國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)
0.1.0 - trial-use

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## Resource Profile: ObservationLABDM - Detailed Descriptions

Active as of 2024-09-01

Definitions for the ObservationLABDM resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Observation
Definition | 對病人、設備或其他對象進行的測量和簡單判定。 Measurements and simple assertions made about a patient, device or other subject.
Short | 檢驗檢查，測量及簡單的判定。Measurements and simple assertions
Comments | Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Vital Signs, Measurement, Results, Tests
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present (`dataAbsentReason.empty() or value.empty()`) 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 (`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present (dataAbsentReason.empty() or value.empty()) 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 (value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty())
2. Observation.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是IG定義特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 創建此內容所依據的一組規則A set of rules under which this content was created
Comments | 宣告這套規則限制了內容只能被有限的貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和／或規範編寫者應該避免使用這個資料項目。通常，在使用時，此URL是對實作指引的參照，此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Observation.text
Definition | 人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義可定義哪些內容應該在敘述中表示，以確保臨床安全。 A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Observation Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
Comments | 內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。在某些情況下，resource可能只有文字表述，很少或沒有額外的離散資料（只要滿足所有minOccurs=1的資料項目）。這對於來自舊有系統的資料可能是必要的，在這些系統中，從 「文字表述區塊（text blob） 」獲取訊息，或者文字表述是額外的原始輸入或敘述，而編碼訊息是後來添加的。 Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Must Support | true
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Observation.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Observation.identifier
Definition | 此檢驗檢查的唯一識別碼 A unique identifier assigned to this observation.
Short | 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。Business Identifier for observation
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許對檢驗檢查結果進行區分和參照 Allows observations to be distinguished and referenced.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Observation.identifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Observation.identifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Observation.identifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | 報告序號。[LABD.r1/LABM.r1]The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | <br/><b>General</b>:123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Observation.status
Definition | 結果值的狀態 The status of the result value.
Short | registered ｜ preliminary ｜ final ｜ amended +registered | preliminary | final | amended +
Comments | 這個資料項目被標記為修飾語／修飾用，因為附加到其他文件上的文件，其本身是不完整的文件。 This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` ) 檢驗檢查的狀態代碼；應填入ObservationStatus代碼表中的其中一個代碼。 Codes providing the status of an observation.
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要追踪單個結果狀態，有些結果在整個報告確定之前就已經確定了。 Need to track the status of individual results. Some results are finalized before the whole report is finalized.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Observation.category
Definition | 可以正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。 A code that classifies the general type of observation being made.
Short | 檢驗檢查分類Classification of type of observation
Comments | 並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。 In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category (preferred to `http://hl7.org/fhir/ValueSet/observation-category` ) 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Codes for high level observation categories.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 用於篩選取得及顯示之檢驗檢查 Used for filtering what observations are retrieved and displayed.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Observation.category.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Observation.category.coding.system
Definition | 定義代碼中符號意義的代碼系統識別。 The identification of the code system that defines the meaning of the symbol in the code.
Short | 專門術語系統（terminology system）的識別Identity of the terminology system
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源 Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Observation.category.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。 A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | 系統定義的語法之符號Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼 Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Observation.category.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法 A representation of the meaning of the code in the system, following the rules of the system.
Short | 由系統定義的表示法Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Observation.category.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字表示法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Observation.code
Definition | 可以透過正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。 Describes what was observed. Sometimes this is called the observation "name".
Short | 概念（concept）－參照一個專門術語或只是純文字。Type of observation (code / type)
Comments | 並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。 All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see LOINC生命體徵值集 http://hl7.org/fhir/ValueSet/observation-codes (example to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw` ) 應填入生命體徵值集代碼表中的其中一個代碼。 Codes identifying names of simple observations.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵 Knowing what kind of observation is being made is essential to understanding the observation.
Alternate Names | Name
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Observation.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Observation.code.coding.system
Definition | 定義代碼中符號意義的代碼系統識別 The identification of the code system that defines the meaning of the symbol in the code.
Short | 專門術語系統（terminology system）的識別Identity of the terminology system
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源 Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Observation.code.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。 A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | 系統定義的語法之符號。檢驗項目名稱代碼，[LABD.r2/LABM.r2]Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼 Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Observation.code.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法 A representation of the meaning of the code in the system, following the rules of the system.
Short | 由系統定義的表示法Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Observation.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字表示法。檢驗項目名稱，[LABD.r2/LABM.r2]Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Observation.subject
Definition | 此檢驗檢查是關於一位病人、一群病人、地點、或設備。如果檢驗檢查的實際焦點與對象（或其樣本、其部分或其區域）不同，則焦點資料項目或代碼本身會具體說明檢驗檢查的實際焦點。 The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.
Short | 檢驗檢查有關的對象及（或）事物Who and/or what the observation is about
Comments | 人們期望這個資料項目的cardinality為1...1。唯一可能缺少對象的情況是當檢驗檢查是由一個不認識病人的設備進行的。在這種情況下，應透過一些情境／通道對應（context／channel matching）技術將檢驗檢查與病人對應，此時，應更新檢驗檢查資訊。 One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.
Control | 10..1
Type | Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料, Patient, Group, Device, Location)
Is Modifier | false
Must Support | true
Summary | true
Requirements | 如果你不知道他們是誰或關於什麼，檢驗檢查不會有值。 Observations have no value if you don't know who or what they're about.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Observation.encounter
Definition | 執行檢驗檢查的健康照護事件（例如：病人及健康照護提供人員的互動） The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.
Short | 檢驗檢查是哪一次就醫時執行的Healthcare event during which this observation is made
Comments | 這通常指檢驗檢查發生於哪次就醫，但有些檢驗檢查可能是在就醫前或就醫後發生，但仍與就醫的情境有關（如入院前的實驗室檢驗檢查）。 This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
Control | 10..1
Type | Reference(Encounter LABD-就醫日期/入院年月日, Encounter LABM-就醫日期/入住院日期, Encounter)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 對於某些檢驗檢查來說，知道某個檢驗檢查和某個特定的就醫事件之間的連結可能很重要。 For some observations it may be important to know the link between an observation and a particular encounter.
Alternate Names | Context
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Observation.effective[x]
Definition | 宣告檢驗檢查值的產出時間或時間區段是真的。對於生物學研究對象—例如病人—這通常被稱為「生理相關時間」。這通常是處置的時間或採樣的時間，但很多時候不知道日期或時間的來源，只知道日期或時間本身。 The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.
Short | 報告日期時間，[LABD.r10/LABM.r10]Clinically relevant time/time-period for observation
Comments | 除非這是一份檢驗檢查的歷史報告，否則至少應該有一個日期。為了記錄不精確或「模煳」的時間（例如：測量「早餐後 」血糖），使用Timing datatype以允許測量能與常規生活事件連結。 At least a date should be present unless this observation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the Timing datatype which allow the measurement to be tied to regular life events.
