Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu Observation Audiogram Profile

Official URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-observation-audiogram Version: 1.1.28
Active as of 2025-07-09 Computable Name: FujitsuObservationAudiogram

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines how to represent Audiogram.
このプロファイルは、聴覚検査を表す方法を定義します。

This profile defines the constraints and extensions for the Observation resource to send and receive data about the patient’s hearing test results.

This Resource/Profile is responsible for aggregating frequency-specific hearing sensitivity data from a single hearing test and has a reference to the Fujitsu Observation HearingSensitivity Profile in the hasMember element.

このプロファイルはObservationリソースに対して、患者の聴覚検査結果に関するデータを送受信するための制約と拡張を定めるものである。

このResource/Profileは一度の聴覚検査で得られた周波数毎の聴覚感度のデータを集約する役割を担っており、hasMember要素にFujitsu Observation HearingSensitivity Profileへの参照を持つ。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_Observation_Common

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* JP_Observation_Common Fujitsu Observation Audiogram Profile (聴覚検査プロファイル)
... 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
... partOf 0..0
... status 1..1 code registered | preliminary | final | amended + (Observationの状態)
... Slices for category 1..* CodeableConcept Classification of type of observation (Observationの種類)
Slice: Unordered, Open by value:coding.system, value:coding.code
.... category:All Slices Content/Rules for all slices
..... id 0..0
..... extension 0..0
..... coding 0..* Coding Code defined by a terminology system (カテゴリのコード)
..... text 0..1 string Plain text representation of the concept (カテゴリ)
.... category:first 1..1 CodeableConcept Classification of type of observation　Observationの種類（タイプ）の分類
..... coding 0..* Coding Code defined by a terminology system (観察のカテゴリを表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (観察のカテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (観察のカテゴリを表すコード値)
Fixed Value: exam
...... display 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Exam
...... userSelected 0..0
... code 1..1 CodeableConcept Type of observation (code / type) (観察の種類)
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:PHRCode 1..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: Audiogram
...... display 1..1 string Representation defined by the system (聴覚検査の表示名)
...... userSelected 0..0
..... coding:LOINCCode 0..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://loinc.org
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: 89015-2
...... display 1..1 string Representation defined by the system (聴覚検査の表示名)
...... userSelected 0..0
.... text 0..1 string Plain text representation of the concept (測定項目)
... subject 1..1 Reference(Fujitsu Patient Profile) Who and/or what the observation is about (どの患者の観察か)
.... 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
... focus 0..0
... encounter 0..0
... effective[x] 0..1 Measurement datetime or period (計測日または期間)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued 0..1 instant Date/Time this version was made available (この情報が発行された日時)
... performer 0..* Reference(Fujitsu Patient Profile) Who is responsible for the observation (実施者)
.... 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
... value[x] 0..0
... dataAbsentReason 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
... interpretation 0..* CodeableConcept High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
... note 0..* Annotation Comments about the observation (コメント)
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
.... 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
... referenceRange 0..0
... hasMember 0..* Reference(Fujitsu Observation HearingSensitivity Profile) Related resource that belongs to the Observation group　observationグループに属する関連リソース
.... 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
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* JP_Observation_Common Fujitsu Observation Audiogram Profile (聴覚検査プロファイル)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact (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)
... 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 | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 1..* CodeableConcept Classification of type of observation (Observationの種類)
Slice: Unordered, Open by value:coding.system, value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:All Slices Content/Rules for all slices
