Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu Secondary Cancer Condition Profile

Official URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-secondary-cancer Version: 1.1.28
Active as of 2025-07-09 Computable Name: FujitsuConditionSecondaryCancer

This profile defines the patient’s secondary cancer disease name.
このプロファイルは、患者の二次がんの病名を定義します。

This profile records the history of secondary neoplasms, including location(s) and the date of onset of metastases.

A secondary cancer results from the spread (metastasization) of cancer from its original site (Definition from: NCI Dictionary of Cancer Terms).

For ICD-10 coding, use one of the codes given in this value set representing secondary malignant neoplasms and neoplasms of uncertain or unspecified behavior.

がんの転移の場所と発症日を含む転移がんの病歴を記録するプロファイルです。

転移がん（二次がん）とは一次がんからの転移によって生じるものです。

NCI Dictionary of Cancer Termsによって定義されています。

ICD-10 コーディングでは、二次悪性新生物および、不確実または不特定の新生物を表す値のセットで指定されたコードを使用します。

Usage:

Formal Views of Profile Content

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

This structure is derived from FujitsuCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* FujitsuCondition Fujitsu Secondary Cancer Condition Profile (二次がん病名プロファイル)
... Slices for extension 0..* Extension Extension (拡張)
Slice: Unordered, Open by value:url
... assertedDate 0..1 dateTime Date the condition was first asserted (最初に確認された日)
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior 0..1 CodeableConcept Histology-Morphology-Behavior Extension (組織形態学行動(ICD-O-3形態コード))
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-histology-morphology-behavior
Binding: Histology Morphology Behavior ValueSet (extensible)
.... id 0..0
.... value[x] 1..1 Reference(Fujitsu Primary Cancer Condition Profile) Value of extension
..... id 0..0
..... extension 0..0
..... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
..... type 0..0
..... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
..... display 0..0
... clinicalStatus
.... coding 0..* Coding Code defined by a terminology system (臨床的状態のコード)
... verificationStatus 0..1 CodeableConcept unconfirmed | tentative | differential | confirmed | (検証ステータス)
.... coding 0..* Coding Code defined by a terminology system (入力された臨床的状態に対する検証状況のコード)
... category 1..* CodeableConcept category codes (カテゴリーコード)
.... coding 0..* Coding Code defined by a terminology system (状態カテゴリのコード)
... severity 0..0 CodeableConcept
... code 1..1 CodeableConcept Identification of the condition, problem or diagnosis (診断コード)
.... coding 1..* Coding Code defined by a terminology system (病名のコード)
.... coding:ICD10 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Secondary Cancer Disorder ValueSet (required)
.... text 1..1 string Plain text representation of the concept (病名)
... bodySite 0..* CodeableConcept Anatomical location, if relevant (部位)
Binding: Cancer Body Location ValueSet (extensible)
.... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite (部位の一般的な位置の修飾子（左右性を除く）)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-body-location-qualifier
Binding: Body Location Qualifier ValueSet (required)
.... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite (部位の左右性修飾子)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-laterality-qualifier
Binding: Laterality Qualifier ValueSet (required)
.... coding 0..* Coding Code defined by a terminology system ({name}のコード)
..... id 0..0
..... extension 0..0
..... system 1..1 uri Identity of the terminology system (部位を定義するコード体系)
..... version 0..0
..... code 1..1 code Symbol in syntax defined by the system (部位を表すコード値)
..... display 1..1 string Representation defined by the system (部位の表示名)
..... userSelected 0..0
.... text 0..1 string Plain text representation of the concept ({name})
... subject 1..1 Reference(Fujitsu Patient Profile) Who has the condition? (患者)
... encounter 0..1 Reference(Fujitsu Encounter Profile) Encounter created as part of (この行為が行われたタイミングの外来または入院)
... onset[x] 0..1 dateTime, Age, string Estimated or actual date, date-time, or age (遠隔転移日)
... abatement[x] 0..1 dateTime, Age, string When in resolution/remission (解決/寛解)
... recordedDate 0..1 dateTime Date record was first recorded (注記日)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.code.coding:ICD10requiredSecondaryCancerDisorderValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/secondary-cancer-disorder
from this IG
Condition.bodySiteextensibleCancerBodyLocationValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/cancer-body-location
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* FujitsuCondition Fujitsu Secondary Cancer Condition Profile (二次がん病名プロファイル)
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... Slices for extension 0..* Extension Extension (拡張)
Slice: Unordered, Open by value:url
... assertedDate 0..1 dateTime Date the condition was first asserted (最初に確認された日)
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior 0..1 CodeableConcept Histology-Morphology-Behavior Extension (組織形態学行動(ICD-O-3形態コード))
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-histology-morphology-behavior
Binding: Histology Morphology Behavior ValueSet (extensible)
.... extension 0..0
.... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
.... value[x] 1..1 Reference(Fujitsu Primary Cancer Condition Profile) Value of extension
..... extension 0..0
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... Slices for identifier Σ 0..* Identifier External Ids for this condition (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[ICD10コード][日付] または [患者ID]_[プロファイルシーケンス番号][プロファイル歴シーケンス番号]
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved (臨床的状態のステータス)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (臨床的状態のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (臨床的状態を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code Σ 1..1 code Symbol in syntax defined by the system (臨床的状態を表すコード値)
..... display Σ 1..1 string Representation defined by the system (臨床的状態の表示名)
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | tentative | differential | confirmed | (検証ステータス)
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (入力された臨床的状態に対する検証状況のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (入力された臨床的状態に対する検証状況を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
..... code Σ 1..1 code Symbol in syntax defined by the system (入力された臨床的状態に対する検証状況を表すコード値)
..... display Σ 1..1 string Representation defined by the system (入力された臨床的状態に対する検証状況の表示名)
... category 1..* CodeableConcept category codes (カテゴリーコード)
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (状態カテゴリのコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (状態カテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
..... code Σ 1..1 code Symbol in syntax defined by the system (状態カテゴリを表すコード値)
..... display Σ 1..1 string Representation defined by the system (状態カテゴリの表示名)
... code ΣC 1..1 CodeableConcept Identification of the condition, problem or diagnosis (診断コード)
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


