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Resource Profile: Fujitsu Observation Genomic Region Studied Profile

This profile defines the genomic region studied.
このプロファイルは、ゲノム領域を定義します。

Usage:

• Refer to this Resource Profile: Fujitsu Genomics Report Profile
• Examples for this Resource Profile: Observation/genomic-region-studied

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 RegionStudied

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	RegionStudied	Fujitsu Observation Genomic Region Studied Profile (ゲノム領域プロファイル)
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)
extension:secondary-finding		0..0
extension:body-structure		0..0
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 + (状態)
category		1..*	CodeableConcept	Classification of type of observation (カテゴリ)
category:labCategory		1..1	CodeableConcept	Classification of type of observation (検査カテゴリ)
id		0..0
extension		0..0
coding		1..*	Coding	Code defined by a terminology system (カテゴリの種類を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (カテゴリの種類を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (カテゴリの種類を表すコード値)
display		1..1	string	Representation defined by the system (カテゴリの種類の表示名)
userSelected		0..0
code		1..1	CodeableConcept	53041-0 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (検査の種類を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display		1..1	string	Representation defined by the system (検査の種類の表示名)
userSelected		0..0
subject		0..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
focus		0..0
encounter		0..0
effective[x]		0..1	dateTime	Clinically relevant time/time-period for observation (検査日)
issued		0..0
performer		0..0
dataAbsentReason		0..1	CodeableConcept	Why the result is missing (欠損理由)
interpretation		0..0
note		0..0
bodySite		0..0
method		0..0
specimen		0..1	Reference(Fujitsu Specimen Profile)	Specimen used for this observation
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
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..0
component		0..*	BackboneElement	Component results (結果)
component:conclusion-string		0..0
component:gene-studied		0..1	BackboneElement	Gene Studied (調査した遺伝子)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	48018-6 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (HGNC遺伝子シンボルを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (HGNC遺伝子シンボル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 (HGNC遺伝子シンボルを表すコード値) Fixed Value: 48018-6
display		1..1	string	Representation defined by the system (HGNC遺伝子シンボルの表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. (HGNC 遺伝子シンボルは表示テキストとして使用され、HGNC 遺伝子 ID はコードとして使用されます。 この遺伝子に対してまだ HGNC コードが発行されていない場合は、NCBI 遺伝子 ID を使用するものとします 。)
interpretation		0..0
referenceRange		0..0
component:gene-mutations		0..1	BackboneElement	Gene Mutations ID (遺伝子変異ID)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	36908-2 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (遺伝子変異IDを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (遺伝子変異ID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 (遺伝子変異IDを表すコード値) Fixed Value: 36908-2
display		1..1	string	Representation defined by the system (遺伝子変異IDの表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:region-description		0..1	BackboneElement	Region Description (位置の説明)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	81293-3 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (領域の説明を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (領域の説明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 (領域の説明を表すコード値) Fixed Value: 81293-3
display		1..1	string	Representation defined by the system (領域の説明の表示名)
userSelected		0..0
value[x]		0..1	string	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:region-coverage		0..0
component:ranges-examined		0..*	BackboneElement	Range(s) of DNA sequence examined (調査された DNA 配列の範囲)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	51959-5 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (調べたDNA配列の範囲を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (調べたDNA配列の範囲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 (調べたDNA配列の範囲を表すコード値) Fixed Value: 51959-5
display		1..1	string	Representation defined by the system (調べたDNA配列の範囲の表示名)
userSelected		0..0
value[x]		0..1	Range	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:coordinate-system		0..1	BackboneElement	Coordinate System (座標系)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	92822-6 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (座標系を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (座標系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 (座標系を表すコード値) Fixed Value: 92822-6
display		1..1	string	Representation defined by the system (座標系の表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	0-based interval counting | 0-based character counting | 1-based character counting (結果値)
interpretation		0..0
referenceRange		0..0
component:genomic-ref-seq		0..1	BackboneElement	Genomic Reference Sequence (ゲノム参照配列)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	48013-7 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (ゲノム参照配列を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (ゲノム参照配列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 (ゲノム参照配列を表すコード値) Fixed Value: 48013-7
display		1..1	string	Representation defined by the system (ゲノム参照配列の表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	Versioned genomic reference sequence identifier. (バージョン管理されたゲノム参照配列識別子)
interpretation		0..0
referenceRange		0..0
