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Resource Profile: Fujitsu Observation HeadCircum Profile

This profile defines how to represent head circum measurements.
このプロファイルは、頭囲の測定値を表す方法を定義します。

Usage:

• Refer to this Resource Profile: Fujitsu Contributing Factor, Fujitsu Resulting Effect and Fujitsu Supporting information relevant to the event
• Examples for this Resource Profile: Observation/HeadCircumExample

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 observation-headcircum

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	observation-headcircum	Fujitsu Observation HeadCircum Profile (頭囲プロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
modifierExtension		0..0
identifier		0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
basedOn		0..0
partOf		0..0
status		1..1	code	registered | preliminary | final | amended + (Observationの状態)
category		1..*	CodeableConcept	Classification of type of observation (Observationの種類)
category:VSCat		1..1	CodeableConcept	Classification of type of observation (Observationの種類)
id		0..0
extension		0..0
coding		1..*	Coding	Code defined by a terminology system (バイタルサインを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (バイタルサインを定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (バイタルサインを表すコード値)
display		1..1	string	Representation defined by the system (バイタルサインの表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (カテゴリ)
category:JPVSCat		0..1	CodeableConcept	Classification of type of observation Binding: JP Core Observation BodyMeasurement Category ValueSet (required)
id		0..0
extension		0..0
coding		1..*	Coding	Code defined by a terminology system (身体計測を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (身体計測を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCategory_CS
version		0..0
code		1..1	code	Symbol in syntax defined by the system (身体計測を表すコード値) Fixed Value: head-circumference
display		1..1	string	Representation defined by the system (身体計測の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (カテゴリ)
code		1..1	CodeableConcept	Head Circum (頭囲を表すコード)
id		0..0
extension		0..0
coding		2..*	Coding	Code defined by a terminology system (測定項目のコード)
coding:HeadCircumCode		1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: Vital Signs Loinc Codes (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (頭囲を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値)
display		1..1	string	Representation defined by the system (頭囲の表示名)
userSelected		0..0
coding:JPCode		1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: JP Core Observation BodyMeasurement Code ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (頭囲を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCode_CS
version		0..0
code		1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値) Fixed Value: 31006116
display		1..1	string	Representation defined by the system (頭囲の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現) Fixed Value: 頭囲
subject		1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
focus		0..0
encounter		0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が行われた入院または外来)
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
effective[x]		1..1	dateTime, Period	Often just a dateTime for Vital Signs (測定日時)
issued		0..1	instant	Date/Time this version was made available (この情報が発行された日時)
performer		0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam | Fujitsu Patient Profile | RelatedPerson)	Who is responsible for the observation (医療従事者または医療機関)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
value[x]		0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (測定値)
value[x]:valueQuantity		0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (頭囲)
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (測定値)
comparator		0..0
unit		1..1	string	Unit representation (測定値の単位) Fixed Value: cm
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code		1..1	code	Coded form of the unit (単位を表すコード値)
dataAbsentReason		0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由)
interpretation		0..*	CodeableConcept	High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
bodySite		0..0
method		0..0
specimen		0..0
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device (測定したデバイス)
referenceRange		0..*	BackboneElement	Provides guide for interpretation (検査結果の基準値を指定する場合に使用する)
low		0..1	SimpleQuantity	Low Range, if relevant (範囲の最低)
high		0..1	SimpleQuantity	High Range, if relevant (範囲の最高)
type		0..1	CodeableConcept	Reference range qualifier (範囲の修飾子)
appliesTo		0..*	CodeableConcept	Reference range population (基準となる種族や性別など)
age		0..1	Range	Applicable age range, if relevant (該当する年齢層)
text		0..1	string	Text based reference range in an observation (参照範囲)
hasMember		0..0
derivedFrom		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category:JPVSCat	required	JP_ObservationBodyMeasurementCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCategory_VS
Observation.code.coding:HeadCircumCode	required	LoincCodesValueSet http://ig.fujitsu.com/healthy-living/ValueSet/vital-signs-loinc-codes from this IG
Observation.code.coding:JPCode	required	JP_ObservationBodyMeasurementCode_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCode_VS

