臺灣牙醫實作指引 (Taiwan Dental Implementation Guide)
0.0.1 - ballot

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

## Resource Profile: 牙醫－牙菌斑檢查

Official URL: http://dental-ig.fhir.tw/StructureDefinition/Observation-plaque-twdental | Version: 0.0.1
Active as of 2025-06-10 | Computable Name: DentalPlaqueObservation

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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | string | 概念的文字表示法 ele-1: All FHIR elements must have a @value or children
subject | S Σ | 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 | S Σ | 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] | S Σ | 1..1 | dateTime | 檢查時間 ele-1: All FHIR elements must have a @value or children
performer | S Σ | 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] | S Σ C | 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 | Σ C | 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 | S Σ | 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 | S Σ | 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] | S Σ | 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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 0..1 | code | 系統定義的語法之符號 Required Pattern: PLAQUE
display | S Σ | 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 | S Σ | 0..1 | string | 概念的文字表示法
subject | S Σ | 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 | S Σ | 1..1 | Reference(牙醫－就醫事件) | Healthcare event during which this observation is made
effective[x] | S Σ | 1..1 | dateTime S | 檢查時間
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 1..* | Reference(牙醫－醫事人員 | 牙醫－機構) | Who is responsible for the observation
value[x] | S Σ C | 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 | Σ C | 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 | S Σ | 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 | S Σ | 1..1 | CodeableConceptTW | 牙位 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | S Σ | 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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | string | 概念的文字表示法 ele-1: All FHIR elements must have a @value or children
subject | S Σ | 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 | S Σ | 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] | S Σ | 1..1 | dateTime | 檢查時間 ele-1: All FHIR elements must have a @value or children
performer | S Σ | 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] | S Σ C | 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 | Σ C | 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 | S Σ | 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 | S Σ | 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] | S Σ | 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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 0..1 | code | 系統定義的語法之符號 Required Pattern: PLAQUE
display | S Σ | 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 | S Σ | 0..1 | string | 概念的文字表示法
subject | S Σ | 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 | S Σ | 1..1 | Reference(牙醫－就醫事件) | Healthcare event during which this observation is made
effective[x] | S Σ | 1..1 | dateTime S | 檢查時間
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 1..* | Reference(牙醫－醫事人員 | 牙醫－機構) | Who is responsible for the observation
value[x] | S Σ C | 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 | Σ C | 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 | S Σ | 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 | S Σ | 1..1 | CodeableConceptTW | 牙位 Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | S Σ | 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