component:uncallable-regions		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	RegionStudied	Fujitsu Observation Genomic Region Studied Profile (ゲノム領域プロファイル) 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	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | preliminary | final | amended + (状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Classification of type of observation (カテゴリ) Slice: Unordered, Open by value:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:labCategory		1..1	CodeableConcept	Classification of type of observation (検査カテゴリ) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (カテゴリの種類を表すコード) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリの種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの種類の表示名)
code	Σ	1..1	CodeableConcept	53041-0 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53041-0
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (検査の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検査の種類の表示名)
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	0..1	dateTime	Clinically relevant time/time-period for observation (検査日)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (欠損理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
specimen		0..1	Reference(Fujitsu Specimen Profile)	Specimen used for this observation
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	0..*	BackboneElement	Component results (結果) Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:gene-studied	Σ	0..1	BackboneElement	Gene Studied (調査した遺伝子)
code	Σ	1..1	CodeableConcept	48018-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48018-6
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (HGNC遺伝子シンボルを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (HGNC遺伝子シンボル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 (HGNC遺伝子シンボルを表すコード値) Fixed Value: 48018-6
display	Σ	1..1	string	Representation defined by the system (HGNC遺伝子シンボルの表示名)
value[x]	Σ	1..1	CodeableConcept	The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. (HGNC 遺伝子シンボルは表示テキストとして使用され、HGNC 遺伝子 ID はコードとして使用されます。 この遺伝子に対してまだ HGNC コードが発行されていない場合は、NCBI 遺伝子 ID を使用するものとします 。) Binding: HUGO Gene Nomenclature Committee Gene Names (HGNC) (extensible)
component:gene-mutations	Σ	0..1	BackboneElement	Gene Mutations ID (遺伝子変異ID)
code	Σ	1..1	CodeableConcept	36908-2 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 36908-2
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (遺伝子変異IDを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (遺伝子変異ID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 (遺伝子変異IDを表すコード値) Fixed Value: 36908-2
display	Σ	1..1	string	Representation defined by the system (遺伝子変異IDの表示名)
value[x]	Σ	1..1	CodeableConcept	Actual component result (結果値) Binding: Human Genome Variation Society (HGVS) Nomenclature (required)
component:region-description	Σ	0..1	BackboneElement	Region Description (位置の説明)
code	Σ	1..1	CodeableConcept	81293-3 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 81293-3
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (領域の説明を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (領域の説明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 (領域の説明を表すコード値) Fixed Value: 81293-3
display	Σ	1..1	string	Representation defined by the system (領域の説明の表示名)
value[x]	Σ	0..1	string	Actual component result (結果値)
component:ranges-examined	Σ	0..*	BackboneElement	Range(s) of DNA sequence examined (調査された DNA 配列の範囲)
code	Σ	1..1	CodeableConcept	51959-5 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51959-5
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (調べたDNA配列の範囲を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (調べたDNA配列の範囲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 (調べたDNA配列の範囲を表すコード値) Fixed Value: 51959-5
display	Σ	1..1	string	Representation defined by the system (調べたDNA配列の範囲の表示名)
value[x]	Σ	0..1	Range	Actual component result (結果値)
component:coordinate-system	Σ	0..1	BackboneElement	Coordinate System (座標系)
code	Σ	1..1	CodeableConcept	92822-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92822-6
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (座標系を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (座標系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 (座標系を表すコード値) Fixed Value: 92822-6
display	Σ	1..1	string	Representation defined by the system (座標系の表示名)
value[x]	Σ	1..1	CodeableConcept	0-based interval counting | 0-based character counting | 1-based character counting (結果値) Binding: LOINC Answer List LL5323-2 (extensible)
component:genomic-ref-seq	Σ	0..1	BackboneElement	Genomic Reference Sequence (ゲノム参照配列)
code	Σ	1..1	CodeableConcept	48013-7 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48013-7
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (ゲノム参照配列を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (ゲノム参照配列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 (ゲノム参照配列を表すコード値) Fixed Value: 48013-7
display	Σ	1..1	string	Representation defined by the system (ゲノム参照配列の表示名)
value[x]	Σ	1..1	CodeableConcept	Versioned genomic reference sequence identifier. (バージョン管理されたゲノム参照配列識別子) Binding: (unbound) (example): Multiple bindings acceptable (NCBI or LRG)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
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.category:labCategory	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC code 53041-0 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.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:conclusion-string.code	example	Pattern: conclusion-string http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-studied.code	example	Pattern: LOINC code 48018-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-studied.value[x]	extensible	HGNCVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs
Observation.component:gene-mutations.code	example	Pattern: LOINC code 36908-2 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-mutations.value[x]	required	HGVSVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs
Observation.component:region-description.code	example	Pattern: LOINC code 81293-3 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:region-coverage.code	example	Pattern: region-coverage http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:ranges-examined.code	example	Pattern: LOINC code 51959-5 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:coordinate-system.code	example	Pattern: LOINC code 92822-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:coordinate-system.value[x]	extensible	LOINC LL5323-2 http://loinc.org/vs/LL5323-2
Observation.component:genomic-ref-seq.code	example	Pattern: LOINC code 48013-7 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:genomic-ref-seq.value[x]	example
Observation.component:uncallable-regions.code	example	Pattern: uncallable-regions 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..*	RegionStudied	Fujitsu Observation Genomic Region Studied Profile (ゲノム領域プロファイル) 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	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | preliminary | final | amended + (状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Classification of type of observation (カテゴリ) Slice: Unordered, Open by value:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:labCategory		1..1	CodeableConcept	Classification of type of observation (検査カテゴリ) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (カテゴリの種類を表すコード) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリの種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	53041-0 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53041-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (検査の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検査の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	0..1	dateTime	Clinically relevant time/time-period for observation (検査日)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (欠損理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
specimen		0..1	Reference(Fujitsu Specimen Profile)	Specimen used for this observation
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	0..*	BackboneElement	Component results (結果) Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:gene-studied	Σ	0..1	BackboneElement	Gene Studied (調査した遺伝子)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	48018-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48018-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (HGNC遺伝子シンボルを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (HGNC遺伝子シンボル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 (HGNC遺伝子シンボルを表すコード値) Fixed Value: 48018-6
display	Σ	1..1	string	Representation defined by the system (HGNC遺伝子シンボルの表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. (HGNC 遺伝子シンボルは表示テキストとして使用され、HGNC 遺伝子 ID はコードとして使用されます。 この遺伝子に対してまだ HGNC コードが発行されていない場合は、NCBI 遺伝子 ID を使用するものとします 。) Binding: HUGO Gene Nomenclature Committee Gene Names (HGNC) (extensible)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:gene-mutations	Σ	0..1	BackboneElement	Gene Mutations ID (遺伝子変異ID)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	36908-2 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 36908-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (遺伝子変異IDを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (遺伝子変異ID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 (遺伝子変異IDを表すコード値) Fixed Value: 36908-2
display	Σ	1..1	string	Representation defined by the system (遺伝子変異IDの表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result (結果値) Binding: Human Genome Variation Society (HGVS) Nomenclature (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:region-description	Σ	0..1	BackboneElement	Region Description (位置の説明)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	81293-3 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 81293-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (領域の説明を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (領域の説明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 (領域の説明を表すコード値) Fixed Value: 81293-3
display	Σ	1..1	string	Representation defined by the system (領域の説明の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result (結果値)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:ranges-examined	Σ	0..*	BackboneElement	Range(s) of DNA sequence examined (調査された DNA 配列の範囲)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	51959-5 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51959-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (調べたDNA配列の範囲を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (調べたDNA配列の範囲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 (調べたDNA配列の範囲を表すコード値) Fixed Value: 51959-5
display	Σ	1..1	string	Representation defined by the system (調べたDNA配列の範囲の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Range	Actual component result (結果値)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:coordinate-system	Σ	0..1	BackboneElement	Coordinate System (座標系)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	92822-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92822-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (座標系を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (座標系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 (座標系を表すコード値) Fixed Value: 92822-6
display	Σ	1..1	string	Representation defined by the system (座標系の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	0-based interval counting | 0-based character counting | 1-based character counting (結果値) Binding: LOINC Answer List LL5323-2 (extensible)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:genomic-ref-seq	Σ	0..1	BackboneElement	Genomic Reference Sequence (ゲノム参照配列)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	48013-7 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48013-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (ゲノム参照配列を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (ゲノム参照配列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 (ゲノム参照配列を表すコード値) Fixed Value: 48013-7