fujitsu-1: Condition Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (病名のコード)
Slice: Unordered, Open by value:system
..... coding:ICD10 Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Secondary Cancer Disorder ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:problemGPSCode Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:absentOrUnknownProblem Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Problems - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (病名)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant (部位)
Binding: Cancer Body Location ValueSet (extensible)
.... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite (部位の一般的な位置の修飾子（左右性を除く）)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-body-location-qualifier
Binding: Body Location Qualifier ValueSet (required)
.... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite (部位の左右性修飾子)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-laterality-qualifier
Binding: Laterality Qualifier ValueSet (required)
.... coding Σ 0..* Coding Code defined by a terminology system ({name}のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (部位を定義するコード体系)
..... code Σ 1..1 code Symbol in syntax defined by the system (部位を表すコード値)
..... display Σ 1..1 string Representation defined by the system (部位の表示名)
.... text Σ 0..1 string Plain text representation of the concept ({name})
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who has the condition? (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... encounter Σ 0..1 Reference(Fujitsu Encounter Profile) Encounter created as part of (この行為が行われたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age (遠隔転移日)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission (解決/寛解)
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded (注記日)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.code.coding:ICD10requiredSecondaryCancerDisorderValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/secondary-cancer-disorder
from this IG
Condition.code.coding:problemGPSCoderequiredProblemsSnomedAbsentUnknownUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Condition.bodySiteextensibleCancerBodyLocationValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/cancer-body-location
from this IG

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-1errorCondition.codeCondition Code or Data Absent Reason
: coding.exists(system = 'http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* FujitsuCondition Fujitsu Secondary Cancer Condition Profile (二次がん病名プロファイル)
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... Slices for extension 0..* Extension Extension (拡張)
Slice: Unordered, Open by value:url
... assertedDate 0..1 dateTime Date the condition was first asserted (最初に確認された日)
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior 0..1 CodeableConcept Histology-Morphology-Behavior Extension (組織形態学行動(ICD-O-3形態コード))
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-histology-morphology-behavior
Binding: Histology Morphology Behavior ValueSet (extensible)
... relatedPrimaryCancerCondition 0..1 (Complex) Related Primary Cancer Condition (一次がんとの関連)
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension 0..0
.... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
.... value[x] 1..1 Reference(Fujitsu Primary Cancer Condition Profile) Value of extension
..... extension 0..0
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... Slices for identifier Σ 0..* Identifier External Ids for this condition (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[ICD10コード][日付] または [患者ID]_[プロファイルシーケンス番号][プロファイル歴シーケンス番号]
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved (臨床的状態のステータス)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (臨床的状態のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (臨床的状態を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code Σ 1..1 code Symbol in syntax defined by the system (臨床的状態を表すコード値)
..... display Σ 1..1 string Representation defined by the system (臨床的状態の表示名)
.... text Σ 0..1 string Plain text representation of the concept (臨床的状態)
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | tentative | differential | confirmed | (検証ステータス)
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (入力された臨床的状態に対する検証状況のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (入力された臨床的状態に対する検証状況を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
..... code Σ 1..1 code Symbol in syntax defined by the system (入力された臨床的状態に対する検証状況を表すコード値)
..... display Σ 1..1 string Representation defined by the system (入力された臨床的状態に対する検証状況の表示名)
.... text Σ 0..1 string Plain text representation of the concept (入力された臨床的状態に対する検証状況)
... category 1..* CodeableConcept category codes (カテゴリーコード)
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (状態カテゴリのコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (状態カテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
..... code Σ 1..1 code Symbol in syntax defined by the system (状態カテゴリを表すコード値)
..... display Σ 1..1 string Representation defined by the system (状態カテゴリの表示名)
.... text Σ 0..1 string Plain text representation of the concept (状態カテゴリ)
... code ΣC 1..1 CodeableConcept Identification of the condition, problem or diagnosis (診断コード)
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


