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: Observation CRLF-癌症部位特定因子2(ssf2)

Official URL: https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Observation-LF8-ssf2 | Version: 0.1.0
Active as of 2024-09-01 | Computable Name: ObservationLF8ssf2

此Profiles用於描述癌症登記長表資料檔(CRLF)之癌症部位特定因子2(ssf2)

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
coding | S Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system | S Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://loinc.org
code | S Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: 42087-7
text | S Σ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(Patient CRLF-病患基本資料) | Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | 患者 Resource Link ele-1: All FHIR elements must have a @value or children
focus | S Σ | 1..1 | Reference(Condition CRLF-原發性癌症情況) | What the observation is about, when it is not about the subject of record ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for value[x] | S Σ C | 1..1 |  | Actual result Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | S Σ C | 0..1 | string | 癌症部位特定因子2。[CRLF.ssf2] ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Actual result ele-1: All FHIR elements must have a @value or children
value | S Σ | 1..1 | decimal | 癌症部位特定因子2。[CRLF.ssf2] ele-1: All FHIR elements must have a @value or children
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit | S Σ | 1..1 | string | Unit representation ele-1: All FHIR elements must have a @value or children
system | S Σ C | 0..1 | uri | System that defines coded unit form ele-1: All FHIR elements must have a @value or children
code | S Σ | 0..1 | code | Coded form of the unit ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept | S Σ C | 0..1 | CodeableConcept | Actual result ele-1: All FHIR elements must have a @value or children
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:bladder | S Σ | 0..1 | Coding | 膀胱癌-區域淋巴結夾膜外侵犯情形 Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required) ele-1: All FHIR elements must have a @value or children
coding:breastPRresponse | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例 Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required) ele-1: All FHIR elements must have a @value or children
coding:breastPRAllredScore | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-Allred score Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required) ele-1: All FHIR elements must have a @value or children
coding:breastPR | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA) Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required) ele-1: All FHIR elements must have a @value or children
coding:cervix | S Σ | 0..1 | Coding | 子宮頸癌-SCC 抗原 Binding: SSF2 子宮頸癌-SCC 抗原值集 (required) ele-1: All FHIR elements must have a @value or children
coding:colon | S Σ | 0..1 | Coding | 結腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:leukemia | S Σ | 0..1 | Coding | 白血病-白血病分子生物學檢查評估 Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required) ele-1: All FHIR elements must have a @value or children
coding:liver | S Σ | 0..1 | Coding | 肝癌-肝纖維化程度 Binding: SSF2 肝癌-肝纖維化的程度值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lung | S Σ | 0..1 | Coding | 肺癌-波及臟層膜/彈性層 Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lymphoma | S Σ | 0..1 | Coding | 淋巴瘤-診斷時全身性之症狀 Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required) ele-1: All FHIR elements must have a @value or children
coding:ovaries | S Σ | 0..1 | Coding | 卵巢癌-療後最低 CA 125 檢驗值 Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:pancreas | S Σ | 0..1 | Coding | 胰臟癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:prostate | S Σ | 0..1 | Coding | 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required) ele-1: All FHIR elements must have a @value or children
coding:rectum | S Σ | 0..1 | Coding | 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:stomach | S Σ | 0..1 | Coding | 胃癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:uterus | S Σ | 0..1 | Coding | 子宮體癌-黃體激素接受體檢測(PRA) Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required) ele-1: All FHIR elements must have a @value or children
text | S Σ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladder | required | SSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponse | required | SSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScore | required | SSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPR | required | SSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:cervix | required | SSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon | required | SSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemia | required | SSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver | required | SSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung | required | SSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma | required | SSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:ovaries | required | SSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas | required | SSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate | required | SSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum | required | SSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach | required | SSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:uterus | required | SSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset` from this IG