Control | 0..1
Type | Choice of: dateTime, Period, Timing, instant
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 知道一項檢驗檢查何時被認為是真的，對其相關性和確定趨勢都很重要。 Knowing when an observation was deemed true is important to its relevance as well as determining trends.
Alternate Names | Occurrence
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Observation.performer
Definition | 誰負責宣告檢驗檢查結果值為「真的」 Who was responsible for asserting the observed value as "true".
Short | 誰負責這項檢驗檢查Who is responsible for the observation
Control | 0..*
Type | Reference(TW Core Practitioner, TW Core Organization, TW Core Patient, PractitionerRole, CareTeam, Practitioner, Organization, Patient, RelatedPerson)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 可以對此檢驗檢查有一定程度的信任，並指出後續問題的方向。 May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Observation.value[x]
Definition | 如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。 The information determined as a result of making the observation, if the information has a simple value.
Short | 檢驗檢查的實際結果Actual result
Comments | 一項檢驗檢查可能有：1）單一值、2）一個值及一組相關或組成之檢驗檢查的多個值、或者3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。 An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Control | 0..1 This element is affected by the following invariants: obs-7
Binding | The codes SHOULD be taken from For codes, see VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | Choice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。 An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Observation.value[x]`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ $this
52. Observation.value[x]:valueQuantity
Slice Name | valueQuantity
Definition | 如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。 The information determined as a result of making the observation, if the information has a simple value.
Short | 檢驗檢查的實際結果Actual result
Comments | 一項檢驗檢查可能有：1）單一值、2）一個值及一組相關或組成之檢驗檢查的多個值、或者3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。 An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Control | 0..1 This element is affected by the following invariants: obs-7
Binding | The codes SHOULD be taken from For codes, see VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | Quantity, dateTime, boolean, string, SampledData, Period, Ratio, integer, time, Range, CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。 An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Observation.value[x]:valueQuantity.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | 檢驗報告結果值。[LABD.r4/LABM.r4]Numerical value (with implicit precision)
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 10..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Observation.value[x]:valueQuantity.comparator
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Short | < | <= | >= | > - how to understand the value
Control | 0..1
Binding | The codes SHALL be taken from QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Observation.value[x]:valueQuantity.unit
Definition | A human-readable form of the unit.
Short | 單位。[LABD.r5/LABM.r5]Unit representation
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Observation.value[x]:valueQuantity.system
Definition | The identification of the system that provides the coded form of the unit.
Short | System that defines coded unit form
Control | 0..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Observation.value[x]:valueQuantity.code
Definition | A computer processable form of the unit in some unit representation system.
Short | Coded form of the unit
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 0..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Observation.value[x]:valueString
Slice Name | valueString
Definition | 如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。 The information determined as a result of making the observation, if the information has a simple value.
Short | 檢驗報告結果值。[LABD.r4/LABM.r4]Actual result
Comments | 一項檢驗檢查可能有：1）單一值、2）一個值及一組相關或組成之檢驗檢查的多個值、或者3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。 An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Control | 0..1 This element is affected by the following invariants: obs-7
Binding | The codes SHOULD be taken from For codes, see VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | string, dateTime, boolean, SampledData, Quantity, Period, Ratio, integer, time, Range, CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。 An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Observation.dataAbsentReason
Definition | 提供資料項目Observation.value[x]中的預期值缺少的原因 Provides a reason why the expected value in the element Observation.value[x] is missing.
Short | 缺少檢驗檢查結果的原因Why the result is missing
Comments | 空值（Null）或例外值可以在FHIR Observations中以兩種方式表示，一種方法是簡單地將它們含括在值集中，並在值中表示例外。例如：血清檢測的測量值可以是「檢測到」、「未檢測到」、「不確定」或「檢測未完成」。 另一種方法是使用資料項目value呈現實際檢驗檢查值，並使用資料項目dataAbsentReason來明確記錄例外值。例如：當測量沒有完成，可使用dataAbsentReason代碼「error」。請注意，只有在有值的情況下，才可以報告檢驗檢查。例如：只有在>0的情況下才可能報告細胞計數的差值。由於有這些選項，所以需要有使用案例協議（use-case agreements）來解釋一般檢驗檢查的例外值。 Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.
Control | 0..1 This element is affected by the following invariants: ele-1, obs-6
Binding | Unless not suitable, these codes SHALL be taken from DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason (extensible to `http://hl7.org/fhir/ValueSet/data-absent-reason` ) 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 Codes specifying why the result (`Observation.value[x]`) is missing.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 對於許多結果，必須處理測量中的異常值。 For many results it is necessary to handle exceptional values in measurements.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Observation.interpretation
Definition | 對一項檢驗檢查值的分類評估，例如：高、低、正常。 A categorical assessment of an observation value. For example, high, low, normal.
Short | 高、低、正常等High, low, normal, etc.
Comments | 歷史上用於實驗室結果【被稱為 「異常標記（abnormal flag）」】，它的使用延伸到其他與編碼解釋有關的使用情況中。通常報告為一個或多個簡單的緊密碼（compact code，一種可以解譯且具有最小平均字長的唯一資料代碼），這個資料項目經常被放置在報告和流程表的結果值的旁邊，以表示結果的意義或正常狀態。 Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation (extensible to `http://hl7.org/fhir/ValueSet/observation-interpretation` ) 代碼指明檢驗檢查結果的解釋；應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 Codes identifying interpretations of observations.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 對於某些結果，特別是數值結果，需有一個解釋以便完全理解結果之意義。 For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.
Alternate Names | Abnormal Flag
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Observation.interpretation.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Observation.interpretation.coding.system
Definition | 定義代碼中符號意義的代碼系統識別 The identification of the code system that defines the meaning of the symbol in the code.
Short | 專門術語系統（terminology system）的識別Identity of the terminology system
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源 Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Observation.interpretation.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。 A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | 報告結果。[LABD.r7/LABM.r7]Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼 Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Observation.interpretation.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法 A representation of the meaning of the code in the system, following the rules of the system.
Short | 由系統定義的表示法Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Observation.interpretation.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 報告結果。[LABD.r7/LABM.r7]Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Observation.note
Definition | 關於檢驗檢查或結果的解說 Comments about the observation or the results.
Short | 關於此檢驗檢查之解說Comments about the observation
Comments | 可包括關於檢驗檢查的一般陳述，或關於重要的、非預期的或不可靠的結果值的陳述，或與資料項目interpretation有關的來源資訊。 May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.
Control | 0..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Requirements | 需能提供純文字表述的附加資訊 Need to be able to provide free text additional information.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Observation.note.text
Definition | The text of the annotation in markdown format.
Short | 檢驗(查)結果值註記。[LABD.r12/LABM.r12]The annotation - text content (as markdown)
Control | 1..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Observation.method
Definition | 指明用於執行檢驗檢查的機制 Indicates the mechanism used to perform the observation.
