Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	JP_DiagnosticReport_LabResult	Fujitsu Observation DiagnosticReport LabResult Profile (検体検査結果レポートプロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
modifierExtension		0..0
identifier		0..*	Identifier	Business Identifier for observation (識別子)
basedOn		0..0
status		1..1	code	registered | partial | preliminary | final + (レポートの状態)
category		1..*	CodeableConcept	Codes for diagnostic service sections (サービスカテゴリ)
code		1..1	CodeableConcept	Laboratory Report Order Code (検査レポートコード)
subject		0..1	Reference(Fujitsu Patient Profile)	The subject of the report - usually, but not always, the patient (患者)
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
encounter		0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この行為が行われたタイミングの外来または入院)
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
effective[x]		0..1	dateTime, Period	Diagnostically relevant time (typically the time of specimen collection) (臨床的に関連する時刻または時間)
issued		0..0
performer		0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam)	Responsible Diagnostic Service (レポート内容に責任をもつ医療従事者または医療機関)
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
resultsInterpreter		0..0
specimen		0..0
Slices for result		0..*	Reference(JP Core Observation LabResult Profile)	Observations (検査結果) Slice: Unordered, Open by value:system
result:observation-results		0..*	Reference(Fujitsu Observation LabResult Profile)	検査結果。Observationsリソースが参照される。【詳細参照】
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
imagingStudy		0..0
media		0..0
conclusion		0..0
conclusionCode		0..0
presentedForm		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	JP_DiagnosticReport_LabResult	Fujitsu Observation DiagnosticReport LabResult Profile (検体検査結果レポートプロファイル)
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)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | partial | preliminary | final + (レポートの状態) Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Codes for diagnostic service sections (サービスカテゴリ) Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:laboratory	Σ	1..1	CodeableConcept	サービスカテゴリー。【詳細参照】 Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
code	Σ	1..1	CodeableConcept	Laboratory Report Order Code (検査レポートコード) Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:laboratoryCode	Σ	0..1	Coding	検体検査レポート項目コード。本ユースケースにおける項目コード推奨値をスライスにて示している。【詳細参照】 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
display		1..1	string	Representation defined by the system Fixed Value: Laboratory report
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	The subject of the report - usually, but not always, the patient (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)	Healthcare event during which this observation is made (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)
effective[x]	Σ	0..1		Diagnostically relevant time (typically the time of specimen collection) (臨床的に関連する時刻または時間)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam)	Responsible Diagnostic Service (レポート内容に責任をもつ医療従事者または医療機関)
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 result		0..*	Reference(JP Core Observation LabResult Profile)	Observations (検査結果) Slice: Unordered, Open by value:system
result:observation-results		0..*	Reference(Fujitsu Observation LabResult Profile)	検査結果。Observationsリソースが参照される。【詳細参照】
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:laboratory	example	Pattern: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	JP_DiagnosticReport_LabResult	Fujitsu Observation DiagnosticReport LabResult Profile (検体検査結果レポートプロファイル)
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)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | partial | preliminary | final + (レポートの状態) Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Codes for diagnostic service sections (サービスカテゴリ) Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:laboratory	Σ	1..1	CodeableConcept	サービスカテゴリー。【詳細参照】 Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Laboratory Report Order Code (検査レポートコード) Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:laboratoryCode	Σ	0..1	Coding	検体検査レポート項目コード。本ユースケースにおける項目コード推奨値をスライスにて示している。【詳細参照】 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
display		1..1	string	Representation defined by the system Fixed Value: Laboratory report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	The subject of the report - usually, but not always, the patient (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)	Healthcare event during which this observation is made (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)
effective[x]	Σ	0..1		Diagnostically relevant time (typically the time of specimen collection) (臨床的に関連する時刻または時間)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam)	Responsible Diagnostic Service (レポート内容に責任をもつ医療従事者または医療機関)
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 result		0..*	Reference(JP Core Observation LabResult Profile)	Observations (検査結果) Slice: Unordered, Open by value:system
result:observation-results		0..*	Reference(Fujitsu Observation LabResult Profile)	検査結果。Observationsリソースが参照される。【詳細参照】
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:laboratory	example	Pattern: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()

Summary

Mandatory: 0 element(4 nested mandatory elements)
Prohibited: 28 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Encounter Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-encounter)
• Fujitsu Practitioner Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitioner)
• Fujitsu PractitionerRole Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitionerrole)
• Fujitsu Organization Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-organization)
• Fujitsu Observation LabResult Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-observation-labresult)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.result