fujitsu-1: Condition Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (病名のコード)
Slice: Unordered, Open by value:system
..... coding:ICD10 Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Secondary Cancer Disorder ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:problemGPSCode Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:absentOrUnknownProblem Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Problems - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (病名)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant (部位)
Binding: Cancer Body Location ValueSet (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite (部位の一般的な位置の修飾子（左右性を除く）)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-body-location-qualifier
Binding: Body Location Qualifier ValueSet (required)
.... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite (部位の左右性修飾子)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-laterality-qualifier
Binding: Laterality Qualifier ValueSet (required)
.... coding Σ 0..* Coding Code defined by a terminology system ({name}のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (部位を定義するコード体系)
..... code Σ 1..1 code Symbol in syntax defined by the system (部位を表すコード値)
..... display Σ 1..1 string Representation defined by the system (部位の表示名)
.... text Σ 0..1 string Plain text representation of the concept ({name})
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who has the condition? (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter Σ 0..1 Reference(Fujitsu Encounter Profile) Encounter created as part of (この行為が行われたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age (遠隔転移日)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission (解決/寛解)
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded (注記日)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Condition.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.code.coding:ICD10requiredSecondaryCancerDisorderValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/secondary-cancer-disorder
from this IG
Condition.code.coding:problemGPSCoderequiredProblemsSnomedAbsentUnknownUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Condition.bodySiteextensibleCancerBodyLocationValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/cancer-body-location
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-1errorCondition.codeCondition Code or Data Absent Reason
: coding.exists(system = 'http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')

