Visit JAMI website

HL7 Japan-JAMI ccs ImplementationGuide
0.1.0 - draft JP

HL7 Japan-JAMI ccs ImplementationGuide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: JP_Condition_eCS - JSON Profile

Active as of 2023-05-27

JSON representation of the JP-Condition-eCS resource profile.

Raw json | Download



{

  "resourceType" : "StructureDefinition",

  "id" : "JP-Condition-eCS",

  "text" : {

    "status" : "extensions",

    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition\" title=\"診療情報コアサマリー・厚労省6情報などにおける傷病名情報の格納に使用する\">Condition</a><a name=\"Condition\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition\">JP_Condition</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">診療情報コアサマリーにおける傷病名情報の格納に使用する</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.clinicalStatus\" title=\"病名最終日(onsetPeriod.end)での状態(転帰)\">clinicalStatus</a><a name=\"Condition.clinicalStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">病名最終日(onsetPeriod.end)での状態(転帰)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code\" title=\"傷病名のコードと名称\">code</a><a name=\"Condition.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">傷病名のコードと名称</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding\">Slices for coding</a><a name=\"Condition.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">用語システムによって定義されたコード / Code defined by a terminology system</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:system</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Binding: </span><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/terminologies.html#unbound\">(unbound)</a><span style=\"font-style: italic\">: </span><span style=\"font-style: italic\">MEDIS 病名交換コード、病名管理番号、ICD10分類コード、レセプト電算処理用傷病名コード、またはレセプト電算処理用傷病名コードの未コード化コード(7桁all 9)のいずれかまたは複数の組み合わせで表現する。</span><br style=\"font-style: italic\"/><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:mediskoukan\" title=\"Slice mediskoukan\">coding:mediskoukan</a><a name=\"Condition.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:mediskoukan.system\">system</a><a name=\"Condition.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">urn:oid:1.2.392.200119.4.101.6</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:mediskanri\" title=\"Slice mediskanri\">coding:mediskanri</a><a name=\"Condition.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:mediskanri.system\">system</a><a name=\"Condition.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">urn:oid:1.2.392.200119.4.101.2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:syobo\" title=\"Slice syobo\">coding:syobo</a><a name=\"Condition.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:syobo.system\">system</a><a name=\"Condition.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://jpfhi.jp/fhir/CodeSystem/claimSystem_syobyomei_CS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:icd10\" title=\"Slice icd10\">coding:icd10</a><a name=\"Condition.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.code.coding:icd10.system\">system</a><a name=\"Condition.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">urn:oid:2.16.840.1.113883.6.3.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite\" title=\"修飾語のコードと名称\">bodySite</a><a name=\"Condition.bodySite\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">傷病名の部位等の情報、部位以外の修飾語もここに格納する</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding\">Slices for coding</a><a name=\"Condition.bodySite.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">用語システムによって定義されたコード / Code defined by a terminology system</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:system</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Binding: </span><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/terminologies.html#unbound\">(unbound)</a><span style=\"font-style: italic\">: </span><span style=\"font-style: italic\">MEDIS 病名修飾語コード、修飾語管理番号、レセプト電算処理用傷病名修飾語コードのいずれかまたは複数の組み合わせで表現する。</span><br style=\"font-style: italic\"/><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding:mediskoukan\" title=\"Slice mediskoukan\">coding:mediskoukan</a><a name=\"Condition.bodySite.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding:mediskoukan.system\">system</a><a name=\"Condition.bodySite.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">urn:oid:1.2.392.200119.4.201.5</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding:mediskanri\" title=\"Slice mediskanri\">coding:mediskanri</a><a name=\"Condition.bodySite.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding:mediskanri.system\">system</a><a name=\"Condition.bodySite.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">urn:oid:1.2.392.200119.4.201.2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding:syobo\" title=\"Slice syobo\">coding:syobo</a><a name=\"Condition.bodySite.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムによって定義されたコード / Code defined by a terminology system</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.bodySite.coding:syobo.system\">system</a><a name=\"Condition.bodySite.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">用語システムのアイデンティティ / Identity of the terminology system</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://jpfhi.jp/fhir/CodeSystem/claimSystem_syobyomei_CS</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.subject\" title=\"患者\">subject</a><a name=\"Condition.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-JP-Patient-eCS-Contained.html\">JP_Patient_eCS_Contained</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">患者</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.encounter\" title=\"病名をつけたときの受診情報(入外区分など)を表すEncounterリソース(Containedリソース)への参照\">encounter</a><a name=\"Condition.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-JP-Encounter-OW-eCS-Contained.html\">JP_Encounter_OW_eCS_Contained</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">病名をつけたときの受診情報(入外区分など)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.onset[x]\">onset[x]</a><a name=\"Condition.onset_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Estimated or actual date,  date-time, or age. この患者状態のオンセット。推定もしくは実際の日付、日時、年齢</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.onset[x].start\">start</a><a name=\"Condition.onset_x_.start\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">病名開始日</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Condition-eCS-definitions.html#Condition.onset[x].end\">end</a><a name=\"Condition.onset_x_.end\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">病名終了日</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"

  },

  "url" : "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS",

  "version" : "0.1.0",

  "name" : "JP_Condition_eCS",

  "title" : "Core6 : JP_Condition_eCS",

  "status" : "active",

  "date" : "2023-05-27",

  "publisher" : "Kazuhiko Ohe@JAMI/HL7Japan and The University of Tokyo",

  "contact" : [

    {

      "name" : "Kazuhiko Ohe@JAMI/HL7Japan and The University of Tokyo",

      "telecom" : [

        {

          "system" : "url",

          "value" : "http://jpfhir.jp"

        },

        {

          "system" : "email",

          "value" : "office@hlfhir.jp"

        }

      ]

    }

  ],

  "description" : "診療情報コアサマリー用\u3000Conditionリソース(傷病名情報)プロファイル\u3000(JP_Coonditionの派生プロファイル)",

  "jurisdiction" : [

    {

      "coding" : [

        {

          "system" : "urn:iso:std:iso:3166-2",

          "code" : "JP"

        }

      ]

    }

  ],

  "copyright" : "Copyright JAMI+JAHIS+HL7Japan+PMDA+etc. SS-MIX2-Specification Maintenance TaskForce, CC(Creative Commons license) BY-ND CC表示・改変禁止",

  "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" : "Condition",

  "baseDefinition" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition",

  "derivation" : "constraint",

  "snapshot" : {

    "element" : [

      {

        "id" : "Condition",

        "path" : "Condition",

        "short" : "診療情報コアサマリーにおける傷病名情報の格納に使用する",

        "definition" : "診療情報コアサマリー・厚労省6情報などにおける傷病名情報の格納に使用する",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition",

          "min" : 0,

          "max" : "*"

        },

        "constraint" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",

                "valueBoolean" : true

              },

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",

                "valueMarkdown" : "ほとんどのシステムは、臨床星が時間の経過とともに管理されている問題リストの項目について評価されると予想されますが、時点での診断のために臨床星を必要としないかもしれません。 / Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."

