JP_Encounter_eCS - JSON Representation

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_Encounter_eCS - JSON Profile

Active as of 2023-03-31
JSON representation of the JP-Encounter-eCS resource profile.
Raw json | Download


{

  "resourceType" : "StructureDefinition",

  "id" : "JP-Encounter-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-Encounter-eCS-definitions.html#Encounter\">Encounter</a><a name=\"Encounter\"> </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_Encounter\">JP_Encounter</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\">An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用</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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.meta\">meta</a><a name=\"Encounter.meta\"> </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\"/><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\"/></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_bck100.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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.meta.lastUpdated\">lastUpdated</a><a name=\"Encounter.meta.lastUpdated\"> </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#instant\">instant</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\">「リソースのバージョンが最後に変更されたとき」</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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.identifier\" title=\"この医療機関における患者の受診番号、入院管理番号\">identifier</a><a name=\"Encounter.identifier\"> </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>..1</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#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">この医療機関における患者の受診番号、入院管理番号</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.identifier.system\">system</a><a name=\"Encounter.identifier.system\"> </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#uri\">uri</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\">識別子値の名前空間 / The namespace for the identifier value</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</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_bck100.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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.identifier.value\">value</a><a name=\"Encounter.identifier.value\"> </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\">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#string\">string</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\">一意の値 / The value that is unique</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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.status\" title=\"finished の固定値を設定する。\">status</a><a name=\"Encounter.status\"> </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 style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">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=\"opacity: 0.5\">planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">finished</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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.class\" title=\"受診イベントの分類。外来（外来）、入院、救急、在宅医療、その他の地域差による患者Encouterの分類を表す概念。\">class</a><a name=\"Encounter.class\"> </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\">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: #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#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\">受診イベントの分類</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.class.system\" title=\"コード体系v3.ActEncounterCodeを識別するURI。固定値。\">system</a><a name=\"Encounter.class.system\"> </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#uri\">uri</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://terminology.hl7.org/CodeSystem/v3-ActCode</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.class.code\" title=\"AMB:外来\u3000EMER:救急\u3000HH:在宅ケア    IMP:入院または入院中    ACUTE: 入院中臨時     NONAC:入院中定時   PRENC:予定入院時    VR:リモート診療\">code</a><a name=\"Encounter.class.code\"> </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\">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#code\">code</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\">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</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.3.0/ValueSet-v3-ActEncounterCode.html\" title=\"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode\">ActEncounterCode</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</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_bck100.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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.class.display\" title=\"AMB:外来\u3000EMER:救急\u3000HH:在宅ケア    IMP:入院または入院中    ACUTE: 入院中臨時     NONAC:入院中定時   PRENC:予定入院時    VR:リモート診療\">display</a><a name=\"Encounter.class.display\"> </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#string\">string</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\">システムによって定義された表現 / Representation defined by the system</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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.classHistory\" title=\"この入院期間までの外来受診履歴や入院履歴を記述したい場合にここに繰り返しで記述する。紹介先受診情報では不要。\">classHistory</a><a name=\"Encounter.classHistory\"> </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>..1</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#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">外来受診履歴や入院履歴の繰り返し記述。</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_bck111.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.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-Encounter-eCS-definitions.html#Encounter.classHistory.class\">class</a><a name=\"Encounter.classHistory.class\"> </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 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\">inpatient | outpatient | ambulatory | emergency + / 入院｜外来｜外来｜救急＋</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_bck1110.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_vline.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-Encounter-eCS-definitions.html#Encounter.classHistory.class.system\">system</a><a name=\"Encounter.classHistory.class.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\"><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\">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://terminology.hl7.org/CodeSystem/v3-ActCode</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_bck1110.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_vline.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-Encounter-eCS-definitions.html#Encounter.classHistory.class.code\">code</a><a name=\"Encounter.classHistory.class.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#code\">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=\"opacity: 0.5\">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</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_bck1100.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_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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.classHistory.class.display\">display</a><a name=\"Encounter.classHistory.class.display\"> </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\">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#string\">string</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\">システムによって定義された表現 / Representation defined by the system</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_bck101.