Short | 此檢驗檢查使用何種方法完成How it was done
Comments | 只有在Observation.code中的代碼未隱含此資料項目概念時才會使用。 Only used if not implicit in code for Observation.code.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods (example to `http://hl7.org/fhir/ValueSet/observation-methods` ) 檢驗檢查的方法；可參考ObservationMethods代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。 Methods for simple observations.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 在某些情況下，方法會影響結果，因此用於確認結果是否可以比較或確認結果的顯著性（significance）。 In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. Observation.method.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Observation.method.coding.system
Definition | 定義代碼中符號意義的代碼系統識別 The identification of the code system that defines the meaning of the symbol in the code.
Short | 專門術語系統（terminology system）的識別Identity of the terminology system
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源 Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. Observation.method.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。 A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | 檢驗方法。[LABD.r3/LABM.r3]Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼 Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Observation.method.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法 A representation of the meaning of the code in the system, following the rules of the system.
Short | 由系統定義的表示法Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Observation.method.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 檢驗方法。LABD.r3/LABM.r3]Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Observation.referenceRange
Definition | 指導如何透過與正常或建議範圍值的比較來解釋此值。多個參考範圍值以「OR」解釋。換句話說，為了代表兩個不同的目標人群，將使用兩個referenceRange資料項目。 Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two `referenceRange` elements would be used.
Short | 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。Provides guide for interpretation
Comments | 大多數檢驗檢查只有一個通用的參考範圍值。系統 可能可以（MAY） 選擇限制只提供病人的相關參考範圍值（例如：具體的病人年齡、性別、體重和其他因素），但這可能是不可能的或也不合適。只要提供了一個以上的參考範圍值，就 建議應該（SHOULD） 提供不同年齡的參考範圍值差異。 Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
Control | 10..1*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Requirements | 知道什麼值被認為是「正常的」，可以幫助評估某一特定結果的意義。需要能夠為不同的情境提供多個參考範圍值。 Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) obs-3: Must have at least a low or a high or text (`low.exists() or high.exists() or text.exists()`) obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
98. Observation.referenceRange.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
100. Observation.referenceRange.low
Definition | 參考範圍值的下限值。參考範圍值endpoint的下限值包含在此值中（例如：參考範圍值是>=5 - <=9）。如果省略下限值，則被認為是沒有意義的（例如：參考範圍值是<=2.3）。 The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).
Short | 參考值下限。[LABD.r6-1/LABM.r6-1]Low Range, if relevant
Control | 0..1 This element is affected by the following invariants: obs-3
Type | Quantity(SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. Observation.referenceRange.high
Definition | 參考範圍值的下限值。參考範圍值endpoint的下限值包含在此值中（例如：參考範圍值是>=5 - <=9）。如果省略下限值，則被認為是沒有意義的（例如：參考範圍值是<=2.3）。 The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).
Short | 參考值上限。[LABD.r6-2/LABM.r6-2]High Range, if relevant
Control | 0..1 This element is affected by the following invariants: obs-3
Type | Quantity(SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. Observation.referenceRange.text
Definition | 檢驗檢查中以文字表述的參考範圍值，可在不適合以定量範圍值呈現某項檢驗檢查時使用。例如：「陰性 」的參照值或 「正常」的清單／列表。 Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of "Negative" or a list or table of "normals".
Short | 參考值上/下限，[LABD.r6-1/LABD.r6-2/LABM.r6-1/LABM.r6-2]Text based reference range in an observation
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. Observation.component
Definition | 有有些檢驗檢查有多個組成之檢驗檢查，這些組成之檢驗檢查被表達為具有相同屬性的獨立的代碼值對（code value pair）。例子包括血壓測量的收縮壓和舒張壓即為組成之檢驗檢查（component observations），以及遺傳學檢驗檢查的多個組成之檢驗檢查。 Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.
Short | 組成之（部分）檢驗檢查的檢驗結果Component results
Comments | 有關如何組合Observations的方法討論，請參閱下面的Notes小節。 For a discussion on the ways Observations can be assembled in groups together see Notes below.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | true
Requirements | 組成之檢驗檢查在Obsrvation resource中與主要檢驗檢查共享相同的屬性，並且總是被視為單個檢驗檢查的一部分（它們是不可分離的）。然而，主要檢驗檢查的參考範圍值並不被組成之檢驗檢查所繼承，在適當的時候需給予每項組成之檢驗檢查參考範圍值。 Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. Observation.component.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
110. Observation.component.code
Definition | 描述所觀察到的情況，有時這被稱為檢驗檢查「代碼」。 Describes what was observed. Sometimes this is called the observation "code".
Short | 組成之檢驗檢查的型別（代碼／型別）Type of component observation (code / type)
Comments | 所有的code-value和component.code-component.value都需要考慮到，以正確理解檢驗檢查的意義。 All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see LOINC生命體徵值集 http://hl7.org/fhir/ValueSet/observation-codes (example to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw` ) 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。 Codes identifying names of simple observations.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵 Knowing what kind of observation is being made is essential to understanding the observation.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. Observation.component.value[x]
Definition | 如果資訊中帶有一個值（simple value）則其可作為檢驗檢查的結果。 The information determined as a result of making the observation, if the information has a simple value.
Short | 組成之檢驗檢查的實際結果Actual component result
Comments | 一項檢驗檢查可能有一個值（如Apgar評分）和組成之檢驗檢查值（Apgar評分所來自多項檢驗檢查）。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。 Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.
Control | 0..1
Binding | The codes SHOULD be taken from For codes, see VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | Choice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。 An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. Observation.component.dataAbsentReason
Definition | 提供資料項目Observation.component.value[x]中的預期值缺少的原因 Provides a reason why the expected value in the element Observation.component.value[x] is missing.
Short | 為什麼缺少組成之檢驗檢查結果Why the component result is missing
Comments | 空值（Null）或例外值可以在FHIR Observations中以兩種方式表示，一種方法是簡單地將它們含括在值集中，並在值中表示例外。例如：血清檢測的測量值可以是「檢測到」、「未檢測到」、「不確定」或「檢測未完成」。 另一種方法是使用資料項目value呈現實際檢驗檢查值，並使用資料項目dataAbsentReason來明確記錄例外值。例如：當測量沒有完成，可使用dataAbsentReason代碼「error」。請注意，只有在有值的情況下，才可以報告檢驗檢查。例如：只有在>0的情況下才可能報告細胞計數的差值。由於有這些選項，所以需要有使用案例協議（use-case agreements）來解釋一般檢驗檢查的例外值。 "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.