              }

            ],

            "key" : "con-3",

            "severity" : "warning",

            "human" : "条件.ClinicalStatusが誤って入力されておらず、カテゴリが問題リスト項目である場合、clinicalStatusが存在するものとします / Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",

            "expression" : "clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()",

            "xpath" : "exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))",

            "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition"

          },

          {

            "key" : "con-4",

            "severity" : "error",

            "human" : "条件が和らげられている場合、臨床ステータスは不活性、解決、または寛解のいずれかでなければなりません / If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",

            "expression" : "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",

            "xpath" : "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])",

            "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition"

          },

          {

            "key" : "con-5",

            "severity" : "error",

            "human" : "condition.clinicalstatusは、検証状態が侵食に入力されている場合、存在しないでください / Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",

            "expression" : "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",

            "xpath" : "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))",

            "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition"

          },

          {

            "key" : "dom-2",

            "severity" : "error",

            "human" : "リソースが別のリソースに含まれている場合、ネストされたリソースを含めてはなりません / If the resource is contained in another resource, it SHALL NOT contain nested Resources",

            "expression" : "contained.contained.empty()",

            "xpath" : "not(parent::f:contained and f:contained)",

            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"

          },

          {

            "key" : "dom-3",

            "severity" : "error",

            "human" : "リソースが別のリソースに含まれている場合、それはリソースの他の場所から参照されるか、含有リソースを参照するものとします / 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",

            "expression" : "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()",

            "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",

            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"

          },

          {

            "key" : "dom-4",

            "severity" : "error",

            "human" : "リソースが別のリソースに含まれている場合、meta.versionidまたはmeta.lastupdatedを持たないものとします / If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",

            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",

            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",

            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"

          },

          {

            "key" : "dom-5",

            "severity" : "error",

            "human" : "別のリソースにリソースが含まれている場合、セキュリティラベルはありません / If a resource is contained in another resource, it SHALL NOT have a security label",

            "expression" : "contained.meta.security.empty()",

            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",

            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"

          },

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",

                "valueBoolean" : true

              },

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",

                "valueMarkdown" : "リソースに叙述(Narative)がない場合、データを完全に理解するシステムのみがリソースを人間に安全に表示できます。リソースに人間の読み取り可能な表現を含めることは、はるかに堅牢なエコシステムと、仲介システムによるリソースのより安価な取り扱いになります。一部のエコシステムは、リソースの分布をリソースを完全に理解しているシステムのみに制限しており、その結果、実装者は叙述(Narative)が余計であると信じるかもしれません。しかし、経験によると、そのようなエコシステムは、多くの場合、時間の経過とともに新しい参加者に開かれています。 / When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."

              }

            ],

            "key" : "dom-6",

            "severity" : "warning",

            "human" : "リソースには、堅牢な管理のための叙述(Narative)が必要です / A resource should have narrative for robust management",

            "expression" : "text.`div`.exists()",

            "xpath" : "exists(f:text/h:div)",

            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "Entity. Role, or Act"

          },

          {

            "identity" : "workflow",

            "map" : "Event"

          },

          {

            "identity" : "sct-concept",

            "map" : "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"

          },

          {

            "identity" : "v2",

            "map" : "PPR message"

          },

          {

            "identity" : "rim",

            "map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"

          }

        ]

      },

      {

        "id" : "Condition.id",

        "path" : "Condition.id",

        "short" : "このアーティファクトの論理ID / Logical id of this artifact",

        "definition" : "リソースのURLで使用されるリソースの論理ID。割り当てられたら、この値は変更されません。 / The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",

        "comment" : "リソースにIDがないのは、IDが作成操作を使用してサーバーに送信されている場合です。 / The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Resource.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "id"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : true

      },

      {

        "id" : "Condition.meta",

        "path" : "Condition.meta",

        "short" : "リソースに関するメタデータ / Metadata about the resource",

        "definition" : "リソースに関するメタデータ。これは、インフラストラクチャによって維持されるコンテンツです。コンテンツの変更は、常にリソースのバージョンの変更に関連付けられているとは限りません。 / The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Resource.meta",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Meta"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true

      },

      {

        "id" : "Condition.implicitRules",

        "path" : "Condition.implicitRules",

        "short" : "このコンテンツが作成されたルールのセット / A set of rules under which this content was created",

        "definition" : "リソースが構築されたときに従った一連のルールへの参照。コンテンツの処理時に理解する必要があります。多くの場合、これは他のプロファイルなどとともに特別なルールを定義する実装ガイドへの参照です。 / A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",

        "comment" : "このルールセットを主張することは、コンテンツが限られた取引パートナーのセットによってのみ理解されることを制限します。これにより、本質的に長期的にデータの有用性が制限されます。ただし、既存の健康エコシステムは非常に破壊されており、一般的に計算可能な意味でデータを定義、収集、交換する準備ができていません。可能な限り、実装者や仕様ライターはこの要素の使用を避ける必要があります。多くの場合、使用する場合、URLは、これらの特別なルールを他のプロファイル、バリューセットなどとともに叙述(Narative)の一部として定義する実装ガイドへの参照です。 / Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Resource.implicitRules",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : true,

        "isModifierReason" : "暗黙のルールは、意味または解釈を変更するリソースに関する追加の知識を提供する可能性があるため、この要素は修飾子としてラベル付けされています。 / This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",

        "isSummary" : true

      },

      {

        "id" : "Condition.language",

        "path" : "Condition.language",

        "short" : "リソースコンテンツの言語 / Language of the resource content",

        "definition" : "リソースが書かれている基本言語。 / The base language in which the resource is written.",

        "comment" : "言語は、インデックス作成とアクセシビリティをサポートするために提供されます(通常、テキストから音声までのサービスなどのサービスが言語タグを使用します)。叙述(Narative)のHTML言語タグは、叙述(Narative)に適用されます。リソース上の言語タグを使用して、リソース内のデータから生成された他のプレゼンテーションの言語を指定できます。すべてのコンテンツが基本言語である必要はありません。リソース。言語は、叙述(Narative)に自動的に適用されると想定されるべきではありません。言語が指定されている場合、HTMLのDIV要素にも指定されている場合(XML:LangとHTML Lang属性の関係については、HTML5のルールを参照してください)。 / Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Resource.language",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",

              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"

            },

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "Language"

            }

          ],

          "strength" : "preferred",

          "description" : "人間の言語。 / A human language.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"

