This profile defines constraints and extensions for the Observation resource to send and receive data on the patient’s hearing sensitivity.

This Resource/Profile has a component element with a pair of frequencies and left/right ear sensitivity data to represent the patient’s hearing sensitivity for each frequency.

このプロファイルはObservationリソースに対して、患者の聴覚感度に関するデータを送受信するための制約と拡張を定めるものである。

このResource/Profileは周波数と左/右耳の聴覚感度のデータの組をcomponent要素に持ち、周波数ごとの患者の聴覚感度を表現する。

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

This structure is derived from JP_Observation_Common

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	JP_Observation_Common	Fujitsu Observation HearingSensitivity Profile (聴力感度プロファイル)
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)
basedOn		0..0
partOf		0..0
status		1..1	code	registered | preliminary | final | amended + (Observationの状態)
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.system, value:coding.code
category:All Slices				Content/Rules for all slices
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (カテゴリのコード)
text		0..1	string	Plain text representation of the concept (カテゴリ)
category:first		1..1	CodeableConcept	Classification of type of observation　Observationの種類（タイプ）の分類
coding		0..*	Coding	Code defined by a terminology system (観察のカテゴリを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (観察のカテゴリを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0
code		1..1	code	Symbol in syntax defined by the system (観察のカテゴリを表すコード値) Fixed Value: exam
display		1..1	string	Representation defined by the system (観察のカテゴリの表示名) Fixed Value: Exam
userSelected		0..0
code		1..1	CodeableConcept	Type of observation (code / type) (観察の種類)
id		0..0
extension		0..0
Slices for coding		1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:PHRCode		1..1	Coding	Code defined by a terminology system (聴力感度を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (聴力感度を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
version		0..0
code		1..1	code	Symbol in syntax defined by the system (聴力感度を表すコード値) Fixed Value: hearingSensitivity
display		1..1	string	Representation defined by the system (聴力感度の表示名)
userSelected		0..0
coding:LOINCCode		0..1	Coding	Code defined by a terminology system (聴力感度を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (聴力感度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 (聴力感度を表すコード値)
display		1..1	string	Representation defined by the system (聴力感度の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (測定項目)
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..0
effective[x]		0..1		Measurement datetime or period (計測日または期間)
effectiveDateTime			dateTime
effectivePeriod			Period
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 Patient Profile)	Who is responsible for the observation (実施者)
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
value[x]		0..0
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。)
note		0..*	Annotation	Comments about the observation (コメント)
bodySite		0..0
method		0..0
specimen		0..0
device		0..1	Reference(Fujitsu Device Profile)	(Measurement) Device (測定機器)
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
referenceRange		0..0
hasMember		0..0
Slices for component		1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
component:frequency		1..1	BackboneElement	Component results　　コンポーネント結果
id		0..0
extension		0..0
modifierExtension		0..0
code
id		0..0
extension		0..0
coding		1..1	Coding	Code defined by a terminology system (周波数を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (周波数を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
version		0..0
code		1..1	code	Symbol in syntax defined by the system (周波数を表すコード値) Fixed Value: frequency
display		1..1	string	Representation defined by the system (周波数の表示名)
userSelected		0..0
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual component result
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (周波数)
comparator		0..0
unit		1..1	string	Unit representation (周波数の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: Hz
interpretation		0..0
referenceRange		0..0
component:leftEarSensitivity		0..1	BackboneElement	Component results　　コンポーネント結果
id		0..0
extension		0..0
modifierExtension		0..0
code
id		0..0
extension		0..0
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:PHRCode		1..1	Coding	Code defined by a terminology system (左耳聴力を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (左耳聴力を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
version		0..0
code		1..1	code	Symbol in syntax defined by the system (左耳聴力を表すコード値) Fixed Value: leftEarSensitivity
display		1..1	string	Representation defined by the system (左耳聴力の表示名)
userSelected		0..0
coding:LOINCCode		0..1	Coding	Code defined by a terminology system (左耳聴力を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (左耳聴力を定義するコード体系) Required Pattern: http://loinc.org
version		0..0
code		1..1	code	Symbol in syntax defined by the system (左耳聴力を表すコード値)
display		1..1	string	Representation defined by the system (左耳聴力の表示名)
userSelected		0..0
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual component result
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (聴力感度)
comparator		0..0
unit		1..1	string	Unit representation (聴力感度の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: dB
interpretation		0..0
referenceRange		0..0
component:rightEarSensitivity		0..1	BackboneElement	Component results　　コンポーネント結果
id		0..0
extension		0..0
modifierExtension		0..0
code
id		0..0
extension		0..0
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:PHRCode		1..1	Coding	Code defined by a terminology system (右耳聴力を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (右耳聴力を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
version		0..0
code		1..1	code	Symbol in syntax defined by the system (右耳聴力を表すコード値) Fixed Value: rightEarSensitivity
display		1..1	string	Representation defined by the system (右耳聴力の表示名)
userSelected		0..0
coding:LOINCCode		0..1	Coding	Code defined by a terminology system (右耳聴力を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (右耳聴力を定義するコード体系) Required Pattern: http://loinc.org
version		0..0
code		1..1	code	Symbol in syntax defined by the system (右耳聴力を表すコード値)
display		1..1	string	Representation defined by the system (右耳聴力の表示名)
userSelected		0..0
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual component result
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (聴力感度)
comparator		0..0
unit		1..1	string	Unit representation (聴力感度の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: dB
interpretation		0..0
referenceRange		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	JP_Observation_Common	Fujitsu Observation HearingSensitivity Profile (聴力感度プロファイル) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (カテゴリのコード)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
category:first		1..1	CodeableConcept	Classification of type of observation　Observationの種類（タイプ）の分類 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	Σ	0..*	Coding	Code defined by a terminology system (観察のカテゴリを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (観察のカテゴリを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	Σ	1..1	code	Symbol in syntax defined by the system (観察のカテゴリを表すコード値) Fixed Value: exam
display	Σ	1..1	string	Representation defined by the system (観察のカテゴリの表示名) Fixed Value: Exam
code	Σ	1..1	CodeableConcept	Type of observation (code / type) (観察の種類) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:PHRCode	Σ	1..1	Coding	Code defined by a terminology system (聴力感度を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (聴力感度を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (聴力感度を表すコード値) Fixed Value: hearingSensitivity
display	Σ	1..1	string	Representation defined by the system (聴力感度の表示名)
coding:LOINCCode	Σ	0..1	Coding	Code defined by a terminology system (聴力感度を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (聴力感度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 (聴力感度を表すコード値)
display	Σ	1..1	string	Representation defined by the system (聴力感度の表示名)
text	Σ	0..1	string	Plain text representation of the concept (測定項目)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	0..1		Measurement datetime or period (計測日または期間)
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 Patient Profile)	Who is responsible for the observation (実施者)
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)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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 (コメント)
device		0..1	Reference(Fujitsu Device Profile)	(Measurement) Device (測定機器)
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	1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.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:frequency	Σ	1..1	BackboneElement	Component results　　コンポーネント結果
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system (周波数を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (周波数を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (周波数を表すコード値) Fixed Value: frequency
display	Σ	1..1	string	Representation defined by the system (周波数の表示名)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (周波数)
unit	Σ	1..1	string	Unit representation (周波数の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: Hz
component:leftEarSensitivity	Σ	0..1	BackboneElement	Component results　　コンポーネント結果
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:PHRCode	Σ	1..1	Coding	Code defined by a terminology system (左耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (左耳聴力を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (左耳聴力を表すコード値) Fixed Value: leftEarSensitivity
display	Σ	1..1	string	Representation defined by the system (左耳聴力の表示名)
coding:LOINCCode	Σ	0..1	Coding	Code defined by a terminology system (左耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (左耳聴力を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (左耳聴力を表すコード値)
display	Σ	1..1	string	Representation defined by the system (左耳聴力の表示名)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (聴力感度)
unit	Σ	1..1	string	Unit representation (聴力感度の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: dB
component:rightEarSensitivity	Σ	0..1	BackboneElement	Component results　　コンポーネント結果
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:PHRCode	Σ	1..1	Coding	Code defined by a terminology system (右耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (右耳聴力を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (右耳聴力を表すコード値) Fixed Value: rightEarSensitivity
display	Σ	1..1	string	Representation defined by the system (右耳聴力の表示名)
coding:LOINCCode	Σ	0..1	Coding	Code defined by a terminology system (右耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (右耳聴力を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (右耳聴力を表すコード値)
display	Σ	1..1	string	Representation defined by the system (右耳聴力の表示名)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (聴力感度)
unit	Σ	1..1	string	Unit representation (聴力感度の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: dB
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:first	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation 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:frequency.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:leftEarSensitivity.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:rightEarSensitivity.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	JP_Observation_Common	Fujitsu Observation HearingSensitivity Profile (聴力感度プロファイル) obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子)
