臺灣牙醫實作指引 (Taiwan Dental Implementation Guide) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 牙醫－牙菌斑檢查

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource，以呈現牙菌斑檢查的資料。

Usage:

• Examples for this Resource Profile: Observation/Dental-plaque-observation-example

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..*	TWCoreObservationSimple	牙菌斑檢查 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created 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
status	?!SΣ	1..1	code	檢查狀態 Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConceptTW	檢查類別 Slice: Unordered, Open by pattern:$this Binding: 臺灣衛福部資訊處類型代碼值集 (required) ele-1: All FHIR elements must have a @value or children
category:twcore	S	0..*	CodeableConceptTW	Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConceptTW	檢查代碼 Binding: LOINCCodes (preferred): Codes identifying names of simple observations. 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
system	SΣ	0..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://dental-ig.fhir.tw/CodeSystem/dental-examination
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children Required Pattern: PLAQUE
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 Required Pattern: 牙菌斑檢查
text	SΣ	0..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(牙醫－病人)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
encounter	SΣ	1..1	Reference(牙醫－就醫事件)	Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	檢查時間 ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..*	Reference(牙醫－醫事人員 | 牙醫－機構)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1	Quantity	牙菌斑指數 ele-1: All FHIR elements must have a @value or children
value	Σ	0..1	decimal	指數值 ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit	Σ	0..1	string	Unit representation ele-1: All FHIR elements must have a @value or children Required Pattern: %
system	ΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: %
component	SΣ	0..*	BackboneElement	牙齒檢查結果 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	SΣ	1..1	CodeableConceptTW	牙位 Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	1..1	CodeableConcept	檢查結果 Binding: 牙菌斑註記值集 (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.category:twcore	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.code	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	required	VSPlaqueMark (a valid code from 牙菌斑註記) http://dental-ig.fhir.tw/ValueSet/VS-PlaqueMark-twdental from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from TWCoreObservationSimple

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	TWCoreObservationSimple	牙菌斑檢查
status		1..1	code	檢查狀態
category		1..*	CodeableConceptTW	檢查類別 Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Slices for category				Content/Rules for all slices
category:twcore		0..*	CodeableConceptTW	Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required)
code		1..1	CodeableConceptTW	檢查代碼
coding
system		0..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://dental-ig.fhir.tw/CodeSystem/dental-examination
code		0..1	code	系統定義的語法之符號 Required Pattern: PLAQUE
display		0..1	string	由系統定義的表示法 Required Pattern: 牙菌斑檢查
subject		1..1	Reference(牙醫－病人)	Who and/or what the observation is about
encounter	S	1..1	Reference(牙醫－就醫事件)	Healthcare event during which this observation is made
effective[x]		1..1	dateTime	檢查時間
performer		1..*	Reference(牙醫－醫事人員 | 牙醫－機構)	Who is responsible for the observation
value[x]		1..1	Quantity	牙菌斑指數
value		0..1	decimal	指數值
unit		0..1	string	Unit representation Required Pattern: %
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: %
component	S	0..*	BackboneElement	牙齒檢查結果
code	S	1..1	CodeableConceptTW	牙位
value[x]	S	1..1	CodeableConcept	檢查結果 Binding: 牙菌斑註記值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.category:twcore	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.component.value[x]	required	VSPlaqueMark (a valid code from 牙菌斑註記) http://dental-ig.fhir.tw/ValueSet/VS-PlaqueMark-twdental from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationSimple	牙菌斑檢查 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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	檢查狀態 Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConceptTW	檢查類別 Slice: Unordered, Open by pattern:$this Binding: 臺灣衛福部資訊處類型代碼值集 (required)
category:twcore	S	0..*	CodeableConceptTW	Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required)
code	S	1..1	CodeableConceptTW	檢查代碼 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
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
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	0..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://dental-ig.fhir.tw/CodeSystem/dental-examination
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號 Required Pattern: PLAQUE
display	SΣ	0..1	string	由系統定義的表示法 Required Pattern: 牙菌斑檢查
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(牙醫－病人)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	1..1	Reference(牙醫－就醫事件)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1	dateTime S	檢查時間
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	1..*	Reference(牙醫－醫事人員 | 牙醫－機構)	Who is responsible for the observation
value[x]	SΣC	1..1	Quantity S	牙菌斑指數
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	Σ	0..1	decimal	指數值
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: %
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: %
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation 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	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(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence)	Related measurements the observation is made from
component	SΣ	0..*	BackboneElement	牙齒檢查結果
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	CodeableConceptTW	牙位 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	1..1	CodeableConcept	檢查結果 Binding: 牙菌斑註記值集 (required)
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	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.category:twcore	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.code	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
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	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	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	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	required	VSPlaqueMark (a valid code from 牙菌斑註記) http://dental-ig.fhir.tw/ValueSet/VS-PlaqueMark-twdental from this IG
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
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from TWCoreObservationSimple

