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
Resource Profile: Observatio-Tumor Size
| Official URL: https://standard-interoperability-lab.com/fhir/StructureDefinition/tumor-size | Version: 1.0.0-Trial Use | |||
| Active as of 2023-07-26 | Computable Name: TumorSize | |||
Records the dimensions of a tumor
Usage:
- Refer to this Resource Profile: Composition CRLF
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | C | 0..* | Observation | Measurements and simple assertions must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated |
  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 | Tumor Size |
| status | 1..1 | code | [registered | preliminary | final | amended +] Fixed Value: final | |
| code | S | 1..1 | CodeableConcept | Type of observation (code / type) |
 coding | 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: 21889-1 |
| display | S | 1..1 | string | Representation defined by the system Fixed Value: Size Tumor |
 subject | S | 1..1 | Reference(Cancer Patient) | The patient whose tumor was measured. |
| reference | S | 1..1 | string | 患者 Resource Link |
| focus | 0..1 | Reference(Resource) | Identifies a tumor that has NOT been removed from the body | |
 effective[x] | S | 0..1 | dateTime | 首次顯微鏡檢證實日期。[LF.dmconf] |
| method | S | 1..1 | CodeableConcept | 癌症確診方式 |
| 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.confirm] |
| display | S | 1..1 | string | [癌症確診方式] |
| text | 0..1 | string | [癌症確診方式] | |
| component | S | 1..* | BackboneElement | Component results |
| code | S | 1..1 | CodeableConcept | Type of component observation (code / type) |
| coding | 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: 33729-5 |
| display | S | 1..1 | string | Representation defined by the system Fixed Value: Size additional dimension in Tumor |
| text | 0..1 | string | [腫瘤大小] | |
 value[x] | S | 1..1 | Quantity | LF.size |
| value | S | 1..1 | decimal | [LF.size] |
| unit | S | 1..1 | string | Unit representation Fixed Value: mm |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: https://standard-interoperability-lab.com/fhir/ValueSet/tumor-size-units-vs |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| must-have-focus-or-specimen-invariant | error | Observation | Either `focus` OR `specimen` MUST be populated : (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated |
| 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 | Tumor Size Example General: 123456 |
| status | ?!Σ | 1..1 | code | [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. |
| coding | 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: 21889-1 |
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size Tumor |
| subject | SΣ | 1..1 | Reference(Cancer Patient) | The patient whose tumor was measured. |
| reference | SΣC | 1..1 | string | 患者 Resource Link |
| focus | Σ | 0..1 | Reference(Resource) | Identifies a tumor that has NOT been removed from the body |
| effective[x] | SΣ | 0..1 | dateTime | 首次顯微鏡檢證實日期。[LF.dmconf] |
| method | S | 1..1 | CodeableConcept | 癌症確診方式 Binding: ObservationMethods (example): Methods for simple observations. |
| 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.confirm] |
| display | SΣ | 1..1 | string | [癌症確診方式] |
| text | Σ | 0..1 | string | [癌症確診方式] |
| component | SΣ | 1..* | 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. |
| coding | 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: 33729-5 |
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size additional dimension in Tumor |
| text | Σ | 0..1 | string | [腫瘤大小] |
| value[x] | SΣ | 1..1 | Quantity | LF.size |
| value | SΣ | 1..1 | decimal | [LF.size] |
| 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: mm |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: https://standard-interoperability-lab.com/fhir/ValueSet/tumor-size-units-vs |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm |
| 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.method | example | ObservationMethods |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component.value[x].comparator | required | QuantityComparator |
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() | |
| must-have-focus-or-specimen-invariant | error | Observation | Either `focus` OR `specimen` MUST be populated : (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not() | |
| 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 must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated | ||||
| 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 | Tumor Size 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 | ?!Σ | 1..1 | code | [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 | |||||
| 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: 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: 21889-1 | ||||
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size Tumor | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(Cancer Patient) | The patient whose tumor was measured. | ||||
| 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 | Σ | 0..1 | Reference(Resource) | Identifies a tumor that has NOT been removed from the body | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | SΣ | 0..1 | dateTime | 首次顯微鏡檢證實日期。[LF.dmconf] | ||||
| 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] | ΣC | 0..1 | Actual 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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | S | 1..1 | CodeableConcept | 癌症確診方式 Binding: ObservationMethods (example): Methods for simple observations. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | SΣ | 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.confirm] | ||||
| display | SΣ | 1..1 | string | [癌症確診方式] | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | [癌症確診方式] | ||||
| 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 | SΣ | 1..* | 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 | 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: 33729-5 | ||||
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size additional dimension in Tumor | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | [腫瘤大小] | ||||
| value[x] | SΣ | 1..1 | Quantity | LF.size | ||||
| 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 | [LF.size] | ||||
| 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: mm | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: https://standard-interoperability-lab.com/fhir/ValueSet/tumor-size-units-vs | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm | ||||
| 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
| ||||
