共同資料模式實作指引(Common Data Model IG)
1.0.0-Trial Use - draft
共同資料模式實作指引(Common Data Model IG) - Local Development build (v1.0.0-Trial Use). See the Directory of published versions
Official URL: https://standard-interoperability-lab.com/fhir/StructureDefinition/tnm-regional-nodes-category | Version: 1.0.0-Trial Use | |||
Active as of 2023-07-26 | Computable Name: TNMRegionalNodesCategory |
Category of the presence or absence of metastases in regional lymph nodes, based on evidence such as physical examination, imaging, and/or biopsy.
AJCC[臨床 | 病理N] |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
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 | Regional Nodes(N) Category |
status | S | 1..1 | code | 資料狀態[registered | preliminary | final | amended +] Fixed Value: final |
category | S | 1..* | CodeableConcept | AJCC癌症分期版本與章節 |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | S | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.twiap.org.tw/data/content.asp?ID=1214&FDType= |
code | S | 1..1 | code | [LF.ajcc_ed] |
display | S | 1..1 | string | [AJCC癌症分期版本與章節] |
text | 0..1 | string | [AJCC癌症分期版本與章節] | |
code | S | 1..1 | CodeableConcept | 臨床N|病理N |
Slices for coding | S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
coding:CN | 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: 21906-3 |
display | S | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer |
coding:PN | S | 0..* | Coding | Code defined by a terminology system |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21900-6 |
display | S | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.pathology [Class] Cancer |
text | 0..1 | string | [臨床N/病理N]。 | |
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 | 0..1 | CodeableConcept | Actual result |
Slices for coding | S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:CN | S | 0..* | Coding | 臨床N |
system | S | 1..1 | uri | 健保資料網址 |
code | S | 1..1 | code | [LF.cn] |
display | S | 1..1 | string | [臨床N] |
coding:PN | 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.pn] |
display | S | 1..1 | string | [病理N] |
text | 0..1 | string | [臨床N|病理N]。 | |
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 | Regional Nodes(N) Category 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 |
category | S | 1..* | CodeableConcept | AJCC癌症分期版本與章節 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.twiap.org.tw/data/content.asp?ID=1214&FDType= |
code | SΣ | 1..1 | code | [LF.ajcc_ed] |
display | SΣ | 1..1 | string | [AJCC癌症分期版本與章節] |
text | Σ | 0..1 | string | [AJCC癌症分期版本與章節] |
code | SΣ | 1..1 | CodeableConcept | 臨床N|病理N 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:CN | Σ | 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: 21906-3 |
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer |
coding:PN | SΣ | 0..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21900-6 |
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.pathology [Class] Cancer |
text | Σ | 0..1 | string | [臨床N/病理N]。 |
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 | 0..1 | CodeableConcept | Actual result |
Slices for coding | SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:CN | SΣ | 0..* | Coding | 臨床N |
system | SΣ | 1..1 | uri | 健保資料網址 |
code | SΣ | 1..1 | code | [LF.cn] |
display | SΣ | 1..1 | string | [臨床N] |
coding:PN | 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.pn] |
display | SΣ | 1..1 | string | [病理N] |
text | Σ | 0..1 | string | [臨床N|病理N]。 |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Observation.identifier.use | required | IdentifierUse |
Observation.status | required | Fixed Value: final |
Observation.category | preferred | ObservationCategoryCodes |
Observation.code | example | LOINCCodes (a valid code from LOINC) |
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.