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-headcircum	Fujitsu Observation HeadCircum Profile (頭囲プロファイル) 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
status	?!SΣ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required)
Slices for category	S	1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation (Observationの種類) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	SΣ	1..*	Coding	Code defined by a terminology system (バイタルサインを表すコード)
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system (バイタルサインを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system (バイタルサインを表すコード値) Fixed Value: vital-signs
display	Σ	1..1	string	Representation defined by the system (バイタルサインの表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
category:JPVSCat	S	0..1	CodeableConcept	Classification of type of observation Binding: JP Core Observation BodyMeasurement Category ValueSet (required)
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (身体計測を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (身体計測を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCategory_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (身体計測を表すコード値) Fixed Value: head-circumference
display	Σ	1..1	string	Representation defined by the system (身体計測の表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
code	SΣ	1..1	CodeableConcept	Head Circum (頭囲を表すコード) Binding: VitalSigns (extensible): This identifies the vital sign result type.
extension		0..0
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:code, value:system
coding:HeadCircumCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: Vital Signs Loinc Codes (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭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 (頭囲を表すコード値) Fixed Value: 9843-4
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
coding:JPCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: JP Core Observation BodyMeasurement Code ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭囲を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCode_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値) Fixed Value: 31006116
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現) Fixed Value: 頭囲
subject	SΣ	1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が行われた入院または外来)
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]	SΣC	1..1		Often just a dateTime for Vital Signs (測定日時) vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available (この情報が発行された日時)
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam | Fujitsu Patient Profile | RelatedPerson)	Who is responsible for the observation (医療従事者または医療機関)
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 value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (測定値) Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (頭囲)
extension		0..0
value	SΣ	1..1	decimal	Numerical value (with implicit precision) (測定値)
unit	SΣ	1..1	string	Unit representation (測定値の単位) Fixed Value: cm
system	SΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device (測定したデバイス)
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation (検査結果の基準値を指定する場合に使用する) obs-3: Must have at least a low or a high or text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant (範囲の最低)
high	C	0..1	SimpleQuantity	High Range, if relevant (範囲の最高)
type		0..1	CodeableConcept	Reference range qualifier (範囲の修飾子) Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population (基準となる種族や性別など) Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant (該当する年齢層)
text		0..1	string	Text based reference range in an observation (参照範囲)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	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:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:JPVSCat	required	JP_ObservationBodyMeasurementCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCategory_VS
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.code.coding:HeadCircumCode	required	Fixed Value: LOINC code 9843-4 http://ig.fujitsu.com/healthy-living/ValueSet/vital-signs-loinc-codes from this IG
Observation.code.coding:JPCode	required	Fixed Value: 31006116 http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCode_VS
Observation.value[x]:valueQuantity.code	required	BodyLengthUnits http://hl7.org/fhir/ValueSet/ucum-bodylength|4.0.1 from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation 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	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason 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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-headcircum	Fujitsu Observation HeadCircum Profile (頭囲プロファイル) 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
status	?!SΣ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required)
Slices for category	S	1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation (Observationの種類) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	SΣ	1..*	Coding	Code defined by a terminology system (バイタルサインを表すコード)
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system (バイタルサインを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system (バイタルサインを表すコード値) Fixed Value: vital-signs
display	Σ	1..1	string	Representation defined by the system (バイタルサインの表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
category:JPVSCat	S	0..1	CodeableConcept	Classification of type of observation Binding: JP Core Observation BodyMeasurement Category ValueSet (required)
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (身体計測を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (身体計測を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCategory_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (身体計測を表すコード値) Fixed Value: head-circumference
display	Σ	1..1	string	Representation defined by the system (身体計測の表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
code	SΣ	1..1	CodeableConcept	Head Circum (頭囲を表すコード) Binding: VitalSigns (extensible): This identifies the vital sign result type.
extension		0..0
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:code, value:system
coding:HeadCircumCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: Vital Signs Loinc Codes (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭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 (頭囲を表すコード値) Fixed Value: 9843-4
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
coding:JPCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: JP Core Observation BodyMeasurement Code ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭囲を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCode_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値) Fixed Value: 31006116
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現) Fixed Value: 頭囲
subject	SΣ	1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が行われた入院または外来)
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]	SΣC	1..1		Often just a dateTime for Vital Signs (測定日時) vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available (この情報が発行された日時)
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam | Fujitsu Patient Profile | RelatedPerson)	Who is responsible for the observation (医療従事者または医療機関)
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 value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (測定値) Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (頭囲)
extension		0..0
value	SΣ	1..1	decimal	Numerical value (with implicit precision) (測定値)
unit	SΣ	1..1	string	Unit representation (測定値の単位) Fixed Value: cm
system	SΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device (測定したデバイス)
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation (検査結果の基準値を指定する場合に使用する) obs-3: Must have at least a low or a high or text
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
low	C	0..1	SimpleQuantity	Low Range, if relevant (範囲の最低)
high	C	0..1	SimpleQuantity	High Range, if relevant (範囲の最高)
type		0..1	CodeableConcept	Reference range qualifier (範囲の修飾子) Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population (基準となる種族や性別など) Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant (該当する年齢層)
text		0..1	string	Text based reference range in an observation (参照範囲)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	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:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:JPVSCat	required	JP_ObservationBodyMeasurementCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCategory_VS
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.code.coding:HeadCircumCode	required	Fixed Value: LOINC code 9843-4 http://ig.fujitsu.com/healthy-living/ValueSet/vital-signs-loinc-codes from this IG
Observation.code.coding:JPCode	required	Fixed Value: 31006116 http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCode_VS
Observation.value[x]:valueQuantity.code	required	BodyLengthUnits http://hl7.org/fhir/ValueSet/ucum-bodylength|4.0.1 from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation 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	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())