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
• 牙醫－病人 (http://dental-ig.fhir.tw/StructureDefinition/Patient-twdental)
• 牙醫－就醫事件 (http://dental-ig.fhir.tw/StructureDefinition/Encounter-twdental)
• 牙醫－醫事人員 (http://dental-ig.fhir.tw/StructureDefinition/Practitioner-twdental)
• 牙醫－機構 (http://dental-ig.fhir.tw/StructureDefinition/Organization-twdental)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationSimple	牙菌斑檢查 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created 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
status	?!SΣ	1..1	code	檢查狀態 Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConceptTW	檢查類別 Slice: Unordered, Open by pattern:$this Binding: 臺灣衛福部資訊處類型代碼值集 (required) ele-1: All FHIR elements must have a @value or children
category:twcore	S	0..*	CodeableConceptTW	Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConceptTW	檢查代碼 Binding: LOINCCodes (preferred): Codes identifying names of simple observations. 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
system	SΣ	0..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://dental-ig.fhir.tw/CodeSystem/dental-examination
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children Required Pattern: PLAQUE
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 Required Pattern: 牙菌斑檢查
text	SΣ	0..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(牙醫－病人)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
encounter	SΣ	1..1	Reference(牙醫－就醫事件)	Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	檢查時間 ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..*	Reference(牙醫－醫事人員 | 牙醫－機構)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	1..1	Quantity	牙菌斑指數 ele-1: All FHIR elements must have a @value or children
value	Σ	0..1	decimal	指數值 ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit	Σ	0..1	string	Unit representation ele-1: All FHIR elements must have a @value or children Required Pattern: %
system	ΣC	0..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: %
component	SΣ	0..*	BackboneElement	牙齒檢查結果 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	SΣ	1..1	CodeableConceptTW	牙位 Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	1..1	CodeableConcept	檢查結果 Binding: 牙菌斑註記值集 (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.category:twcore	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.code	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	required	VSPlaqueMark (a valid code from 牙菌斑註記) http://dental-ig.fhir.tw/ValueSet/VS-PlaqueMark-twdental from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from TWCoreObservationSimple

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	TWCoreObservationSimple	牙菌斑檢查
status		1..1	code	檢查狀態
category		1..*	CodeableConceptTW	檢查類別 Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Slices for category				Content/Rules for all slices
category:twcore		0..*	CodeableConceptTW	Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required)
code		1..1	CodeableConceptTW	檢查代碼
coding
system		0..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://dental-ig.fhir.tw/CodeSystem/dental-examination
code		0..1	code	系統定義的語法之符號 Required Pattern: PLAQUE
display		0..1	string	由系統定義的表示法 Required Pattern: 牙菌斑檢查
subject		1..1	Reference(牙醫－病人)	Who and/or what the observation is about
encounter	S	1..1	Reference(牙醫－就醫事件)	Healthcare event during which this observation is made
effective[x]		1..1	dateTime	檢查時間
performer		1..*	Reference(牙醫－醫事人員 | 牙醫－機構)	Who is responsible for the observation
value[x]		1..1	Quantity	牙菌斑指數
value		0..1	decimal	指數值
unit		0..1	string	Unit representation Required Pattern: %
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: %
component	S	0..*	BackboneElement	牙齒檢查結果
code	S	1..1	CodeableConceptTW	牙位
value[x]	S	1..1	CodeableConcept	檢查結果 Binding: 牙菌斑註記值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.category:twcore	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.component.value[x]	required	VSPlaqueMark (a valid code from 牙菌斑註記) http://dental-ig.fhir.tw/ValueSet/VS-PlaqueMark-twdental from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservationSimple	牙菌斑檢查 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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	檢查狀態 Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConceptTW	檢查類別 Slice: Unordered, Open by pattern:$this Binding: 臺灣衛福部資訊處類型代碼值集 (required)
category:twcore	S	0..*	CodeableConceptTW	Classification of type of observation Binding: 臺灣衛福部資訊處類型代碼值集 (required)
code	S	1..1	CodeableConceptTW	檢查代碼 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
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
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	0..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://dental-ig.fhir.tw/CodeSystem/dental-examination
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號 Required Pattern: PLAQUE
display	SΣ	0..1	string	由系統定義的表示法 Required Pattern: 牙菌斑檢查
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(牙醫－病人)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	1..1	Reference(牙醫－就醫事件)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1	dateTime S	檢查時間
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	1..*	Reference(牙醫－醫事人員 | 牙醫－機構)	Who is responsible for the observation
value[x]	SΣC	1..1	Quantity S	牙菌斑指數
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	Σ	0..1	decimal	指數值
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: %
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: %
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(TW Core Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation 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	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(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence)	Related measurements the observation is made from
component	SΣ	0..*	BackboneElement	牙齒檢查結果
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	CodeableConceptTW	牙位 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	1..1	CodeableConcept	檢查結果 Binding: 牙菌斑註記值集 (required)
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	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.category:twcore	required	TWCategoryCode https://twcore.mohw.gov.tw/ig/twcore/ValueSet/category-code-tw
Observation.code	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
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	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	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	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	required	VSPlaqueMark (a valid code from 牙菌斑註記) http://dental-ig.fhir.tw/ValueSet/VS-PlaqueMark-twdental from this IG
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
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from TWCoreObservationSimple

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
• 牙醫－病人 (http://dental-ig.fhir.tw/StructureDefinition/Patient-twdental)
• 牙醫－就醫事件 (http://dental-ig.fhir.tw/StructureDefinition/Encounter-twdental)
• 牙醫－醫事人員 (http://dental-ig.fhir.tw/StructureDefinition/Practitioner-twdental)
• 牙醫－機構 (http://dental-ig.fhir.tw/StructureDefinition/Organization-twdental)

Other representations of profile: CSV, Excel, Schematron