This page is part of the 診所門診病摘實作指引 (v1.0.1: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: 檢驗檢查(Observation ClinEMR)

此檢驗檢查(Observation ClinEMR)Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result)Profile以呈現西醫/牙醫/中醫診所門診病摘之檢驗檢查的詳細資料。

Usage:

• Use this Resource Profile: 牙醫-資料交換基本單位(Bundle DCR), 西醫-資料交換基本單位(Bundle MCR) and 中醫-資料交換基本單位(Bundle TCMCR)
• Refer to this Resource Profile: 關懷計畫(CarePlan ClinEMR), 牙醫-臨床文件架構(Composition DCR), 西醫-臨床文件架構(Composition MCR), 中醫-臨床文件架構(Composition TCMCR)... Show 21 more, 病人主訴(ConditionChiefComplaint ClinEMR), 病情、問題或診斷(ConditionDiagnosis ClinEMR), 重大傷病(ConditionMajorIllness ClinEMR), 過去病史(ConditionPastMedicalHistory ClinEMR), 診斷報告(DiagnosticReport ClinEMR), 就醫事件(Encounter ClinEMR), 藥品請求(MedicationRequest ClinEMR), 中醫-藥品請求(MedicationRequest TCMCR), 檢驗檢查(Observation ClinEMR), 血型(ObservationBloodtype ClinEMR), 教育程度(ObservationEducationLevel ClinEMR), 重大傷病註記(ObservationMajorIllness ClinEMR), 病人證型(ObservationManifestation TCMCR), 職業(ObservationOccupation ClinEMR), 病人脈象(ObservationPulseCondition TCMCR), 病人治則(ObservationTherapeuticDiscipline TCMCR), 病人舌象(ObservationTongueCondition TCMCR), 牙醫-處置或手術(Procedure DCR), 西醫-處置或手術(Procedure MCR), 中醫-處置或手術(Procedure TCMCR) and 服務請求(ServiceRequest ClinEMR)
• Examples for this Resource Profile: Observation/ObservationDCR-min, Observation/ObservationMCR-min, Observation/ObservationMCR-pro, Observation/ObservationTCMCR-min and Observation/ObservationTCMCR-pro

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present tw-core-4: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. observation-code-match: Observation.code 必須與對應的 ServiceRequest.code 相同
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	Σ	0..*	Reference(服務請求(ServiceRequest ClinEMR))	依據的照護計畫／提議／醫令 ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 西醫-處置或手術(Procedure MCR) | TW Core Immunization | TW Core ImagingStudy)	此檢驗檢查是哪個參照事件的一部分 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children Required Pattern: final
Slices for category	S	1..*	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
category:twcore	S	1..1	CodeableConcept	Classification of type of observation Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	S	1..1	CodeableConceptTW	概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)] Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://loinc.org
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(病人資料(Patient ClinEMR))	檢驗檢查有關的對象及（或）事物 ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	檢驗檢查是哪一次就醫時執行的 ele-1: All FHIR elements must have a @value or children
Slices for effective[x]	SΣC	1..1		檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children tw-core-3: Datetime must be at least to day.
effectiveDateTime			dateTime
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date] ele-1: All FHIR elements must have a @value or children tw-core-3: Datetime must be at least to day.
issued	SΣ	1..1	instant	[應填入檢驗檢查完成的日期或時間] ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(檢驗檢查機構(OrganizationInspection ClinEMR))	[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name] ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。 ele-1: All FHIR elements must have a @value or children tw-core-5: SHALL use UCUM for coded quantity units.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment] ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*	Reference(檢驗檢查(Observation ClinEMR) | TW Core QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource ele-1: All FHIR elements must have a @value or children
derivedFrom	Σ	0..*	Reference(文件參照(DocumentReference ClinEMR) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | 檢驗檢查(Observation ClinEMR) | MolecularSequence)	檢驗檢查源自哪些相關測量 ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptTW	[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)] Binding: LOINC實驗室檢驗檢查值集 (example) ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://loinc.org
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit] ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	[應填入門診病摘檢驗檢查結果備註說明Result Comment] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:twcore	required	Pattern: laboratory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.code	extensible	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
observation-code-match	error	Observation	Observation.code 必須與對應的 ServiceRequest.code 相同 : basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)