display	Σ	1..1	string	Representation defined by the system (ゲノム参照配列の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Versioned genomic reference sequence identifier. (バージョン管理されたゲノム参照配列識別子) Binding: (unbound) (example): Multiple bindings acceptable (NCBI or LRG)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
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.category:labCategory	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC code 53041-0 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
Observation.component:conclusion-string.code	example	Pattern: conclusion-string http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:conclusion-string.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:conclusion-string.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:gene-studied.code	example	Pattern: LOINC code 48018-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-studied.value[x]	extensible	HGNCVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs
Observation.component:gene-studied.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:gene-mutations.code	example	Pattern: LOINC code 36908-2 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-mutations.value[x]	required	HGVSVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs
Observation.component:gene-mutations.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:region-description.code	example	Pattern: LOINC code 81293-3 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:region-description.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:region-coverage.code	example	Pattern: region-coverage http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:region-coverage.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:region-coverage.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:ranges-examined.code	example	Pattern: LOINC code 51959-5 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:ranges-examined.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:coordinate-system.code	example	Pattern: LOINC code 92822-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:coordinate-system.value[x]	extensible	LOINC LL5323-2 http://loinc.org/vs/LL5323-2
Observation.component:coordinate-system.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:genomic-ref-seq.code	example	Pattern: LOINC code 48013-7 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:genomic-ref-seq.value[x]	example
Observation.component:genomic-ref-seq.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:uncallable-regions.code	example	Pattern: uncallable-regions http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:uncallable-regions.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:uncallable-regions.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 RegionStudied

Summary

Mandatory: 3 elements(23 nested mandatory elements)
Fixed: 12 elements
Prohibited: 102 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Specimen Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-specimen)

Differential View

This structure is derived from RegionStudied

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	RegionStudied	Fujitsu Observation Genomic Region Studied Profile (ゲノム領域プロファイル)
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)
extension:secondary-finding		0..0
extension:body-structure		0..0
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 + (状態)
category		1..*	CodeableConcept	Classification of type of observation (カテゴリ)
category:labCategory		1..1	CodeableConcept	Classification of type of observation (検査カテゴリ)
id		0..0
extension		0..0
coding		1..*	Coding	Code defined by a terminology system (カテゴリの種類を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (カテゴリの種類を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (カテゴリの種類を表すコード値)
display		1..1	string	Representation defined by the system (カテゴリの種類の表示名)
userSelected		0..0
code		1..1	CodeableConcept	53041-0 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (検査の種類を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display		1..1	string	Representation defined by the system (検査の種類の表示名)
userSelected		0..0
subject		0..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
focus		0..0
encounter		0..0
effective[x]		0..1	dateTime	Clinically relevant time/time-period for observation (検査日)
issued		0..0
performer		0..0
dataAbsentReason		0..1	CodeableConcept	Why the result is missing (欠損理由)
interpretation		0..0
note		0..0
bodySite		0..0
method		0..0
specimen		0..1	Reference(Fujitsu Specimen Profile)	Specimen used for this observation
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
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..0
component		0..*	BackboneElement	Component results (結果)
component:conclusion-string		0..0
component:gene-studied		0..1	BackboneElement	Gene Studied (調査した遺伝子)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	48018-6 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (HGNC遺伝子シンボルを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (HGNC遺伝子シンボル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 (HGNC遺伝子シンボルを表すコード値) Fixed Value: 48018-6
display		1..1	string	Representation defined by the system (HGNC遺伝子シンボルの表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. (HGNC 遺伝子シンボルは表示テキストとして使用され、HGNC 遺伝子 ID はコードとして使用されます。 この遺伝子に対してまだ HGNC コードが発行されていない場合は、NCBI 遺伝子 ID を使用するものとします 。)
interpretation		0..0
referenceRange		0..0
component:gene-mutations		0..1	BackboneElement	Gene Mutations ID (遺伝子変異ID)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	36908-2 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (遺伝子変異IDを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (遺伝子変異ID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 (遺伝子変異IDを表すコード値) Fixed Value: 36908-2