Control | 0..1 This element is affected by the following invariants: ele-1, obs-6
Binding | Unless not suitable, these codes SHALL be taken from DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason (extensible to `http://hl7.org/fhir/ValueSet/data-absent-reason` ) 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。 Codes specifying why the result (`Observation.value[x]`) is missing.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 對於許多結果，必須處理測量中的異常值。 For many results it is necessary to handle exceptional values in measurements.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Observation
2. Observation.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Must Support | true
4. Observation.identifier.system
Must Support | true
6. Observation.identifier.value
Short | 報告序號。[LABD.r1/LABM.r1]
Control | 1..?
Must Support | true
8. Observation.status
Must Support | true
10. Observation.code
Must Support | true
12. Observation.code.coding
14. Observation.code.coding.system
Control | 1..?
16. Observation.code.coding.code
Short | 系統定義的語法之符號。檢驗項目名稱代碼，[LABD.r2/LABM.r2]
Control | 1..?
18. Observation.code.text
Short | 概念的文字表示法。檢驗項目名稱，[LABD.r2/LABM.r2]
20. Observation.subject
Type | Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
Must Support | true
22. Observation.encounter
Control | 1..?
Type | Reference(Encounter LABD-就醫日期/入院年月日, Encounter LABM-就醫日期/入住院日期)
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
24. Observation.effective[x]
Short | 報告日期時間，[LABD.r10/LABM.r10]
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
26. Observation.value[x]
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Slicing | This element introduces a set of slices on `Observation.value[x]`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ $this
28. Observation.value[x]:valueQuantity
Slice Name | valueQuantity
Type | Quantity
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
30. Observation.value[x]:valueQuantity.value
Short | 檢驗報告結果值。[LABD.r4/LABM.r4]
Control | 1..?
Must Support | true
32. Observation.value[x]:valueQuantity.unit
Short | 單位。[LABD.r5/LABM.r5]
Must Support | true
34. Observation.value[x]:valueQuantity.system
Must Support | true
36. Observation.value[x]:valueQuantity.code
Must Support | true
38. Observation.value[x]:valueString
Slice Name | valueString
Short | 檢驗報告結果值。[LABD.r4/LABM.r4]
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. Observation.interpretation
Control | 0..1
Must Support | true
42. Observation.interpretation.coding
44. Observation.interpretation.coding.system
Control | 1..?
46. Observation.interpretation.coding.code
Short | 報告結果。[LABD.r7/LABM.r7]
Control | 1..?
48. Observation.interpretation.text
Short | 報告結果。[LABD.r7/LABM.r7]
50. Observation.note
Must Support | true
52. Observation.note.text
Short | 檢驗(查)結果值註記。[LABD.r12/LABM.r12]
Must Support | true
54. Observation.method
Must Support | true
56. Observation.method.coding
58. Observation.method.coding.system
Control | 1..?
60. Observation.method.coding.code
Short | 檢驗方法。[LABD.r3/LABM.r3]
Control | 1..?
62. Observation.method.text
Short | 檢驗方法。LABD.r3/LABM.r3]
64. Observation.referenceRange
Control | 1..1
Must Support | true
66. Observation.referenceRange.low
Short | 參考值下限。[LABD.r6-1/LABM.r6-1]
Must Support | true
68. Observation.referenceRange.high
Short | 參考值上限。[LABD.r6-2/LABM.r6-2]
Must Support | true
70. Observation.referenceRange.text
Short | 參考值上/下限，[LABD.r6-1/LABD.r6-2/LABM.r6-1/LABM.r6-2]
Must Support | true

Guidance on how to interpret the contents of this table can be found here

0. Observation
Definition | 對病人、設備或其他對象進行的測量和簡單判定。
Short | 檢驗檢查，測量及簡單的判定。
Comments | Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Vital Signs, Measurement, Results, Tests
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) 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 (`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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present (`dataAbsentReason.empty() or value.empty()`) 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 (`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`)
2. Observation.id
Definition | resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。
Short | 不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
Comments | 一個resource使用新增操作（create operation）提交給伺服器時是此resource唯一沒有id的時刻
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Observation.meta
Definition | 關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。
Short | 此Observation Resource的metadata
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Observation.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是IG定義特殊規則及其他profiles的參照。
Short | 創建此內容所依據的一組規則
Comments | 宣告這套規則限制了內容只能被有限的貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和／或規範編寫者應該避免使用這個資料項目。通常，在使用時，此URL是對實作指引的參照，此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Observation.language
Definition | 編寫此resource的基礎語言
Short | 用以表述Observation Resource內容的語言
Comments | 提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此基礎語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div元素（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Example | <br/><b>Value</b>:zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Observation.text
Definition | 人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義可定義哪些內容應該在敘述中表示，以確保臨床安全。
Short | Observation Resource之內容摘要以供人閱讀
Comments | 內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。在某些情況下，resource可能只有文字表述，很少或沒有額外的離散資料（只要滿足所有minOccurs=1的資料項目）。這對於來自舊有系統的資料可能是必要的，在這些系統中，從 「文字表述區塊（text blob） 」獲取訊息，或者文字表述是額外的原始輸入或敘述，而編碼訊息是後來添加的。
Control | 0..1
Type | Narrative
Is Modifier | false
Must Support | true
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Observation.contained
Definition | 這些resource內嵌（contains）的resource不會另外存於任何FHIR伺服器，意即它們無法在任何FHIR伺服器中被找到，也無法有自己獨立的資料異動／交易（transaction）範圍。
Short | 內嵌的（contained）、行內的Resources
Comments | 當內容可以從任何FHIR伺服器找到時，不應該以內嵌（contained）resource的方式呈現，因為一旦識別丟失，要再次恢復它是非常困難的（並且取決於情境）。內嵌（contained）的resource可在它們的meta資料項目中表述profiles和tag（標籤），但 必須沒有（SHALL NOT） 資訊安全標號（security labels）。
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. Observation.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. Observation.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Observation.identifier
Definition | 此檢驗檢查的唯一識別碼
Short | 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。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許對檢驗檢查結果進行區分和參照
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Observation.identifier.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
22. Observation.identifier.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. Observation.identifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Observation.identifier.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Observation.identifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Observation.identifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | 報告序號。[LABD.r1/LABM.r1]
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | <br/><b>General</b>:123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Observation.identifier.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Observation.identifier.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Observation.basedOn
Definition | 依據的計劃、提議或醫令或其部分要求進行檢驗檢查。例如：一個MedicationRequest可能要求給病人藥之前要先進行實驗室檢查。
Short | 依據的照護計畫／提議／醫令
Control | 0..*
Type | Reference(CarePlan, DeviceRequest, ImmunizationRecommendation, TW Core MedicationRequest, NutritionOrder, ServiceRequest)