#### Constraints

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

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
status | S | 1..1 | code | registered | preliminary | final | amended +
code | S | 1..1 | CodeableConcept | Type of observation (code / type)
coding | S | 1..1 | Coding | Code defined by a terminology system
system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42087-7
text | S | 0..1 | string | Plain text representation of the concept
subject | S | 1..1 | Reference(Patient CRLF-病患基本資料) | Who and/or what the observation is about
reference | S | 1..1 | string | 患者 Resource Link
focus | S | 1..1 | Reference(Condition CRLF-原發性癌症情況) | What the observation is about, when it is not about the subject of record
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for value[x] | S | 1..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueString | S | 0..1 | string | 癌症部位特定因子2。[CRLF.ssf2]
value[x]:valueQuantity | S | 0..1 | Quantity | Actual result
value | S | 1..1 | decimal | 癌症部位特定因子2。[CRLF.ssf2]
unit | S | 1..1 | string | Unit representation
system | S | 0..1 | uri | System that defines coded unit form
code | S | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | S | 0..1 | CodeableConcept | Actual result
Slices for coding | S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:bladder | S | 0..1 | Coding | 膀胱癌-區域淋巴結夾膜外侵犯情形 Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
coding:breastPRresponse | S | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例 Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
coding:breastPRAllredScore | S | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-Allred score Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
coding:breastPR | S | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA) Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
coding:cervix | S | 0..1 | Coding | 子宮頸癌-SCC 抗原 Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
coding:colon | S | 0..1 | Coding | 結腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:leukemia | S | 0..1 | Coding | 白血病-白血病分子生物學檢查評估 Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
coding:liver | S | 0..1 | Coding | 肝癌-肝纖維化程度 Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
coding:lung | S | 0..1 | Coding | 肺癌-波及臟層膜/彈性層 Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
coding:lymphoma | S | 0..1 | Coding | 淋巴瘤-診斷時全身性之症狀 Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
coding:ovaries | S | 0..1 | Coding | 卵巢癌-療後最低 CA 125 檢驗值 Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
coding:pancreas | S | 0..1 | Coding | 胰臟癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:prostate | S | 0..1 | Coding | 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
coding:rectum | S | 0..1 | Coding | 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:stomach | S | 0..1 | Coding | 胃癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:uterus | S | 0..1 | Coding | 子宮體癌-黃體激素接受體檢測(PRA) Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
text | S | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.value[x]:valueCodeableConcept.coding:bladder | required | SSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponse | required | SSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScore | required | SSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPR | required | SSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:cervix | required | SSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon | required | SSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemia | required | SSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver | required | SSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung | required | SSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma | required | SSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:ovaries | required | SSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas | required | SSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate | required | SSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum | required | SSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach | required | SSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:uterus | required | SSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42087-7
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | S Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient CRLF-病患基本資料) | Who and/or what the observation is about
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | 患者 Resource Link
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
focus | S Σ | 1..1 | Reference(Condition CRLF-原發性癌症情況) | What the observation is about, when it is not about the subject of record
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | S Σ C | 1..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | S Σ C | 0..1 | string | 癌症部位特定因子2。[CRLF.ssf2]
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | S Σ | 1..1 | decimal | 癌症部位特定因子2。[CRLF.ssf2]
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 0..1 | uri | System that defines coded unit form
code | S Σ | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | S Σ C | 0..1 | CodeableConcept | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:bladder | S Σ | 0..1 | Coding | 膀胱癌-區域淋巴結夾膜外侵犯情形 Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
coding:breastPRresponse | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例 Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
coding:breastPRAllredScore | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-Allred score Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
coding:breastPR | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA) Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
coding:cervix | S Σ | 0..1 | Coding | 子宮頸癌-SCC 抗原 Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
coding:colon | S Σ | 0..1 | Coding | 結腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:leukemia | S Σ | 0..1 | Coding | 白血病-白血病分子生物學檢查評估 Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
coding:liver | S Σ | 0..1 | Coding | 肝癌-肝纖維化程度 Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
coding:lung | S Σ | 0..1 | Coding | 肺癌-波及臟層膜/彈性層 Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
coding:lymphoma | S Σ | 0..1 | Coding | 淋巴瘤-診斷時全身性之症狀 Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
coding:ovaries | S Σ | 0..1 | Coding | 卵巢癌-療後最低 CA 125 檢驗值 Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
coding:pancreas | S Σ | 0..1 | Coding | 胰臟癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:prostate | S Σ | 0..1 | Coding | 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
coding:rectum | S Σ | 0..1 | Coding | 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:stomach | S Σ | 0..1 | Coding | 胃癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:uterus | S Σ | 0..1 | Coding | 子宮體癌-黃體激素接受體檢測(PRA) Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
text | S Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Observation.focus.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladder | required | SSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponse | required | SSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScore | required | SSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPR | required | SSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:cervix | required | SSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon | required | SSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemia | required | SSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver | required | SSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung | required | SSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma | required | SSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:ovaries | required | SSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas | required | SSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate | required | SSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum | required | SSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach | required | SSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:uterus | required | SSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset` from this IG
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Observation.method | example | ObservationMethods `http://hl7.org/fhir/ValueSet/observation-methods` from the FHIR Standard
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