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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.classHistory.period\" title=\"入院期間を表す必要がある場合には必須。外来では必要な場合を除き省略可。\">period</a><a name=\"Encounter.classHistory.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=\"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 style=\"opacity: 0.5\" 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\">入院期間を表す必要がある場合には必須。外来では必要な場合を除き省略可。</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_bck1010.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.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-Encounter-eCS-definitions.html#Encounter.classHistory.period.start\">start</a><a name=\"Encounter.classHistory.period.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\"><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\">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#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\"><span style=\"opacity: 0.5\">包括的境界で開始時間 / Starting time with inclusive boundary</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_bck1000.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.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-Encounter-eCS-definitions.html#Encounter.classHistory.period.end\">end</a><a name=\"Encounter.classHistory.period.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\"><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\">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\"><span style=\"opacity: 0.5\">継続していない場合、包括的境界で終了時間 / End time with inclusive boundary, if not ongoing</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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.period\" title=\"入院期間。退院時サマリーでは必須。外来では必要な場合を除き省略可。\">period</a><a name=\"Encounter.period\"> </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 style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">入院期間。退院時サマリーでは必須。外来では必要な場合を除き省略可。</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.period.start\">start</a><a name=\"Encounter.period.start\"> </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#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\"><span style=\"opacity: 0.5\">包括的境界で開始時間 / Starting time with inclusive boundary</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_bck100.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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.period.end\">end</a><a name=\"Encounter.period.end\"> </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 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\"><span style=\"opacity: 0.5\">継続していない場合、包括的境界で終了時間 / End time with inclusive boundary, if not ongoing</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-Encounter-eCS-definitions.html#Encounter.length\" title=\"この入院の在院日数\">length</a><a name=\"Encounter.length\"> </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\">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#Duration\">Duration</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">この入院の在院日数</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.length.value\">value</a><a name=\"Encounter.length.value\"> </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\">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#decimal\">decimal</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\">数値（暗黙の精度を持つ） / Numerical value (with implicit precision)</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.length.unit\" title=\"日\">unit</a><a name=\"Encounter.length.unit\"> </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#string\">string</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\">ユニット表現 / Unit representation</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">日</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.length.system\">system</a><a name=\"Encounter.length.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\"><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\">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\">コード化されたユニットフォームを定義するシステム / System that defines coded unit form</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://unitsofmeasure.org</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_bck100.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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.length.code\" title=\"日\">code</a><a name=\"Encounter.length.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#code\">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=\"opacity: 0.5\">ユニットのコード化された形式 / Coded form of the unit</span><br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">d</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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.reasonCode\" title=\"コードで記述できる場合にそのコード記述。system値はMEDIS標準病名マスター病名交換用コードを使用できる。text要素にフリーテキストで記述してもよい。\">reasonCode</a><a name=\"Encounter.reasonCode\"> </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\">1..<span style=\"opacity: 0.5\">*</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\">入院時主訴・入院理由。紹介する理由（主訴・目的）</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_bck111.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.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-Encounter-eCS-definitions.html#Encounter.reasonCode.coding\">coding</a><a name=\"Encounter.reasonCode.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\"><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#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></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_bck1110.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_vline.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-Encounter-eCS-definitions.html#Encounter.reasonCode.coding.system\">system</a><a name=\"Encounter.reasonCode.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\"><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\">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></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_bck1100.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_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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.reasonCode.coding.code\">code</a><a name=\"Encounter.reasonCode.coding.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#code\">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=\"opacity: 0.5\">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</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_bck100.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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.reasonCode.text\">text</a><a name=\"Encounter.reasonCode.text\"> </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 style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</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\">コンセプトの単純なテキスト表現 / Plain text representation of the concept</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-Encounter-eCS-definitions.html#Encounter.diagnosis\" title=\"入院期間中の診断情報。診療情報提供書では不要。\">diagnosis</a><a name=\"Encounter.diagnosis\"> </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#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">入院期間中の診断情報。診療情報提供書では不要。</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.diagnosis.condition\" title=\"患者状態（病態・疾患名・症状）への参照\">condition</a><a name=\"Encounter.diagnosis.condition\"> </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\">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: #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=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition\">JP Core Condition Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">患者状態（病態・疾患名・症状）への参照</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_bck111.