Is Modifier | false
Summary | true
Requirements | 允許授權追踪檢驗檢查事件並追踪提議／建議是否有落實
Alternate Names | Fulfills
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Observation.partOf
Definition | 此特定的檢驗檢查（Observation）是一個更大事件中的一個組成或步驟。例如：一項處置裡的一項檢驗檢查。
Short | 此檢驗檢查是哪個參照事件的一部分
Comments | 使用encounter將一個檢驗檢查（Observation）與一個就醫（Encounter）連結起來。關於參照另一個Observation的作法，請參閱下面的Notes小節。
Control | 0..*
Type | Reference(MedicationAdministration, MedicationDispense, MedicationStatement, TW Core Procedure, Immunization, ImagingStudy)
Is Modifier | false
Summary | true
Alternate Names | Container
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Observation.status
Definition | 結果值的狀態
Short | registered ｜ preliminary ｜ final ｜ amended +
Comments | 這個資料項目被標記為修飾語／修飾用，因為附加到其他文件上的文件，其本身是不完整的文件。
Control | 1..1
Binding | The codes SHALL be taken from ObservationStatus (required to `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` ) 檢驗檢查的狀態代碼；應填入ObservationStatus代碼表中的其中一個代碼。
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要追踪單個結果狀態，有些結果在整個報告確定之前就已經確定了。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Observation.category
Definition | 可以正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。
Short | 檢驗檢查分類
Comments | 並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from ObservationCategoryCodes (preferred to `http://hl7.org/fhir/ValueSet/observation-category` ) 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 用於篩選取得及顯示之檢驗檢查
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Observation.category.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
46. Observation.category.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.category.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
48. Observation.category.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Observation.category.coding.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
52. Observation.category.coding.extension
Definition | 可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 必須（SHALL） 滿足。
Short | 擴充的資料項目
Comments | 無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.category.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. Observation.category.coding.system
Definition | 定義代碼中符號意義的代碼系統識別。
Short | 專門術語系統（terminology system）的識別
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Observation.category.coding.version
Definition | 選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， 必須（SHALL） 將版本資訊也一併作交換。
Short | 系統的版本—如果相關的話
Comments | 如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Observation.category.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。
Short | 系統定義的語法之符號
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Observation.category.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法
Short | 由系統定義的表示法
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Observation.category.coding.userSelected
Definition | 表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。
Short | 此編碼是否由使用者直接選擇？
Comments | 在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Observation.category.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字表示法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Observation.code
Definition | 可以透過正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。
Short | 概念（concept）－參照一個專門術語或只是純文字。
Comments | 並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see LOINC生命體徵值集 (example to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw` ) 應填入生命體徵值集代碼表中的其中一個代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵
Alternate Names | Name
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Observation.code.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
70. Observation.code.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
72. Observation.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Observation.code.coding.id
Definition | resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
76. Observation.code.coding.extension
Definition | 可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 必須（SHALL） 滿足。
Short | 擴充的資料項目
Comments | 無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.code.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
78. Observation.code.coding.system
Definition | 定義代碼中符號意義的代碼系統識別
Short | 專門術語系統（terminology system）的識別
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Observation.code.coding.version
Definition | 選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， 必須（SHALL） 將版本資訊也一併作交換。
Short | 系統的版本—如果相關的話
Comments | 如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Observation.code.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。
Short | 系統定義的語法之符號。檢驗項目名稱代碼，[LABD.r2/LABM.r2]
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Observation.code.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法
Short | 由系統定義的表示法
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Observation.code.coding.userSelected
Definition | 表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。
Short | 此編碼是否由使用者直接選擇？
Comments | 在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Observation.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字表示法。檢驗項目名稱，[LABD.r2/LABM.r2]
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Observation.subject
Definition | 此檢驗檢查是關於一位病人、一群病人、地點、或設備。如果檢驗檢查的實際焦點與對象（或其樣本、其部分或其區域）不同，則焦點資料項目或代碼本身會具體說明檢驗檢查的實際焦點。
Short | 檢驗檢查有關的對象及（或）事物
Comments | 人們期望這個資料項目的cardinality為1...1。唯一可能缺少對象的情況是當檢驗檢查是由一個不認識病人的設備進行的。在這種情況下，應透過一些情境／通道對應（context／channel matching）技術將檢驗檢查與病人對應，此時，應更新檢驗檢查資訊。
Control | 1..1
Type | Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
Is Modifier | false
Must Support | true
Summary | true
Requirements | 如果你不知道他們是誰或關於什麼，檢驗檢查不會有值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Observation.focus
Definition | 檢驗檢查的實際焦點，當它不是記錄病人時，代表是與病人有關的事物或人，如配偶、父母、胎兒或捐贈者。例如：母親的記錄中有關胎兒檢驗檢查。檢驗檢查的焦點也可以是現有的狀況、疾病或問題（condition）、介入（intervention）、此對象的飲食、對此對象的另一項檢驗檢查，或身體結構像是腫瘤或植入裝置。有一個案例是使用Observation Resource來取得母親是否已接受更換她的小孩的氣管插管訓練之資訊，在這個例子中，孩子是此記錄的病人，而母親是focus。
Short | 當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
Comments | 通常檢驗檢查的對象是一位病人或一群病人、地點或設備，檢驗檢查對象與直接測量內容之間的區別在observation.code已具體說明（例如： 「血糖」），不需要使用這個資料項目（focus）單獨表示。如果需要參照檢體，則使用specimen，如果需要一個代碼而不是一個resource，則使用bodysite來表示bodysites或標準擴充focusCode。
Control | 0..*
Type | Reference(Resource)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Observation.encounter
Definition | 執行檢驗檢查的健康照護事件（例如：病人及健康照護提供人員的互動）
Short | 檢驗檢查是哪一次就醫時執行的
Comments | 這通常指檢驗檢查發生於哪次就醫，但有些檢驗檢查可能是在就醫前或就醫後發生，但仍與就醫的情境有關（如入院前的實驗室檢驗檢查）。
Control | 1..1
Type | Reference(Encounter LABD-就醫日期/入院年月日, Encounter LABM-就醫日期/入住院日期)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 對於某些檢驗檢查來說，知道某個檢驗檢查和某個特定的就醫事件之間的連結可能很重要。
Alternate Names | Context
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Observation.effective[x]
Definition | 宣告檢驗檢查值的產出時間或時間區段是真的。對於生物學研究對象—例如病人—這通常被稱為「生理相關時間」。這通常是處置的時間或採樣的時間，但很多時候不知道日期或時間的來源，只知道日期或時間本身。
Short | 報告日期時間，[LABD.r10/LABM.r10]
Comments | 除非這是一份檢驗檢查的歷史報告，否則至少應該有一個日期。為了記錄不精確或「模煳」的時間（例如：測量「早餐後 」血糖），使用Timing datatype以允許測量能與常規生活事件連結。
Control | 0..1
Type | Choice of: dateTime, Period, Timing, instant
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 知道一項檢驗檢查何時被認為是真的，對其相關性和確定趨勢都很重要。
Alternate Names | Occurrence
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Observation.issued
Definition | 此版本的檢驗檢查資訊可供健康照護提供人員取得的日期和時間，通常是在結果被審查與核實之後。
Short | 此版本檢驗檢查完成的日期或時間