#### Constraints

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

This structure is derived from Observation

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 36 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- Patient CRLF-病患基本資料 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/PatientCRLF)
- Condition CRLF-原發性癌症情況 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Condition-Primary)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.value[x]
- The element 1 is sliced based on the value of Observation.value[x].coding

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
coding | S Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system | S Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://loinc.org
code | S Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: 42087-7
text | S Σ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(Patient CRLF-病患基本資料) | Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | 患者 Resource Link ele-1: All FHIR elements must have a @value or children
focus | S Σ | 1..1 | Reference(Condition CRLF-原發性癌症情況) | What the observation is about, when it is not about the subject of record ele-1: All FHIR elements must have a @value or children
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for value[x] | S Σ C | 1..1 |  | Actual result Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | S Σ C | 0..1 | string | 癌症部位特定因子2。[CRLF.ssf2] ele-1: All FHIR elements must have a @value or children
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Actual result ele-1: All FHIR elements must have a @value or children
value | S Σ | 1..1 | decimal | 癌症部位特定因子2。[CRLF.ssf2] ele-1: All FHIR elements must have a @value or children
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
unit | S Σ | 1..1 | string | Unit representation ele-1: All FHIR elements must have a @value or children
system | S Σ C | 0..1 | uri | System that defines coded unit form ele-1: All FHIR elements must have a @value or children
code | S Σ | 0..1 | code | Coded form of the unit ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept | S Σ C | 0..1 | CodeableConcept | Actual result ele-1: All FHIR elements must have a @value or children
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:bladder | S Σ | 0..1 | Coding | 膀胱癌-區域淋巴結夾膜外侵犯情形 Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required) ele-1: All FHIR elements must have a @value or children
coding:breastPRresponse | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例 Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required) ele-1: All FHIR elements must have a @value or children
coding:breastPRAllredScore | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-Allred score Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required) ele-1: All FHIR elements must have a @value or children
coding:breastPR | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA) Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required) ele-1: All FHIR elements must have a @value or children
coding:cervix | S Σ | 0..1 | Coding | 子宮頸癌-SCC 抗原 Binding: SSF2 子宮頸癌-SCC 抗原值集 (required) ele-1: All FHIR elements must have a @value or children
coding:colon | S Σ | 0..1 | Coding | 結腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:leukemia | S Σ | 0..1 | Coding | 白血病-白血病分子生物學檢查評估 Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required) ele-1: All FHIR elements must have a @value or children
coding:liver | S Σ | 0..1 | Coding | 肝癌-肝纖維化程度 Binding: SSF2 肝癌-肝纖維化的程度值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lung | S Σ | 0..1 | Coding | 肺癌-波及臟層膜/彈性層 Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required) ele-1: All FHIR elements must have a @value or children
coding:lymphoma | S Σ | 0..1 | Coding | 淋巴瘤-診斷時全身性之症狀 Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required) ele-1: All FHIR elements must have a @value or children
coding:ovaries | S Σ | 0..1 | Coding | 卵巢癌-療後最低 CA 125 檢驗值 Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:pancreas | S Σ | 0..1 | Coding | 胰臟癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:prostate | S Σ | 0..1 | Coding | 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required) ele-1: All FHIR elements must have a @value or children
coding:rectum | S Σ | 0..1 | Coding | 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:stomach | S Σ | 0..1 | Coding | 胃癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required) ele-1: All FHIR elements must have a @value or children
coding:uterus | S Σ | 0..1 | Coding | 子宮體癌-黃體激素接受體檢測(PRA) Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required) ele-1: All FHIR elements must have a @value or children
text | S Σ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladder | required | SSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponse | required | SSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScore | required | SSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPR | required | SSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:cervix | required | SSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon | required | SSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemia | required | SSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver | required | SSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung | required | SSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma | required | SSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:ovaries | required | SSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas | required | SSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate | required | SSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum | required | SSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach | required | SSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:uterus | required | SSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset` from this IG