        }

      },

      {

        "id" : "Condition.text",

        "path" : "Condition.text",

        "short" : "Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約",

        "definition" : "リソースの概要を含み、人間へのリソースの内容を表すために使用できる人間の読み取り可能な叙述(Narative)。叙述(Narative)はすべての構造化されたデータをエンコードする必要はありませんが、人間が叙述(Narative)を読むだけで「臨床的に安全」にするために十分な詳細を含める必要があります。リソースの定義は、臨床的安全を確保するために、叙述(Narative)で表現するコンテンツを定義する場合があります。 / A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",

        "comment" : "含まれるリソースには叙述(Narative)がありません。含まれていないリソースには叙述(Narative)が必要です。場合によっては、リソースには、追加の個別のデータがほとんどまたはまったくないテキストのみがあります(すべてのMinoccur = 1要素が満たされている限り)。これは、情報がtext blob (バイナリー ラージ オブジェクト)としてキャプチャされるレガシーシステムからのデータ、またはテキストが生またはナレーションされ、エンコードされた情報が後で追加される場合に必要になる場合があります。 / Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",

        "alias" : [

          "narrative",

          "html",

          "xhtml",

          "display"

        ],

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "DomainResource.text",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Narrative"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "Act.text?"

          }

        ]

      },

      {

        "id" : "Condition.contained",

        "path" : "Condition.contained",

        "short" : "インラインリソースが含まれています / Contained, inline Resources",

        "definition" : "これらのリソースには、それらを含むリソースを除いて独立した存在はありません - 独立して特定することはできず、独自の独立したトランザクションスコープを持つこともできません。 / These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",

        "comment" : "識別が失われると、コンテンツを適切に識別できる場合は、これを行うべきではありません。含まれるリソースには、メタ要素にプロファイルとタグがある場合がありますが、セキュリティラベルはありません。 / This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",

        "alias" : [

          "inline resources",

          "anonymous resources",

          "contained resources"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "DomainResource.contained",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Resource"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "N/A"

          }

        ]

      },

      {

        "id" : "Condition.extension",

        "path" : "Condition.extension",

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "リソースの基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "DomainResource.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "N/A"

          }

        ]

      },

      {

        "id" : "Condition.modifierExtension",

        "path" : "Condition.modifierExtension",

        "short" : "無視できない拡張機能 / Extensions that cannot be ignored",

        "definition" : "リソースの基本的な定義の一部ではなく、それを含む要素の理解および/または含有要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義することが許可されていますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "DomainResource.modifierExtension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : true,

        "isModifierReason" : "モディファイア拡張は、それらを含むリソースの意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "N/A"

          }

        ]

      },

      {

        "id" : "Condition.identifier",

        "path" : "Condition.identifier",

        "short" : "この条件の外部ID / External Ids for this condition",

        "definition" : "リソースが更新され、サーバーからサーバーに伝播するときに一定のままであるパフォーマーまたは他のシステムによってこの条件に割り当てられたビジネス識別子。 / Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",

        "comment" : "これはビジネス識別子であり、リソース識別子ではありません([ディスカッション](Resource.html#識別子を参照))。識別子が単一のリソースインスタンスにのみ表示することがベストプラクティスですが、ビジネス慣行は、同じ識別子を持つ複数のリソースインスタンスが存在する可能性があることを時々決定する場合があります。たとえば、複数の患者と個人のリソースインスタンスは、同じ社会保険番号を共有する場合があります。 / This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",

        "requirements" : "さまざまな参加システムで知られている状態と、サーバー全体で一貫性のある方法で条件を識別できるようにします。 / Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.identifier",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Identifier"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.identifier"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.identifier"

          },

          {

            "identity" : "rim",

            "map" : ".id"

          }

        ]

      },

      {

        "id" : "Condition.clinicalStatus",

        "path" : "Condition.clinicalStatus",

        "short" : "病名最終日(onsetPeriod.end)での状態(転帰)",

        "definition" : "病名最終日(onsetPeriod.end)での状態(転帰)",

        "comment" : "コード表\u3000http://terminology.hl7.org/CodeSystem/condition-clinical\u3000から\u3000active(存続), remission(軽快、寛解), inactive(治癒以外での病名の終了), resolved (治癒) のいずれかを選ぶ。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.clinicalStatus",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "condition" : [

          "con-3",

          "con-4",

          "con-5"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : true,

        "isModifierReason" : "この要素は、条件をアクティブではなくマークするコードが含まれているため、修飾子としてラベル付けされています。 / This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.",

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ConditionClinicalStatus"

            }

          ],

          "strength" : "required",

          "description" : "状態または診断の臨床状態。 / The clinical status of the condition or diagnosis.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.status"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.status"

          },

          {

            "identity" : "sct-concept",

            "map" : "< 303105007 |Disease phases|"

          },

          {

            "identity" : "v2",

            "map" : "PRB-14"

          },

          {

            "identity" : "rim",

            "map" : "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"

          }

        ]

      },

      {

        "id" : "Condition.verificationStatus",

        "path" : "Condition.verificationStatus",

        "short" : "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error(十分に確認されていない | 暫定的 | 鑑別的 | 十分な根拠で存在 | 十分な根拠で否定 | 誤記載)",

        "definition" : "The verification status to support the clinical status of the condition.\r\n\r\n この患者状態が存在するかどうかの検証状況。",

        "comment" : "検証ステータスは必要ありません。たとえば、患者がEDに腹痛を患っている場合、検証状態はおそらくありません。\n検証型には臨床的判断が含まれているため、データ型はCodeAbleconceptです。そのため、必要なFHIR値セットが許可するよりも特異性が必要になる場合があります。たとえば、スノムコーディングにより、追加の特異性が可能になる場合があります。 / verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.\nThe data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.verificationStatus",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "condition" : [

          "con-3",

          "con-5"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : true,

        "isModifierReason" : "この要素には、ステータスに反論され、侵入したコードが含まれているため、条件を現在有効ではないとマークするため、この要素は修飾子としてラベル付けされています。 / This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ConditionVerificationStatus"

            }

          ],

          "strength" : "required",

          "description" : "状態または診断の臨床状態をサポートまたは拒否する検証状況。 / The verification status to support or decline the clinical status of the condition or diagnosis.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.status"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.status"

          },

          {

            "identity" : "sct-concept",

            "map" : "< 410514004 |Finding context value|"

          },

          {

            "identity" : "v2",

            "map" : "PRB-13"

          },

          {

            "identity" : "rim",

            "map" : "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"

          },

          {

            "identity" : "sct-attr",

            "map" : "408729009"

          }

        ]

      },

      {

        "id" : "Condition.category",

        "path" : "Condition.category",

        "short" : "problem-list-item | encounter-diagnosis(プロブレムリスト | 一時的な診断)",

        "definition" : "条件に割り当てられたカテゴリ。 / A category assigned to the condition.",

        "comment" : "分類はしばしば非常に文脈上のものであり、他のコンテキストでは分化が不十分であるか、あまり役に立たないように見える場合があります。 / The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.category",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ConditionCategory"

            }

          ],

          "strength" : "extensible",

          "description" : "条件に割り当てられたカテゴリ。 / A category assigned to the condition.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-category"

        },

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.class"

          },

          {

            "identity" : "sct-concept",

            "map" : "< 404684003 |Clinical finding|"

          },

          {

            "identity" : "v2",

            "map" : "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"

          },

          {

            "identity" : "rim",

            "map" : ".code"

          }

        ]

      },

      {

        "id" : "Condition.severity",

        "path" : "Condition.severity",

        "short" : "Subjective severity of condition. この患者状態の重症度。このプロファイルは、HL70421 Severity of Illness Codeで表現",

        "definition" : "A subjective assessment of the severity of the condition as evaluated by the clinician.\r\n\r\n医療者によって評価されたこの患者状態の重症度。",

        "comment" : "Coding of the severity with a terminology is preferred, where possible.\r\n可能な限り、ターミノロジを用いて重症度をコーディングすることが好ましい。\r\n\r\n このプロファイルではHL70421 Severity of Illness Code(MI 軽度, MO 中度, SE 重度)を採用。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.severity",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "binding" : {

          "strength" : "preferred",

          "valueSet" : "http://jpfhir.jp/fhir/core/ValueSet/JP_ConditionSeverity_VS"

        },

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.grade"

          },

          {

            "identity" : "sct-concept",

            "map" : "< 272141005 |Severities|"

          },

          {

            "identity" : "v2",

            "map" : "PRB-26 / ABS-3"

          },

          {

            "identity" : "rim",

            "map" : "Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"

          },

          {

            "identity" : "sct-attr",

            "map" : "246112005"

          }

        ]

      },

      {

        "id" : "Condition.code",

        "path" : "Condition.code",

        "short" : "傷病名のコードと名称",

        "definition" : "傷病名のコードと名称",

        "comment" : "傷病名のコードと名称",

        "requirements" : "0..1主に叙述(Narative)のみのリソースを説明する。 / 0..1 to account for primarily narrative only resources.",

        "alias" : [

          "type"

        ],

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Condition.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ConditionKind"

            }

          ],

          "strength" : "example",

          "description" : "状態または診断の識別。 / Identification of the condition or diagnosis.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.code"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.what[x]"

          },

          {

            "identity" : "sct-concept",

            "map" : "code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|"

          },

          {

            "identity" : "v2",

            "map" : "PRB-3"

          },

          {

            "identity" : "rim",

            "map" : ".value"

          },

          {

            "identity" : "sct-attr",

            "map" : "246090004"

          }

        ]

      },

      {

        "id" : "Condition.code.id",

        "path" : "Condition.code.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.extension",

        "path" : "Condition.code.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding",

        "path" : "Condition.code.coding",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "system"

            }

          ],

          "rules" : "open"

        },

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "binding" : {

          "description" : "MEDIS 病名交換コード、病名管理番号、ICD10分類コード、レセプト電算処理用傷病名コード、またはレセプト電算処理用傷病名コードの未コード化コード(7桁all 9)のいずれかまたは複数の組み合わせで表現する。"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan",

        "path" : "Condition.code.coding",

        "sliceName" : "mediskoukan",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.id",

        "path" : "Condition.code.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.extension",

        "path" : "Condition.code.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.system",

        "path" : "Condition.code.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "urn:oid:1.2.392.200119.4.101.6",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.version",

        "path" : "Condition.code.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.code",

        "path" : "Condition.code.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.code.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskoukan.userSelected",

        "path" : "Condition.code.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri",

        "path" : "Condition.code.coding",

        "sliceName" : "mediskanri",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.id",

        "path" : "Condition.code.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.extension",

        "path" : "Condition.code.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.system",

        "path" : "Condition.code.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "urn:oid:1.2.392.200119.4.101.2",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.version",

        "path" : "Condition.code.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.code",

        "path" : "Condition.code.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.code.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:mediskanri.userSelected",

        "path" : "Condition.code.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo",

        "path" : "Condition.code.coding",

        "sliceName" : "syobo",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.id",

        "path" : "Condition.code.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.extension",

        "path" : "Condition.code.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.system",

        "path" : "Condition.code.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "http://jpfhi.jp/fhir/CodeSystem/claimSystem_syobyomei_CS",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.version",

        "path" : "Condition.code.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.code",

        "path" : "Condition.code.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.code.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:syobo.userSelected",

        "path" : "Condition.code.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10",

        "path" : "Condition.code.coding",

        "sliceName" : "icd10",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.id",

        "path" : "Condition.code.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.extension",

        "path" : "Condition.code.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.system",

        "path" : "Condition.code.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "urn:oid:2.16.840.1.113883.6.3.1",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.version",

        "path" : "Condition.code.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.code",

        "path" : "Condition.code.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.code.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.code.coding:icd10.userSelected",

        "path" : "Condition.code.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.code.text",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.code.text",

        "short" : "コンセプトの単純なテキスト表現 / Plain text representation of the concept",

        "definition" : "データを入力したユーザー、および/またはユーザーの意図された意味を表すユーザーによって見られる/選択/発言された概念の人間の言語表現。 / A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",

        "comment" : "多くの場合、テキストはコーディングの1つの表示名と同じです。 / Very often the text is the same as a displayName of one of the codings.",

        "requirements" : "用語からのコードは、それらを使用する人間のすべてのニュアンスを使用して、常に正しい意味をキャプチャするとは限りません。または、適切なコードがまったくない場合があります。これらの場合、テキストはソースの完全な意味をキャプチャするために使用されます。 / The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "CodeableConcept.text",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.9. But note many systems use C*E.2 for this"

          },

          {

            "identity" : "rim",

            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"

          }

        ]

      },

      {

        "id" : "Condition.bodySite",

        "path" : "Condition.bodySite",

        "short" : "傷病名の部位等の情報、部位以外の修飾語もここに格納する",

        "definition" : "修飾語のコードと名称",

        "comment" : "修飾語のコードと名称",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.bodySite",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "BodySite"

            }

          ],

          "strength" : "example",

          "description" : "解剖学的場所を説明するコード。左右性が含まれる場合があります。 / Codes describing anatomical locations. May include laterality.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"

        },

        "mapping" : [

          {

            "identity" : "sct-concept",

            "map" : "< 442083009  |Anatomical or acquired body structure|"

          },

          {

            "identity" : "rim",

            "map" : ".targetBodySiteCode"

          },

          {

            "identity" : "sct-attr",

            "map" : "363698007"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.id",

        "path" : "Condition.bodySite.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.extension",

        "path" : "Condition.bodySite.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding",

        "path" : "Condition.bodySite.coding",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "system"

            }

          ],

          "rules" : "open"

        },

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "binding" : {

          "description" : "MEDIS 病名修飾語コード、修飾語管理番号、レセプト電算処理用傷病名修飾語コードのいずれかまたは複数の組み合わせで表現する。"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan",

        "path" : "Condition.bodySite.coding",

        "sliceName" : "mediskoukan",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.id",

        "path" : "Condition.bodySite.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.extension",

        "path" : "Condition.bodySite.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.system",

        "path" : "Condition.bodySite.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "urn:oid:1.2.392.200119.4.201.5",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.version",

        "path" : "Condition.bodySite.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.code",

        "path" : "Condition.bodySite.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.bodySite.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.userSelected",

        "path" : "Condition.bodySite.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri",

        "path" : "Condition.bodySite.coding",

        "sliceName" : "mediskanri",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.id",

        "path" : "Condition.bodySite.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.extension",

        "path" : "Condition.bodySite.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.system",

        "path" : "Condition.bodySite.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "urn:oid:1.2.392.200119.4.201.2",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.version",

        "path" : "Condition.bodySite.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.code",

        "path" : "Condition.bodySite.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.bodySite.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.userSelected",

        "path" : "Condition.bodySite.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo",

        "path" : "Condition.bodySite.coding",

        "sliceName" : "syobo",

        "short" : "用語システムによって定義されたコード / Code defined by a terminology system",

        "definition" : "用語システムによって定義されたコードへの参照。 / A reference to a code defined by a terminology system.",

        "comment" : "コードは、列挙されたCTなどの非常に正式な定義まで、列挙またはコードリストで非常にさりげなく定義される場合があります。詳細については、HL7 V3コアプリンシップを参照してください。コーディングの順序付けは未定義であり、意味を推測するために使用されません。一般に、せいぜい、コーディング値の1つのみがuserselected = trueとしてラベル付けされます。 / Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",

        "requirements" : "コードシステム内の代替エンコーディング、および他のコードシステムへの翻訳が可能になります。 / Allows for alternative encodings within a code system, and translations to other code systems.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "CodeableConcept.coding",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1-8, C*E.10-22"

          },

          {

            "identity" : "rim",

            "map" : "union(., ./translation)"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.id",

        "path" : "Condition.bodySite.coding.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.extension",

        "path" : "Condition.bodySite.coding.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.system",

        "path" : "Condition.bodySite.coding.system",

        "short" : "用語システムのアイデンティティ / Identity of the terminology system",

        "definition" : "コード内のシンボルの意味を定義するコードシステムの識別。 / The identification of the code system that defines the meaning of the symbol in the code.",

        "comment" : "uriは、oid(urn:oid:...)またはuuid(urn:uuid:...)である場合があります。OIDとUUIDは、HL7 OIDレジストリへの参照となります。それ以外の場合、URIは、FHIRの特別なURIを定義したHL7のリストから来るか、システムを明確かつ明確に確立する定義を参照する必要があります。 / The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",

        "requirements" : "シンボルの定義のソースについて明確である必要があります。 / Need to be unambiguous about the source of the definition of the symbol.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Coding.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "http://jpfhi.jp/fhir/CodeSystem/claimSystem_syobyomei_CS",

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.version",

        "path" : "Condition.bodySite.coding.version",

        "short" : "システムのバージョン - 関連する場合 / Version of the system - if relevant",

        "definition" : "このコードを選択するときに使用されたコードシステムのバージョン。コードの意味がバージョン全体で一貫しているため、適切にメンテナンスしたコードシステムでは報告されたバージョンを必要としないことに注意してください。ただし、これは一貫して保証することはできず、意味が一貫していることが保証されていない場合、バージョンを交換する必要があります。 / The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",

        "comment" : "用語がコードシステムバージョンを識別するために使用する文字列を明確に定義していない場合、推奨は、そのバージョンがバージョンの日付として公式に公開された日付(FHIR日付形式で表現)を使用することです。 / Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.version",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.7"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystemVersion"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.code",

        "path" : "Condition.bodySite.coding.code",

        "short" : "システムによって定義された構文のシンボル / Symbol in syntax defined by the system",

        "definition" : "システムによって定義された構文のシンボル。シンボルは、定義されたコードまたはコーディングシステムによって定義された構文の式(例:調整後)である場合があります。 / A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",

        "requirements" : "システム内の特定のコードを参照する必要があります。 / Need to refer to a particular code in the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.display",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.bodySite.coding.display",

        "short" : "システムによって定義された表現 / Representation defined by the system",

        "definition" : "システムのルールに従って、システム内のコードの意味の表現。 / A representation of the meaning of the code in the system, following the rules of the system.",

        "requirements" : "システムを知らない読者のために、コードの人間の読み取り可能な意味を持ち込むことができる必要があります。 / Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.display",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.2 - but note this is not well followed"

          },

          {

            "identity" : "rim",

            "map" : "CV.displayName"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.coding:syobo.userSelected",

        "path" : "Condition.bodySite.coding.userSelected",

        "short" : "このコーディングがユーザーによって直接選択された場合 / If this coding was chosen directly by the user",

        "definition" : "このコーディングがユーザーによって直接選択されたことを示します。利用可能なアイテムのピックリスト(コードまたはディスプレイ)。 / Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",

        "comment" : "一連の代替案の中で、直接選択されたコードが新しい翻訳の最も適切な出発点です。この要素の使用とその結果をより完全に明確にするためには、「直接選択された」ことについては曖昧さがあり、取引パートナー契約が必要になる場合があります。 / Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",

        "requirements" : "これは、臨床安全基準として特定されています - この正確なシステム/コードペアは、いくつかのルールまたは言語処理に基づいてシステムによって推測されるのではなく、明示的に選択されたことです。 / This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Coding.userSelected",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "boolean"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "Sometimes implied by being first"

          },

          {

            "identity" : "rim",

            "map" : "CD.codingRationale"

          },

          {

            "identity" : "orim",

            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"

          }

        ]

      },

      {

        "id" : "Condition.bodySite.text",

        "extension" : [

          {

            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",

            "valueBoolean" : true

          }

        ],

        "path" : "Condition.bodySite.text",

        "short" : "コンセプトの単純なテキスト表現 / Plain text representation of the concept",

        "definition" : "データを入力したユーザー、および/またはユーザーの意図された意味を表すユーザーによって見られる/選択/発言された概念の人間の言語表現。 / A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",

