Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation Tumor Size Profile (腫瘍サイズプロファイル)
code		1..1	CodeableConcept	Type of observation (code / type) (観察項目)
Slices for coding		1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:loinc		1..1	Coding	Code defined by a terminology system (腫瘍のサイズを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (腫瘍のサイズ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 (腫瘍のサイズを表すコード値) Fixed Value: 21889-1
display		1..1	string	Representation defined by the system (腫瘍のサイズの表示名)
userSelected		0..0
focus		0..*	Reference(Fujitsu Tumor Profile)	Identifies a tumor that has NOT been removed from the body (体から除去されていない腫瘍)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
performer		0..0
value[x]		0..0
method		0..1	CodeableConcept	Method for measuring the tumor (測定方法) Binding: Tumor Size Method ValueSet (example)
Slices for coding		1..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf		1..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method ValueSet (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (測定方法を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tumor-size-method
version		0..0
code		1..1	code	Symbol in syntax defined by the system (測定方法を表すコード値)
display		1..1	string	Representation defined by the system (測定方法の表示名)
userSelected		0..0
coding:snomed		0..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method Value Set (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (測定方法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 (測定方法を表すコード値)
display		1..1	string	Representation defined by the system (測定方法の表示名)
userSelected		0..0
specimen		0..1	Reference(Fujitsu Oncology Specimen Profile)	Specimen used for this observation　観察（観測、検査）に使われた検体材料
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
hasMember		0..0
Slices for component		1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
component:tumorLongestDimension		1..1	BackboneElement	Longest tumor dimension (cm or mm) (腫瘍の最長寸法)
code		1..1	CodeableConcept	Type of component observation (code / type) (観察項目)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (最長寸法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (最長寸法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 (最長寸法を表すコード値) Fixed Value: 33728-7
display		1..1	string	Representation defined by the system (最長寸法の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (最長寸法)
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:tumorOtherDimension		0..2	BackboneElement	2nd or 3rd tumor dimension (cm or mm) (2 番目または 3 番目の腫瘍の寸法)
code		1..1	CodeableConcept	Type of component observation (code / type) (観察項目)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (2、3番目の腫瘍寸法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (2、3番目の腫瘍寸法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 (2、3番目の腫瘍寸法を表すコード値) Fixed Value: 33729-5
display		1..1	string	Representation defined by the system (2、3番目の腫瘍寸法の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (2、3番目の腫瘍寸法)
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.method	example	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:hlpf	extensible	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:snomed	extensible	TumorSizeMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-method-vs