#### Constraints

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

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
status | S | 1..1 | code | registered | preliminary | final | amended +
code | S | 1..1 | CodeableConcept | Type of observation (code / type)
coding | S | 1..1 | Coding | Code defined by a terminology system
system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42087-7
text | S | 0..1 | string | Plain text representation of the concept
subject | S | 1..1 | Reference(Patient CRLF-病患基本資料) | Who and/or what the observation is about
reference | S | 1..1 | string | 患者 Resource Link
focus | S | 1..1 | Reference(Condition CRLF-原發性癌症情況) | What the observation is about, when it is not about the subject of record
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for value[x] | S | 1..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueString | S | 0..1 | string | 癌症部位特定因子2。[CRLF.ssf2]
value[x]:valueQuantity | S | 0..1 | Quantity | Actual result
value | S | 1..1 | decimal | 癌症部位特定因子2。[CRLF.ssf2]
unit | S | 1..1 | string | Unit representation
system | S | 0..1 | uri | System that defines coded unit form
code | S | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | S | 0..1 | CodeableConcept | Actual result
Slices for coding | S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:bladder | S | 0..1 | Coding | 膀胱癌-區域淋巴結夾膜外侵犯情形 Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
coding:breastPRresponse | S | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例 Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
coding:breastPRAllredScore | S | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-Allred score Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
coding:breastPR | S | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA) Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
coding:cervix | S | 0..1 | Coding | 子宮頸癌-SCC 抗原 Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
coding:colon | S | 0..1 | Coding | 結腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:leukemia | S | 0..1 | Coding | 白血病-白血病分子生物學檢查評估 Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
coding:liver | S | 0..1 | Coding | 肝癌-肝纖維化程度 Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
coding:lung | S | 0..1 | Coding | 肺癌-波及臟層膜/彈性層 Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
coding:lymphoma | S | 0..1 | Coding | 淋巴瘤-診斷時全身性之症狀 Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
coding:ovaries | S | 0..1 | Coding | 卵巢癌-療後最低 CA 125 檢驗值 Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
coding:pancreas | S | 0..1 | Coding | 胰臟癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:prostate | S | 0..1 | Coding | 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
coding:rectum | S | 0..1 | Coding | 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:stomach | S | 0..1 | Coding | 胃癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:uterus | S | 0..1 | Coding | 子宮體癌-黃體激素接受體檢測(PRA) Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
text | S | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.value[x]:valueCodeableConcept.coding:bladder | required | SSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponse | required | SSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScore | required | SSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPR | required | SSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:cervix | required | SSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon | required | SSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemia | required | SSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver | required | SSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung | required | SSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma | required | SSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:ovaries | required | SSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas | required | SSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate | required | SSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum | required | SSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach | required | SSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:uterus | required | SSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset` from this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42087-7
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | S Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient CRLF-病患基本資料) | Who and/or what the observation is about
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | 患者 Resource Link
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
focus | S Σ | 1..1 | Reference(Condition CRLF-原發性癌症情況) | What the observation is about, when it is not about the subject of record
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | S Σ C | 1..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueString | S Σ C | 0..1 | string | 癌症部位特定因子2。[CRLF.ssf2]
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | S Σ | 1..1 | decimal | 癌症部位特定因子2。[CRLF.ssf2]
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 0..1 | uri | System that defines coded unit form
code | S Σ | 0..1 | code | Coded form of the unit
value[x]:valueCodeableConcept | S Σ C | 0..1 | CodeableConcept | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:bladder | S Σ | 0..1 | Coding | 膀胱癌-區域淋巴結夾膜外侵犯情形 Binding: SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形值集 (required)
coding:breastPRresponse | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例 Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例值集 (required)