| |||||
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 | Regional Nodes(N) Category 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 | S | 1..* | CodeableConcept | AJCC癌症分期版本與章節 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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 | Identity of the terminology system Fixed Value: https://www.twiap.org.tw/data/content.asp?ID=1214&FDType= | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | [LF.ajcc_ed] | ||||
display | SΣ | 1..1 | string | [AJCC癌症分期版本與章節] | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [AJCC癌症分期版本與章節] | ||||
code | SΣ | 1..1 | CodeableConcept | 臨床N|病理N 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:CN | Σ | 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: 21906-3 | ||||
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:PN | 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 | ||||
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: 21900-6 | ||||
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.pathology [Class] Cancer | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [臨床N/病理N]。 | ||||
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 | 0..1 | CodeableConcept | Actual result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
coding:CN | SΣ | 0..* | Coding | 臨床N | ||||
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.cn] | ||||
display | SΣ | 1..1 | string | [臨床N] | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:PN | 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.pn] | ||||
display | SΣ | 1..1 | string | [病理N] | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [臨床N|病理N]。 | ||||
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 | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Component results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Observation.language | preferred | CommonLanguages
| ||||
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.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodes |
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() |
This structure is derived from Observation
Summary
Mandatory: 8 elements (15 nested mandatory elements)
Must-Support: 32 elements
Fixed Value: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
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 | Regional Nodes(N) Category |
status | S | 1..1 | code | 資料狀態[registered | preliminary | final | amended +] Fixed Value: final |
category | S | 1..* | CodeableConcept | AJCC癌症分期版本與章節 |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | S | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.twiap.org.tw/data/content.asp?ID=1214&FDType= |
code | S | 1..1 | code | [LF.ajcc_ed] |
display | S | 1..1 | string | [AJCC癌症分期版本與章節] |
text | 0..1 | string | [AJCC癌症分期版本與章節] | |
code | S | 1..1 | CodeableConcept | 臨床N|病理N |
Slices for coding | S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
coding:CN | 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: 21906-3 |
display | S | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer |
coding:PN | S | 0..* | Coding | Code defined by a terminology system |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21900-6 |
display | S | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.pathology [Class] Cancer |
text | 0..1 | string | [臨床N/病理N]。 | |
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 | 0..1 | CodeableConcept | Actual result |
Slices for coding | S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:CN | S | 0..* | Coding | 臨床N |
system | S | 1..1 | uri | 健保資料網址 |
code | S | 1..1 | code | [LF.cn] |
display | S | 1..1 | string | [臨床N] |
coding:PN | 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.pn] |
display | S | 1..1 | string | [病理N] |
text | 0..1 | string | [臨床N|病理N]。 | |
Documentation for this format |
Key Elements View
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 | Regional Nodes(N) Category 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 |
category | S | 1..* | CodeableConcept | AJCC癌症分期版本與章節 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.twiap.org.tw/data/content.asp?ID=1214&FDType= |
code | SΣ | 1..1 | code | [LF.ajcc_ed] |
display | SΣ | 1..1 | string | [AJCC癌症分期版本與章節] |
text | Σ | 0..1 | string | [AJCC癌症分期版本與章節] |
code | SΣ | 1..1 | CodeableConcept | 臨床N|病理N 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:CN | Σ | 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: 21906-3 |
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer |
coding:PN | SΣ | 0..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21900-6 |
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.pathology [Class] Cancer |
text | Σ | 0..1 | string | [臨床N/病理N]。 |
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 | 0..1 | CodeableConcept | Actual result |
Slices for coding | SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:CN | SΣ | 0..* | Coding | 臨床N |
system | SΣ | 1..1 | uri | 健保資料網址 |
code | SΣ | 1..1 | code | [LF.cn] |
display | SΣ | 1..1 | string | [臨床N] |
coding:PN | 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.pn] |
display | SΣ | 1..1 | string | [病理N] |
text | Σ | 0..1 | string | [臨床N|病理N]。 |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Observation.identifier.use | required | IdentifierUse |
Observation.status | required | Fixed Value: final |
Observation.category | preferred | ObservationCategoryCodes |
Observation.code | example | LOINCCodes (a valid code from LOINC) |
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() |
Snapshot View
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.
| |||||
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 | Regional Nodes(N) Category 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 | S | 1..* | CodeableConcept | AJCC癌症分期版本與章節 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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 | Identity of the terminology system Fixed Value: https://www.twiap.org.tw/data/content.asp?ID=1214&FDType= | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | [LF.ajcc_ed] | ||||
display | SΣ | 1..1 | string | [AJCC癌症分期版本與章節] | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [AJCC癌症分期版本與章節] | ||||
code | SΣ | 1..1 | CodeableConcept | 臨床N|病理N 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:CN | Σ | 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: 21906-3 | ||||
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:PN | 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 | ||||
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: 21900-6 | ||||
display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes.pathology [Class] Cancer | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [臨床N/病理N]。 | ||||
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 | 0..1 | CodeableConcept | Actual result | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
coding:CN | SΣ | 0..* | Coding | 臨床N | ||||
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.cn] | ||||
display | SΣ | 1..1 | string | [臨床N] | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:PN | 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.pn] | ||||
display | SΣ | 1..1 | string | [病理N] | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [臨床N|病理N]。 | ||||
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 | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Component results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Observation.language | preferred | CommonLanguages
| ||||
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.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodes |
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() |
This structure is derived from Observation
Summary
Mandatory: 8 elements (15 nested mandatory elements)
Must-Support: 32 elements
Fixed Value: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron