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

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

## Resource Profile: EPath Observation Evaluation 

| | |
| :--- | :--- |
| *Official URL*:http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationEvaluation | *Version*:1.0.1 |
| Active as of 2026-02-19 | *Computable Name*:EPathObservationEvaluation |
| **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 | |

 
病日・イベント、アウトカム、観察項目に対する評価 

**Usages:**

* Use this Profile: [EPath Goal AssessmentExecution](StructureDefinition-EPathGoalAssessmentExecution.md), [EPath Goal Event](StructureDefinition-EPathGoalEvent.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/EPathObservationEvaluation)

### 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-EPathObservationEvaluation.csv), [Excel](StructureDefinition-EPathObservationEvaluation.xlsx), [Schematron](StructureDefinition-EPathObservationEvaluation.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "EPathObservationEvaluation",
  "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationEvaluation",
  "version" : "1.0.1",
  "name" : "EPathObservationEvaluation",
  "title" : "EPath Observation Evaluation",
  "status" : "active",
  "date" : "2026-02-19T12:27:55+09:00",
  "contact" : [
    {
      "name" : "ePath Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://e-path.jp"
        }
      ]
    }
  ],
  "description" : "病日・イベント、アウトカム、観察項目に対する評価",
  "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/EPathObservationEvaluation|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/EPathObservationEvaluation|x.y.z を設定する。",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Observation.identifier",
        "path" : "Observation.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Observation.identifier:evaluationId",
        "path" : "Observation.identifier",
        "sliceName" : "evaluationId",
        "short" : "リソース一意識別子（評価）",
        "definition" : "リソース一意識別子（評価）",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "Observation.identifier:evaluationId.system",
        "path" : "Observation.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/observation-evaluation-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/observation-evaluation-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/observation-evaluation-id"
      },
      {
        "id" : "Observation.identifier:evaluationId.value",
        "path" : "Observation.identifier.value",
        "short" : "評価を通して、一意の識別子を設定する。",
        "definition" : "評価を通して、一意の識別子を設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding",
        "path" : "Observation.code.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathEvaluationItemVS"
        }
      },
      {
        "id" : "Observation.code.coding.system",
        "path" : "Observation.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathEvaluationItemCS"
      },
      {
        "id" : "Observation.code.coding.code",
        "path" : "Observation.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "short" : "パスを適用する患者リソース（Patient）への参照",
        "definition" : "パスを適用する患者リソース（Patient）への参照"
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "short" : "評価日時",
        "definition" : "評価日時",
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "short" : "評価者、評価者職種",
        "definition" : "評価者、評価者職種",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "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]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "short" : "総合評価などを設定する。",
        "definition" : "総合評価などを設定する。SOAPを設定する場合は、componentを指定する。",
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]:valueString",
        "path" : "Observation.value[x]",
        "sliceName" : "valueString",
        "definition" : "総合評価などを設定する。",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]:valueCodeableConcept",
        "path" : "Observation.value[x]",
        "sliceName" : "valueCodeableConcept",
        "short" : "評価などを設定する。",
        "definition" : "評価などを設定する。",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathStateOfAchievementVS"
        }
      },
      {
        "id" : "Observation.derivedFrom",
        "path" : "Observation.derivedFrom",
        "short" : "評価の派生元",
        "definition" : "例えば、患者入力フォームのデータを目標の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
      },
      {
        "id" : "Observation.component",
        "path" : "Observation.component",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code.coding.code"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.component:subjective",
        "path" : "Observation.component",
        "sliceName" : "subjective",
        "short" : "SOAP：S",
        "definition" : "SOAP：S",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Observation.component:subjective.code",
        "path" : "Observation.component.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:subjective.code.coding",
        "path" : "Observation.component.code.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathEvaluationItemVS"
        }
      },
      {
        "id" : "Observation.component:subjective.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathEvaluationItemCS"
      },
      {
        "id" : "Observation.component:subjective.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "min" : 1,
        "fixedCode" : "S",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:subjective.value[x]",
        "path" : "Observation.component.value[x]",
        "min" : 1,
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:objective",
        "path" : "Observation.component",
        "sliceName" : "objective",
        "short" : "SOAP：O",
        "definition" : "SOAP：O",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Observation.component:objective.code",
        "path" : "Observation.component.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:objective.code.coding",
        "path" : "Observation.component.code.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathEvaluationItemVS"
        }
      },
      {
        "id" : "Observation.component:objective.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathEvaluationItemCS"
      },
      {
        "id" : "Observation.component:objective.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "min" : 1,
        "fixedCode" : "O"
      },
      {
        "id" : "Observation.component:objective.value[x]",
        "path" : "Observation.component.value[x]",
        "min" : 1,
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:plan",
        "path" : "Observation.component",
        "sliceName" : "plan",
        "short" : "SOAP：P",
        "definition" : "SOAP：P",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Observation.component:plan.code",
        "path" : "Observation.component.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:plan.code.coding",
        "path" : "Observation.component.code.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathEvaluationItemVS"
        }
      },
      {
        "id" : "Observation.component:plan.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathEvaluationItemCS"
      },
      {
        "id" : "Observation.component:plan.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "min" : 1,
        "fixedCode" : "P"
      },
      {
        "id" : "Observation.component:plan.value[x]",
        "path" : "Observation.component.value[x]",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:action",
        "path" : "Observation.component",
        "sliceName" : "action",
        "short" : "SOAP：A",
        "definition" : "SOAP：A",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Observation.component:action.code",
        "path" : "Observation.component.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:action.code.coding",
        "path" : "Observation.component.code.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathEvaluationItemVS"
        }
      },
      {
        "id" : "Observation.component:action.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathEvaluationItemCS"
      },
      {
        "id" : "Observation.component:action.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "min" : 1,
        "fixedCode" : "A"
      },
      {
        "id" : "Observation.component:action.value[x]",
        "path" : "Observation.component.value[x]",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      }
    ]
  }
}

```