display		1..1	string	Representation defined by the system (遺伝子変異IDの表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:region-description		0..1	BackboneElement	Region Description (位置の説明)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	81293-3 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (領域の説明を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (領域の説明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 (領域の説明を表すコード値) Fixed Value: 81293-3
display		1..1	string	Representation defined by the system (領域の説明の表示名)
userSelected		0..0
value[x]		0..1	string	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:region-coverage		0..0
component:ranges-examined		0..*	BackboneElement	Range(s) of DNA sequence examined (調査された DNA 配列の範囲)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	51959-5 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (調べたDNA配列の範囲を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (調べたDNA配列の範囲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 (調べたDNA配列の範囲を表すコード値) Fixed Value: 51959-5
display		1..1	string	Representation defined by the system (調べたDNA配列の範囲の表示名)
userSelected		0..0
value[x]		0..1	Range	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:coordinate-system		0..1	BackboneElement	Coordinate System (座標系)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	92822-6 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (座標系を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (座標系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 (座標系を表すコード値) Fixed Value: 92822-6
display		1..1	string	Representation defined by the system (座標系の表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	0-based interval counting | 0-based character counting | 1-based character counting (結果値)
interpretation		0..0
referenceRange		0..0
component:genomic-ref-seq		0..1	BackboneElement	Genomic Reference Sequence (ゲノム参照配列)
extension		0..0
modifierExtension		0..0
code		1..1	CodeableConcept	48013-7 (検査名)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (ゲノム参照配列を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (ゲノム参照配列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 (ゲノム参照配列を表すコード値) Fixed Value: 48013-7
display		1..1	string	Representation defined by the system (ゲノム参照配列の表示名)
userSelected		0..0
value[x]		1..1	CodeableConcept	Versioned genomic reference sequence identifier. (バージョン管理されたゲノム参照配列識別子)
interpretation		0..0
referenceRange		0..0
component:uncallable-regions		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	RegionStudied	Fujitsu Observation Genomic Region Studied Profile (ゲノム領域プロファイル) 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	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | preliminary | final | amended + (状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Classification of type of observation (カテゴリ) Slice: Unordered, Open by value:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:labCategory		1..1	CodeableConcept	Classification of type of observation (検査カテゴリ) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (カテゴリの種類を表すコード) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリの種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの種類の表示名)
code	Σ	1..1	CodeableConcept	53041-0 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53041-0
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (検査の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検査の種類の表示名)
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	0..1	dateTime	Clinically relevant time/time-period for observation (検査日)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (欠損理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
specimen		0..1	Reference(Fujitsu Specimen Profile)	Specimen used for this observation
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	0..*	BackboneElement	Component results (結果) Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:gene-studied	Σ	0..1	BackboneElement	Gene Studied (調査した遺伝子)
code	Σ	1..1	CodeableConcept	48018-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48018-6
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (HGNC遺伝子シンボルを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (HGNC遺伝子シンボル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 (HGNC遺伝子シンボルを表すコード値) Fixed Value: 48018-6
display	Σ	1..1	string	Representation defined by the system (HGNC遺伝子シンボルの表示名)
value[x]	Σ	1..1	CodeableConcept	The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. (HGNC 遺伝子シンボルは表示テキストとして使用され、HGNC 遺伝子 ID はコードとして使用されます。 この遺伝子に対してまだ HGNC コードが発行されていない場合は、NCBI 遺伝子 ID を使用するものとします 。) Binding: HUGO Gene Nomenclature Committee Gene Names (HGNC) (extensible)
component:gene-mutations	Σ	0..1	BackboneElement	Gene Mutations ID (遺伝子変異ID)
code	Σ	1..1	CodeableConcept	36908-2 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 36908-2
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (遺伝子変異IDを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (遺伝子変異ID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 (遺伝子変異IDを表すコード値) Fixed Value: 36908-2
display	Σ	1..1	string	Representation defined by the system (遺伝子変異IDの表示名)
value[x]	Σ	1..1	CodeableConcept	Actual component result (結果値) Binding: Human Genome Variation Society (HGVS) Nomenclature (required)
component:region-description	Σ	0..1	BackboneElement	Region Description (位置の説明)
code	Σ	1..1	CodeableConcept	81293-3 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 81293-3
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (領域の説明を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (領域の説明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 (領域の説明を表すコード値) Fixed Value: 81293-3
display	Σ	1..1	string	Representation defined by the system (領域の説明の表示名)
value[x]	Σ	0..1	string	Actual component result (結果値)
component:ranges-examined	Σ	0..*	BackboneElement	Range(s) of DNA sequence examined (調査された DNA 配列の範囲)