This structure is derived from observation-headcircum

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Fixed: 6 elements
Prohibited: 49 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Encounter Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-encounter)
• Fujitsu Practitioner Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitioner)
• Fujitsu PractitionerRole Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitionerrole)
• Fujitsu Organization Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-organization)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from observation-headcircum

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	observation-headcircum	Fujitsu Observation HeadCircum Profile (頭囲プロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
modifierExtension		0..0
identifier		0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
basedOn		0..0
partOf		0..0
status		1..1	code	registered | preliminary | final | amended + (Observationの状態)
category		1..*	CodeableConcept	Classification of type of observation (Observationの種類)
category:VSCat		1..1	CodeableConcept	Classification of type of observation (Observationの種類)
id		0..0
extension		0..0
coding		1..*	Coding	Code defined by a terminology system (バイタルサインを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (バイタルサインを定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (バイタルサインを表すコード値)
display		1..1	string	Representation defined by the system (バイタルサインの表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (カテゴリ)
category:JPVSCat		0..1	CodeableConcept	Classification of type of observation Binding: JP Core Observation BodyMeasurement Category ValueSet (required)
id		0..0
extension		0..0
coding		1..*	Coding	Code defined by a terminology system (身体計測を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (身体計測を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCategory_CS
version		0..0
code		1..1	code	Symbol in syntax defined by the system (身体計測を表すコード値) Fixed Value: head-circumference
display		1..1	string	Representation defined by the system (身体計測の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (カテゴリ)
code		1..1	CodeableConcept	Head Circum (頭囲を表すコード)
id		0..0
extension		0..0
coding		2..*	Coding	Code defined by a terminology system (測定項目のコード)
coding:HeadCircumCode		1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: Vital Signs Loinc Codes (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (頭囲を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値)
display		1..1	string	Representation defined by the system (頭囲の表示名)
userSelected		0..0
coding:JPCode		1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: JP Core Observation BodyMeasurement Code ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (頭囲を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCode_CS
version		0..0
code		1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値) Fixed Value: 31006116
display		1..1	string	Representation defined by the system (頭囲の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現) Fixed Value: 頭囲
subject		1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
focus		0..0
encounter		0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が行われた入院または外来)
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
effective[x]		1..1	dateTime, Period	Often just a dateTime for Vital Signs (測定日時)
issued		0..1	instant	Date/Time this version was made available (この情報が発行された日時)
performer		0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam | Fujitsu Patient Profile | RelatedPerson)	Who is responsible for the observation (医療従事者または医療機関)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
value[x]		0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (測定値)
value[x]:valueQuantity		0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (頭囲)
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (測定値)
comparator		0..0
unit		1..1	string	Unit representation (測定値の単位) Fixed Value: cm
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code		1..1	code	Coded form of the unit (単位を表すコード値)
dataAbsentReason		0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由)
interpretation		0..*	CodeableConcept	High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。)
bodySite		0..0
method		0..0
specimen		0..0
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device (測定したデバイス)
referenceRange		0..*	BackboneElement	Provides guide for interpretation (検査結果の基準値を指定する場合に使用する)
low		0..1	SimpleQuantity	Low Range, if relevant (範囲の最低)
high		0..1	SimpleQuantity	High Range, if relevant (範囲の最高)
type		0..1	CodeableConcept	Reference range qualifier (範囲の修飾子)
appliesTo		0..*	CodeableConcept	Reference range population (基準となる種族や性別など)
age		0..1	Range	Applicable age range, if relevant (該当する年齢層)
text		0..1	string	Text based reference range in an observation (参照範囲)
hasMember		0..0
derivedFrom		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category:JPVSCat	required	JP_ObservationBodyMeasurementCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCategory_VS
Observation.code.coding:HeadCircumCode	required	LoincCodesValueSet http://ig.fujitsu.com/healthy-living/ValueSet/vital-signs-loinc-codes from this IG
Observation.code.coding:JPCode	required	JP_ObservationBodyMeasurementCode_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCode_VS

