Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationTNMCategory	Fujitsu Observation TNM Primary Tumor Category Profile (がんステージTNM分類原発腫瘍プロファイル)
code		1..1	CodeableConcept	Type of observation (code / type)　observation のタイプ（コードまたはタイプ） Binding: TNM Primary Tumor Staging Type ValueSet (preferred)
coding		1..*	Coding	Code defined by a terminology system (測定項目のコード)
coding:loinc		1..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーの種類を表すコード) Binding: TNM Primary Tumor Staging Type ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーの種類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 (原発腫瘍カテゴリーの種類を表すコード値)
display		1..1	string	Representation defined by the system (原発腫瘍カテゴリーの種類の表示名)
userSelected		0..0
value[x]
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:hlpf		0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Category ValueSet (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-primary-tumor-category
version		0..0
code		1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display		1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
userSelected		0..0
coding:snomed		0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Maximum Value Set (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display		1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
userSelected		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	preferred	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.code.coding:loinc	required	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.value[x].coding:hlpf	extensible	TNMPrimaryTumorCategoryValueSet (a valid code from TNM Primary Tumor Category) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-category from this IG
Observation.value[x].coding:snomed	extensible	TNMPrimaryTumorCategoryMaxVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-max-vs

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationTNMCategory	Fujitsu Observation TNM Primary Tumor Category Profile (がんステージTNM分類原発腫瘍プロファイル) 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: TNM Primary Tumor Staging Type ValueSet (preferred)
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..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーの種類を表すコード) Binding: TNM Primary Tumor Staging Type ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーの種類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 (原発腫瘍カテゴリーの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの種類の表示名)
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)
encounter	Σ	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この行為が行わ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)
method		1..1	CodeableConcept	How it was done (ステージング決定方法) Binding: ObservationMethods (example): Methods for simple observations.
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-staging-method
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:uicc	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	preferred	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.code.coding:loinc	required	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.method.coding:hlpf	extensible	TNMStagingMethodValueSet (a valid code from TNM Staging Method) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-staging-method from this IG
Observation.method.coding:snomed	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.method.coding:uicc	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.component.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..*	FujitsuObservationTNMCategory	Fujitsu Observation TNM Primary Tumor Category Profile (がんステージTNM分類原発腫瘍プロファイル) 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)
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.
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: TNM Primary Tumor Staging Type ValueSet (preferred)
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..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーの種類を表すコード) Binding: TNM Primary Tumor Staging Type ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーの種類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 (原発腫瘍カテゴリーの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの種類の表示名)
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 (この行為が行わ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	CodeableConcept	Actual result (結果の値)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:hlpf	Σ	0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Category ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-primary-tumor-category
code	Σ	1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Maximum Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
text	Σ	0..1	string	Plain text representation of the concept
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.
method		1..1	CodeableConcept	How it was done (ステージング決定方法) Binding: ObservationMethods (example): Methods for simple observations.
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-staging-method
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:uicc	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
text	Σ	0..1	string	Plain text representation of the concept (測定方法)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	preferred	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.code.coding:loinc	required	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.value[x].coding:hlpf	extensible	TNMPrimaryTumorCategoryValueSet (a valid code from TNM Primary Tumor Category) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-category from this IG
Observation.value[x].coding:snomed	extensible	TNMPrimaryTumorCategoryMaxVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-max-vs
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.method.coding:hlpf	extensible	TNMStagingMethodValueSet (a valid code from TNM Staging Method) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-staging-method from this IG
Observation.method.coding:snomed	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.method.coding:uicc	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
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

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()

Summary

Mandatory: 5 elements(6 nested mandatory elements)
Fixed: 3 elements
Prohibited: 12 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x].coding

