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Resource Profile: Fujitsu Observation Tumor Marker Test Profile

This profile defines the patient’s tumor marker test.
このプロファイルは、患者の腫瘍マーカーテストを定義します。

Usage:

• Examples for this Resource Profile: Observation/tumor-marker-test

Formal Views of Profile Content

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

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

This structure is derived from FujitsuObservationLabResult

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationLabResult	Fujitsu Observation Tumor Marker Test Profile (腫瘍マーカーテストプロファイル)
code		1..1	CodeableConcept	Laboratory Test Name (検査名)
coding:JLAC10		0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Tumor Marker Test ValueSet (required)
interpretation		0..0
device		0..0
referenceRange		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code.coding:JLAC10	required	TumorMarkerTestValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tumor-marker-test from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationLabResult	Fujitsu Observation Tumor Marker Test Profile (腫瘍マーカーテストプロファイル) 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
contained		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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][検査コード] 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.
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory		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. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	ΣC	1..1	CodeableConcept	Laboratory Test Name (検査名) Binding: JP Core Observation LabResult Code ValueSet (preferred): MEDIS 臨床検査マスター fujitsu-5: Lab Result Code or Data Absent Reason
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JLAC10	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Tumor Marker Test ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果を定義するコード体系) Fixed Value: urn:oid:1.2.392.200119.4.504
code	Σ	1..1	code	Symbol in syntax defined by the system (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:ips	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Results Laboratory Observation - IPS (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果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 (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現)
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	Clinically relevant time/time-period for observation (検体検査の場合は、検体採取日時。)
Slices for value[x]	ΣC	0..1		同じ検査項目でも、システム（施設）により、使うデータ型が異なる可能性あり。【詳細参照】 Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	検査結果が「数値」の場合、値、単位を設定する。　SS-MIX2／HL7 V2.5→ OBX-2＝「NM」の時の OBX-5(結果値)、OBX-6(単位)【詳細参照】 Binding: Fujitsu UCUM (required)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (測定値)
value[x]:valueString	ΣC	0..1	string	文字型の検体検査結果の場合に使用する
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	検査結果が「コード値」の場合、コード、テキスト、コードのValue setを定義する。　SS-MIX2／HL7 V2.5→ OBX-2＝「CWE」の時の OBX-5(結果値)【詳細参照】
specimen		1..1	Reference(Fujitsu Specimen Profile)	Sample for analysis (検体への参照)
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) Fixed Value: #specimen
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	JP_ObservationLabResultCode_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationLabResultCode_VS
Observation.code.coding:JLAC10	required	TumorMarkerTestValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tumor-marker-test from this IG
Observation.code.coding:ips	extensible	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.value[x]:valueQuantity	required	FujitsuUCUM http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-ucum from this IG
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()
fujitsu-5	error	Observation.code	Lab Result Code or Data Absent Reason : coding.exists(system = 'urn:oid:1.2.392.200119.4.504') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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..*	FujitsuObservationLabResult	Fujitsu Observation Tumor Marker Test Profile (腫瘍マーカーテストプロファイル) 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		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
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:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier 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.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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][検査コード] 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.
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory		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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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 (検査の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検査の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept
code	ΣC	1..1	CodeableConcept	Laboratory Test Name (検査名) Binding: JP Core Observation LabResult Code ValueSet (preferred): MEDIS 臨床検査マスター fujitsu-5: Lab Result Code or Data Absent Reason
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JLAC10	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Tumor Marker Test ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果を定義するコード体系) Fixed Value: urn:oid:1.2.392.200119.4.504
code	Σ	1..1	code	Symbol in syntax defined by the system (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:ips	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Results Laboratory Observation - IPS (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果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 (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現)
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)
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	Clinically relevant time/time-period for observation (検体検査の場合は、検体採取日時。)
Slices for value[x]	ΣC	0..1		同じ検査項目でも、システム（施設）により、使うデータ型が異なる可能性あり。【詳細参照】 Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	検査結果が「数値」の場合、値、単位を設定する。　SS-MIX2／HL7 V2.5→ OBX-2＝「NM」の時の OBX-5(結果値)、OBX-6(単位)【詳細参照】 Binding: Fujitsu UCUM (required)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (測定値)
unit	Σ	0..1	string	Unit representation (単位コードの表示名。単位がある場合は必ず指定し、単位がない場合のみ省略可能)
system	ΣC	0..1	uri	System that defines coded unit form (単位形式を定義するコード体系。単位がある場合は必ず指定し、単位がない場合のみ省略可能)
code	Σ	0..1	code	Coded form of the unit (単位コード。単位がある場合は必ず指定し、単位がない場合のみ省略可能)
value[x]:valueString	ΣC	0..1	string	文字型の検体検査結果の場合に使用する
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	検査結果が「コード値」の場合、コード、テキスト、コードのValue setを定義する。　SS-MIX2／HL7 V2.5→ OBX-2＝「CWE」の時の OBX-5(結果値)【詳細参照】
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
specimen		1..1	Reference(Fujitsu Specimen Profile)	Sample for analysis (検体への参照)
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) Fixed Value: #specimen
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	JP_ObservationLabResultCode_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationLabResultCode_VS
Observation.code.coding:JLAC10	required	TumorMarkerTestValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tumor-marker-test from this IG
Observation.code.coding:ips	extensible	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueQuantity	required	FujitsuUCUM http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-ucum from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason 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()
fujitsu-5	error	Observation.code	Lab Result Code or Data Absent Reason : coding.exists(system = 'urn:oid:1.2.392.200119.4.504') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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()