This structure is derived from TWCoreObservationLaboratoryResult

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 observation-code-match: Observation.code 必須與對應的 ServiceRequest.code 相同
basedOn		0..*	Reference(服務請求(ServiceRequest ClinEMR))	依據的照護計畫／提議／醫令
partOf		0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 西醫-處置或手術(Procedure MCR) | TW Core Immunization | TW Core ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status		1..1	code	registered ｜ preliminary ｜ final ｜ amended + Required Pattern: final
code		1..1	CodeableConceptTW	概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)]
text		1..1	string	概念的文字表示法
subject		1..1	Reference(病人資料(Patient ClinEMR))	檢驗檢查有關的對象及（或）事物
encounter		0..1	Reference(就醫事件(Encounter ClinEMR))	檢驗檢查是哪一次就醫時執行的
Slices for effective[x]		1..1	dateTime, Period, Timing, instant	檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime S	檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date]
issued	S	1..1	instant	[應填入檢驗檢查完成的日期或時間]
performer		1..1	Reference(檢驗檢查機構(OrganizationInspection ClinEMR))	[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name]
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]
note	S	0..*	Annotation	關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment]
hasMember		0..*	Reference(檢驗檢查(Observation ClinEMR) | TW Core QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom		0..*	Reference(文件參照(DocumentReference ClinEMR) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | 檢驗檢查(Observation ClinEMR) | MolecularSequence)	檢驗檢查源自哪些相關測量
component		0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。
code		1..1	CodeableConceptTW	[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)]
text		1..1	string	概念的文字表示法
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]
text		0..1	string	[應填入門診病摘檢驗檢查結果備註說明Result Comment]
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
observation-code-match	error	Observation	Observation.code 必須與對應的 ServiceRequest.code 相同 : basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present tw-core-4: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. observation-code-match: Observation.code 必須與對應的 ServiceRequest.code 相同
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Observation Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Observation Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Observation Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。
basedOn	Σ	0..*	Reference(服務請求(ServiceRequest ClinEMR))	依據的照護計畫／提議／醫令
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 西醫-處置或手術(Procedure MCR) | TW Core Immunization | TW Core ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status	?!SΣ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
Slices for category	S	1..*	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
category:twcore	S	1..1	CodeableConcept	Classification of type of observation Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptTW	概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)] Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	1..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(病人資料(Patient ClinEMR))	檢驗檢查有關的對象及（或）事物
focus	Σ	0..*	Reference(Resource)	當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	檢驗檢查是哪一次就醫時執行的
Slices for effective[x]	SΣC	1..1		檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this tw-core-3: Datetime must be at least to day.
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣC	0..1	dateTime S	檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date] tw-core-3: Datetime must be at least to day.
issued	SΣ	1..1	instant	[應填入檢驗檢查完成的日期或時間]
performer	SΣ	1..1	Reference(檢驗檢查機構(OrganizationInspection ClinEMR))	[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name]
value[x]	SΣC	0..1		[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。 tw-core-5: SHALL use UCUM for coded quantity units.
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept S
valueString			string S
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
note	S	0..*	Annotation	關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment]
bodySite		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: SNOMEDCTBodyStructures (extensible)
method		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ObservationMethods (extensible)
specimen		0..1	Reference(TW Core Specimen)	此檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	（測量）設備
referenceRange	C	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text
id		0..1	string	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	參考範圍值的下限值，如果相關。
high	C	0..1	SimpleQuantity	參考範圍值的上限值，如果相關。
type		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
appliesTo		0..*	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
age		0..1	Range	適用的年齡範圍值，如果相關。
text		0..1	string	檢驗檢查中以文字表述的參考範圍值
hasMember	Σ	0..*	Reference(檢驗檢查(Observation ClinEMR) | TW Core QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom	Σ	0..*	Reference(文件參照(DocumentReference ClinEMR) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | 檢驗檢查(Observation ClinEMR) | MolecularSequence)	檢驗檢查源自哪些相關測量
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。
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	S	1..1	CodeableConceptTW	[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)] Binding: LOINC實驗室檢驗檢查值集 (example)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	1..1	string	概念的文字表示法
value[x]	SΣ	0..1		[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
text	SΣ	0..1	string	[應填入門診病摘檢驗檢查結果備註說明Result Comment]
referenceRange		0..*	See referenceRange (Observation)	解釋此組成之檢驗驗查的結果值之指引
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:twcore	required	Pattern: laboratory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.code	extensible	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
observation-code-match	error	Observation	Observation.code 必須與對應的 ServiceRequest.code 相同 : basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• 服務請求(ServiceRequest ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr)
• TW Core MedicationDispense (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore)
• TW Core MedicationStatement (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore)
• 西醫-處置或手術(Procedure MCR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-mcr)
• TW Core Immunization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Immunization-twcore)
• TW Core ImagingStudy (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore)
• 病人資料(Patient ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr)
• 就醫事件(Encounter ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr)
• 檢驗檢查機構(OrganizationInspection ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/organizationinspection-clinemr)
• 檢驗檢查(Observation ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr)
• TW Core QuestionnaireResponse (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore)
• 文件參照(DocumentReference ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr)
• TW Core Media (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore)