..... extension 0..0
..... coding Σ 0..* Coding Code defined by a terminology system (カテゴリのコード)
..... text Σ 0..1 string Plain text representation of the concept (カテゴリ)
.... category:first 1..1 CodeableConcept Classification of type of observation　Observationの種類（タイプ）の分類
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..* Coding Code defined by a terminology system (観察のカテゴリを表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (観察のカテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system (観察のカテゴリを表すコード値)
Fixed Value: exam
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Exam
... code Σ 1..1 CodeableConcept Type of observation (code / type) (観察の種類)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: Audiogram
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
..... coding:LOINCCode Σ 0..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: 89015-2
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
.... text Σ 0..1 string Plain text representation of the concept (測定項目)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who and/or what the observation is about (どの患者の観察か)
.... 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 Measurement datetime or period (計測日または期間)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available (この情報が発行された日時)
... performer Σ 0..* Reference(Fujitsu Patient Profile) Who is responsible for the observation (実施者)
.... 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)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation (コメント)
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
.... 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)
... hasMember Σ 0..* Reference(Fujitsu Observation HearingSensitivity Profile) Related resource that belongs to the Observation group　observationグループに属する関連リソース
.... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:firstpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* JP_Observation_Common Fujitsu Observation Audiogram Profile (聴覚検査プロファイル)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact (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)
... 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 | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 1..* CodeableConcept Classification of type of observation (Observationの種類)
Slice: Unordered, Open by value:coding.system, value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:All Slices Content/Rules for all slices
..... extension 0..0
..... coding Σ 0..* Coding Code defined by a terminology system (カテゴリのコード)
..... text Σ 0..1 string Plain text representation of the concept (カテゴリ)
.... category:first 1..1 CodeableConcept Classification of type of observation　Observationの種類（タイプ）の分類
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system (観察のカテゴリを表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (観察のカテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system (観察のカテゴリを表すコード値)
Fixed Value: exam
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Exam
..... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of observation (code / type) (観察の種類)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: Audiogram
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
..... coding:LOINCCode Σ 0..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: 89015-2
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
.... text Σ 0..1 string Plain text representation of the concept (測定項目)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who and/or what the observation is about (どの患者の観察か)
.... 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 Measurement datetime or period (計測日または期間)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available (この情報が発行された日時)
... performer Σ 0..* Reference(Fujitsu Patient Profile) Who is responsible for the observation (実施者)
.... 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)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation (コメント)
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
.... 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)
... hasMember Σ 0..* Reference(Fujitsu Observation HearingSensitivity Profile) Related resource that belongs to the Observation group　observationグループに属する関連リソース
.... 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)
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence) Related measurements the observation is made from　observation が作られる元の関連する測定