status	?!Σ	1..1	code	registered | preliminary | final | amended + (Observationの状態) Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by value:coding.system, value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (カテゴリのコード)
text	Σ	0..1	string	Plain text representation of the concept (カテゴリ)
category:first		1..1	CodeableConcept	Classification of type of observation　Observationの種類（タイプ）の分類 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (観察のカテゴリを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (観察のカテゴリを定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	Σ	1..1	code	Symbol in syntax defined by the system (観察のカテゴリを表すコード値) Fixed Value: exam
display	Σ	1..1	string	Representation defined by the system (観察のカテゴリの表示名) Fixed Value: Exam
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Type of observation (code / type) (観察の種類) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:PHRCode	Σ	1..1	Coding	Code defined by a terminology system (聴力感度を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (聴力感度を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/observation-phr-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (聴力感度を表すコード値) Fixed Value: hearingSensitivity
display	Σ	1..1	string	Representation defined by the system (聴力感度の表示名)
coding:LOINCCode	Σ	0..1	Coding	Code defined by a terminology system (聴力感度を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (聴力感度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 (聴力感度を表すコード値)
display	Σ	1..1	string	Representation defined by the system (聴力感度の表示名)
text	Σ	0..1	string	Plain text representation of the concept (測定項目)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who and/or what the observation is about (どの患者の観察か)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	0..1		Measurement datetime or period (計測日または期間)
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 Patient Profile)	Who is responsible for the observation (実施者)
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)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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 (コメント)
device		0..1	Reference(Fujitsu Device Profile)	(Measurement) Device (測定機器)
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)
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence)	Related measurements the observation is made from　observation が作られる元の関連する測定
Slices for component	Σ	1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.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:frequency	Σ	1..1	BackboneElement	Component results　　コンポーネント結果
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	1..1	Coding	Code defined by a terminology system (周波数を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (周波数を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (周波数を表すコード値) Fixed Value: frequency
display	Σ	1..1	string	Representation defined by the system (周波数の表示名)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (周波数)
unit	Σ	1..1	string	Unit representation (周波数の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: Hz
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:leftEarSensitivity	Σ	0..1	BackboneElement	Component results　　コンポーネント結果
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:PHRCode	Σ	1..1	Coding	Code defined by a terminology system (左耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (左耳聴力を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (左耳聴力を表すコード値) Fixed Value: leftEarSensitivity
display	Σ	1..1	string	Representation defined by the system (左耳聴力の表示名)
coding:LOINCCode	Σ	0..1	Coding	Code defined by a terminology system (左耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (左耳聴力を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (左耳聴力を表すコード値)
display	Σ	1..1	string	Representation defined by the system (左耳聴力の表示名)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (聴力感度)
unit	Σ	1..1	string	Unit representation (聴力感度の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: dB
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:rightEarSensitivity	Σ	0..1	BackboneElement	Component results　　コンポーネント結果
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:PHRCode	Σ	1..1	Coding	Code defined by a terminology system (右耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (右耳聴力を定義するコード体系) Required Pattern: http://ig.fujitsu.com/healthy-living/CodeSystem/hearing-sensitivity-codes
code	Σ	1..1	code	Symbol in syntax defined by the system (右耳聴力を表すコード値) Fixed Value: rightEarSensitivity
display	Σ	1..1	string	Representation defined by the system (右耳聴力の表示名)
coding:LOINCCode	Σ	0..1	Coding	Code defined by a terminology system (右耳聴力を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (右耳聴力を定義するコード体系) Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system (右耳聴力を表すコード値)
display	Σ	1..1	string	Representation defined by the system (右耳聴力の表示名)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (聴力感度)
unit	Σ	1..1	string	Unit representation (聴力感度の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Required Pattern: dB
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	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:first	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.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	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:frequency.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:frequency.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:leftEarSensitivity.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:leftEarSensitivity.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:rightEarSensitivity.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:rightEarSensitivity.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-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()