| 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.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.value[x].comparator | required | QuantityComparator | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.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() |
This structure is derived from Observation
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated |
| 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 | Tumor Size |
| status | 1..1 | code | [registered | preliminary | final | amended +] Fixed Value: final | |
| code | S | 1..1 | CodeableConcept | Type of observation (code / type) |
| coding | 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: 21889-1 |
| display | S | 1..1 | string | Representation defined by the system Fixed Value: Size Tumor |
| subject | S | 1..1 | Reference(Cancer Patient) | The patient whose tumor was measured. |
| reference | S | 1..1 | string | 患者 Resource Link |
| focus | 0..1 | Reference(Resource) | Identifies a tumor that has NOT been removed from the body | |
| effective[x] | S | 0..1 | dateTime | 首次顯微鏡檢證實日期。[LF.dmconf] |
| method | S | 1..1 | CodeableConcept | 癌症確診方式 |
| 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.confirm] |
| display | S | 1..1 | string | [癌症確診方式] |
| text | 0..1 | string | [癌症確診方式] | |
| component | S | 1..* | BackboneElement | Component results |
| code | S | 1..1 | CodeableConcept | Type of component observation (code / type) |
| coding | 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: 33729-5 |
| display | S | 1..1 | string | Representation defined by the system Fixed Value: Size additional dimension in Tumor |
| text | 0..1 | string | [腫瘤大小] | |
| value[x] | S | 1..1 | Quantity | LF.size |
| value | S | 1..1 | decimal | [LF.size] |
| unit | S | 1..1 | string | Unit representation Fixed Value: mm |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: https://standard-interoperability-lab.com/fhir/ValueSet/tumor-size-units-vs |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| must-have-focus-or-specimen-invariant | error | Observation | Either `focus` OR `specimen` MUST be populated : (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated |
| 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 | Tumor Size Example General: 123456 |
| status | ?!Σ | 1..1 | code | [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. |
| coding | 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: 21889-1 |
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size Tumor |
| subject | SΣ | 1..1 | Reference(Cancer Patient) | The patient whose tumor was measured. |
| reference | SΣC | 1..1 | string | 患者 Resource Link |
| focus | Σ | 0..1 | Reference(Resource) | Identifies a tumor that has NOT been removed from the body |
| effective[x] | SΣ | 0..1 | dateTime | 首次顯微鏡檢證實日期。[LF.dmconf] |
| method | S | 1..1 | CodeableConcept | 癌症確診方式 Binding: ObservationMethods (example): Methods for simple observations. |
| 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.confirm] |
| display | SΣ | 1..1 | string | [癌症確診方式] |
| text | Σ | 0..1 | string | [癌症確診方式] |
| component | SΣ | 1..* | 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. |
| coding | 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: 33729-5 |
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size additional dimension in Tumor |
| text | Σ | 0..1 | string | [腫瘤大小] |
| value[x] | SΣ | 1..1 | Quantity | LF.size |
| value | SΣ | 1..1 | decimal | [LF.size] |
| 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: mm |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: https://standard-interoperability-lab.com/fhir/ValueSet/tumor-size-units-vs |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm |
| 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.method | example | ObservationMethods |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component.value[x].comparator | required | QuantityComparator |
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() | |
| must-have-focus-or-specimen-invariant | error | Observation | Either `focus` OR `specimen` MUST be populated : (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not() | |
| 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 must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated | ||||
| 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 | Tumor Size 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 | ?!Σ | 1..1 | code | [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 | |||||
| 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: 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: 21889-1 | ||||
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size Tumor | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(Cancer Patient) | The patient whose tumor was measured. | ||||
| 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 | Σ | 0..1 | Reference(Resource) | Identifies a tumor that has NOT been removed from the body | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | SΣ | 0..1 | dateTime | 首次顯微鏡檢證實日期。[LF.dmconf] | ||||
| 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] | ΣC | 0..1 | Actual 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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | S | 1..1 | CodeableConcept | 癌症確診方式 Binding: ObservationMethods (example): Methods for simple observations. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | SΣ | 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.confirm] | ||||
| display | SΣ | 1..1 | string | [癌症確診方式] | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | [癌症確診方式] | ||||
| 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 | SΣ | 1..* | 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 | 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: 33729-5 | ||||
| display | SΣ | 1..1 | string | Representation defined by the system Fixed Value: Size additional dimension in Tumor | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | [腫瘤大小] | ||||
| value[x] | SΣ | 1..1 | Quantity | LF.size | ||||
| 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 | [LF.size] | ||||
| 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: mm | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: https://standard-interoperability-lab.com/fhir/ValueSet/tumor-size-units-vs | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm | ||||
| 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
| ||||
| 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.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.value[x].comparator | required | QuantityComparator | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.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() |
This structure is derived from Observation
Other representations of profile: CSV, Excel, Schematron