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-headcircum	Fujitsu Observation HeadCircum Profile (頭囲プロファイル) 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
status	?!SΣ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required)
Slices for category	S	1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation (Observationの種類) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	SΣ	1..*	Coding	Code defined by a terminology system (バイタルサインを表すコード)
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system (バイタルサインを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system (バイタルサインを表すコード値) Fixed Value: vital-signs
display	Σ	1..1	string	Representation defined by the system (バイタルサインの表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
category:JPVSCat	S	0..1	CodeableConcept	Classification of type of observation Binding: JP Core Observation BodyMeasurement Category ValueSet (required)
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (身体計測を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (身体計測を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCategory_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (身体計測を表すコード値) Fixed Value: head-circumference
display	Σ	1..1	string	Representation defined by the system (身体計測の表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
code	SΣ	1..1	CodeableConcept	Head Circum (頭囲を表すコード) Binding: VitalSigns (extensible): This identifies the vital sign result type.
extension		0..0
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:code, value:system
coding:HeadCircumCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: Vital Signs Loinc Codes (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭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 (頭囲を表すコード値) Fixed Value: 9843-4
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
coding:JPCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: JP Core Observation BodyMeasurement Code ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭囲を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCode_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値) Fixed Value: 31006116
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現) Fixed Value: 頭囲
subject	SΣ	1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が行われた入院または外来)
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]	SΣC	1..1		Often just a dateTime for Vital Signs (測定日時) vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available (この情報が発行された日時)
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam | Fujitsu Patient Profile | RelatedPerson)	Who is responsible for the observation (医療従事者または医療機関)
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 value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (測定値) Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (頭囲)
extension		0..0
value	SΣ	1..1	decimal	Numerical value (with implicit precision) (測定値)
unit	SΣ	1..1	string	Unit representation (測定値の単位) Fixed Value: cm
system	SΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device (測定したデバイス)
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation (検査結果の基準値を指定する場合に使用する) obs-3: Must have at least a low or a high or text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant (範囲の最低)
high	C	0..1	SimpleQuantity	High Range, if relevant (範囲の最高)
type		0..1	CodeableConcept	Reference range qualifier (範囲の修飾子) Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population (基準となる種族や性別など) Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant (該当する年齢層)
text		0..1	string	Text based reference range in an observation (参照範囲)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	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:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:JPVSCat	required	JP_ObservationBodyMeasurementCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCategory_VS
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.code.coding:HeadCircumCode	required	Fixed Value: LOINC code 9843-4 http://ig.fujitsu.com/healthy-living/ValueSet/vital-signs-loinc-codes from this IG
Observation.code.coding:JPCode	required	Fixed Value: 31006116 http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCode_VS
Observation.value[x]:valueQuantity.code	required	BodyLengthUnits http://hl7.org/fhir/ValueSet/ucum-bodylength|4.0.1 from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation 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	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason 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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-headcircum	Fujitsu Observation HeadCircum Profile (頭囲プロファイル) 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
status	?!SΣ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required)
Slices for category	S	1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation (Observationの種類) Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
extension		0..0
coding	SΣ	1..*	Coding	Code defined by a terminology system (バイタルサインを表すコード)
