	extensible	DataAbsentReason
Observation.component:StageGroup_Pathology.interpretation	extensible	ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Summary

Mandatory: 14 elements (18 nested mandatory elements)
Must-Support: 47 elements
Fixed Value: 8 elements

Structures

This structure refers to these other structures:

• Cancer Patient (https://standard-interoperability-lab.com/fhir/StructureDefinition/cancer-patient)
• Condition-Primary Cancer (https://standard-interoperability-lab.com/fhir/StructureDefinition/primary-cancer-condition)
• TNM Primary Tumor Category Profile (https://standard-interoperability-lab.com/fhir/StructureDefinition/tnm-primary-tumor-category)
• TNM Regional Nodes Category Profile (https://standard-interoperability-lab.com/fhir/StructureDefinition/tnm-regional-nodes-category)
• TNM Distant Metastases Category Profile (https://standard-interoperability-lab.com/fhir/StructureDefinition/tnm-distant-metastases-category)

Slices

This structure defines the following Slices:

• The element Observation.code.coding is sliced based on the value of value:code
• The element Observation.value[x].coding is sliced based on the value of pattern:$this
• The element Observation.hasMember is sliced based on the value of pattern:$this.resolve().code
• The element Observation.component is sliced based on the value of pattern:$this

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
identifier	S	1..*	Identifier	Business Identifier for observation
system	S	1..1	uri	The namespace for the identifier value Fixed Value: https://build.fhir.org/ig/HL7/fhir-mCODE-ig/
value	S	1..1	string	Stage Group
status	S	1..1	code	資料狀態[registered | preliminary | final | amended +] Fixed Value: final
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:StageGroup_Clinical	S	0..*	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: 21908-9
display	S	1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
coding:StageGroup_Pathology	S	0..*	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
display	S	1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
text		0..1	string	[臨床期別組合|病理期別組合]
subject	S	1..1	Reference(Cancer Patient)	Who and/or what the observation is about
reference	S	1..1	string	患者 Resource Link
focus	S	1..*	Reference(Condition-Primary Cancer)	What the observation is about, when it is not about the subject of record
reference	S	1..1	string	Condition LF-Primary Cancer Profile 的 Link
value[x]	S	1..1	CodeableConcept	使用valueCodeableConcept
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:StageGroup_Clinical	S	0..*	Coding	臨床期別組合
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.cstage]
display	S	1..1	string	[臨床期別組合]
coding:StageGroup_Pathology	S	0..*	Coding	病理期別組合
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.pstage]
display	S	1..1	string	[臨床期別組合]
text		0..1	string	[臨床期別組合|病理期別組合]
Slices for hasMember	S	3..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	S	1..1	Reference(TNM Primary Tumor Category Profile)	Observation LF-TNM Primary Tumor Category Profile (臨床/病理) 的 Link
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmRegionalNodesCategory	S	1..1	Reference(TNM Regional Nodes Category Profile)	Observation LF-TNM Regional Nodes Category Profile (臨床/病理) 的 Link
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmDistantMetastasesCategory	S	1..1	Reference(TNM Distant Metastases Category Profile)	Observation LF-TNM Distant Metastases Category Profile (臨床/病理) 的 Link
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:$this
component:StageGroup_Clinical		0..*	BackboneElement	Component results
code	S	1..1	CodeableConcept	Type of component observation (code / type)
text		0..1	string	[臨床分期字根/字首]
value[x]	S	0..1	CodeableConcept	Actual component result
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.cdescr]
display	S	1..1	string	[臨床分期字根/字首]
text		0..1	string	[臨床分期字根/字首]
component:StageGroup_Pathology		0..*	BackboneElement	Component results
code	S	1..1	CodeableConcept	Type of component observation (code / type)
text		0..1	string	[病理分期字根/字首]
value[x]	S	0..1	CodeableConcept	Actual component result
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[LF.pdescr]
display	S	1..1	string	[病理分期字根/字首]
text		0..1	string	[病理分期字根/字首]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://build.fhir.org/ig/HL7/fhir-mCODE-ig/
value	SΣ	1..1	string	Stage Group Example General: 123456
status	?!SΣ	1..1	code	資料狀態[registered | preliminary | final | amended +] Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:StageGroup_Clinical	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
coding:StageGroup_Pathology	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
text	Σ	0..1	string	[臨床期別組合|病理期別組合]
subject	SΣ	1..1	Reference(Cancer Patient)	Who and/or what the observation is about
reference	SΣC	1..1	string	患者 Resource Link
focus	SΣ	1..*	Reference(Condition-Primary Cancer)	What the observation is about, when it is not about the subject of record
reference	SΣC	1..1	string	Condition LF-Primary Cancer Profile 的 Link
value[x]	SΣC	1..1	CodeableConcept	使用valueCodeableConcept
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:StageGroup_Clinical	SΣ	0..*	Coding	臨床期別組合
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.cstage]
display	SΣ	1..1	string	[臨床期別組合]
coding:StageGroup_Pathology	SΣ	0..*	Coding	病理期別組合
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.pstage]
display	SΣ	1..1	string	[臨床期別組合]
text	Σ	0..1	string	[臨床期別組合|病理期別組合]
Slices for hasMember	SΣ	3..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	SΣ	1..1	Reference(TNM Primary Tumor Category Profile)	Observation LF-TNM Primary Tumor Category Profile (臨床/病理) 的 Link
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmRegionalNodesCategory	SΣ	1..1	Reference(TNM Regional Nodes Category Profile)	Observation LF-TNM Regional Nodes Category Profile (臨床/病理) 的 Link
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
hasMember:tnmDistantMetastasesCategory	SΣ	1..1	Reference(TNM Distant Metastases Category Profile)	Observation LF-TNM Distant Metastases Category Profile (臨床/病理) 的 Link
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:$this
component:All Slices				Content/Rules for all slices
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.
component:StageGroup_Clinical	Σ	0..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
text	Σ	0..1	string	[臨床分期字根/字首]
value[x]	SΣ	0..1	CodeableConcept	Actual component result
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.cdescr]
display	SΣ	1..1	string	[臨床分期字根/字首]
text	Σ	0..1	string	[臨床分期字根/字首]
component:StageGroup_Pathology	Σ	0..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
text	Σ	0..1	string	[病理分期字根/字首]
value[x]	SΣ	0..1	CodeableConcept	Actual component result
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[LF.pdescr]
display	SΣ	1..1	string	[病理分期字根/字首]
text	Σ	0..1	string	[病理分期字根/字首]
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.identifier.use	required	IdentifierUse
Observation.status	required	Fixed Value: final
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:StageGroup_Clinical.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:StageGroup_Pathology.code	example	LOINCCodes (a valid code from LOINC)

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()