# EPath Observation Execution - ePath R4 Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **EPath Observation Execution**

## Resource Profile: EPath Observation Execution 

| | |
| :--- | :--- |
| *Official URL*:http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationExecution | *Version*:1.0.1 |
| Active as of 2026-02-19 | *Computable Name*:EPathObservationExecution |
| **Copyright/Legal**: Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0 | |

 
観察結果 

**Usages:**

* Use this Profile: [EPath Goal AssessmentExecution](StructureDefinition-EPathGoalAssessmentExecution.md) and [EPath Goal Outcome](StructureDefinition-EPathGoalOutcome.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/r4ig|current/StructureDefinition/EPathObservationExecution)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-EPathObservationExecution.csv), [Excel](StructureDefinition-EPathObservationExecution.xlsx), [Schematron](StructureDefinition-EPathObservationExecution.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "EPathObservationExecution",
  "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationExecution",
  "version" : "1.0.1",
  "name" : "EPathObservationExecution",
  "title" : "EPath Observation Execution",
  "status" : "active",
  "date" : "2026-02-19T12:27:55+09:00",
  "contact" : [
    {
      "name" : "ePath Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://e-path.jp"
        }
      ]
    }
  ],
  "description" : "観察結果",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166-2",
          "code" : "JP"
        }
      ]
    }
  ],
  "copyright" : "Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.org/attributebinding",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation.meta",
        "path" : "Observation.meta",
        "min" : 1
      },
      {
        "id" : "Observation.meta.profile",
        "path" : "Observation.meta.profile",
        "short" : "本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationExecution|x.y.z を設定する。",
        "definition" : "本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationExecution|x.y.z を設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.identifier",
        "path" : "Observation.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Observation.identifier:observationResultId",
        "path" : "Observation.identifier",
        "sliceName" : "observationResultId",
        "short" : "リソース一意識別子（観察結果）",
        "definition" : "リソース一意識別子（観察結果）",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Observation.identifier:observationResultId.system",
        "path" : "Observation.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/observation-result-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/observation-result-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/observation-result-id"
      },
      {
        "id" : "Observation.identifier:observationResultId.value",
        "path" : "Observation.identifier.value",
        "short" : "観察結果を通して、一意の識別子を設定する。",
        "definition" : "観察結果を通して、一意の識別子を設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.status",
        "path" : "Observation.status",
        "definition" : "実施情報の場合、finalを設定する。修正情報の場合、cancelledを設定する。",
        "mustSupport" : true
      },
      {
        "id" : "Observation.category",
        "path" : "Observation.category",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "coding.system"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.category:BOMAssessmentCategory",
        "path" : "Observation.category",
        "sliceName" : "BOMAssessmentCategory",
        "short" : "BOM観察項目分類コード・名称",
        "definition" : "BOM観察項目分類コード・名称\r\n「BOM観察項目分類コード」より設定する。",
        "min" : 0,
        "max" : "*",
        "mustSupport" : false
      },
      {
        "id" : "Observation.category:BOMAssessmentCategory.coding",
        "path" : "Observation.category.coding",
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS"
        }
      },
      {
        "id" : "Observation.category:BOMAssessmentCategory.coding.system",
        "path" : "Observation.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS",
        "mustSupport" : true
      },
      {
        "id" : "Observation.category:BOMAssessmentCategory.coding.code",
        "path" : "Observation.category.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.category:BOMAssessmentCategory.coding.display",
        "path" : "Observation.category.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "short" : "観察項目コード",
        "mustSupport" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }
          ],
          "strength" : "example",
          "description" : "観察項目コード",
          "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
        }
      },
      {
        "id" : "Observation.code.coding",
        "path" : "Observation.code.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.code.coding:BOMAssessmentCode",
        "path" : "Observation.code.coding",
        "sliceName" : "BOMAssessmentCode",
        "short" : "BOM観察項目分類コード・名称",
        "definition" : "BOM観察項目コード・名称\r\n「BOM観察項目コード」より設定する。",
        "min" : 0,
        "max" : "1",
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS"
        }
      },
      {
        "id" : "Observation.code.coding:BOMAssessmentCode.system",
        "path" : "Observation.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS"
      },
      {
        "id" : "Observation.code.coding:BOMAssessmentCode.code",
        "path" : "Observation.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:BOMAssessmentCode.display",
        "path" : "Observation.code.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:LocalAssessmentCode",
        "path" : "Observation.code.coding",
        "sliceName" : "LocalAssessmentCode",
        "short" : "観察項目コード・名称",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Observation.code.coding:LocalAssessmentCode.system",
        "path" : "Observation.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS"
      },
      {
        "id" : "Observation.code.coding:LocalAssessmentCode.code",
        "path" : "Observation.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:LocalAssessmentCode.display",
        "path" : "Observation.code.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"]
          }
        ]
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "short" : "測定日時",
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "short" : "実施者、実施者職種",
        "definition" : "実施者、実施者職種",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPatient",
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPractitioner",
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPractitionerRole"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.performer.type",
        "path" : "Observation.performer.type",
        "min" : 1
      },
      {
        "id" : "Observation.performer.display",
        "path" : "Observation.performer.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "short" : "結果値・結果値単位",
        "mustSupport" : true
      },
      {
        "id" : "Observation.note",
        "path" : "Observation.note",
        "short" : "修正事由",
        "definition" : "修正情報の場合、修正事由を設定する。"
      },
      {
        "id" : "Observation.derivedFrom",
        "path" : "Observation.derivedFrom",
        "short" : "観察結果の派生元",
        "definition" : "例えば、患者入力フォームのデータを観察結果として反映した場合に元となるQuestionnaireResponseの識別子を設定する。",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
            ]
          }
        ],
        "mustSupport" : false
      },
      {
        "id" : "Observation.derivedFrom.identifier",
        "path" : "Observation.derivedFrom.identifier",
        "short" : "入力フォーム回答の識別子",
        "definition" : "入力フォーム回答の識別子",
        "mustSupport" : true
      },
      {
        "id" : "Observation.derivedFrom.identifier.system",
        "path" : "Observation.derivedFrom.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-response-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/quis-response-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/quis-response-id"
      },
      {
        "id" : "Observation.derivedFrom.identifier.value",
        "path" : "Observation.derivedFrom.identifier.value",
        "min" : 1,
        "mustSupport" : true
      }
    ]
  }
}

```
