{ "resourceType": "StructureDefinition", "id": "observation-iclaim", "text": { "status": "extensions", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation TWCoreObservationLaboratoryResult
\".\"\".\"\".\" identifier S1..1Identifier即為「收件編號(檢驗單號)」，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。
\".\"\".\"\".\" status 1..1coderegistered ｜ preliminary ｜ final ｜ amended +
Required Pattern: final
\".\"\".\"\".\" category 1..1CodeableConcept概念（concept）－參照一個專門術語或只是純文字。
\".\"\".\"\".\" code 1..1CodeableConceptTW即為「檢驗項目名稱」，如檢驗只有單筆時只需於此欄填寫檢驗項目，若有多筆檢驗項目時此欄請填寫檢驗大項，詳細的檢驗項目填寫至component.code（component可填多筆），由專門術語系統（terminology system）定義的代碼
\".\"\".\"\".\"\".\" coding 1..1CodingTW由專門術語系統（terminology system）定義的代碼
\".\"\".\"\".\" subject 1..1Reference(Patient iClaim)檢驗檢查有關的對象及（或）事物
\".\"\".\"\".\" encounter 0..1Reference(Encounter iClaim)檢驗檢查是哪一次就醫時執行的
\".\"\".\"\".\" effective[x] 1..1dateTime即為「採檢日期」，檢驗檢查執行日期或時間區間
\".\"\".\"\".\" issued S1..1instant即為「報告日期」，此版本檢驗檢查完成的日期或時間
\".\"\".\"\".\" performer 2..*Reference(Practitioner iClaim)即為「報告者／醫檢師」，誰負責這項檢驗檢查。
\".\"\".\"\".\" Slices for value[x] 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period即為「檢測值」，檢驗檢查的實際結果
Slice: Unordered, Open by type:$this
\".\"\".\"\".\"\".\" value[x]:valueQuantity 0..1Quantity檢驗檢查的實際結果
\".\"\".\"\".\"\".\"\".\" unit S0..1stringUnit representation
\".\"\".\"\".\"\".\"\".\" system S0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
\".\"\".\"\".\" interpretation S0..1CodeableConceptTW即為「H/L」，高、低、正常等
\".\"\".\"\".\" note S0..1Annotation即為「註記」，關於此檢驗檢查之解說
\".\"\".\"\".\" bodySite 0..1CodeableConceptTW即為「檢驗部位」，接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。
Binding: SNOMEDCTBodyStructures (extensible)
\".\"\".\"\".\" referenceRange S1..*BackboneElement即為「參考值」，解釋結果值的指引。
\".\"\".\"\".\" hasMember 0..*Reference(Observation iClaim | QuestionnaireResponse | MolecularSequence)屬於此組檢驗檢查的相關Resource
\".\"\".\"\".\" derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation iClaim | MolecularSequence)檢驗檢查源自哪些相關測量
\".\"\".\"\".\" component
\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW即為「檢驗項目名稱」，有多筆檢驗項目時將多筆檢驗項目填寫至此欄（component可填多筆），組成之檢驗檢查的型別（代碼／型別）
\".\"\".\"\".\"\".\" Slices for value[x] 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period即為「檢測值」，組成之檢驗檢查的實際結果
Slice: Unordered, Open by type:$this
\".\"\".\"\".\"\".\"\".\" value[x]:valueQuantity 0..1Quantity組成之檢驗檢查的實際結果
\".\"\".\"\".\"\".\"\".\"\".\" unit S0..1stringUnit representation
\".\"\".\"\".\"\".\"\".\"\".\" system S0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
\".\"\".\"\".\"\".\" interpretation S0..1CodeableConceptTW高、低、正常等。
\".\"\".\"\".\"\".\" referenceRange S1..*即為「參考值」，解釋此組成之檢驗驗查的結果值之指引。

\"doco\" Documentation for this format
" }, "url": "https://claim.cgh.org.tw/iclaim/StructureDefinition/observation-iclaim", "version": "0.1.3", "name": "ObservationiClaim", "title": "Observation iClaim", "status": "active", "date": "2023-12-25T15:28:19+00:00", "publisher": "國泰金控", "contact": [ { "name": "國泰金控", "telecom": [ { "system": "url", "value": "https://www.cathayholdings.com/holdings/" } ] } ], "description": "此Observation iClaim 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以呈現檢驗檢查資料", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "sct-concept", "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.org/attributebinding", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore", "derivation": "constraint", "differential": { "element": [ { "id": "Observation.identifier", "path": "Observation.identifier", "short": "即為「收件編號(檢驗單號)」，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。", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.status", "path": "Observation.status", "patternCode": "final" }, { "id": "Observation.category", "path": "Observation.category", "min": 1, "max": "1" }, { "id": "Observation.code", "path": "Observation.code", "short": "即為「檢驗項目名稱」，如檢驗只有單筆時只需於此欄填寫檢驗項目，若有多筆檢驗項目時此欄請填寫檢驗大項，詳細的檢驗項目填寫至component.code（component可填多筆），由專門術語系統（terminology system）定義的代碼" }, { "id": "Observation.code.coding", "path": "Observation.code.coding", "min": 1, "max": "1" }, { "id": "Observation.subject", "path": "Observation.