Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation Comorbidities Profile (併存疾患プロファイル)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comorbidConditionPresent		0..*	CodeableConcept, Reference(Fujitsu Condition Profile)	Related Condition Extension (現在の依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
comorbidConditionAbsent		0..*	CodeableConcept	Related Condition Absent Extension (罹病していない依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent
code		1..1	CodeableConcept	Type of observation (code / type) (観察の種類（コード/タイプ）)
coding		0..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
focus		0..*	Reference(Fujitsu Primary Cancer Condition Profile)	The Index Condition (一次がんとの関連)
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..0
method		0..0
specimen		0..0
hasMember		0..0
component		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Comorbidities Profile (併存疾患プロファイル) 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 extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comorbidConditionPresent		0..*	CodeableConcept, Reference(Fujitsu Condition Profile)	Related Condition Extension (現在の依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
comorbidConditionAbsent		0..*	CodeableConcept	Related Condition Absent Extension (罹病していない依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent
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) (観察の種類（コード/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 (測定項目のコード) Slice: Unordered, Open by value:system
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)	The Index Condition (一次がんとの関連)
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)
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.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 Comorbidities Profile (併存疾患プロファイル) 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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comorbidConditionPresent		0..*	CodeableConcept, Reference(Fujitsu Condition Profile)	Related Condition Extension (現在の依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
comorbidConditionAbsent		0..*	CodeableConcept	Related Condition Absent Extension (罹病していない依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent
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) (観察の種類（コード/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 (測定項目のコード) Slice: Unordered, Open by value:system
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)	The Index Condition (一次がんとの関連)
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)
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.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()

Summary

Mandatory: 0 element(1 nested mandatory element)
Prohibited: 10 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)

Extensions

This structure refers to these extensions:

• http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
• http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation Comorbidities Profile (併存疾患プロファイル)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comorbidConditionPresent		0..*	CodeableConcept, Reference(Fujitsu Condition Profile)	Related Condition Extension (現在の依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
comorbidConditionAbsent		0..*	CodeableConcept	Related Condition Absent Extension (罹病していない依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent
code		1..1	CodeableConcept	Type of observation (code / type) (観察の種類（コード/タイプ）)
coding		0..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
focus		0..*	Reference(Fujitsu Primary Cancer Condition Profile)	The Index Condition (一次がんとの関連)
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..0
method		0..0
specimen		0..0
hasMember		0..0
component		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Comorbidities Profile (併存疾患プロファイル) 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 extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comorbidConditionPresent		0..*	CodeableConcept, Reference(Fujitsu Condition Profile)	Related Condition Extension (現在の依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
comorbidConditionAbsent		0..*	CodeableConcept	Related Condition Absent Extension (罹病していない依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent
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) (観察の種類（コード/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 (測定項目のコード) Slice: Unordered, Open by value:system
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)	The Index Condition (一次がんとの関連)
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)
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.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 Comorbidities Profile (併存疾患プロファイル) 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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comorbidConditionPresent		0..*	CodeableConcept, Reference(Fujitsu Condition Profile)	Related Condition Extension (現在の依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
comorbidConditionAbsent		0..*	CodeableConcept	Related Condition Absent Extension (罹病していない依存疾患) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent
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) (観察の種類（コード/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 (測定項目のコード) Slice: Unordered, Open by value:system
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)	The Index Condition (一次がんとの関連)
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)
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.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()

Summary

Mandatory: 0 element(1 nested mandatory element)
Prohibited: 10 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)

Extensions

This structure refers to these extensions:

• http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition
• http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-related-condition-absent

Slices

This structure defines the following Slices:

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