This structure is derived from FujitsuObservationLabResult

Summary

Prohibited: 3 elements

Differential View

This structure is derived from FujitsuObservationLabResult

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationLabResult	Fujitsu Observation Tumor Marker Test Profile (腫瘍マーカーテストプロファイル)
code		1..1	CodeableConcept	Laboratory Test Name (検査名)
coding:JLAC10		0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Tumor Marker Test ValueSet (required)
interpretation		0..0
device		0..0
referenceRange		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code.coding:JLAC10	required	TumorMarkerTestValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tumor-marker-test from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationLabResult	Fujitsu Observation Tumor Marker Test Profile (腫瘍マーカーテストプロファイル) 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
contained		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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][検査コード] 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.
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory		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. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	ΣC	1..1	CodeableConcept	Laboratory Test Name (検査名) Binding: JP Core Observation LabResult Code ValueSet (preferred): MEDIS 臨床検査マスター fujitsu-5: Lab Result Code or Data Absent Reason
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JLAC10	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Tumor Marker Test ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果を定義するコード体系) Fixed Value: urn:oid:1.2.392.200119.4.504
code	Σ	1..1	code	Symbol in syntax defined by the system (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:ips	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Results Laboratory Observation - IPS (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果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 (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現)
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	Clinically relevant time/time-period for observation (検体検査の場合は、検体採取日時。)
Slices for value[x]	ΣC	0..1		同じ検査項目でも、システム（施設）により、使うデータ型が異なる可能性あり。【詳細参照】 Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	検査結果が「数値」の場合、値、単位を設定する。　SS-MIX2／HL7 V2.5→ OBX-2＝「NM」の時の OBX-5(結果値)、OBX-6(単位)【詳細参照】 Binding: Fujitsu UCUM (required)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (測定値)
value[x]:valueString	ΣC	0..1	string	文字型の検体検査結果の場合に使用する
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	検査結果が「コード値」の場合、コード、テキスト、コードのValue setを定義する。　SS-MIX2／HL7 V2.5→ OBX-2＝「CWE」の時の OBX-5(結果値)【詳細参照】
specimen		1..1	Reference(Fujitsu Specimen Profile)	Sample for analysis (検体への参照)
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) Fixed Value: #specimen
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	JP_ObservationLabResultCode_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationLabResultCode_VS
Observation.code.coding:JLAC10	required	TumorMarkerTestValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tumor-marker-test from this IG
Observation.code.coding:ips	extensible	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.value[x]:valueQuantity	required	FujitsuUCUM http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-ucum from this IG
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()
fujitsu-5	error	Observation.code	Lab Result Code or Data Absent Reason : coding.exists(system = 'urn:oid:1.2.392.200119.4.504') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationLabResult	Fujitsu Observation Tumor Marker Test Profile (腫瘍マーカーテストプロファイル) 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		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
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:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier 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.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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][検査コード] 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.
Slices for category		1..*	CodeableConcept	Classification of type of observation (Observationの種類) Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory		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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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 (検査の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検査の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (検査の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検査の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept
code	ΣC	1..1	CodeableConcept	Laboratory Test Name (検査名) Binding: JP Core Observation LabResult Code ValueSet (preferred): MEDIS 臨床検査マスター fujitsu-5: Lab Result Code or Data Absent Reason
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JLAC10	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Tumor Marker Test ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果を定義するコード体系) Fixed Value: urn:oid:1.2.392.200119.4.504
code	Σ	1..1	code	Symbol in syntax defined by the system (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:ips	Σ	0..1	Coding	Code defined by a terminology system (検体検査結果を表すコード) Binding: Results Laboratory Observation - IPS (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (検体検査結果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 (検体検査結果を表すコード値)
display	Σ	1..1	string	Representation defined by the system (検体検査結果の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現)
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)
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	Clinically relevant time/time-period for observation (検体検査の場合は、検体採取日時。)
Slices for value[x]	ΣC	0..1		同じ検査項目でも、システム（施設）により、使うデータ型が異なる可能性あり。【詳細参照】 Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	検査結果が「数値」の場合、値、単位を設定する。　SS-MIX2／HL7 V2.5→ OBX-2＝「NM」の時の OBX-5(結果値)、OBX-6(単位)【詳細参照】 Binding: Fujitsu UCUM (required)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (測定値)
unit	Σ	0..1	string	Unit representation (単位コードの表示名。単位がある場合は必ず指定し、単位がない場合のみ省略可能)
system	ΣC	0..1	uri	System that defines coded unit form (単位形式を定義するコード体系。単位がある場合は必ず指定し、単位がない場合のみ省略可能)
code	Σ	0..1	code	Coded form of the unit (単位コード。単位がある場合は必ず指定し、単位がない場合のみ省略可能)
value[x]:valueString	ΣC	0..1	string	文字型の検体検査結果の場合に使用する
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	検査結果が「コード値」の場合、コード、テキスト、コードのValue setを定義する。　SS-MIX2／HL7 V2.5→ OBX-2＝「CWE」の時の OBX-5(結果値)【詳細参照】
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
specimen		1..1	Reference(Fujitsu Specimen Profile)	Sample for analysis (検体への参照)
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) Fixed Value: #specimen
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:laboratory	preferred	Pattern: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	preferred	JP_ObservationLabResultCode_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ObservationLabResultCode_VS
Observation.code.coding:JLAC10	required	TumorMarkerTestValueSet http://ig.fujitsu.com/healthy-living/ValueSet/tumor-marker-test from this IG
Observation.code.coding:ips	extensible	ResultsLaboratoryObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips
Observation.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.value[x]:valueQuantity	required	FujitsuUCUM http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-ucum from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason 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()
fujitsu-5	error	Observation.code	Lab Result Code or Data Absent Reason : coding.exists(system = 'urn:oid:1.2.392.200119.4.504') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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()

This structure is derived from FujitsuObservationLabResult

Summary

Prohibited: 3 elements

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