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Tumor Size Profile (腫瘍サイズプロファイル) 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) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system (腫瘍のサイズを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (腫瘍のサイズ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 (腫瘍のサイズを表すコード値) Fixed Value: 21889-1
display	Σ	1..1	string	Representation defined by the system (腫瘍のサイズの表示名)
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)
focus	Σ	0..*	Reference(Fujitsu Tumor Profile)	Identifies a tumor that has NOT been removed from the body (体から除去されていない腫瘍)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
effective[x]	Σ	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
method		0..1	CodeableConcept	Method for measuring the tumor (測定方法) Binding: Tumor Size Method ValueSet (example)
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	1..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (測定方法を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tumor-size-method
code	Σ	1..1	code	Symbol in syntax defined by the system (測定方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (測定方法の表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (測定方法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 (測定方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (測定方法の表示名)
specimen		0..1	Reference(Fujitsu Oncology Specimen Profile)	Specimen used for this observation　観察（観測、検査）に使われた検体材料
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
component:All Slices				Content/Rules for all slices
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (測定項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:tumorLongestDimension	Σ	1..1	BackboneElement	Longest tumor dimension (cm or mm) (腫瘍の最長寸法)
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (最長寸法を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (最長寸法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 (最長寸法を表すコード値) Fixed Value: 33728-7
display	Σ	1..1	string	Representation defined by the system (最長寸法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (最長寸法)
value[x]	Σ	0..1		Actual component result (結果値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
component:tumorOtherDimension	Σ	0..2	BackboneElement	2nd or 3rd tumor dimension (cm or mm) (2 番目または 3 番目の腫瘍の寸法)
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (2、3番目の腫瘍寸法を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (2、3番目の腫瘍寸法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 (2、3番目の腫瘍寸法を表すコード値) Fixed Value: 33729-5
display	Σ	1..1	string	Representation defined by the system (2、3番目の腫瘍寸法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (2、3番目の腫瘍寸法)
value[x]	Σ	0..1		Actual component result (結果値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
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	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.method	example	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:hlpf	extensible	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:snomed	extensible	TumorSizeMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-method-vs
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:tumorLongestDimension.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:tumorOtherDimension.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..*	FujitsuObservationCommon	Fujitsu Observation Tumor Size Profile (腫瘍サイズプロファイル) 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.
category		0..*	CodeableConcept	Classification of type of observation　Observationの種類（タイプ）の分類 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system (腫瘍のサイズを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (腫瘍のサイズ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 (腫瘍のサイズを表すコード値) Fixed Value: 21889-1
display	Σ	1..1	string	Representation defined by the system (腫瘍のサイズの表示名)
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 Tumor Profile)	Identifies a tumor that has NOT been removed from the body (体から除去されていない腫瘍)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
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		0..1	CodeableConcept	Method for measuring the tumor (測定方法) Binding: Tumor Size Method ValueSet (example)
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	1..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (測定方法を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tumor-size-method
code	Σ	1..1	code	Symbol in syntax defined by the system (測定方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (測定方法の表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (測定方法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 (測定方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (測定方法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (測定方法)
specimen		0..1	Reference(Fujitsu Oncology Specimen Profile)	Specimen used for this observation　観察（観測、検査）に使われた検体材料
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
component:All Slices				Content/Rules for all slices
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (測定項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result (測定値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing (結果値が欠損している理由) Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. (測定値の解釈) Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result (基準範囲)
component:tumorLongestDimension	Σ	1..1	BackboneElement	Longest tumor dimension (cm or mm) (腫瘍の最長寸法)
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (最長寸法を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (最長寸法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 (最長寸法を表すコード値) Fixed Value: 33728-7
display	Σ	1..1	string	Representation defined by the system (最長寸法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (最長寸法)
value[x]	Σ	0..1		Actual component result (結果値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing (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.
component:tumorOtherDimension	Σ	0..2	BackboneElement	2nd or 3rd tumor dimension (cm or mm) (2 番目または 3 番目の腫瘍の寸法)
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (2、3番目の腫瘍寸法を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (2、3番目の腫瘍寸法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 (2、3番目の腫瘍寸法を表すコード値) Fixed Value: 33729-5
display	Σ	1..1	string	Representation defined by the system (2、3番目の腫瘍寸法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (2、3番目の腫瘍寸法)
value[x]	Σ	0..1		Actual component result (結果値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing (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.
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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.method	example	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:hlpf	extensible	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:snomed	extensible	TumorSizeMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-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
Observation.component:tumorLongestDimension.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:tumorLongestDimension.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:tumorOtherDimension.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:tumorOtherDimension.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

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

Summary

Mandatory: 7 elements(16 nested mandatory elements)
Fixed: 8 elements
Prohibited: 39 elements

Structures

This structure refers to these other structures:

• Fujitsu Tumor Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-bodystructure-tumor)
• Fujitsu Oncology Specimen Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-specimen-oncology)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	FujitsuObservationCommon	Fujitsu Observation Tumor Size Profile (腫瘍サイズプロファイル)
code		1..1	CodeableConcept	Type of observation (code / type) (観察項目)
Slices for coding		1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:loinc		1..1	Coding	Code defined by a terminology system (腫瘍のサイズを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (腫瘍のサイズ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 (腫瘍のサイズを表すコード値) Fixed Value: 21889-1
display		1..1	string	Representation defined by the system (腫瘍のサイズの表示名)
userSelected		0..0
focus		0..*	Reference(Fujitsu Tumor Profile)	Identifies a tumor that has NOT been removed from the body (体から除去されていない腫瘍)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
performer		0..0
value[x]		0..0
method		0..1	CodeableConcept	Method for measuring the tumor (測定方法) Binding: Tumor Size Method ValueSet (example)
Slices for coding		1..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf		1..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method ValueSet (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (測定方法を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tumor-size-method
version		0..0
code		1..1	code	Symbol in syntax defined by the system (測定方法を表すコード値)
display		1..1	string	Representation defined by the system (測定方法の表示名)
userSelected		0..0
coding:snomed		0..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method Value Set (extensible)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (測定方法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 (測定方法を表すコード値)
display		1..1	string	Representation defined by the system (測定方法の表示名)
userSelected		0..0
specimen		0..1	Reference(Fujitsu Oncology Specimen Profile)	Specimen used for this observation　観察（観測、検査）に使われた検体材料
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
hasMember		0..0
Slices for component		1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
component:tumorLongestDimension		1..1	BackboneElement	Longest tumor dimension (cm or mm) (腫瘍の最長寸法)
code		1..1	CodeableConcept	Type of component observation (code / type) (観察項目)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (最長寸法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (最長寸法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 (最長寸法を表すコード値) Fixed Value: 33728-7
display		1..1	string	Representation defined by the system (最長寸法の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (最長寸法)
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
component:tumorOtherDimension		0..2	BackboneElement	2nd or 3rd tumor dimension (cm or mm) (2 番目または 3 番目の腫瘍の寸法)
code		1..1	CodeableConcept	Type of component observation (code / type) (観察項目)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (2、3番目の腫瘍寸法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (2、3番目の腫瘍寸法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 (2、3番目の腫瘍寸法を表すコード値) Fixed Value: 33729-5
display		1..1	string	Representation defined by the system (2、3番目の腫瘍寸法の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (2、3番目の腫瘍寸法)
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result (結果値)
interpretation		0..0
referenceRange		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.method	example	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:hlpf	extensible	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:snomed	extensible	TumorSizeMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-method-vs