Differential View

This structure is derived from FujitsuCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* FujitsuCondition Fujitsu Secondary Cancer Condition Profile (二次がん病名プロファイル)
... Slices for extension 0..* Extension Extension (拡張)
Slice: Unordered, Open by value:url
... assertedDate 0..1 dateTime Date the condition was first asserted (最初に確認された日)
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior 0..1 CodeableConcept Histology-Morphology-Behavior Extension (組織形態学行動(ICD-O-3形態コード))
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-histology-morphology-behavior
Binding: Histology Morphology Behavior ValueSet (extensible)
.... id 0..0
.... value[x] 1..1 Reference(Fujitsu Primary Cancer Condition Profile) Value of extension
..... id 0..0
..... extension 0..0
..... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
..... type 0..0
..... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
..... display 0..0
... clinicalStatus
.... coding 0..* Coding Code defined by a terminology system (臨床的状態のコード)
... verificationStatus 0..1 CodeableConcept unconfirmed | tentative | differential | confirmed | (検証ステータス)
.... coding 0..* Coding Code defined by a terminology system (入力された臨床的状態に対する検証状況のコード)
... category 1..* CodeableConcept category codes (カテゴリーコード)
.... coding 0..* Coding Code defined by a terminology system (状態カテゴリのコード)
... severity 0..0 CodeableConcept
... code 1..1 CodeableConcept Identification of the condition, problem or diagnosis (診断コード)
.... coding 1..* Coding Code defined by a terminology system (病名のコード)
.... coding:ICD10 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Secondary Cancer Disorder ValueSet (required)
.... text 1..1 string Plain text representation of the concept (病名)
... bodySite 0..* CodeableConcept Anatomical location, if relevant (部位)
Binding: Cancer Body Location ValueSet (extensible)
.... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite (部位の一般的な位置の修飾子（左右性を除く）)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-body-location-qualifier
Binding: Body Location Qualifier ValueSet (required)
.... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite (部位の左右性修飾子)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-laterality-qualifier
Binding: Laterality Qualifier ValueSet (required)
.... coding 0..* Coding Code defined by a terminology system ({name}のコード)
..... id 0..0
..... extension 0..0
..... system 1..1 uri Identity of the terminology system (部位を定義するコード体系)
..... version 0..0
..... code 1..1 code Symbol in syntax defined by the system (部位を表すコード値)
..... display 1..1 string Representation defined by the system (部位の表示名)
..... userSelected 0..0
.... text 0..1 string Plain text representation of the concept ({name})
... subject 1..1 Reference(Fujitsu Patient Profile) Who has the condition? (患者)
... encounter 0..1 Reference(Fujitsu Encounter Profile) Encounter created as part of (この行為が行われたタイミングの外来または入院)
... onset[x] 0..1 dateTime, Age, string Estimated or actual date, date-time, or age (遠隔転移日)
... abatement[x] 0..1 dateTime, Age, string When in resolution/remission (解決/寛解)
... recordedDate 0..1 dateTime Date record was first recorded (注記日)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.code.coding:ICD10requiredSecondaryCancerDisorderValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/secondary-cancer-disorder
from this IG
Condition.bodySiteextensibleCancerBodyLocationValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/cancer-body-location
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* FujitsuCondition Fujitsu Secondary Cancer Condition Profile (二次がん病名プロファイル)
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... Slices for extension 0..* Extension Extension (拡張)
Slice: Unordered, Open by value:url
... assertedDate 0..1 dateTime Date the condition was first asserted (最初に確認された日)
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior 0..1 CodeableConcept Histology-Morphology-Behavior Extension (組織形態学行動(ICD-O-3形態コード))
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-histology-morphology-behavior
Binding: Histology Morphology Behavior ValueSet (extensible)
.... extension 0..0
.... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
.... value[x] 1..1 Reference(Fujitsu Primary Cancer Condition Profile) Value of extension
..... extension 0..0
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... Slices for identifier Σ 0..* Identifier External Ids for this condition (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[ICD10コード][日付] または [患者ID]_[プロファイルシーケンス番号][プロファイル歴シーケンス番号]
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved (臨床的状態のステータス)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (臨床的状態のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (臨床的状態を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code Σ 1..1 code Symbol in syntax defined by the system (臨床的状態を表すコード値)
..... display Σ 1..1 string Representation defined by the system (臨床的状態の表示名)
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | tentative | differential | confirmed | (検証ステータス)
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (入力された臨床的状態に対する検証状況のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (入力された臨床的状態に対する検証状況を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
..... code Σ 1..1 code Symbol in syntax defined by the system (入力された臨床的状態に対する検証状況を表すコード値)
..... display Σ 1..1 string Representation defined by the system (入力された臨床的状態に対する検証状況の表示名)
... category 1..* CodeableConcept category codes (カテゴリーコード)
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (状態カテゴリのコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (状態カテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
..... code Σ 1..1 code Symbol in syntax defined by the system (状態カテゴリを表すコード値)
..... display Σ 1..1 string Representation defined by the system (状態カテゴリの表示名)
... code ΣC 1..1 CodeableConcept Identification of the condition, problem or diagnosis (診断コード)
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


fujitsu-1: Condition Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (病名のコード)
Slice: Unordered, Open by value:system
..... coding:ICD10 Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Secondary Cancer Disorder ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:problemGPSCode Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:absentOrUnknownProblem Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Problems - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (病名)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant (部位)
Binding: Cancer Body Location ValueSet (extensible)
.... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite (部位の一般的な位置の修飾子（左右性を除く）)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-body-location-qualifier
Binding: Body Location Qualifier ValueSet (required)
.... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite (部位の左右性修飾子)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-laterality-qualifier
Binding: Laterality Qualifier ValueSet (required)
.... coding Σ 0..* Coding Code defined by a terminology system ({name}のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (部位を定義するコード体系)
..... code Σ 1..1 code Symbol in syntax defined by the system (部位を表すコード値)
..... display Σ 1..1 string Representation defined by the system (部位の表示名)
.... text Σ 0..1 string Plain text representation of the concept ({name})
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who has the condition? (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... encounter Σ 0..1 Reference(Fujitsu Encounter Profile) Encounter created as part of (この行為が行われたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age (遠隔転移日)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission (解決/寛解)
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded (注記日)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.code.coding:ICD10requiredSecondaryCancerDisorderValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/secondary-cancer-disorder
from this IG
Condition.code.coding:problemGPSCoderequiredProblemsSnomedAbsentUnknownUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Condition.bodySiteextensibleCancerBodyLocationValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/cancer-body-location
from this IG