code	Σ	1..1	CodeableConcept	51959-5 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51959-5
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (調べたDNA配列の範囲を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (調べたDNA配列の範囲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 (調べたDNA配列の範囲を表すコード値) Fixed Value: 51959-5
display	Σ	1..1	string	Representation defined by the system (調べたDNA配列の範囲の表示名)
value[x]	Σ	0..1	Range	Actual component result (結果値)
component:coordinate-system	Σ	0..1	BackboneElement	Coordinate System (座標系)
code	Σ	1..1	CodeableConcept	92822-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92822-6
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (座標系を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (座標系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 (座標系を表すコード値) Fixed Value: 92822-6
display	Σ	1..1	string	Representation defined by the system (座標系の表示名)
value[x]	Σ	1..1	CodeableConcept	0-based interval counting | 0-based character counting | 1-based character counting (結果値) Binding: LOINC Answer List LL5323-2 (extensible)
component:genomic-ref-seq	Σ	0..1	BackboneElement	Genomic Reference Sequence (ゲノム参照配列)
code	Σ	1..1	CodeableConcept	48013-7 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48013-7
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (ゲノム参照配列を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (ゲノム参照配列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 (ゲノム参照配列を表すコード値) Fixed Value: 48013-7
display	Σ	1..1	string	Representation defined by the system (ゲノム参照配列の表示名)
value[x]	Σ	1..1	CodeableConcept	Versioned genomic reference sequence identifier. (バージョン管理されたゲノム参照配列識別子) Binding: (unbound) (example): Multiple bindings acceptable (NCBI or LRG)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
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.category:labCategory	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC code 53041-0 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.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:conclusion-string.code	example	Pattern: conclusion-string http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-studied.code	example	Pattern: LOINC code 48018-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-studied.value[x]	extensible	HGNCVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs
Observation.component:gene-mutations.code	example	Pattern: LOINC code 36908-2 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-mutations.value[x]	required	HGVSVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs
Observation.component:region-description.code	example	Pattern: LOINC code 81293-3 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:region-coverage.code	example	Pattern: region-coverage http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:ranges-examined.code	example	Pattern: LOINC code 51959-5 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:coordinate-system.code	example	Pattern: LOINC code 92822-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:coordinate-system.value[x]	extensible	LOINC LL5323-2 http://loinc.org/vs/LL5323-2
Observation.component:genomic-ref-seq.code	example	Pattern: LOINC code 48013-7 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:genomic-ref-seq.value[x]	example
Observation.component:uncallable-regions.code	example	Pattern: uncallable-regions 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..*	RegionStudied	Fujitsu Observation Genomic Region Studied Profile (ゲノム領域プロファイル) 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	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | preliminary | final | amended + (状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Classification of type of observation (カテゴリ) Slice: Unordered, Open by value:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:labCategory		1..1	CodeableConcept	Classification of type of observation (検査カテゴリ) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (カテゴリの種類を表すコード) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリの種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	53041-0 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53041-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (検査の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検査の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	0..1	dateTime	Clinically relevant time/time-period for observation (検査日)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (欠損理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
specimen		0..1	Reference(Fujitsu Specimen Profile)	Specimen used for this observation
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	0..*	BackboneElement	Component results (結果) Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:gene-studied	Σ	0..1	BackboneElement	Gene Studied (調査した遺伝子)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	48018-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48018-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (HGNC遺伝子シンボルを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (HGNC遺伝子シンボル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 (HGNC遺伝子シンボルを表すコード値) Fixed Value: 48018-6
display	Σ	1..1	string	Representation defined by the system (HGNC遺伝子シンボルの表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. (HGNC 遺伝子シンボルは表示テキストとして使用され、HGNC 遺伝子 ID はコードとして使用されます。 この遺伝子に対してまだ HGNC コードが発行されていない場合は、NCBI 遺伝子 ID を使用するものとします 。) Binding: HUGO Gene Nomenclature Committee Gene Names (HGNC) (extensible)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:gene-mutations	Σ	0..1	BackboneElement	Gene Mutations ID (遺伝子変異ID)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	36908-2 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 36908-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (遺伝子変異IDを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (遺伝子変異ID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 (遺伝子変異IDを表すコード値) Fixed Value: 36908-2