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FujitsuObservationCommon	Fujitsu Observation Tumor Size Profile (腫瘍サイズプロファイル) 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) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定項目のコード) Slice: Unordered, Open by value:system
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system (腫瘍のサイズを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (腫瘍のサイズ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 (腫瘍のサイズを表すコード値) Fixed Value: 21889-1
display	Σ	1..1	string	Representation defined by the system (腫瘍のサイズの表示名)
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)
focus	Σ	0..*	Reference(Fujitsu Tumor Profile)	Identifies a tumor that has NOT been removed from the body (体から除去されていない腫瘍)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter	Σ	1..1	Reference(Fujitsu Encounter Profile)	Healthcare event during which this observation is made (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
effective[x]	Σ	1..1	dateTime	Often just a dateTime for Vital Signs (測定日時)
method		0..1	CodeableConcept	Method for measuring the tumor (測定方法) Binding: Tumor Size Method ValueSet (example)
extension		0..0
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system (測定方法のコード) Slice: Unordered, Open by value:system
coding:hlpf	Σ	1..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method ValueSet (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (測定方法を定義するコード体系) Fixed Value: http://ig.fujitsu.com/healthy-living/CodeSystem/tumor-size-method
code	Σ	1..1	code	Symbol in syntax defined by the system (測定方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (測定方法の表示名)
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system (測定方法を表すコード) Binding: Tumor Size Method Value Set (extensible)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (測定方法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 (測定方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (測定方法の表示名)
specimen		0..1	Reference(Fujitsu Oncology Specimen Profile)	Specimen used for this observation　観察（観測、検査）に使われた検体材料
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
Slices for component	Σ	1..*	BackboneElement	Component results　　コンポーネント結果 Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
component:All Slices				Content/Rules for all slices
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (測定項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:tumorLongestDimension	Σ	1..1	BackboneElement	Longest tumor dimension (cm or mm) (腫瘍の最長寸法)
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (最長寸法を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (最長寸法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 (最長寸法を表すコード値) Fixed Value: 33728-7
display	Σ	1..1	string	Representation defined by the system (最長寸法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (最長寸法)
value[x]	Σ	0..1		Actual component result (結果値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
component:tumorOtherDimension	Σ	0..2	BackboneElement	2nd or 3rd tumor dimension (cm or mm) (2 番目または 3 番目の腫瘍の寸法)
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) (観察項目) Binding: LOINCCodes (example): Codes identifying names of simple observations.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (2、3番目の腫瘍寸法を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (2、3番目の腫瘍寸法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 (2、3番目の腫瘍寸法を表すコード値) Fixed Value: 33729-5
display	Σ	1..1	string	Representation defined by the system (2、3番目の腫瘍寸法の表示名)
text	Σ	0..1	string	Plain text representation of the concept (2、3番目の腫瘍寸法)
value[x]	Σ	0..1		Actual component result (結果値)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
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	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.method	example	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:hlpf	extensible	TumorSizeMethodValueSet (a valid code from Tumor Size Method ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/tumor-size-method from this IG
Observation.method.coding:snomed	extensible	TumorSizeMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-method-vs
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:tumorLongestDimension.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:tumorOtherDimension.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()