Comments | 對於不需要審查和核實的檢驗檢查值，發佈日期時間可能與resource本身的最後更新日期時間相同。對於需要對某些更新進行審查和核實的檢驗檢查，若為非臨床上的重要更新則不需要對新版本進行再次審查和驗證，所以發佈日期時間可能與resource本身的最後更新日期時間不一樣。
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Observation.performer
Definition | 誰負責宣告檢驗檢查結果值為「真的」
Short | 誰負責這項檢驗檢查
Control | 0..*
Type | Reference(TW Core Practitioner, TW Core Organization, TW Core Patient, PractitionerRole, CareTeam)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 可以對此檢驗檢查有一定程度的信任，並指出後續問題的方向。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Observation.value[x]
Definition | 如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。
Short | 檢驗檢查的實際結果
Comments | 一項檢驗檢查可能有：1）單一值、2）一個值及一組相關或組成之檢驗檢查的多個值、或者3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。
Control | 0..1 This element is affected by the following invariants: obs-7
Binding | The codes SHOULD be taken from VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | Choice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Observation.value[x]`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ $this
104. Observation.value[x]:valueQuantity
Slice Name | valueQuantity
Definition | 如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。
Short | 檢驗檢查的實際結果
Comments | 一項檢驗檢查可能有：1）單一值、2）一個值及一組相關或組成之檢驗檢查的多個值、或者3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。
Control | 0..1 This element is affected by the following invariants: obs-7
Binding | The codes SHOULD be taken from VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | Quantity
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Observation.value[x]:valueQuantity.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
108. Observation.value[x]:valueQuantity.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.value[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
110. Observation.value[x]:valueQuantity.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | 檢驗報告結果值。[LABD.r4/LABM.r4]
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 1..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Observation.value[x]:valueQuantity.comparator
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Short | < | <= | >= | > - how to understand the value
Control | 0..1
Binding | The codes SHALL be taken from QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Observation.value[x]:valueQuantity.unit
Definition | A human-readable form of the unit.
Short | 單位。[LABD.r5/LABM.r5]
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Observation.value[x]:valueQuantity.system
Definition | The identification of the system that provides the coded form of the unit.
Short | System that defines coded unit form
Control | 0..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Observation.value[x]:valueQuantity.code
Definition | A computer processable form of the unit in some unit representation system.
Short | Coded form of the unit
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 0..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Observation.value[x]:valueString
Slice Name | valueString
Definition | 如果此資訊有一個簡單的值，則將其作為此項檢驗檢查的結果。
Short | 檢驗報告結果值。[LABD.r4/LABM.r4]
Comments | 一項檢驗檢查可能有：1）單一值、2）一個值及一組相關或組成之檢驗檢查的多個值、或者3）只有一組相關或組成之檢驗檢查的多個值。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。
Control | 0..1 This element is affected by the following invariants: obs-7
Binding | The codes SHOULD be taken from VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Observation.dataAbsentReason
Definition | 提供資料項目Observation.value[x]中的預期值缺少的原因
Short | 缺少檢驗檢查結果的原因
Comments | 空值（Null）或例外值可以在FHIR Observations中以兩種方式表示，一種方法是簡單地將它們含括在值集中，並在值中表示例外。例如：血清檢測的測量值可以是「檢測到」、「未檢測到」、「不確定」或「檢測未完成」。 另一種方法是使用資料項目value呈現實際檢驗檢查值，並使用資料項目dataAbsentReason來明確記錄例外值。例如：當測量沒有完成，可使用dataAbsentReason代碼「error」。請注意，只有在有值的情況下，才可以報告檢驗檢查。例如：只有在>0的情況下才可能報告細胞計數的差值。由於有這些選項，所以需要有使用案例協議（use-case agreements）來解釋一般檢驗檢查的例外值。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from DataAbsentReason (extensible to `http://hl7.org/fhir/ValueSet/data-absent-reason` ) 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 對於許多結果，必須處理測量中的異常值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Observation.interpretation
Definition | 對一項檢驗檢查值的分類評估，例如：高、低、正常。
Short | 高、低、正常等
Comments | 歷史上用於實驗室結果【被稱為 「異常標記（abnormal flag）」】，它的使用延伸到其他與編碼解釋有關的使用情況中。通常報告為一個或多個簡單的緊密碼（compact code，一種可以解譯且具有最小平均字長的唯一資料代碼），這個資料項目經常被放置在報告和流程表的結果值的旁邊，以表示結果的意義或正常狀態。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ObservationInterpretationCodes (extensible to `http://hl7.org/fhir/ValueSet/observation-interpretation` ) 代碼指明檢驗檢查結果的解釋；應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 對於某些結果，特別是數值結果，需有一個解釋以便完全理解結果之意義。
Alternate Names | Abnormal Flag
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Observation.interpretation.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
128. Observation.interpretation.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
130. Observation.interpretation.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Observation.interpretation.coding.id
Definition | resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
134. Observation.interpretation.coding.extension
Definition | 可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 必須（SHALL） 滿足。
Short | 擴充的資料項目
Comments | 無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.interpretation.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
136. Observation.interpretation.coding.system
Definition | 定義代碼中符號意義的代碼系統識別
Short | 專門術語系統（terminology system）的識別
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Observation.interpretation.coding.version
Definition | 選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， 必須（SHALL） 將版本資訊也一併作交換。
Short | 系統的版本—如果相關的話
Comments | 如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. Observation.interpretation.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。
Short | 報告結果。[LABD.r7/LABM.r7]
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Observation.interpretation.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法
Short | 由系統定義的表示法
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Observation.interpretation.coding.userSelected
Definition | 表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。
Short | 此編碼是否由使用者直接選擇？
Comments | 在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Observation.interpretation.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 報告結果。[LABD.r7/LABM.r7]
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Observation.note
Definition | 關於檢驗檢查或結果的解說
Short | 關於此檢驗檢查之解說
Comments | 可包括關於檢驗檢查的一般陳述，或關於重要的、非預期的或不可靠的結果值的陳述，或與資料項目interpretation有關的來源資訊。
Control | 0..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Requirements | 需能提供純文字表述的附加資訊
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Observation.note.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
152. Observation.note.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.note.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
154. Observation.note.author[x]
Definition | The individual responsible for making the annotation.
Short | Individual responsible for the annotation
Comments | Organization is used when there's no need for specific attribution as to who made the comment.
Control | 0..1
Type | Choice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Observation.note.time
Definition | Indicates when this particular annotation was made.
Short | When the annotation was made
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. Observation.note.text
Definition | The text of the annotation in markdown format.