display	Σ	1..1	string	Representation defined by the system (遺伝子変異IDの表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Actual component result (結果値) Binding: Human Genome Variation Society (HGVS) Nomenclature (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:region-description	Σ	0..1	BackboneElement	Region Description (位置の説明)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	81293-3 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 81293-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (領域の説明を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (領域の説明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 (領域の説明を表すコード値) Fixed Value: 81293-3
display	Σ	1..1	string	Representation defined by the system (領域の説明の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result (結果値)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:ranges-examined	Σ	0..*	BackboneElement	Range(s) of DNA sequence examined (調査された DNA 配列の範囲)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	51959-5 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51959-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (調べたDNA配列の範囲を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (調べたDNA配列の範囲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 (調べたDNA配列の範囲を表すコード値) Fixed Value: 51959-5
display	Σ	1..1	string	Representation defined by the system (調べたDNA配列の範囲の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Range	Actual component result (結果値)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:coordinate-system	Σ	0..1	BackboneElement	Coordinate System (座標系)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	92822-6 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 92822-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (座標系を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (座標系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 (座標系を表すコード値) Fixed Value: 92822-6
display	Σ	1..1	string	Representation defined by the system (座標系の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	0-based interval counting | 0-based character counting | 1-based character counting (結果値) Binding: LOINC Answer List LL5323-2 (extensible)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:genomic-ref-seq	Σ	0..1	BackboneElement	Genomic Reference Sequence (ゲノム参照配列)
id		0..1	string	Unique id for inter-element referencing
code	Σ	1..1	CodeableConcept	48013-7 (検査名) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48013-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (ゲノム参照配列を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (ゲノム参照配列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 (ゲノム参照配列を表すコード値) Fixed Value: 48013-7
display	Σ	1..1	string	Representation defined by the system (ゲノム参照配列の表示名)
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	CodeableConcept	Versioned genomic reference sequence identifier. (バージョン管理されたゲノム参照配列識別子) Binding: (unbound) (example): Multiple bindings acceptable (NCBI or LRG)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
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.category:labCategory	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC code 53041-0 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
Observation.component:conclusion-string.code	example	Pattern: conclusion-string http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:conclusion-string.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:conclusion-string.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:gene-studied.code	example	Pattern: LOINC code 48018-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-studied.value[x]	extensible	HGNCVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs
Observation.component:gene-studied.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:gene-mutations.code	example	Pattern: LOINC code 36908-2 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:gene-mutations.value[x]	required	HGVSVS http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs
Observation.component:gene-mutations.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:region-description.code	example	Pattern: LOINC code 81293-3 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:region-description.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:region-coverage.code	example	Pattern: region-coverage http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:region-coverage.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:region-coverage.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:ranges-examined.code	example	Pattern: LOINC code 51959-5 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:ranges-examined.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:coordinate-system.code	example	Pattern: LOINC code 92822-6 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:coordinate-system.value[x]	extensible	LOINC LL5323-2 http://loinc.org/vs/LL5323-2
Observation.component:coordinate-system.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:genomic-ref-seq.code	example	Pattern: LOINC code 48013-7 http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:genomic-ref-seq.value[x]	example
Observation.component:genomic-ref-seq.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:uncallable-regions.code	example	Pattern: uncallable-regions http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:uncallable-regions.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:uncallable-regions.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 RegionStudied

Summary

Mandatory: 3 elements(23 nested mandatory elements)
Fixed: 12 elements
Prohibited: 102 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Specimen Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-specimen)