        "comment" : "多くの場合、テキストはコーディングの1つの表示名と同じです。 / Very often the text is the same as a displayName of one of the codings.",

        "requirements" : "用語からのコードは、それらを使用する人間のすべてのニュアンスを使用して、常に正しい意味をキャプチャするとは限りません。または、適切なコードがまったくない場合があります。これらの場合、テキストはソースの完全な意味をキャプチャするために使用されます。 / The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "CodeableConcept.text",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.9. But note many systems use C*E.2 for this"

          },

          {

            "identity" : "rim",

            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"

          },

          {

            "identity" : "orim",

            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"

          }

        ]

      },

      {

        "id" : "Condition.subject",

        "path" : "Condition.subject",

        "short" : "患者",

        "definition" : "患者",

        "comment" : "Containedリソースに含まれる患者リソースのid(identifierではなく)をリソース内で#を最初につけて参照する。(患者リソースのid を\u3000123 とすると、\u3000{\"reference\" : \"#123\" }のようになる。)",

        "requirements" : "グループは通常、獣医または公衆衛生のユースケースに使用されます。 / Group is typically used for veterinary or public health use cases.",

        "alias" : [

          "patient"

        ],

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Condition.subject",

          "min" : 1,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS_Contained"

            ]

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.subject"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.subject[x]"

          },

          {

            "identity" : "v2",

            "map" : "PID-3"

          },

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.subject"

          }

        ]

      },

      {

        "id" : "Condition.encounter",

        "path" : "Condition.encounter",

        "short" : "病名をつけたときの受診情報(入外区分など)",

        "definition" : "病名をつけたときの受診情報(入外区分など)を表すEncounterリソース(Containedリソース)への参照",

        "comment" : "Containedリソースに含まれるEncounterリソースをリソース内で参照する。なくてもよい。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.encounter",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_OW_eCS_Contained"

            ]

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.context"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.context"

          },

          {

            "identity" : "v2",

            "map" : "PV1-19 (+PV1-54)"

          },

          {

            "identity" : "rim",

            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"

          }

        ]

      },

      {

        "id" : "Condition.onset[x]",

        "path" : "Condition.onset[x]",

        "short" : "Estimated or actual date,  date-time, or age. この患者状態のオンセット。推定もしくは実際の日付、日時、年齢",

        "definition" : "Estimated or actual date or date-time  the condition began, in the opinion of the clinician.\r\n\r\n臨床医の判断における、本状態が始まったと推定される、または実際に始まった日または日時。",

        "comment" : "Age is generally used when the patient reports an age at which the Condition began to occur.\r\n\r\n年齢は一般的に、患者が症状が発生し始めた年齢を報告したケースで使用される。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.onset[x]",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Period"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.occurrence[x]"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.init"

          },

          {

            "identity" : "v2",

            "map" : "PRB-16"

          },

          {

            "identity" : "rim",

            "map" : ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"

          }

        ]

      },

      {

        "id" : "Condition.onset[x].id",

        "path" : "Condition.onset[x].id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.onset[x].extension",

        "path" : "Condition.onset[x].extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "Extensions are always sliced by (at least) url",

          "rules" : "open"

        },

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.onset[x].start",

        "path" : "Condition.onset[x].start",

        "short" : "病名開始日",

        "definition" : "期間の始まり。境界は包括的です。 / The start of the period. The boundary is inclusive.",

        "comment" : "低要素が欠落している場合、意味は低い境界が知られていないことです。 / If the low element is missing, the meaning is that the low boundary is not known.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Period.start",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "dateTime"

          }

        ],

        "condition" : [

          "per-1"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.1"

          },

          {

            "identity" : "rim",

            "map" : "./low"

          }

        ]

      },

      {

        "id" : "Condition.onset[x].end",

        "path" : "Condition.onset[x].end",

        "short" : "病名終了日",

        "definition" : "期間の終わり。期間の終了が欠落している場合、インスタンスが作成された時点で終了がわかっていないか、計画されていないことを意味します。スタートは過去の可能性があり、将来の終了日です。つまり、その期間はその時点で終了すると予想される/計画されています。 / The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",

        "comment" : "高い値には、一致する日付/時間が含まれます。つまり、2012-02-03T10:00:00は、2012-02-03の終了値を持つ期間です。 / The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Period.end",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "dateTime"

          }

        ],

        "meaningWhenMissing" : "期間の終了が欠落している場合、それは期間が進行中であることを意味します / If the end of the period is missing, it means that the period is ongoing",

        "condition" : [

          "per-1"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.2"

          },

          {

            "identity" : "rim",

            "map" : "./high"

          }

        ]

      },

      {

        "id" : "Condition.abatement[x]",

        "path" : "Condition.abatement[x]",

        "short" : "When in resolution/remission. この状態はいつ治癒/寛解/軽快したか",

        "definition" : "条件が解決または寛解した日付または推定日。これは、「寛解」または「解決」に関連する多くの過負荷の意味があるため、「削減」と呼ばれます。 / The date or estimated date that the condition resolved or went into remission. This is called \"abatement\" because of the many overloaded connotations associated with \"remission\" or \"resolution\" - Conditions are never really resolved, but they can abate.",

        "comment" : "多くの場合、区別は明確ではないため、解決と寛解の間に明確な区別はありません。患者が状態が和解した年齢を報告すると、一般に年齢が使用されます。軽減要素がない場合、条件が解決したか寛解したかは不明です。アプリケーションとユーザーは通常、条件がまだ有効であると想定する必要があります。AbatementsTringが存在する場合、それは条件が和らげられていることを意味します。 / There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.  When abatementString exists, it implies the condition is abated.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.abatement[x]",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "dateTime"

          },

          {

            "code" : "Age"

          },

          {

            "code" : "Period"

          },

          {

            "code" : "Range"

          },

          {

            "code" : "string"

          }

        ],

        "condition" : [

          "con-4"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.done[x]"

          },

          {

            "identity" : "rim",

            "map" : ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"

          }

        ]

      },

      {

        "id" : "Condition.recordedDate",

        "path" : "Condition.recordedDate",

        "short" : "Date record was first recorded. この患者状態が初めて記録された日時",

        "definition" : "The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.\r\n\r\nこの患者状態の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.recordedDate",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "dateTime"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.recorded"

          },

          {

            "identity" : "v2",

            "map" : "REL-11"

          },

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=AUT].time"

          }

        ]

      },

      {

        "id" : "Condition.recorder",

        "path" : "Condition.recorder",

        "short" : "Who recorded the condition. 誰がこの患者状態を記録したか",

        "definition" : "Individual who recorded the record and takes responsibility for its content.\r\n\r\nこの患者状態を記録しその内容に責任を持つ個人。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.recorder",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"🔗 ,