Short | 檢驗(查)結果值註記。[LABD.r12/LABM.r12]
Control | 1..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Observation.bodySite
Definition | 表示在檢驗檢查對象身上進行檢驗檢查的部位（即目標部位）
Short | 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。
Comments | 只有在Observation.code中的代碼未隱含時才會使用。在許多系統中，這可能被表示為一個相關的檢驗檢查，而不是一個行內的組成之檢驗檢查（inline component）。 如果使用案例（use-case）要求將BodySite作為一個單獨的resource來處理（例如：單獨指明和追踪），那麼就使用標準的資料項目擴充方式來擴充bodySite。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see SNOMEDCTBodyStructures (example to `http://hl7.org/fhir/ValueSet/body-site` ) 代碼說明解剖學位置，可能包含側邊；可參考SNOMEDCTBodyStructures代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Observation.method
Definition | 指明用於執行檢驗檢查的機制
Short | 此檢驗檢查使用何種方法完成
Comments | 只有在Observation.code中的代碼未隱含此資料項目概念時才會使用。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see ObservationMethods (example to `http://hl7.org/fhir/ValueSet/observation-methods` ) 檢驗檢查的方法；可參考ObservationMethods代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 在某些情況下，方法會影響結果，因此用於確認結果是否可以比較或確認結果的顯著性（significance）。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. Observation.method.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
166. Observation.method.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
168. Observation.method.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. Observation.method.coding.id
Definition | resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
172. Observation.method.coding.extension
Definition | 可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 必須（SHALL） 滿足。
Short | 擴充的資料項目
Comments | 無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Observation.method.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
174. Observation.method.coding.system
Definition | 定義代碼中符號意義的代碼系統識別
Short | 專門術語系統（terminology system）的識別
Comments | URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID 必須（SHALL） 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要明確說明符號定義的來源
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. Observation.method.coding.version
Definition | 選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， 必須（SHALL） 將版本資訊也一併作交換。
Short | 系統的版本—如果相關的話
Comments | 如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. Observation.method.coding.code
Definition | 系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。
Short | 檢驗方法。[LABD.r3/LABM.r3]
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要參照系統中的一個特定代碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. Observation.method.coding.display
Definition | 遵循系統的規則以呈現代碼含義的表示法
Short | 由系統定義的表示法
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Observation.method.coding.userSelected
Definition | 表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。
Short | 此編碼是否由使用者直接選擇？
Comments | 在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Observation.method.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 檢驗方法。LABD.r3/LABM.r3]
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Observation.specimen
Definition | 進行這項檢驗檢查時使用的檢體
Short | 此檢驗檢查的檢體
Comments | 只有在Observation.code中的代碼未隱含此資料項目概念時才會使用。 檢驗檢查不是針對檢體本身進行，而是針對對象，但在很多情況下是透過檢體的方式進行檢驗檢查。請注意，雖然經常涉及到檢體，但並不總是明確地對其進行追踪和報告。還要注意的是Observation resources可在明確追踪檢體的情境下使用（例如：Diagnostic Report）。
Control | 0..1
Type | Reference(Specimen)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Observation.device
Definition | 用於產生檢驗檢查資料的設備
Short | （測量）設備
Comments | 請注意，這不是用來表示結果傳輸的設備，例如：閘道器（gateway）等可在相關情況下使用 Provenance resource進行記錄。
Control | 0..1
Type | Reference(Device, DeviceMetric)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Observation.referenceRange
Definition | 指導如何透過與正常或建議範圍值的比較來解釋此值。多個參考範圍值以「OR」解釋。換句話說，為了代表兩個不同的目標人群，將使用兩個referenceRange資料項目。
Short | 解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Comments | 大多數檢驗檢查只有一個通用的參考範圍值。系統 可能可以（MAY） 選擇限制只提供病人的相關參考範圍值（例如：具體的病人年齡、性別、體重和其他因素），但這可能是不可能的或也不合適。只要提供了一個以上的參考範圍值，就 建議應該（SHOULD） 提供不同年齡的參考範圍值差異。
Control | 1..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Requirements | 知道什麼值被認為是「正常的」，可以幫助評估某一特定結果的意義。需要能夠為不同的情境提供多個參考範圍值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) obs-3: Must have at least a low or a high or text (`low.exists() or high.exists() or text.exists()`)
192. Observation.referenceRange.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
194. Observation.referenceRange.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
196. Observation.referenceRange.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
198. Observation.referenceRange.low
Definition | 參考範圍值的下限值。參考範圍值endpoint的下限值包含在此值中（例如：參考範圍值是>=5 - <=9）。如果省略下限值，則被認為是沒有意義的（例如：參考範圍值是<=2.3）。
Short | 參考值下限。[LABD.r6-1/LABM.r6-1]
Control | 0..1 This element is affected by the following invariants: obs-3
Type | Quantity(SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. Observation.referenceRange.high
Definition | 參考範圍值的下限值。參考範圍值endpoint的下限值包含在此值中（例如：參考範圍值是>=5 - <=9）。如果省略下限值，則被認為是沒有意義的（例如：參考範圍值是<=2.3）。
Short | 參考值上限。[LABD.r6-2/LABM.r6-2]
Control | 0..1 This element is affected by the following invariants: obs-3
Type | Quantity(SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. Observation.referenceRange.type
Definition | 代碼表明適用的目標人群，例如：正常值或治療範圍值。
Short | 參考範圍值的限定詞
Comments | 如果有一個以上的範圍值，此資料項目 建議應該（SHOULD） 填寫。如果這個資料項目不存在，則假定是正常範圍值。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from ObservationReferenceRangeMeaningCodes (preferred to `http://hl7.org/fhir/ValueSet/referencerange-meaning` ) 用以表述參考範圍值之含意的代碼；鼓勵使用ObservationReferenceRangeMeaningCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 需要能夠說出這是什麼樣的參考範圍值：正常的、建議的、治療的等，以便正確解釋。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. Observation.referenceRange.appliesTo
