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Resource Profile: Fujitsu Observation Cancer Disease Status Profile

This profile defines the patient’s cancer stage.
このプロファイルは、患者のがんの状態を定義します。

Usage:

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

Formal Views of Profile Content

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

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

This structure is derived from FujitsuObservationCommon

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation Cancer Disease Status Profile (がんの状態プロファイル)
code
coding		0..*	Coding	Code defined by a terminology system (がん疾患の進行を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (がん疾患の進行を定義するコード体系) Required Pattern: http://loinc.org
version		0..0
code		1..1	code	Symbol in syntax defined by the system (がん疾患の進行を表すコード値) Required Pattern: 97509-4
display		1..1	string	Representation defined by the system (がん疾患の進行の表示名)
userSelected		0..0
focus		0..*	Reference(Fujitsu Primary Cancer Condition Profile)	What the observation is about, when it is not about the subject of record (患者に関連する観察の対象)
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
performer		0..0
value[x]		0..1	CodeableConcept	Actual result (観測値) Binding: Condition Status Trend ValueSet (preferred)
coding		0..*	Coding	Code defined by a terminology system (病状の傾向を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (病状の傾向を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (病状の傾向を表すコード値)
display		1..1	string	Representation defined by the system (病状の傾向の表示名)
userSelected		0..0
method		0..0
specimen		0..0
hasMember		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]	preferred	ConditionStatusTrendValueSet (a valid code from Condition Status Trend Codes) http://ig.fujitsu.com/healthy-living/ValueSet/condition-status-trend from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Cancer Disease Status Profile (がんの状態プロファイル) 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
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation (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]_[文書番号][文書シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type)　observation のタイプ（コードまたはタイプ） Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (がん疾患の進行を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がん疾患の進行を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (がん疾患の進行を表すコード値) Required Pattern: 97509-4
display	Σ	1..1	string	Representation defined by the system (がん疾患の進行の表示名)
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)
focus	Σ	0..*	Reference(Fujitsu Primary Cancer Condition Profile)	What the observation is about, when it is not about the subject of record (患者に関連する観察の対象)
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	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成さ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)
effective[x]	Σ	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
value[x]	ΣC	0..1	CodeableConcept	Actual result (観測値) Binding: Condition Status Trend ValueSet (preferred)
coding	Σ	0..*	Coding	Code defined by a terminology system (病状の傾向を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (病状の傾向を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (病状の傾向を表すコード値)
display	Σ	1..1	string	Representation defined by the system (病状の傾向の表示名)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	ConditionStatusTrendValueSet (a valid code from Condition Status Trend Codes) http://ig.fujitsu.com/healthy-living/ValueSet/condition-status-trend from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Cancer Disease Status Profile (がんの状態プロファイル) 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)
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)
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation (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]_[文書番号][文書シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	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.
code	Σ	1..1	CodeableConcept	Type of observation (code / type)　observation のタイプ（コードまたはタイプ） Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (がん疾患の進行を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がん疾患の進行を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (がん疾患の進行を表すコード値) Required Pattern: 97509-4
display	Σ	1..1	string	Representation defined by the system (がん疾患の進行の表示名)
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)
focus	Σ	0..*	Reference(Fujitsu Primary Cancer Condition Profile)	What the observation is about, when it is not about the subject of record (患者に関連する観察の対象)
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	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成さ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	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
value[x]	ΣC	0..1	CodeableConcept	Actual result (観測値) Binding: Condition Status Trend ValueSet (preferred)
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 (病状の傾向を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (病状の傾向を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (病状の傾向を表すコード値)
display	Σ	1..1	string	Representation defined by the system (病状の傾向の表示名)
text	Σ	0..1	string	Plain text representation of the concept
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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	ConditionStatusTrendValueSet (a valid code from Condition Status Trend Codes) http://ig.fujitsu.com/healthy-living/ValueSet/condition-status-trend from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

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

This structure is derived from FujitsuObservationCommon

Summary

Mandatory: 0 element(7 nested mandatory elements)
Prohibited: 17 elements

Structures

This structure refers to these other structures:

• Fujitsu Primary Cancer Condition Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-primary-cancer)

Differential View

This structure is derived from FujitsuObservationCommon

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation Cancer Disease Status Profile (がんの状態プロファイル)
code
coding		0..*	Coding	Code defined by a terminology system (がん疾患の進行を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (がん疾患の進行を定義するコード体系) Required Pattern: http://loinc.org
version		0..0
code		1..1	code	Symbol in syntax defined by the system (がん疾患の進行を表すコード値) Required Pattern: 97509-4
display		1..1	string	Representation defined by the system (がん疾患の進行の表示名)
userSelected		0..0
focus		0..*	Reference(Fujitsu Primary Cancer Condition Profile)	What the observation is about, when it is not about the subject of record (患者に関連する観察の対象)
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
performer		0..0
value[x]		0..1	CodeableConcept	Actual result (観測値) Binding: Condition Status Trend ValueSet (preferred)
coding		0..*	Coding	Code defined by a terminology system (病状の傾向を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (病状の傾向を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (病状の傾向を表すコード値)
display		1..1	string	Representation defined by the system (病状の傾向の表示名)
userSelected		0..0
method		0..0
specimen		0..0
hasMember		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]	preferred	ConditionStatusTrendValueSet (a valid code from Condition Status Trend Codes) http://ig.fujitsu.com/healthy-living/ValueSet/condition-status-trend from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Cancer Disease Status Profile (がんの状態プロファイル) 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
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation (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]_[文書番号][文書シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type)　observation のタイプ（コードまたはタイプ） Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (がん疾患の進行を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がん疾患の進行を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (がん疾患の進行を表すコード値) Required Pattern: 97509-4
display	Σ	1..1	string	Representation defined by the system (がん疾患の進行の表示名)
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)
focus	Σ	0..*	Reference(Fujitsu Primary Cancer Condition Profile)	What the observation is about, when it is not about the subject of record (患者に関連する観察の対象)
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	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成さ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)
effective[x]	Σ	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
value[x]	ΣC	0..1	CodeableConcept	Actual result (観測値) Binding: Condition Status Trend ValueSet (preferred)
coding	Σ	0..*	Coding	Code defined by a terminology system (病状の傾向を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (病状の傾向を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (病状の傾向を表すコード値)
display	Σ	1..1	string	Representation defined by the system (病状の傾向の表示名)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	ConditionStatusTrendValueSet (a valid code from Condition Status Trend Codes) http://ig.fujitsu.com/healthy-living/ValueSet/condition-status-trend from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Cancer Disease Status Profile (がんの状態プロファイル) 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)
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)
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation (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]_[文書番号][文書シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	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.
code	Σ	1..1	CodeableConcept	Type of observation (code / type)　observation のタイプ（コードまたはタイプ） Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (がん疾患の進行を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がん疾患の進行を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (がん疾患の進行を表すコード値) Required Pattern: 97509-4
display	Σ	1..1	string	Representation defined by the system (がん疾患の進行の表示名)
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)
focus	Σ	0..*	Reference(Fujitsu Primary Cancer Condition Profile)	What the observation is about, when it is not about the subject of record (患者に関連する観察の対象)
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	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成さ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	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
value[x]	ΣC	0..1	CodeableConcept	Actual result (観測値) Binding: Condition Status Trend ValueSet (preferred)
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 (病状の傾向を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (病状の傾向を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (病状の傾向を表すコード値)
display	Σ	1..1	string	Representation defined by the system (病状の傾向の表示名)
text	Σ	0..1	string	Plain text representation of the concept
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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	preferred	ConditionStatusTrendValueSet (a valid code from Condition Status Trend Codes) http://ig.fujitsu.com/healthy-living/ValueSet/condition-status-trend from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

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

This structure is derived from FujitsuObservationCommon

Summary

Mandatory: 0 element(7 nested mandatory elements)
Prohibited: 17 elements

Structures

This structure refers to these other structures:

• Fujitsu Primary Cancer Condition Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-primary-cancer)

Other representations of profile: CSV, Excel, Schematron