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	JP_DiagnosticReport_LabResult	Fujitsu Observation DiagnosticReport LabResult Profile (検体検査結果レポートプロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
modifierExtension		0..0
identifier		0..*	Identifier	Business Identifier for observation (識別子)
basedOn		0..0
status		1..1	code	registered | partial | preliminary | final + (レポートの状態)
category		1..*	CodeableConcept	Codes for diagnostic service sections (サービスカテゴリ)
code		1..1	CodeableConcept	Laboratory Report Order Code (検査レポートコード)
subject		0..1	Reference(Fujitsu Patient Profile)	The subject of the report - usually, but not always, the patient (患者)
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
encounter		0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この行為が行われたタイミングの外来または入院)
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
effective[x]		0..1	dateTime, Period	Diagnostically relevant time (typically the time of specimen collection) (臨床的に関連する時刻または時間)
issued		0..0
performer		0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam)	Responsible Diagnostic Service (レポート内容に責任をもつ医療従事者または医療機関)
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
resultsInterpreter		0..0
specimen		0..0
Slices for result		0..*	Reference(JP Core Observation LabResult Profile)	Observations (検査結果) Slice: Unordered, Open by value:system
result:observation-results		0..*	Reference(Fujitsu Observation LabResult Profile)	検査結果。Observationsリソースが参照される。【詳細参照】
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
imagingStudy		0..0
media		0..0
conclusion		0..0
conclusionCode		0..0
presentedForm		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	JP_DiagnosticReport_LabResult	Fujitsu Observation DiagnosticReport LabResult Profile (検体検査結果レポートプロファイル)
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)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | partial | preliminary | final + (レポートの状態) Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Codes for diagnostic service sections (サービスカテゴリ) Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:laboratory	Σ	1..1	CodeableConcept	サービスカテゴリー。【詳細参照】 Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
code	Σ	1..1	CodeableConcept	Laboratory Report Order Code (検査レポートコード) Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:laboratoryCode	Σ	0..1	Coding	検体検査レポート項目コード。本ユースケースにおける項目コード推奨値をスライスにて示している。【詳細参照】 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
display		1..1	string	Representation defined by the system Fixed Value: Laboratory report
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	The subject of the report - usually, but not always, the patient (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)	Healthcare event during which this observation is made (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)
effective[x]	Σ	0..1		Diagnostically relevant time (typically the time of specimen collection) (臨床的に関連する時刻または時間)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam)	Responsible Diagnostic Service (レポート内容に責任をもつ医療従事者または医療機関)
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 result		0..*	Reference(JP Core Observation LabResult Profile)	Observations (検査結果) Slice: Unordered, Open by value:system
result:observation-results		0..*	Reference(Fujitsu Observation LabResult Profile)	検査結果。Observationsリソースが参照される。【詳細参照】
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:laboratory	example	Pattern: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	JP_DiagnosticReport_LabResult	Fujitsu Observation DiagnosticReport LabResult Profile (検体検査結果レポートプロファイル)
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)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | partial | preliminary | final + (レポートの状態) Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Codes for diagnostic service sections (サービスカテゴリ) Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:laboratory	Σ	1..1	CodeableConcept	サービスカテゴリー。【詳細参照】 Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LAB
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Laboratory Report Order Code (検査レポートコード) Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:laboratoryCode	Σ	0..1	Coding	検体検査レポート項目コード。本ユースケースにおける項目コード推奨値をスライスにて示している。【詳細参照】 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
display		1..1	string	Representation defined by the system Fixed Value: Laboratory report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	The subject of the report - usually, but not always, the patient (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)	Healthcare event during which this observation is made (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)
effective[x]	Σ	0..1		Diagnostically relevant time (typically the time of specimen collection) (臨床的に関連する時刻または時間)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam)	Responsible Diagnostic Service (レポート内容に責任をもつ医療従事者または医療機関)
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 result		0..*	Reference(JP Core Observation LabResult Profile)	Observations (検査結果) Slice: Unordered, Open by value:system
result:observation-results		0..*	Reference(Fujitsu Observation LabResult Profile)	検査結果。Observationsリソースが参照される。【詳細参照】
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:laboratory	example	Pattern: LAB http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()

Summary

Mandatory: 0 element(4 nested mandatory elements)
Prohibited: 28 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Encounter Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-encounter)
• Fujitsu Practitioner Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitioner)
• Fujitsu PractitionerRole Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitionerrole)
• Fujitsu Organization Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-organization)
• Fujitsu Observation LabResult Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-observation-labresult)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.result