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://claim.cgh.org.tw/iclaim/StructureDefinition/patient-iclaim" ] } ] }, { "id": "Observation.encounter", "path": "Observation.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://claim.cgh.org.tw/iclaim/StructureDefinition/encounter-iclaim" ] } ] }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "short": "即為「採檢日期」，檢驗檢查執行日期或時間區間", "type": [ { "code": "dateTime" } ] }, { "id": "Observation.issued", "path": "Observation.issued", "short": "即為「報告日期」，此版本檢驗檢查完成的日期或時間", "min": 1, "mustSupport": true }, { "id": "Observation.performer", "path": "Observation.performer", "short": "即為「報告者／醫檢師」，誰負責這項檢驗檢查。", "min": 2, "type": [ { "code": "Reference", "targetProfile": [ "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitioner-iclaim" ] } ] }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "即為「檢測值」，檢驗檢查的實際結果" }, { "id": "Observation.value[x]:valueQuantity", "path": "Observation.value[x]", "sliceName": "valueQuantity", "min": 0, "max": "1", "type": [ { "code": "Quantity" } ] }, { "id": "Observation.value[x]:valueQuantity.unit", "path": "Observation.value[x].unit", "mustSupport": true }, { "id": "Observation.value[x]:valueQuantity.system", "path": "Observation.value[x].system", "fixedUri": "http://unitsofmeasure.org", "mustSupport": true }, { "id": "Observation.interpretation", "path": "Observation.interpretation", "short": "即為「H/L」，高、低、正常等", "max": "1", "mustSupport": true }, { "id": "Observation.note", "path": "Observation.note", "short": "即為「註記」，關於此檢驗檢查之解說", "max": "1", "mustSupport": true }, { "id": "Observation.bodySite", "path": "Observation.bodySite", "short": "即為「檢驗部位」，接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。", "binding": { "strength": "extensible", "valueSet": "http://hl7.org/fhir/ValueSet/body-site" } }, { "id": "Observation.referenceRange", "path": "Observation.referenceRange", "short": "即為「參考值」，解釋結果值的指引。", "min": 1, "mustSupport": true }, { "id": "Observation.hasMember", "path": "Observation.hasMember", "type": [ { "code": "Reference", "targetProfile": [ "https://claim.cgh.org.tw/iclaim/StructureDefinition/observation-iclaim", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/MolecularSequence" ] } ] }, { "id": "Observation.derivedFrom", "path": "Observation.derivedFrom", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Media", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "https://claim.cgh.org.tw/iclaim/StructureDefinition/observation-iclaim", "http://hl7.org/fhir/StructureDefinition/MolecularSequence" ] } ] }, { "id": "Observation.component.code", "path": "Observation.component.code", "short": "即為「檢驗項目名稱」，有多筆檢驗項目時將多筆檢驗項目填寫至此欄（component可填多筆），組成之檢驗檢查的型別（代碼／型別）" }, { "id": "Observation.component.value[x]", "path": "Observation.component.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "即為「檢測值」，組成之檢驗檢查的實際結果" }, { "id": "Observation.component.value[x]:valueQuantity", "path": "Observation.component.value[x]", "sliceName": "valueQuantity", "min": 0, "max": "1", "type": [ { "code": "Quantity" } ] }, { "id": "Observation.component.value[x]:valueQuantity.unit", "path": "Observation.component.value[x].unit", "mustSupport": true }, { "id": "Observation.component.value[x]:valueQuantity.system", "path": "Observation.component.value[x].system", "fixedUri": "http://unitsofmeasure.org", "mustSupport": true }, { "id": "Observation.component.interpretation", "path": "Observation.component.interpretation", "max": "1", "mustSupport": true }, { "id": "Observation.component.referenceRange", "path": "Observation.component.referenceRange", "short": "即為「參考值」，解釋此組成之檢驗驗查的結果值之指引。", "min": 1, "mustSupport": true } ] } }