Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu Observation Lymph Node Invasion Profile

Official URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-observation-lymph-node-invasion Version: 1.1.28
Active as of 2025-07-09 Computable Name: FujitsuObservationLymphNodeInvasion

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines the patient’s Lymph Node Invasion.
このプロファイルは、患者のリンパ節浸潤を定義します。

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from FujitsuObservationCommon

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* FujitsuObservationCommon Fujitsu Observation Lymph Node Invasion Profile (リンパ節浸潤プロファイル)
... code
.... Slices for coding 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:loinc 1..1 Coding Code defined by a terminology system (リンパ節浸潤を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (リンパ節浸潤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 (リンパ節浸潤を表すコード値)
Fixed Value: 21893-3
...... display 1..1 string Representation defined by the system (リンパ節浸潤の表示名)
...... userSelected 0..0
... focus 0..* Reference(Fujitsu Primary Cancer Condition Profile) The cancer condition associated with staging assessment (一次がんとの関連)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... performer 0..0
... method 0..0
... specimen 0..0
... hasMember 0..0
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* FujitsuObservationCommon Fujitsu Observation Lymph Node Invasion Profile (リンパ節浸潤プロファイル)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... Slices for identifier Σ 0..* Identifier Business Identifier for observation (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... code Σ 1..1 CodeableConcept Type of observation (code / type) observation のタイプ(コードまたはタイプ)
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:loinc Σ 1..1 Coding Code defined by a terminology system (リンパ節浸潤を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (リンパ節浸潤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 (リンパ節浸潤を表すコード値)
Fixed Value: 21893-3
...... display Σ 1..1 string Representation defined by the system (リンパ節浸潤の表示名)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... focus Σ 0..* Reference(Fujitsu Primary Cancer Condition Profile) The cancer condition associated with staging assessment (一次がんとの関連)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter Σ 1..1 Reference(Fujitsu Encounter Profile) Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... effective[x] Σ 1..1 dateTime Often just a dateTime for Vital Signs (測定日時)
... value[x] ΣC 0..1 integer Actual result (結果の値)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* FujitsuObservationCommon Fujitsu Observation Lymph Node Invasion Profile (リンパ節浸潤プロファイル)
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)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... Slices for identifier Σ 0..* Identifier Business Identifier for observation (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..* CodeableConcept Classification of type of observation Observationの種類(タイプ)の分類
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ 1..1 CodeableConcept Type of observation (code / type) observation のタイプ(コードまたはタイプ)
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:loinc Σ 1..1 Coding Code defined by a terminology system (リンパ節浸潤を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (リンパ節浸潤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 (リンパ節浸潤を表すコード値)
Fixed Value: 21893-3
...... display Σ 1..1 string Representation defined by the system (リンパ節浸潤の表示名)
.... 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)
... focus Σ 0..* Reference(Fujitsu Primary Cancer Condition Profile) The cancer condition associated with staging assessment (一次がんとの関連)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter Σ 1..1 Reference(Fujitsu Encounter Profile) Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... effective[x] Σ 1..1 dateTime Often just a dateTime for Vital Signs (測定日時)
... value[x] ΣC 0..1 integer Actual result (結果の値)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from FujitsuObservationCommon

Summary

Mandatory: 5 elements(1 nested mandatory element)
Fixed: 2 elements
Prohibited: 13 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from FujitsuObservationCommon

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* FujitsuObservationCommon Fujitsu Observation Lymph Node Invasion Profile (リンパ節浸潤プロファイル)
... code
.... Slices for coding 1..* Coding Code defined by a terminology system (測定項目のコード)
Slice: Unordered, Open by value:system
..... coding:loinc 1..1 Coding Code defined by a terminology system (リンパ節浸潤を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (リンパ節浸潤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 (リンパ節浸潤を表すコード値)
Fixed Value: 21893-3
...... display 1..1 string Representation defined by the system (リンパ節浸潤の表示名)
...... userSelected 0..0
... focus 0..* Reference(Fujitsu Primary Cancer Condition Profile) The cancer condition associated with staging assessment (一次がんとの関連)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... performer 0..0
... method 0..0
... specimen 0..0
... hasMember 0..0
... component 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* FujitsuObservationCommon Fujitsu Observation Lymph Node Invasion Profile (リンパ節浸潤プロファイル)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... Slices for identifier Σ 0..* Identifier Business Identifier for observation (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... code Σ 1..1 CodeableConcept Type of observation (code / type) observation のタイプ(コードまたはタイプ)
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:loinc Σ 1..1 Coding Code defined by a terminology system (リンパ節浸潤を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (リンパ節浸潤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 (リンパ節浸潤を表すコード値)
Fixed Value: 21893-3
...... display Σ 1..1 string Representation defined by the system (リンパ節浸潤の表示名)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... focus Σ 0..* Reference(Fujitsu Primary Cancer Condition Profile) The cancer condition associated with staging assessment (一次がんとの関連)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter Σ 1..1 Reference(Fujitsu Encounter Profile) Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
... effective[x] Σ 1..1 dateTime Often just a dateTime for Vital Signs (測定日時)
... value[x] ΣC 0..1 integer Actual result (結果の値)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* FujitsuObservationCommon Fujitsu Observation Lymph Node Invasion Profile (リンパ節浸潤プロファイル)
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)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... Slices for identifier Σ 0..* Identifier Business Identifier for observation (識別子)
Slice: Unordered, Open by value:system
.... identifier:emr Σ 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended + (Observationの状態)
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..* CodeableConcept Classification of type of observation Observationの種類(タイプ)の分類
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ 1..1 CodeableConcept Type of observation (code / type) observation のタイプ(コードまたはタイプ)
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:loinc Σ 1..1 Coding Code defined by a terminology system (リンパ節浸潤を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (リンパ節浸潤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 (リンパ節浸潤を表すコード値)
Fixed Value: 21893-3
...... display Σ 1..1 string Representation defined by the system (リンパ節浸潤の表示名)
.... 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)
... focus Σ 0..* Reference(Fujitsu Primary Cancer Condition Profile) The cancer condition associated with staging assessment (一次がんとの関連)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter Σ 1..1 Reference(Fujitsu Encounter Profile) Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... effective[x] Σ 1..1 dateTime Often just a dateTime for Vital Signs (測定日時)
... value[x] ΣC 0..1 integer Actual result (結果の値)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from FujitsuObservationCommon

Summary

Mandatory: 5 elements(1 nested mandatory element)
Fixed: 2 elements
Prohibited: 13 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron