Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu Observation MedicationAdherence Profile

Official URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-observation-medication-adherence Version: 1.1.28
Active as of 2025-07-09 Computable Name: FujitsuObservationMedicationAdherence

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines how to represent medication adherence.
このプロファイルは、服薬アドヒアランス率の情報を表す方法を定義します。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_Observation_Common

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* JP_Observation_Common Fujitsu Observation {enProfileName} Profile ({enProfileName})
... 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: social-history
...... display 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Social History
...... userSelected 0..0
... code 1..1 CodeableConcept Type of observation (code / type) (検査内容のコード)
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:PHRCode 1..1 Coding Code defined by a terminology system (服薬アドヒアランス率を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (服薬アドヒアランス率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 (服薬アドヒアランス率を表すコード値)
Fixed Value: medicationAdherence
...... display 1..1 string Representation defined by the system (服薬アドヒアランス率の表示名)
...... userSelected 0..0
.... text 0..1 string Plain text representation of the concept
... 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..* Reference(Fujitsu MedicationRequest Profile | Fujitsu MedicationRequest Injection Profile) What the observation is about, when it is not about the subject of record (アドヒアランス率の対象となる処方)
... encounter 0..0
... effective[x] 0..1 Period Measurement datetime or period (期間)
... issued 0..0
... performer 0..0
... value[x] 0..1 Quantity Actual result (アドヒアランス率)
... dataAbsentReason 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
... interpretation 0..0
... note 0..0
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
... referenceRange 0..0
... hasMember 0..0
... derivedFrom 0..0
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* JP_Observation_Common Fujitsu Observation {enProfileName} Profile ({enProfileName})
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)
... 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: social-history
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Social History
... code Σ 1..1 CodeableConcept Type of observation (code / type) (検査内容のコード)
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
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (服薬アドヒアランス率を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (服薬アドヒアランス率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 (服薬アドヒアランス率を表すコード値)
Fixed Value: medicationAdherence
...... display Σ 1..1 string Representation defined by the system (服薬アドヒアランス率の表示名)
.... text Σ 0..1 string Plain text representation of the concept
... 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 MedicationRequest Profile | Fujitsu MedicationRequest Injection Profile) What the observation is about, when it is not about the subject of record (アドヒアランス率の対象となる処方)
... effective[x] Σ 0..1 Period Measurement datetime or period (期間)
... value[x] ΣC 0..1 Quantity Actual result (アドヒアランス率)
... 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.

... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.category:firstpreferredObservationCategoryCodes
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.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..* JP_Observation_Common Fujitsu Observation {enProfileName} Profile ({enProfileName})
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)
... 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: social-history
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Social History
..... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of observation (code / type) (検査内容のコード)
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
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (服薬アドヒアランス率を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (服薬アドヒアランス率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 (服薬アドヒアランス率を表すコード値)
Fixed Value: medicationAdherence
...... display Σ 1..1 string Representation defined by the system (服薬アドヒアランス率の表示名)
.... text Σ 0..1 string Plain text representation of the concept
... 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 MedicationRequest Profile | Fujitsu MedicationRequest Injection Profile) What the observation is about, when it is not about the subject of record (アドヒアランス率の対象となる処方)
... effective[x] Σ 0..1 Period Measurement datetime or period (期間)
... value[x] ΣC 0..1 Quantity Actual result (アドヒアランス率)
... 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.

... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.category:firstpreferredObservationCategoryCodes
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 JP_Observation_Common

Summary

Mandatory: 9 elements(3 nested mandatory elements)
Fixed: 5 elements
Prohibited: 33 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding

Differential View

This structure is derived from JP_Observation_Common

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* JP_Observation_Common Fujitsu Observation {enProfileName} Profile ({enProfileName})
... 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: social-history
...... display 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Social History
...... userSelected 0..0
... code 1..1 CodeableConcept Type of observation (code / type) (検査内容のコード)
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:PHRCode 1..1 Coding Code defined by a terminology system (服薬アドヒアランス率を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (服薬アドヒアランス率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 (服薬アドヒアランス率を表すコード値)
Fixed Value: medicationAdherence
...... display 1..1 string Representation defined by the system (服薬アドヒアランス率の表示名)
...... userSelected 0..0
.... text 0..1 string Plain text representation of the concept
... 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..* Reference(Fujitsu MedicationRequest Profile | Fujitsu MedicationRequest Injection Profile) What the observation is about, when it is not about the subject of record (アドヒアランス率の対象となる処方)
... encounter 0..0
... effective[x] 0..1 Period Measurement datetime or period (期間)
... issued 0..0
... performer 0..0
... value[x] 0..1 Quantity Actual result (アドヒアランス率)
... dataAbsentReason 0..1 CodeableConcept Why the result is missing (結果値が欠損している理由)
... interpretation 0..0
... note 0..0
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)
... referenceRange 0..0
... hasMember 0..0
... derivedFrom 0..0
... component 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* JP_Observation_Common Fujitsu Observation {enProfileName} Profile ({enProfileName})
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)
... 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: social-history
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Social History
... code Σ 1..1 CodeableConcept Type of observation (code / type) (検査内容のコード)
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
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (服薬アドヒアランス率を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (服薬アドヒアランス率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 (服薬アドヒアランス率を表すコード値)
Fixed Value: medicationAdherence
...... display Σ 1..1 string Representation defined by the system (服薬アドヒアランス率の表示名)
.... text Σ 0..1 string Plain text representation of the concept
... 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 MedicationRequest Profile | Fujitsu MedicationRequest Injection Profile) What the observation is about, when it is not about the subject of record (アドヒアランス率の対象となる処方)
... effective[x] Σ 0..1 Period Measurement datetime or period (期間)
... value[x] ΣC 0..1 Quantity Actual result (アドヒアランス率)
... 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.

... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.category:firstpreferredObservationCategoryCodes
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.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..* JP_Observation_Common Fujitsu Observation {enProfileName} Profile ({enProfileName})
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)
... 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: social-history
...... display Σ 1..1 string Representation defined by the system (観察のカテゴリの表示名)
Fixed Value: Social History
..... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of observation (code / type) (検査内容のコード)
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
..... coding:PHRCode Σ 1..1 Coding Code defined by a terminology system (服薬アドヒアランス率を表すコード)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (服薬アドヒアランス率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 (服薬アドヒアランス率を表すコード値)
Fixed Value: medicationAdherence
...... display Σ 1..1 string Representation defined by the system (服薬アドヒアランス率の表示名)
.... text Σ 0..1 string Plain text representation of the concept
... 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 MedicationRequest Profile | Fujitsu MedicationRequest Injection Profile) What the observation is about, when it is not about the subject of record (アドヒアランス率の対象となる処方)
... effective[x] Σ 0..1 Period Measurement datetime or period (期間)
... value[x] ΣC 0..1 Quantity Actual result (アドヒアランス率)
... 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.

... device 0..1 Reference(Fujitsu Device Profile) (Measurement) Device (測定機器)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.category:firstpreferredObservationCategoryCodes
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 JP_Observation_Common

Summary

Mandatory: 9 elements(3 nested mandatory elements)
Fixed: 5 elements
Prohibited: 33 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding

 

Other representations of profile: CSV, Excel, Schematron