              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"

            ]

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.author"

          },

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=AUT].role"

          }

        ]

      },

      {

        "id" : "Condition.asserter",

        "path" : "Condition.asserter",

        "short" : "Person who asserts this condition. この患者状態の情報源",

        "definition" : "Individual who is making the condition statement.\r\n\r\nこの患者状態に関する情報の発生源または取得元。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.asserter",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"🔗 ,

              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"

            ]

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.source"

          },

          {

            "identity" : "v2",

            "map" : "REL-7.1 identifier + REL-7.12 type code"

          },

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=INF].role"

          }

        ]

      },

      {

        "id" : "Condition.stage",

        "path" : "Condition.stage",

        "short" : "Stage/grade, usually assessed formally. この患者状態のステージやグレード。通常は正式に評価されたもの",

        "definition" : "Clinical stage or grade of a condition. May include formal severity assessments.\r\n\r\n病状の臨床病期またはグレード。正式な重症度評価を含む場合がある。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.stage",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "constraint" : [

          {

            "key" : "con-1",

            "severity" : "error",

            "human" : "ステージには概要または評価があります / Stage SHALL have summary or assessment",

            "expression" : "summary.exists() or assessment.exists()",

            "xpath" : "exists(f:summary) or exists(f:assessment)",

            "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition"

          },

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"

          }

        ]

      },

      {

        "id" : "Condition.stage.id",

        "path" : "Condition.stage.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.stage.extension",

        "path" : "Condition.stage.extension",

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.stage.modifierExtension",

        "path" : "Condition.stage.modifierExtension",

        "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized",

        "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",

        "alias" : [

          "extensions",

          "user content",

          "modifiers"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "BackboneElement.modifierExtension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : true,

        "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "N/A"

          }

        ]

      },

      {

        "id" : "Condition.stage.summary",

        "path" : "Condition.stage.summary",

        "short" : "簡単な要約(病気固有) / Simple summary (disease specific)",

        "definition" : "「ステージ3」などのステージの簡単な要約。段階の決定は疾患固有です。 / A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.stage.summary",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "condition" : [

          "con-1"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ConditionStage"

            }

          ],

          "strength" : "example",

          "description" : "状態段階を説明するコード(癌段階など)。 / Codes describing condition stages (e.g. Cancer stages).",

          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage"

        },

        "mapping" : [

          {

            "identity" : "sct-concept",

            "map" : "< 254291000 |Staging and scales|"

          },

          {

            "identity" : "v2",

            "map" : "PRB-14"

          },

          {

            "identity" : "rim",

            "map" : ".value"

          }

        ]

      },

      {

        "id" : "Condition.stage.assessment",

        "path" : "Condition.stage.assessment",

        "short" : "評価の正式な記録 / Formal record of assessment",

        "definition" : "ステージング評価が基づいている証拠の正式な記録への言及。 / Reference to a formal record of the evidence on which the staging assessment is based.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.stage.assessment",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_Common"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common"

            ]

          }

        ],

        "condition" : [

          "con-1"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".self"

          }

        ]

      },

      {

        "id" : "Condition.stage.type",

        "path" : "Condition.stage.type",

        "short" : "一種のステージング / Kind of staging",

        "definition" : "病理学的または臨床的病期分類などのステージングの種類。 / The kind of staging, such as pathological or clinical staging.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Condition.stage.type",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ConditionStageType"

            }

          ],

          "strength" : "example",

          "description" : "条件のステージングの種類を説明するコード(臨床的または病理学的)。 / Codes describing the kind of condition staging (e.g. clinical or pathological).",

          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage-type"

        },

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]"

          }

        ]

      },

      {

        "id" : "Condition.evidence",

        "path" : "Condition.evidence",

        "short" : "Supporting evidence. 患者状態の存在に関する根拠",

        "definition" : "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.\r\n\r\n患者状態を確認または否定した証拠など、状態の検証ステータスの裏付けとなる症状や兆候。",

        "comment" : "証拠は、コード化された症状/症状の単純なリスト、または観察または正式な評価への言及、またはその両方の単純なリストかもしれません。 / The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.evidence",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "constraint" : [

          {

            "key" : "con-2",

            "severity" : "error",

            "human" : "証拠にはコードまたは詳細があります / evidence SHALL have code or details",

            "expression" : "code.exists() or detail.exists()",

            "xpath" : "exists(f:code) or exists(f:detail)",

            "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition"

          },

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"

          }

        ]

      },

      {

        "id" : "Condition.evidence.id",

        "path" : "Condition.evidence.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",

        "definition" : "リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Element.id",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",

                "valueUrl" : "string"

              }

            ],

            "code" : "http://hl7.org/fhirpath/System.String"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.evidence.extension",

        "path" : "Condition.evidence.extension",

        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",

        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "alias" : [

          "extensions",

          "user content"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Element.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Condition.evidence.modifierExtension",

        "path" : "Condition.evidence.modifierExtension",

        "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized",

        "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",

        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",

        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",

        "alias" : [

          "extensions",

          "user content",

          "modifiers"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "BackboneElement.modifierExtension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          },

          {

            "key" : "ext-1",

            "severity" : "error",

            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",

            "expression" : "extension.exists() != value.exists()",

            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",

            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"

          }

        ],

        "isModifier" : true,

        "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "N/A"

          }

        ]

      },

      {

        "id" : "Condition.evidence.code",

        "path" : "Condition.evidence.code",

        "short" : "症状/症状 / Manifestation/symptom",

        "definition" : "この状態の記録につながった症状または症状。 / A manifestation or symptom that led to the recording of this condition.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.evidence.code",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "CodeableConcept"

          }

        ],

        "condition" : [

          "con-2"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",

              "valueString" : "ManifestationOrSymptom"

            }

          ],

          "strength" : "example",

          "description" : "状態の症状または症状を説明するコード。 / Codes that describe the manifestation or symptoms of a condition.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.reasonCode"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.why[x]"

          },

          {

            "identity" : "sct-concept",

            "map" : "< 404684003 |Clinical finding|"

          },

          {

            "identity" : "rim",

            "map" : "[code=\"diagnosis\"].value"

          }

        ]

      },

      {

        "id" : "Condition.evidence.detail",

        "path" : "Condition.evidence.detail",

        "short" : "他の場所にあるサポート情報 / Supporting information found elsewhere",

        "definition" : "病理学レポートを含む他の関連情報へのリンク。 / Links to other relevant information, including pathology reports.",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.evidence.detail",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/Resource"

            ]

          }

        ],

        "condition" : [

          "con-2"

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.why[x]"

          },

          {

            "identity" : "rim",

            "map" : ".self"

          }

        ]