coding:breastPRAllredScore | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA)-Allred score Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score值集 (required)
coding:breastPR | S Σ | 0..1 | Coding | 乳癌-黃體激素接受體檢測(PRA) Binding: SSF2 乳癌-黃體激素接受體檢測(PRA)值集 (required)
coding:cervix | S Σ | 0..1 | Coding | 子宮頸癌-SCC 抗原 Binding: SSF2 子宮頸癌-SCC 抗原值集 (required)
coding:colon | S Σ | 0..1 | Coding | 結腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:leukemia | S Σ | 0..1 | Coding | 白血病-白血病分子生物學檢查評估 Binding: SSF2 白血病-白血病分子生物學檢查的評估值集 (required)
coding:liver | S Σ | 0..1 | Coding | 肝癌-肝纖維化程度 Binding: SSF2 肝癌-肝纖維化的程度值集 (required)
coding:lung | S Σ | 0..1 | Coding | 肺癌-波及臟層膜/彈性層 Binding: SSF2 肺癌-波及臟層膜/彈性層值集 (required)
coding:lymphoma | S Σ | 0..1 | Coding | 淋巴瘤-診斷時全身性之症狀 Binding: SSF2 淋巴瘤-診斷時全身性之症狀值集 (required)
coding:ovaries | S Σ | 0..1 | Coding | 卵巢癌-療後最低 CA 125 檢驗值 Binding: SSF2 卵巢癌-療後最低 CA 125 檢驗值值集 (required)
coding:pancreas | S Σ | 0..1 | Coding | 胰臟癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:prostate | S Σ | 0..1 | Coding | 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數 Binding: SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數值集 (required)
coding:rectum | S Σ | 0..1 | Coding | 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:stomach | S Σ | 0..1 | Coding | 胃癌-癌胚抗原 CEA 檢驗正常值 Binding: SSF2 胃癌-癌胚抗原 CEA 檢驗正常值值集 (required)
coding:uterus | S Σ | 0..1 | Coding | 子宮體癌-黃體激素接受體檢測(PRA) Binding: SSF2 子宮體癌-黃體激素接受體檢測(PRA)值集 (required)
text | S Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Observation.focus.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:bladder | required | SSF2bladderVS (a valid code from SSF2 膀胱癌-區域淋巴結夾膜外侵犯情形代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-bladder-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRresponse | required | SSF2breast1VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-PR 反應比例代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-1-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPRAllredScore | required | SSF2breast2VS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)-Allred score代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-2-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:breastPR | required | SSF2breastVS (a valid code from SSF2 乳癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-breast-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:cervix | required | SSF2cervixVS (a valid code from SSF2 子宮頸癌-SCC 抗原代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-cervix-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:colon | required | SSF2colonVS (a valid code from SSF2 結腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-colon-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:leukemia | required | SSF2leukemiaVS (a valid code from SSF2 白血病-白血病分子生物學檢查的評估代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-leukemia-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:liver | required | SSF2liverVS (a valid code from SSF2 肝癌-肝纖維化的程度代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-liver-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lung | required | SSF2lungVS (a valid code from SSF2 肺癌-波及臟層膜/彈性層代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lung-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:lymphoma | required | SSF2lymphomaVS (a valid code from SSF2 淋巴瘤-診斷時全身性之症狀代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-lymphoma-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:ovaries | required | SSF2ovariesVS (a valid code from SSF2 卵巢癌-療後最低 CA 125 檢驗值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-ovaries-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:pancreas | required | SSF2pancreasVS (a valid code from SSF2 胰臟癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-pancreas-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:prostate | required | SSF2prostateVS (a valid code from SSF2 攝護腺癌-細針切片或經尿道攝護腺刮除檢體Gleason氏分級主要型態級數與次要型態級數) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-prostate-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:rectum | required | SSF2rectumVS (a valid code from SSF2 直腸乙狀結腸、直腸癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-rectum-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:stomach | required | SSF2stomachVS (a valid code from SSF2 胃癌-癌胚抗原 CEA 檢驗正常值代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-stomach-valueset` from this IG
Observation.value[x]:valueCodeableConcept.coding:uterus | required | SSF2uterusVS (a valid code from SSF2 子宮體癌-黃體激素接受體檢測(PRA)代碼系統) `https://www.ghd.tw/cdm-fhir/fhir/ValueSet/ssf-2-uterus-valueset` from this IG
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Observation.method | example | ObservationMethods `http://hl7.org/fhir/ValueSet/observation-methods` from the FHIR Standard
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

#### Constraints

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

This structure is derived from Observation

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 36 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- Patient CRLF-病患基本資料 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/PatientCRLF)
- Condition CRLF-原發性癌症情況 (https://www.ghd.tw/cdm-fhir/fhir/StructureDefinition/Condition-Primary)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.value[x]
- The element 1 is sliced based on the value of Observation.value[x].coding

Other representations of profile: CSV, Excel, Schematron