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-1errorCondition.codeCondition Code or Data Absent Reason
: coding.exists(system = 'http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* FujitsuCondition Fujitsu Secondary Cancer Condition Profile (二次がん病名プロファイル)
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... Slices for extension 0..* Extension Extension (拡張)
Slice: Unordered, Open by value:url
... assertedDate 0..1 dateTime Date the condition was first asserted (最初に確認された日)
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior 0..1 CodeableConcept Histology-Morphology-Behavior Extension (組織形態学行動(ICD-O-3形態コード))
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-histology-morphology-behavior
Binding: Histology Morphology Behavior ValueSet (extensible)
... relatedPrimaryCancerCondition 0..1 (Complex) Related Primary Cancer Condition (一次がんとの関連)
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension 0..0
.... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
.... value[x] 1..1 Reference(Fujitsu Primary Cancer Condition Profile) Value of extension
..... extension 0..0
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... Slices for identifier Σ 0..* Identifier External Ids for this condition (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[ICD10コード][日付] または [患者ID]_[プロファイルシーケンス番号][プロファイル歴シーケンス番号]
Example General: 123456
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved (臨床的状態のステータス)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (臨床的状態のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (臨床的状態を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code Σ 1..1 code Symbol in syntax defined by the system (臨床的状態を表すコード値)
..... display Σ 1..1 string Representation defined by the system (臨床的状態の表示名)
.... text Σ 0..1 string Plain text representation of the concept (臨床的状態)
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | tentative | differential | confirmed | (検証ステータス)
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (入力された臨床的状態に対する検証状況のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (入力された臨床的状態に対する検証状況を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
..... code Σ 1..1 code Symbol in syntax defined by the system (入力された臨床的状態に対する検証状況を表すコード値)
..... display Σ 1..1 string Representation defined by the system (入力された臨床的状態に対する検証状況の表示名)
.... text Σ 0..1 string Plain text representation of the concept (入力された臨床的状態に対する検証状況)
... category 1..* CodeableConcept category codes (カテゴリーコード)
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... extension 0..0
.... coding Σ 0..* Coding Code defined by a terminology system (状態カテゴリのコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (状態カテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
..... code Σ 1..1 code Symbol in syntax defined by the system (状態カテゴリを表すコード値)
..... display Σ 1..1 string Representation defined by the system (状態カテゴリの表示名)
.... text Σ 0..1 string Plain text representation of the concept (状態カテゴリ)
... code ΣC 1..1 CodeableConcept Identification of the condition, problem or diagnosis (診断コード)
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


fujitsu-1: Condition Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (病名のコード)
Slice: Unordered, Open by value:system
..... coding:ICD10 Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Secondary Cancer Disorder ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:problemGPSCode Σ 0..1 Coding Code defined by a terminology system (病名を表すコード)
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (病名を定義するコード体系)
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system (病名を表すコード値)
...... display Σ 1..1 string Representation defined by the system (病名の表示名)
..... coding:absentOrUnknownProblem Σ 0..1 Coding Code defined by a terminology system (コードなしまたは不明を表すコード)
Binding: Absent or Unknown Problems - IPS (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (コードなしまたは不明を定義するコード体系)
Fixed Value: http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
...... code Σ 1..1 code Symbol in syntax defined by the system (コードなしまたは不明を表すコード値)
...... display Σ 1..1 string Representation defined by the system (コードなしまたは不明の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (病名)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant (部位)
Binding: Cancer Body Location ValueSet (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite (部位の一般的な位置の修飾子（左右性を除く）)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-body-location-qualifier
Binding: Body Location Qualifier ValueSet (required)
.... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite (部位の左右性修飾子)
URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-laterality-qualifier
Binding: Laterality Qualifier ValueSet (required)
.... coding Σ 0..* Coding Code defined by a terminology system ({name}のコード)
..... extension 0..0
..... system Σ 1..1 uri Identity of the terminology system (部位を定義するコード体系)
..... code Σ 1..1 code Symbol in syntax defined by the system (部位を表すコード値)
..... display Σ 1..1 string Representation defined by the system (部位の表示名)
.... text Σ 0..1 string Plain text representation of the concept ({name})
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who has the condition? (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter Σ 0..1 Reference(Fujitsu Encounter Profile) Encounter created as part of (この行為が行われたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age (遠隔転移日)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission (解決/寛解)
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded (注記日)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Condition.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.code.coding:ICD10requiredSecondaryCancerDisorderValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/secondary-cancer-disorder
from this IG
Condition.code.coding:problemGPSCoderequiredProblemsSnomedAbsentUnknownUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Condition.bodySiteextensibleCancerBodyLocationValueSet
http://ig.fujitsu.com/healthy-living/ValueSet/cancer-body-location
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-1errorCondition.codeCondition Code or Data Absent Reason
: coding.exists(system = 'http://jpfhir.jp/fhir/Common/CodeSystem/icd10-codes') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')

 

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