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationTNMCategory	Fujitsu Observation TNM Primary Tumor Category Profile (がんステージTNM分類原発腫瘍プロファイル)
code		1..1	CodeableConcept	Type of observation (code / type)　observation のタイプ（コードまたはタイプ） Binding: TNM Primary Tumor Staging Type ValueSet (preferred)
coding		1..*	Coding	Code defined by a terminology system (測定項目のコード)
coding:loinc		1..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーの種類を表すコード) Binding: TNM Primary Tumor Staging Type ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーの種類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 (原発腫瘍カテゴリーの種類を表すコード値)
display		1..1	string	Representation defined by the system (原発腫瘍カテゴリーの種類の表示名)
userSelected		0..0
value[x]
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:hlpf		0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Category ValueSet (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-primary-tumor-category
version		0..0
code		1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display		1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
userSelected		0..0
coding:snomed		0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Maximum Value Set (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display		1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
userSelected		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	preferred	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.code.coding:loinc	required	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.value[x].coding:hlpf	extensible	TNMPrimaryTumorCategoryValueSet (a valid code from TNM Primary Tumor Category) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-category from this IG
Observation.value[x].coding:snomed	extensible	TNMPrimaryTumorCategoryMaxVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-max-vs

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationTNMCategory	Fujitsu Observation TNM Primary Tumor Category Profile (がんステージTNM分類原発腫瘍プロファイル) 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: TNM Primary Tumor Staging Type ValueSet (preferred)
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..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーの種類を表すコード) Binding: TNM Primary Tumor Staging Type ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーの種類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 (原発腫瘍カテゴリーの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの種類の表示名)
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)
encounter	Σ	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この行為が行わ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)
method		1..1	CodeableConcept	How it was done (ステージング決定方法) Binding: ObservationMethods (example): Methods for simple observations.
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-staging-method
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:uicc	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	preferred	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.code.coding:loinc	required	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.method.coding:hlpf	extensible	TNMStagingMethodValueSet (a valid code from TNM Staging Method) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-staging-method from this IG
Observation.method.coding:snomed	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.method.coding:uicc	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.component.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..*	FujitsuObservationTNMCategory	Fujitsu Observation TNM Primary Tumor Category Profile (がんステージTNM分類原発腫瘍プロファイル) 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)
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.
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: TNM Primary Tumor Staging Type ValueSet (preferred)
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..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーの種類を表すコード) Binding: TNM Primary Tumor Staging Type ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーの種類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 (原発腫瘍カテゴリーの種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの種類の表示名)
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 (この行為が行わ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	CodeableConcept	Actual result (結果の値)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:hlpf	Σ	0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Category ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-primary-tumor-category
code	Σ	1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (原発腫瘍カテゴリーを表すコード) Binding: TNM Primary Tumor Maximum Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (原発腫瘍カテゴリーを定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (原発腫瘍カテゴリーを表すコード値)
display	Σ	1..1	string	Representation defined by the system (原発腫瘍カテゴリーの表示名)
text	Σ	0..1	string	Plain text representation of the concept
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.
method		1..1	CodeableConcept	How it was done (ステージング決定方法) Binding: ObservationMethods (example): Methods for simple observations.
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tnm-staging-method
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
coding:uicc	Σ	0..*	Coding	Code defined by a terminology system (がんのTNM分類に使用されるシステムを表すコード) Binding: TNM Staging Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (がんのTNM分類に使用されるシステムを定義するコード体系) Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
code	Σ	1..1	code	Symbol in syntax defined by the system (がんのTNM分類に使用されるシステムを表すコード値)
display	Σ	1..1	string	Representation defined by the system (がんのTNM分類に使用されるシステムの表示名)
text	Σ	0..1	string	Plain text representation of the concept (測定方法)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:emr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	preferred	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.code.coding:loinc	required	TNMPrimaryTumorStagingTypeValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-staging-type from this IG
Observation.value[x].coding:hlpf	extensible	TNMPrimaryTumorCategoryValueSet (a valid code from TNM Primary Tumor Category) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-primary-tumor-category from this IG
Observation.value[x].coding:snomed	extensible	TNMPrimaryTumorCategoryMaxVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-max-vs
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.method.coding:hlpf	extensible	TNMStagingMethodValueSet (a valid code from TNM Staging Method) http://ig.fujitsu.com/healthy-living/ValueSet/tnm-staging-method from this IG
Observation.method.coding:snomed	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.method.coding:uicc	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
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

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()

Summary

Mandatory: 5 elements(6 nested mandatory elements)
Fixed: 3 elements
Prohibited: 12 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x].coding