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present tw-core-4: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. observation-code-match: Observation.code 必須與對應的 ServiceRequest.code 相同
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	Σ	0..*	Reference(服務請求(ServiceRequest ClinEMR))	依據的照護計畫／提議／醫令 ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 西醫-處置或手術(Procedure MCR) | TW Core Immunization | TW Core ImagingStudy)	此檢驗檢查是哪個參照事件的一部分 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children Required Pattern: final
Slices for category	S	1..*	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
category:twcore	S	1..1	CodeableConcept	Classification of type of observation Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	S	1..1	CodeableConceptTW	概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)] Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://loinc.org
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(病人資料(Patient ClinEMR))	檢驗檢查有關的對象及（或）事物 ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	檢驗檢查是哪一次就醫時執行的 ele-1: All FHIR elements must have a @value or children
Slices for effective[x]	SΣC	1..1		檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children tw-core-3: Datetime must be at least to day.
effectiveDateTime			dateTime
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date] ele-1: All FHIR elements must have a @value or children tw-core-3: Datetime must be at least to day.
issued	SΣ	1..1	instant	[應填入檢驗檢查完成的日期或時間] ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(檢驗檢查機構(OrganizationInspection ClinEMR))	[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name] ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。 ele-1: All FHIR elements must have a @value or children tw-core-5: SHALL use UCUM for coded quantity units.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment] ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*	Reference(檢驗檢查(Observation ClinEMR) | TW Core QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource ele-1: All FHIR elements must have a @value or children
derivedFrom	Σ	0..*	Reference(文件參照(DocumentReference ClinEMR) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | 檢驗檢查(Observation ClinEMR) | MolecularSequence)	檢驗檢查源自哪些相關測量 ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptTW	[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)] Binding: LOINC實驗室檢驗檢查值集 (example) ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://loinc.org
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit] ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	[應填入門診病摘檢驗檢查結果備註說明Result Comment] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:twcore	required	Pattern: laboratory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.code	extensible	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
observation-code-match	error	Observation	Observation.code 必須與對應的 ServiceRequest.code 相同 : basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)