Definition | 代碼表明此參考範圍值所適用的目標人群，例如：一個參考範圍值可能是一般人群或特定的性別或種族。多個適用對象需以「AND」解釋目標人群。例如：為了表示一個非裔美國人女性的目標人群，將同時使用女性的代碼和非裔美國人的代碼。
Short | 參考範圍值的人群
Comments | 如果有一個以上的範圍值，此資料項目 建議應該（SHOULD） 填寫。如果這個資料項目不存在，則假定是正常範圍值。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | For example codes, see ObservationReferenceRangeAppliesToCodes (example to `http://hl7.org/fhir/ValueSet/referencerange-appliesto` ) 用以指明參考範圍值適用的人群之代碼；可參考ObservationReferenceRangeAppliesToCodes代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 需要能夠指明目標人群以進行適當的解釋。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. Observation.referenceRange.age
Definition | 此參考範圍值適用的年齡，如果意思是說足月時的週數，這就是指新生兒年齡。
Short | 適用的年齡範圍值，如果相關。
Control | 0..1
Type | Range
Is Modifier | false
Summary | false
Requirements | 有些分析隨著年齡的增長變化很大
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. Observation.referenceRange.text
Definition | 檢驗檢查中以文字表述的參考範圍值，可在不適合以定量範圍值呈現某項檢驗檢查時使用。例如：「陰性 」的參照值或 「正常」的清單／列表。
Short | 參考值上/下限，[LABD.r6-1/LABD.r6-2/LABM.r6-1/LABM.r6-2]
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. Observation.hasMember
Definition | 這項檢驗檢查是一組檢驗檢查，例如：一個套組（battery）、一個檢驗套組（panel）或一組生命徵象測量，其組成的檢驗檢查為此資料項目的目標resource。
Short | 屬於此組檢驗檢查的相關Resource
Comments | 使用這個資料項目時，一項檢驗檢查通常會有一個值或者一組相關的resources，儘管在某些情況下兩者都可能存在。有關討論如何將Observations組合在一起的方法，請參閱下面的Notes小節。請注意，系統可能針對問卷調查的結果（ QuestionnaireResponse）計算成一個最終的分數，並將這個分數表示為一個Observation。
Control | 0..*
Type | Reference(Observation, QuestionnaireResponse, MolecularSequence)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. Observation.derivedFrom
Definition | 目標resource為一種測量，此檢驗檢查就是從那個測量中得出。例如：陰離子間隙（an anion gap）或胎兒的測量值是從超音波影像計算而得。
Short | 檢驗檢查源自哪些相關測量
Comments | 在這個資料項目中列出可以代表臨床檢檢查和其他測量的所有參照選項，可能是衍生值的來源。最常見參照另一個Observation，關於Observations如何組合在一起的討論，請參閱下面的Notes小節。
Control | 0..*
Type | Reference(DocumentReference, ImagingStudy, Media, QuestionnaireResponse, Observation, MolecularSequence)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. Observation.component
Definition | 有有些檢驗檢查有多個組成之檢驗檢查，這些組成之檢驗檢查被表達為具有相同屬性的獨立的代碼值對（code value pair）。例子包括血壓測量的收縮壓和舒張壓即為組成之檢驗檢查（component observations），以及遺傳學檢驗檢查的多個組成之檢驗檢查。
Short | 組成之（部分）檢驗檢查的檢驗結果
Comments | 有關如何組合Observations的方法討論，請參閱下面的Notes小節。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | true
Requirements | 組成之檢驗檢查在Obsrvation resource中與主要檢驗檢查共享相同的屬性，並且總是被視為單個檢驗檢查的一部分（它們是不可分離的）。然而，主要檢驗檢查的參考範圍值並不被組成之檢驗檢查所繼承，在適當的時候需給予每項組成之檢驗檢查參考範圍值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. Observation.component.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
218. Observation.component.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
220. Observation.component.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
222. Observation.component.code
Definition | 描述所觀察到的情況，有時這被稱為檢驗檢查「代碼」。
Short | 組成之檢驗檢查的型別（代碼／型別）
Comments | 所有的code-value和component.code-component.value都需要考慮到，以正確理解檢驗檢查的意義。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see LOINC生命體徵值集 (example to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw` ) 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. Observation.component.value[x]
Definition | 如果資訊中帶有一個值（simple value）則其可作為檢驗檢查的結果。
Short | 組成之檢驗檢查的實際結果
Comments | 一項檢驗檢查可能有一個值（如Apgar評分）和組成之檢驗檢查值（Apgar評分所來自多項檢驗檢查）。如果有一個值，這個資料項目的datatype應該由Observation.code決定。如果這個資料項目是編碼或者如果與Observation.code相關的type定義一個編碼值，那麼將使用只有文字表述的CodeableConcept來代替字串。若需要更多的說明，請參閱下面Notes小節。
Control | 0..1
Binding | The codes SHOULD be taken from VitalSignsUnits (preferred to `http://hl7.org/fhir/ValueSet/ucum-vitals-common` ) 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | Choice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 通常一項檢驗檢查就會有一個值，雖然若它有錯誤或者它代表一組檢驗檢查可能不會有值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. Observation.component.dataAbsentReason
Definition | 提供資料項目Observation.component.value[x]中的預期值缺少的原因
Short | 為什麼缺少組成之檢驗檢查結果
Comments | 空值（Null）或例外值可以在FHIR Observations中以兩種方式表示，一種方法是簡單地將它們含括在值集中，並在值中表示例外。例如：血清檢測的測量值可以是「檢測到」、「未檢測到」、「不確定」或「檢測未完成」。 另一種方法是使用資料項目value呈現實際檢驗檢查值，並使用資料項目dataAbsentReason來明確記錄例外值。例如：當測量沒有完成，可使用dataAbsentReason代碼「error」。請注意，只有在有值的情況下，才可以報告檢驗檢查。例如：只有在>0的情況下才可能報告細胞計數的差值。由於有這些選項，所以需要有使用案例協議（use-case agreements）來解釋一般檢驗檢查的例外值。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from DataAbsentReason (extensible to `http://hl7.org/fhir/ValueSet/data-absent-reason` ) 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 對於許多結果，必須處理測量中的異常值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. Observation.component.interpretation
Definition | 對一項檢驗檢查值的分類評估，例如：高、低、正常。
Short | 高、低、正常等。
Comments | 歷史上用於實驗室結果【被稱為 「異常標記（abnormal flag）」】，它的使用延伸到其他與編碼解釋有關的使用情況中。通常報告為一個或多個簡單的緊密碼（compact code，一種可以解譯且具有最小平均字長的唯一資料代碼），這個資料項目經常被放置在報告和流程表的結果值的旁邊，以表示結果的意義或正常狀態。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ObservationInterpretationCodes (extensible to `http://hl7.org/fhir/ValueSet/observation-interpretation` ) 用以指明檢驗檢查的解釋之代碼。應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 對於某些結果，特別是數值結果，需有一個解釋以便完全理解結果之意義。
Alternate Names | Abnormal Flag
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. Observation.component.referenceRange
Definition | 關於如何透過與正常值或建議範圍值的比較來解釋此值
Short | 解釋此組成之檢驗驗查的結果值之指引
Comments | 大多數檢驗檢查只有一個通用的參考範圍值。系統 可能可以（MAY） 選擇限制只提供病人的相關參考範圍值（例如：具體的病人年齡、性別、體重和其他因素），但這可能是不可能的或也不合適。只要提供了一個以上的參考範圍值，就 建議應該（SHOULD） 提供不同年齡的參考範圍值差異。
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange
Is Modifier | false
Summary | false
Requirements | 知道什麼值被認為是「正常的」，可以幫助評估某一特定結果的意義。需要能夠為不同的情境提供多個參考範圍值。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)