      },

      {

        "id" : "Condition.note",

        "path" : "Condition.note",

        "short" : "Additional information about the Condition. この患者状態に関する追加情報",

        "definition" : "Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.\r\nこの患者状態に関する追加情報。これは、状態の説明、診断、予後に関するメモやコメントである。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Condition.note",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Annotation"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",

            "expression" : "hasValue() or (children().count() > id.count())",

            "xpath" : "@value|f:*|h:div",

            "source" : "http://hl7.org/fhir/StructureDefinition/Element"

          }

        ],

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.note"

          },

          {

            "identity" : "v2",

            "map" : "NTE child of PRB"

          },

          {

            "identity" : "rim",

            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"

          }

        ]

      }

    ]

  },

  "differential" : {

    "element" : [

      {

        "id" : "Condition",

        "path" : "Condition",

        "short" : "診療情報コアサマリーにおける傷病名情報の格納に使用する",

        "definition" : "診療情報コアサマリー・厚労省6情報などにおける傷病名情報の格納に使用する"

      },

      {

        "id" : "Condition.clinicalStatus",

        "path" : "Condition.clinicalStatus",

        "short" : "病名最終日(onsetPeriod.end)での状態(転帰)",

        "definition" : "病名最終日(onsetPeriod.end)での状態(転帰)",

        "comment" : "コード表\u3000http://terminology.hl7.org/CodeSystem/condition-clinical\u3000から\u3000active(存続), remission(軽快、寛解), inactive(治癒以外での病名の終了), resolved (治癒) のいずれかを選ぶ。"

      },

      {

        "id" : "Condition.code",

        "path" : "Condition.code",

        "short" : "傷病名のコードと名称",

        "definition" : "傷病名のコードと名称",

        "comment" : "傷病名のコードと名称",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Condition.code.coding",

        "path" : "Condition.code.coding",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "system"

            }

          ],

          "rules" : "open"

        },

        "binding" : {

          "description" : "MEDIS 病名交換コード、病名管理番号、ICD10分類コード、レセプト電算処理用傷病名コード、またはレセプト電算処理用傷病名コードの未コード化コード(7桁all 9)のいずれかまたは複数の組み合わせで表現する。"

        }

      },

      {

        "id" : "Condition.code.coding:mediskoukan",

        "path" : "Condition.code.coding",

        "sliceName" : "mediskoukan",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.code.coding:mediskoukan.system",

        "path" : "Condition.code.coding.system",

        "min" : 1,

        "fixedUri" : "urn:oid:1.2.392.200119.4.101.6"

      },

      {

        "id" : "Condition.code.coding:mediskanri",

        "path" : "Condition.code.coding",

        "sliceName" : "mediskanri",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.code.coding:mediskanri.system",

        "path" : "Condition.code.coding.system",

        "min" : 1,

        "fixedUri" : "urn:oid:1.2.392.200119.4.101.2"

      },

      {

        "id" : "Condition.code.coding:syobo",

        "path" : "Condition.code.coding",

        "sliceName" : "syobo",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.code.coding:syobo.system",

        "path" : "Condition.code.coding.system",

        "min" : 1,

        "fixedUri" : "http://jpfhi.jp/fhir/CodeSystem/claimSystem_syobyomei_CS"

      },

      {

        "id" : "Condition.code.coding:icd10",

        "path" : "Condition.code.coding",

        "sliceName" : "icd10",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.code.coding:icd10.system",

        "path" : "Condition.code.coding.system",

        "min" : 1,

        "fixedUri" : "urn:oid:2.16.840.1.113883.6.3.1"

      },

      {

        "id" : "Condition.bodySite",

        "path" : "Condition.bodySite",

        "short" : "傷病名の部位等の情報、部位以外の修飾語もここに格納する",

        "definition" : "修飾語のコードと名称",

        "comment" : "修飾語のコードと名称",

        "mustSupport" : true

      },

      {

        "id" : "Condition.bodySite.coding",

        "path" : "Condition.bodySite.coding",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "system"

            }

          ],

          "rules" : "open"

        },

        "binding" : {

          "description" : "MEDIS 病名修飾語コード、修飾語管理番号、レセプト電算処理用傷病名修飾語コードのいずれかまたは複数の組み合わせで表現する。"

        }

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan",

        "path" : "Condition.bodySite.coding",

        "sliceName" : "mediskoukan",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.bodySite.coding:mediskoukan.system",

        "path" : "Condition.bodySite.coding.system",

        "min" : 1,

        "fixedUri" : "urn:oid:1.2.392.200119.4.201.5"

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri",

        "path" : "Condition.bodySite.coding",

        "sliceName" : "mediskanri",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.bodySite.coding:mediskanri.system",

        "path" : "Condition.bodySite.coding.system",

        "min" : 1,

        "fixedUri" : "urn:oid:1.2.392.200119.4.201.2"

      },

      {

        "id" : "Condition.bodySite.coding:syobo",

        "path" : "Condition.bodySite.coding",

        "sliceName" : "syobo",

        "min" : 0,

        "max" : "*",

        "mustSupport" : true

      },

      {

        "id" : "Condition.bodySite.coding:syobo.system",

        "path" : "Condition.bodySite.coding.system",

        "min" : 1,

        "fixedUri" : "http://jpfhi.jp/fhir/CodeSystem/claimSystem_syobyomei_CS"

      },

      {

        "id" : "Condition.subject",

        "path" : "Condition.subject",

        "short" : "患者",

        "definition" : "患者",

        "comment" : "Containedリソースに含まれる患者リソースのid(identifierではなく)をリソース内で#を最初につけて参照する。(患者リソースのid を\u3000123 とすると、\u3000{\"reference\" : \"#123\" }のようになる。)",

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS_Contained"

            ]

          }

        ],

        "mustSupport" : true

      },

      {

        "id" : "Condition.encounter",

        "path" : "Condition.encounter",

        "short" : "病名をつけたときの受診情報(入外区分など)",

        "definition" : "病名をつけたときの受診情報(入外区分など)を表すEncounterリソース(Containedリソース)への参照",

        "comment" : "Containedリソースに含まれるEncounterリソースをリソース内で参照する。なくてもよい。",

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_OW_eCS_Contained"

            ]

          }

        ],

        "mustSupport" : true

      },

      {

        "id" : "Condition.onset[x]",

        "path" : "Condition.onset[x]",

        "type" : [

          {

            "code" : "Period"

          }

        ]

      },

      {

        "id" : "Condition.onset[x].start",

        "path" : "Condition.onset[x].start",

        "short" : "病名開始日"

      },

      {

        "id" : "Condition.onset[x].end",

        "path" : "Condition.onset[x].end",

        "short" : "病名終了日"

      }

    ]

  }

}