HL7 FHIR JP Core ImplementationGuide
1.1.0a - ci-build Japan flag

HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.0a). See the Directory of published versions

Resource Profile: JP Core Observation VitalSigns Profile

項目内容
定義URL http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_VitalSigns
Version 1.1.0a
Name

JP_Observation_VitalSigns

Title

JP Core Observation VitalSigns Profile

Status Active ( 2022-09-26 )
Copyright

FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)

このプロファイルはObservationリソースに対して、バイタルサインのデータを送受信するための制約と拡張を定めたものである。


本プロファイル説明は、患者に付属する一項目分のバイタルサイン情報について、情報の登録や検索、取得のために、FHIR Observationリソースを使用するにあたっての、最低限の制約を記述したものである。 Observation リソースに対して本プロファイルに準拠する場合に必須となる要素や、サポートすべき拡張、用語、検索パラメータを定義する。

背景および想定シナリオ

本プロファイルは、以下のようなユースケースを想定している。

  • Patientリソースから指定された日時、期間での患者バイタルサイン情報の参照
  • Patientリソースから指定された患者バイタルサイン項目に対する指定された期間でのバイタルサイン情報の参照
  • Patientリソースから標準値を外れた患者バイタルサイン情報の参照
  • 指定された期間や患者バイタルサイン項目に対し、条件に合致するバイタルサイン情報、または関連する他のリソース(Observationリソースや、Patientリソース等)の参照。

スコープ

Observationはヘルスケアの中心的な要素であり、診断の支援、進捗状況の監視、ベースラインやパターンの決定、さらには人口統計学的特性の把握に使用される。ほとんどのObservationは、いくつかのメタデータを持つ単純な名前/値のペアのアサーションであるが、いくつかのObservationは、他の Observationを論理的にグループ化したり、あるいはマルチコンポーネントのObservationであったりする。

本プロファイルでは上記想定シナリオにて用いられるObservationの用途がスコープであり、患者基本情報の中でも特に患者バイタルサインに該当する情報項目の1つを取り扱う際に、必要な要件を定義している。

プロファイル定義

Usage:

プロファイル詳細

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*JP_Observation_Commonバイタルサインに関する測定や簡単な観察事実(assertion)
... category 1..*CodeableConceptClassification of type of observation Observationの種類(タイプ)の分類
Binding: JP Core Observation VitalSigns Category ValueSet (preferred)
... code 1..1CodeableConceptType of observation (code / type) observation のタイプ(コードまたはタイプ)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)
... subject 1..1Reference(JP Core Patient Profile)Who and/or what the observation is about 観察対象者
... encounter 0..1Reference(JP Core Encounter Profile)Healthcare event during which this observation is made このobservationが行われるヘルスケアイベント
... effective[x] 0..1Clinically relevant time/time-period for observation 臨床的に関連する時刻または時間
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... hasMember 0..*Reference(JP Core Observation Common Profile | QuestionnaireResponse | MolecularSequence | JP Core Observation VitalSigns Profile)Related resource that belongs to the Observation group observationグループに属する関連リソース
... derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence | JP Core Observation VitalSigns Profile)Related measurements the observation is made from observation が作られる元の関連する測定
... component
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*JP_Observation_Commonバイタルサインに関する測定や簡単な観察事実(assertion)
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation Observationのためのビジネス識別子
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | JP Core MedicationRequest Profile | JP Core MedicationRequest Injection Profile | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order 実施されるプラン、提案、依頼
... partOf Σ0..*Reference(JP Core MedicationAdministration Profile | JP Core MedicationAdministration Injection Profile | JP Core MedicationDispenseBase Profile | MedicationStatement | JP Core Procedure Profile | JP Core Immunization Profile | ImagingStudy)Part of referenced event 参照されるイベントの一部分
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 1..*CodeableConceptClassification of type of observation Observationの種類(タイプ)の分類
Binding: JP Core Observation VitalSigns Category ValueSet (preferred)
... code Σ1..1CodeableConceptType of observation (code / type) observation のタイプ(コードまたはタイプ)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)
... subject Σ1..1Reference(JP Core Patient Profile)Who and/or what the observation is about 観察対象者
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record subject 要素が実際のobservationの対象でない場合に、observation の対象物
... encounter Σ0..1Reference(JP Core Encounter Profile)Healthcare event during which this observation is made このobservationが行われるヘルスケアイベント
... effective[x] Σ0..1Clinically relevant time/time-period for observation 臨床的に関連する時刻または時間
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available このバージョンが利用可能となった日時
... performer Σ0..*Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | CareTeam | JP Core Patient Profile | RelatedPerson)Who is responsible for the observation observationに責任をもつ者
... value[x] ΣC0..1Actual result 実際の結果値
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConceptWhy the result is missing 結果が欠損値である理由
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation 結果に対するコメント
... bodySite 0..1CodeableConceptBindingについてはユースケースに応じて各プロファイルで定義すること
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptBindingについてはユースケースに応じて各プロファイルで定義すること
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation 観察(観測、検査)に使われた検体材料
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device 測定機器
... referenceRange C0..*BackboneElementProvides guide for interpretation 解釈のためのガイドを与える
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(JP Core Observation Common Profile | QuestionnaireResponse | MolecularSequence | JP Core Observation VitalSigns Profile)Related resource that belongs to the Observation group observationグループに属する関連リソース
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence | JP Core Observation VitalSigns Profile)Related measurements the observation is made from observation が作られる元の関連する測定
... component Σ0..*BackboneElementComponent results  コンポーネント結果
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)
.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredJP_ObservationVitalSignsCategory_VS
Observation.codepreferredJP_ObservationVitalSignsCode_VS
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codepreferredJP_ObservationVitalSignsCode_VS
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePathDetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeObservationA resource should have narrative for robust management
: text.`div`.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
ele-1errorObservation.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.issuedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.specimenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.deviceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
ele-1errorObservation.referenceRange.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.referenceRange.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.referenceRange.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.referenceRange.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.referenceRange.lowAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.highAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.appliesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.ageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.hasMemberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.derivedFromAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*JP_Observation_Commonバイタルサインに関する測定や簡単な観察事実(assertion)
... category 1..*CodeableConceptClassification of type of observation Observationの種類(タイプ)の分類
Binding: JP Core Observation VitalSigns Category ValueSet (preferred)
... code 1..1CodeableConceptType of observation (code / type) observation のタイプ(コードまたはタイプ)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)
... subject 1..1Reference(JP Core Patient Profile)Who and/or what the observation is about 観察対象者
... encounter 0..1Reference(JP Core Encounter Profile)Healthcare event during which this observation is made このobservationが行われるヘルスケアイベント
... effective[x] 0..1Clinically relevant time/time-period for observation 臨床的に関連する時刻または時間
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... hasMember 0..*Reference(JP Core Observation Common Profile | QuestionnaireResponse | MolecularSequence | JP Core Observation VitalSigns Profile)Related resource that belongs to the Observation group observationグループに属する関連リソース
... derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence | JP Core Observation VitalSigns Profile)Related measurements the observation is made from observation が作られる元の関連する測定
... component
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*JP_Observation_Commonバイタルサインに関する測定や簡単な観察事実(assertion)
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation Observationのためのビジネス識別子
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | JP Core MedicationRequest Profile | JP Core MedicationRequest Injection Profile | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order 実施されるプラン、提案、依頼
... partOf Σ0..*Reference(JP Core MedicationAdministration Profile | JP Core MedicationAdministration Injection Profile | JP Core MedicationDispenseBase Profile | MedicationStatement | JP Core Procedure Profile | JP Core Immunization Profile | ImagingStudy)Part of referenced event 参照されるイベントの一部分
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 1..*CodeableConceptClassification of type of observation Observationの種類(タイプ)の分類
Binding: JP Core Observation VitalSigns Category ValueSet (preferred)
... code Σ1..1CodeableConceptType of observation (code / type) observation のタイプ(コードまたはタイプ)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)
... subject Σ1..1Reference(JP Core Patient Profile)Who and/or what the observation is about 観察対象者
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record subject 要素が実際のobservationの対象でない場合に、observation の対象物
... encounter Σ0..1Reference(JP Core Encounter Profile)Healthcare event during which this observation is made このobservationが行われるヘルスケアイベント
... effective[x] Σ0..1Clinically relevant time/time-period for observation 臨床的に関連する時刻または時間
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available このバージョンが利用可能となった日時
... performer Σ0..*Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | CareTeam | JP Core Patient Profile | RelatedPerson)Who is responsible for the observation observationに責任をもつ者
... value[x] ΣC0..1Actual result 実際の結果値
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConceptWhy the result is missing 結果が欠損値である理由
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation 結果に対するコメント
... bodySite 0..1CodeableConceptBindingについてはユースケースに応じて各プロファイルで定義すること
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptBindingについてはユースケースに応じて各プロファイルで定義すること
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation 観察(観測、検査)に使われた検体材料
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device 測定機器
... referenceRange C0..*BackboneElementProvides guide for interpretation 解釈のためのガイドを与える
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(JP Core Observation Common Profile | QuestionnaireResponse | MolecularSequence | JP Core Observation VitalSigns Profile)Related resource that belongs to the Observation group observationグループに属する関連リソース
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | JP Core Observation Common Profile | MolecularSequence | JP Core Observation VitalSigns Profile)Related measurements the observation is made from observation が作られる元の関連する測定
... component Σ0..*BackboneElementComponent results  コンポーネント結果
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: JP Core Observation VitalSigns Code ValueSet (preferred)
.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredJP_ObservationVitalSignsCategory_VS
Observation.codepreferredJP_ObservationVitalSignsCode_VS
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codepreferredJP_ObservationVitalSignsCode_VS
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePathDetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeObservationA resource should have narrative for robust management
: text.`div`.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
ele-1errorObservation.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.issuedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.specimenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.deviceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
ele-1errorObservation.referenceRange.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.referenceRange.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.referenceRange.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.referenceRange.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.referenceRange.lowAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.highAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.appliesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.ageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.referenceRange.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.hasMemberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.derivedFromAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorObservation.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorObservation.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorObservation.component.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

 

Other representations of profile: CSV, Excel, Schematron

必須要素

本プロファイルは、次の要素を持たなければならない。

  • status︓患者バイタルサイン情報項目の状態は必須である
  • category︓このリソースが示す患者バイタルサイン情報項目を分類するための区分であり、このプロファイルでは必須とする
  • code︓このリソースは何の患者バイタルサイン情報項目であるかを示すため必須である
  • subject︓このリソースが示す患者バイタルサイン情報項目が、どの患者のものかを示すため、このプロファイルでは参照するpatientリソースの定義を必須とする

Extension定義

このプロファイルでは拡張定義は行っていない。

利用方法

OperationおよびSearch Parameter 一覧

Search Parameter一覧

バイタルサインユースケースのSearch Parameter一覧は共通情報プロファイルに記載されている。

検索時のcategoryパラメータは”vital-sign”となる。

Observation共通情報プロファイル#Search Parameter一覧

Operation一覧

ObservationリソースのOperation一覧の定義はユースケースに依存せず共通であるため、共通情報プロファイルに記載されている。

Observation共通情報プロファイル#Operation一覧

サンプル