Differential View

This structure is derived from TWCoreObservationLaboratoryResult

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 observation-code-match: Observation.code 必須與對應的 ServiceRequest.code 相同
basedOn		0..*	Reference(服務請求(ServiceRequest ClinEMR))	依據的照護計畫／提議／醫令
partOf		0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 西醫-處置或手術(Procedure MCR) | TW Core Immunization | TW Core ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status		1..1	code	registered ｜ preliminary ｜ final ｜ amended + Required Pattern: final
code		1..1	CodeableConceptTW	概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)]
text		1..1	string	概念的文字表示法
subject		1..1	Reference(病人資料(Patient ClinEMR))	檢驗檢查有關的對象及（或）事物
encounter		0..1	Reference(就醫事件(Encounter ClinEMR))	檢驗檢查是哪一次就醫時執行的
Slices for effective[x]		1..1	dateTime, Period, Timing, instant	檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime S	檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date]
issued	S	1..1	instant	[應填入檢驗檢查完成的日期或時間]
performer		1..1	Reference(檢驗檢查機構(OrganizationInspection ClinEMR))	[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name]
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]
note	S	0..*	Annotation	關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment]
hasMember		0..*	Reference(檢驗檢查(Observation ClinEMR) | TW Core QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom		0..*	Reference(文件參照(DocumentReference ClinEMR) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | 檢驗檢查(Observation ClinEMR) | MolecularSequence)	檢驗檢查源自哪些相關測量
component		0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。
code		1..1	CodeableConceptTW	[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)]
text		1..1	string	概念的文字表示法
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag]
text		0..1	string	[應填入門診病摘檢驗檢查結果備註說明Result Comment]
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
observation-code-match	error	Observation	Observation.code 必須與對應的 ServiceRequest.code 相同 : basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present tw-core-4: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. observation-code-match: Observation.code 必須與對應的 ServiceRequest.code 相同
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Observation Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Observation Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Observation Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。
basedOn	Σ	0..*	Reference(服務請求(ServiceRequest ClinEMR))	依據的照護計畫／提議／醫令
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | 西醫-處置或手術(Procedure MCR) | TW Core Immunization | TW Core ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status	?!SΣ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
Slices for category	S	1..*	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
category:twcore	S	1..1	CodeableConcept	Classification of type of observation Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptTW	概念(concept)－參照一個專門術語或只是純文字。[應填入門診病摘健保檢驗檢查代碼Test NHICode(code)及檢驗檢查名稱Test Name(text)] Binding: LOINCCodes (extensible): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	1..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(病人資料(Patient ClinEMR))	檢驗檢查有關的對象及（或）事物
focus	Σ	0..*	Reference(Resource)	當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	檢驗檢查是哪一次就醫時執行的
Slices for effective[x]	SΣC	1..1		檢驗檢查執行日期或時間區間 Slice: Unordered, Open by type:$this tw-core-3: Datetime must be at least to day.
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣC	0..1	dateTime S	檢驗檢查執行日期或時間區間。[應填入門診病摘之檢查日期Exam Date] tw-core-3: Datetime must be at least to day.
issued	SΣ	1..1	instant	[應填入檢驗檢查完成的日期或時間]
performer	SΣ	1..1	Reference(檢驗檢查機構(OrganizationInspection ClinEMR))	[應填入檢驗檢查執行醫事機構代碼Exam Hospital ID與檢驗檢查執行醫事機構名稱Exam Hospital Name]
value[x]	SΣC	0..1		[應填入門診病摘檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]。 tw-core-5: SHALL use UCUM for coded quantity units.
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept S
valueString			string S
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
note	S	0..*	Annotation	關於此檢驗檢查之解說[應填入門診病摘檢驗檢查結果備註說明Result Comment]
bodySite		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: SNOMEDCTBodyStructures (extensible)
method		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ObservationMethods (extensible)
specimen		0..1	Reference(TW Core Specimen)	此檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	（測量）設備
referenceRange	C	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text
id		0..1	string	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	參考範圍值的下限值，如果相關。
high	C	0..1	SimpleQuantity	參考範圍值的上限值，如果相關。
type		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
appliesTo		0..*	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
age		0..1	Range	適用的年齡範圍值，如果相關。
text		0..1	string	檢驗檢查中以文字表述的參考範圍值
hasMember	Σ	0..*	Reference(檢驗檢查(Observation ClinEMR) | TW Core QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom	Σ	0..*	Reference(文件參照(DocumentReference ClinEMR) | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | 檢驗檢查(Observation ClinEMR) | MolecularSequence)	檢驗檢查源自哪些相關測量
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果。若為檢驗套組此項目為必填。
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	S	1..1	CodeableConceptTW	[應填入健保檢驗檢查代碼Test NHICode(Code)與檢驗檢查名稱Test Name(text)] Binding: LOINC實驗室檢驗檢查值集 (example)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
coding:LOINCObservationCode	S	0..1	CodingTW	LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。 Binding: LOINC實驗室檢驗檢查值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWLaboratoryCategory	S	0..1	CodingTW	此為中央健康保險署(NHI)維護之醫療服務給付項目相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required): 應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	1..1	string	概念的文字表示法
value[x]	SΣ	0..1		[應填入門診病摘組成之檢驗檢查結果值Test Result及檢驗檢查結果單位Result Unit]
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
interpretation	S	0..*	CodeableConceptTW	高、低、正常等。[應填入門診病摘檢驗檢查結果判斷註記Result Flag] Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
text	SΣ	0..1	string	[應填入門診病摘檢驗檢查結果備註說明Result Comment]
referenceRange		0..*	See referenceRange (Observation)	解釋此組成之檢驗驗查的結果值之指引
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:twcore	required	Pattern: laboratory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/observation-clinical-result-category
Observation.code	extensible	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:LOINCObservationCode	required	LOINCObservationCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code
Observation.component.code.coding:TWLaboratoryCategory	required	TWLaboratoryCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
observation-code-match	error	Observation	Observation.code 必須與對應的 ServiceRequest.code 相同 : basedOn.exists() implies (basedOn.resolve().ofType(ServiceRequest).code = code)

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• 服務請求(ServiceRequest ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr)
• TW Core MedicationDispense (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationDispense-twcore)
• TW Core MedicationStatement (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationStatement-twcore)
• 西醫-處置或手術(Procedure MCR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-mcr)
• TW Core Immunization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Immunization-twcore)
• TW Core ImagingStudy (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore)
• 病人資料(Patient ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr)
• 就醫事件(Encounter ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr)
• 檢驗檢查機構(OrganizationInspection ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/organizationinspection-clinemr)
• 檢驗檢查(Observation ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr)
• TW Core QuestionnaireResponse (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore)
• 文件參照(DocumentReference ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr)
• TW Core Media (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore)

Slices

This structure defines the following Slices:

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