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system (バイタルサインを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system (バイタルサインを表すコード値) Fixed Value: vital-signs
display	Σ	1..1	string	Representation defined by the system (バイタルサインの表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
category:JPVSCat	S	0..1	CodeableConcept	Classification of type of observation Binding: JP Core Observation BodyMeasurement Category ValueSet (required)
extension		0..0
coding	Σ	1..*	Coding	Code defined by a terminology system (身体計測を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (身体計測を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCategory_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (身体計測を表すコード値) Fixed Value: head-circumference
display	Σ	1..1	string	Representation defined by the system (身体計測の表示名)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
code	SΣ	1..1	CodeableConcept	Head Circum (頭囲を表すコード) Binding: VitalSigns (extensible): This identifies the vital sign result type.
extension		0..0
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:code, value:system
coding:HeadCircumCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: Vital Signs Loinc Codes (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭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 (頭囲を表すコード値) Fixed Value: 9843-4
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
coding:JPCode	Σ	1..1	Coding	Code defined by a terminology system (頭囲を表すコード) Binding: JP Core Observation BodyMeasurement Code ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (頭囲を定義するコード体系) Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationBodyMeasurementCode_CS
code	Σ	1..1	code	Symbol in syntax defined by the system (頭囲を表すコード値) Fixed Value: 31006116
display	Σ	1..1	string	Representation defined by the system (頭囲の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現) Fixed Value: 頭囲
subject	SΣ	1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	0..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が行われた入院または外来)
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]	SΣC	1..1		Often just a dateTime for Vital Signs (測定日時) vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available (この情報が発行された日時)
performer	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | CareTeam | Fujitsu Patient Profile | RelatedPerson)	Who is responsible for the observation (医療従事者または医療機関)
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 value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (測定値) Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. (頭囲)
extension		0..0
value	SΣ	1..1	decimal	Numerical value (with implicit precision) (測定値)
unit	SΣ	1..1	string	Unit representation (測定値の単位) Fixed Value: cm
system	SΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. (結果値の評価。たとえば、High、Low、Normal。) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device (測定したデバイス)
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation (検査結果の基準値を指定する場合に使用する) obs-3: Must have at least a low or a high or text
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
low	C	0..1	SimpleQuantity	Low Range, if relevant (範囲の最低)
high	C	0..1	SimpleQuantity	High Range, if relevant (範囲の最高)
type		0..1	CodeableConcept	Reference range qualifier (範囲の修飾子) Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population (基準となる種族や性別など) Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant (該当する年齢層)
text		0..1	string	Text based reference range in an observation (参照範囲)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	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:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:JPVSCat	required	JP_ObservationBodyMeasurementCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCategory_VS
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.code.coding:HeadCircumCode	required	Fixed Value: LOINC code 9843-4 http://ig.fujitsu.com/healthy-living/ValueSet/vital-signs-loinc-codes from this IG
Observation.code.coding:JPCode	required	Fixed Value: 31006116 http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationBodyMeasurementCode_VS
Observation.value[x]:valueQuantity.code	required	BodyLengthUnits http://hl7.org/fhir/ValueSet/ucum-bodylength|4.0.1 from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation 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	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())

This structure is derived from observation-headcircum

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Fixed: 6 elements
Prohibited: 49 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Encounter Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-encounter)
• Fujitsu Practitioner Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitioner)
• Fujitsu PractitionerRole Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitionerrole)
• Fujitsu Organization Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-organization)

Slices

This structure defines the following Slices:

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