Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation ECOG Performance Status Profile (ECOGパフォーマンスステータスロファイル)
code		1..1	CodeableConcept	Clinical Test Name (検査名) Binding: Performance Status ValueSet (preferred)
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:loinc		1..1	Coding	Code defined by a terminology system (パフォーマンスステータスの種類を表すコード) Binding: Performance Status ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (パフォーマンスステータスの種類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 (パフォーマンスステータスの種類を表すコード値) Fixed Value: 89247-1
display		1..1	string	Representation defined by the system (パフォーマンスステータスの種類の表示名)
userSelected		0..0
focus		0..0
performer		0..0
value[x]		0..1	integer	Result Value (結果値)
interpretation		0..0	CodeableConcept
method		0..0
specimen		0..0
hasMember		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	preferred	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.code.coding:loinc	required	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.interpretation	required	https://loinc.org/LL529-9/ https://loinc.org/LL529-9/

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation ECOG Performance Status Profile (ECOGパフォーマンスステータスロファイル) 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	Clinical Test Name (検査名) Binding: Performance Status ValueSet (preferred)
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:loinc	Σ	1..1	Coding	Code defined by a terminology system (パフォーマンスステータスの種類を表すコード) Binding: Performance Status ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (パフォーマンスステータスの種類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 (パフォーマンスステータスの種類を表すコード値) Fixed Value: 89247-1
display	Σ	1..1	string	Representation defined by the system (パフォーマンスステータスの種類の表示名)
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)
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	integer	Result Value (結果値)
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	preferred	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.code.coding:loinc	required	Fixed Value: LOINC code 89247-1 http://ig.fujitsu.com/healthy-living/ValueSet/performance-status 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 ECOG Performance Status Profile (ECOGパフォーマンスステータスロファイル) 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	Clinical Test Name (検査名) Binding: Performance Status ValueSet (preferred)
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:loinc	Σ	1..1	Coding	Code defined by a terminology system (パフォーマンスステータスの種類を表すコード) Binding: Performance Status ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (パフォーマンスステータスの種類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 (パフォーマンスステータスの種類を表すコード値) Fixed Value: 89247-1
display	Σ	1..1	string	Representation defined by the system (パフォーマンスステータスの種類の表示名)
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)
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	integer	Result Value (結果値)
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	preferred	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.code.coding:loinc	required	Fixed Value: LOINC code 89247-1 http://ig.fujitsu.com/healthy-living/ValueSet/performance-status 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()

Summary

Mandatory: 5 elements
Fixed: 2 elements
Prohibited: 10 elements

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 ECOG Performance Status Profile (ECOGパフォーマンスステータスロファイル)
code		1..1	CodeableConcept	Clinical Test Name (検査名) Binding: Performance Status ValueSet (preferred)
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:loinc		1..1	Coding	Code defined by a terminology system (パフォーマンスステータスの種類を表すコード) Binding: Performance Status ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (パフォーマンスステータスの種類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 (パフォーマンスステータスの種類を表すコード値) Fixed Value: 89247-1
display		1..1	string	Representation defined by the system (パフォーマンスステータスの種類の表示名)
userSelected		0..0
focus		0..0
performer		0..0
value[x]		0..1	integer	Result Value (結果値)
interpretation		0..0	CodeableConcept
method		0..0
specimen		0..0
hasMember		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	preferred	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.code.coding:loinc	required	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.interpretation	required	https://loinc.org/LL529-9/ https://loinc.org/LL529-9/

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation ECOG Performance Status Profile (ECOGパフォーマンスステータスロファイル) 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	Clinical Test Name (検査名) Binding: Performance Status ValueSet (preferred)
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:loinc	Σ	1..1	Coding	Code defined by a terminology system (パフォーマンスステータスの種類を表すコード) Binding: Performance Status ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (パフォーマンスステータスの種類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 (パフォーマンスステータスの種類を表すコード値) Fixed Value: 89247-1
display	Σ	1..1	string	Representation defined by the system (パフォーマンスステータスの種類の表示名)
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)
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	integer	Result Value (結果値)
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	preferred	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.code.coding:loinc	required	Fixed Value: LOINC code 89247-1 http://ig.fujitsu.com/healthy-living/ValueSet/performance-status 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 ECOG Performance Status Profile (ECOGパフォーマンスステータスロファイル) 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	Clinical Test Name (検査名) Binding: Performance Status ValueSet (preferred)
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:loinc	Σ	1..1	Coding	Code defined by a terminology system (パフォーマンスステータスの種類を表すコード) Binding: Performance Status ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (パフォーマンスステータスの種類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 (パフォーマンスステータスの種類を表すコード値) Fixed Value: 89247-1
display	Σ	1..1	string	Representation defined by the system (パフォーマンスステータスの種類の表示名)
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)
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	integer	Result Value (結果値)
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	preferred	PerformanceStatusValueSet http://ig.fujitsu.com/healthy-living/ValueSet/performance-status from this IG
Observation.code.coding:loinc	required	Fixed Value: LOINC code 89247-1 http://ig.fujitsu.com/healthy-living/ValueSet/performance-status 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()

Summary

Mandatory: 5 elements
Fixed: 2 elements
Prohibited: 10 elements

Slices

This structure defines the following Slices:

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