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:firstpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from JP_Observation_Common

Summary

Mandatory: 9 elements(9 nested mandatory elements)
Fixed: 7 elements
Prohibited: 45 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding

Differential View

This structure is derived from JP_Observation_Common

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* JP_Observation_Common Fujitsu Observation Audiogram Profile (聴覚検査プロファイル)
... 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
... partOf 0..0
... status 1..1 code registered | preliminary | final | amended + (Observationの状態)
... Slices for category 1..* CodeableConcept Classification of type of observation (Observationの種類)
Slice: Unordered, Open by value:coding.system, value:coding.code
.... category:All Slices Content/Rules for all slices
..... id 0..0
..... extension 0..0
..... coding 0..* Coding Code defined by a terminology system (カテゴリのコード)
..... text 0..1 string Plain text representation of the concept (カテゴリ)
.... category:first 1..1 CodeableConcept Classification of type of observation　Observationの種類（タイプ）の分類
..... coding 0..* Coding Code defined by a terminology system (観察のカテゴリを表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (観察のカテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (観察のカテゴリを表すコード値)
Fixed Value: exam
...... display 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Exam
...... userSelected 0..0
... code 1..1 CodeableConcept Type of observation (code / type) (観察の種類)
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:PHRCode 1..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: Audiogram
...... display 1..1 string Representation defined by the system (聴覚検査の表示名)
...... userSelected 0..0
..... coding:LOINCCode 0..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://loinc.org
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: 89015-2
...... display 1..1 string Representation defined by the system (聴覚検査の表示名)
...... userSelected 0..0
.... text 0..1 string Plain text representation of the concept (測定項目)
... subject 1..1 Reference(Fujitsu Patient Profile) Who and/or what the observation is about (どの患者の観察か)
.... 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
... focus 0..0
... encounter 0..0
... effective[x] 0..1 Measurement datetime or period (計測日または期間)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued 0..1 instant Date/Time this version was made available (この情報が発行された日時)
... performer 0..* Reference(Fujitsu Patient Profile) Who is responsible for the observation (実施者)
.... 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
... value[x] 0..0
... dataAbsentReason 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
... interpretation 0..* CodeableConcept High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
... note 0..* Annotation Comments about the observation (コメント)
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
.... 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
... referenceRange 0..0
... hasMember 0..* Reference(Fujitsu Observation HearingSensitivity Profile) Related resource that belongs to the Observation group　observationグループに属する関連リソース
.... 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
... component 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* JP_Observation_Common Fujitsu Observation Audiogram Profile (聴覚検査プロファイル)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact (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)
... 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 | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 1..* CodeableConcept Classification of type of observation (Observationの種類)
Slice: Unordered, Open by value:coding.system, value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:All Slices Content/Rules for all slices
..... extension 0..0
..... coding Σ 0..* Coding Code defined by a terminology system (カテゴリのコード)
..... text Σ 0..1 string Plain text representation of the concept (カテゴリ)
.... category:first 1..1 CodeableConcept Classification of type of observation　Observationの種類（タイプ）の分類
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..* Coding Code defined by a terminology system (観察のカテゴリを表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (観察のカテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system (観察のカテゴリを表すコード値)
Fixed Value: exam
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Exam
... code Σ 1..1 CodeableConcept Type of observation (code / type) (観察の種類)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: Audiogram
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
..... coding:LOINCCode Σ 0..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: 89015-2
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
.... text Σ 0..1 string Plain text representation of the concept (測定項目)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who and/or what the observation is about (どの患者の観察か)
.... 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 Measurement datetime or period (計測日または期間)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available (この情報が発行された日時)
... performer Σ 0..* Reference(Fujitsu Patient Profile) Who is responsible for the observation (実施者)
.... 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)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation (コメント)
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
.... 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)
... hasMember Σ 0..* Reference(Fujitsu Observation HearingSensitivity Profile) Related resource that belongs to the Observation group　observationグループに属する関連リソース
.... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:firstpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* JP_Observation_Common Fujitsu Observation Audiogram Profile (聴覚検査プロファイル)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact (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)
... 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 | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 1..* CodeableConcept Classification of type of observation (Observationの種類)
Slice: Unordered, Open by value:coding.system, value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:All Slices Content/Rules for all slices
..... extension 0..0
..... coding Σ 0..* Coding Code defined by a terminology system (カテゴリのコード)
..... text Σ 0..1 string Plain text representation of the concept (カテゴリ)
.... category:first 1..1 CodeableConcept Classification of type of observation　Observationの種類（タイプ）の分類
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system (観察のカテゴリを表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (観察のカテゴリを定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system (観察のカテゴリを表すコード値)
Fixed Value: exam
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Exam
..... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of observation (code / type) (観察の種類)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: Audiogram
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
..... coding:LOINCCode Σ 0..1 Coding Code defined by a terminology system (聴覚検査を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (聴覚検査を定義するコード体系)
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system (聴覚検査を表すコード値)
Fixed Value: 89015-2
...... display Σ 1..1 string Representation defined by the system (聴覚検査の表示名)
.... text Σ 0..1 string Plain text representation of the concept (測定項目)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who and/or what the observation is about (どの患者の観察か)
.... 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 Measurement datetime or period (計測日または期間)
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available (この情報が発行された日時)
... performer Σ 0..* Reference(Fujitsu Patient Profile) Who is responsible for the observation (実施者)
.... 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)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation (コメント)
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
.... 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)
... hasMember Σ 0..* Reference(Fujitsu Observation HearingSensitivity Profile) Related resource that belongs to the Observation group　observationグループに属する関連リソース
.... 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)
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence) Related measurements the observation is made from　observation が作られる元の関連する測定

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:firstpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA 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()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from JP_Observation_Common

Summary

Mandatory: 9 elements(9 nested mandatory elements)
Fixed: 7 elements
Prohibited: 45 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding

 

Other representations of profile: CSV, Excel, Schematron