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.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-Encounter-eCS-definitions.html#Encounter.diagnosis.use\" title=\"診断の位置付け区分（DiagnosisRole）。これにより、入院時診断、退院時診断、などが区別される。入院中のすべての診断病名にこのコードが必須ではないが、少なくともAD:入院時診断、DD:退院時診断、CC:主訴、についてはそれぞれ1個以上はこのコードがついている必要がある。AD:入院時診断\u3000DD:退院時診断\u3000FU:フォローアップ時診断 \">use</a><a name=\"Encounter.diagnosis.use\"> </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\">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\">診断の位置付け区分</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_bck1101.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_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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.diagnosis.use.coding\">coding</a><a name=\"Encounter.diagnosis.use.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=\"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\">1..1</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#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\">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></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_bck11010.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_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.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-Encounter-eCS-definitions.html#Encounter.diagnosis.use.coding.system\">system</a><a name=\"Encounter.diagnosis.use.coding.system\"> </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#uri\">uri</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://terminology.hl7.org/CodeSystem/diagnosis-role</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_bck11010.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_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.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-Encounter-eCS-definitions.html#Encounter.diagnosis.use.coding.code\">code</a><a name=\"Encounter.diagnosis.use.coding.code\"> </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\">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#code\">code</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\">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</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_bck11000.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_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.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-Encounter-eCS-definitions.html#Encounter.diagnosis.use.coding.display\">display</a><a name=\"Encounter.diagnosis.use.coding.display\"> </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#string\">string</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\">システムによって定義された表現 / Representation defined by the system</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_bck100.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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.diagnosis.rank\" title=\"診断の優先順位。入院時診断、退院時診断、主訴、などの優先順位を表す。\">rank</a><a name=\"Encounter.diagnosis.rank\"> </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 style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">診断の優先順位</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-Encounter-eCS-definitions.html#Encounter.hospitalization\" title=\"入退院の詳細状況。診療情報提供書では不要。\">hospitalization</a><a name=\"Encounter.hospitalization\"> </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\">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#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">入退院の詳細状況。診療情報提供書では不要。</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.origin\" title=\"入院前の所在場所または施設への参照。\">origin</a><a name=\"Encounter.hospitalization.origin\"> </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 style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location\">JP Core Location Profile</a> | <a style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization\">JP Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">入院前の所在場所または施設への参照。</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_bck111.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.admitSource\" title=\"入院経路を表すコード情報\">admitSource</a><a name=\"Encounter.hospitalization.admitSource\"> </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\">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\">入院経路を表すコード情報</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_bck1101.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_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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.hospitalization.admitSource.coding\">coding</a><a name=\"Encounter.hospitalization.admitSource.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=\"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\">1..1</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#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\">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></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_bck11010.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_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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.admitSource.coding.system\">system</a><a name=\"Encounter.hospitalization.admitSource.coding.system\"> </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#uri\">uri</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://terminology.hl7.org/CodeSystem/admit-source</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_bck11000.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_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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.admitSource.coding.code\">code</a><a name=\"Encounter.hospitalization.admitSource.coding.code\"> </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\">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#code\">code</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\">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</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_bck110.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.destination\" title=\"退院後の所在場所または施設への参照。\">destination</a><a name=\"Encounter.hospitalization.destination\"> </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\">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 style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location\">JP Core Location Profile</a> | <a style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization\">JP Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">退院後の所在場所または施設への参照。</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_bck101.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_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.hospitalization.dischargeDisposition\" title=\"退院時転帰コード情報\">dischargeDisposition</a><a name=\"Encounter.hospitalization.dischargeDisposition\"> </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\">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#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\">退院時転帰コード情報</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_bck1001.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.dischargeDisposition.coding\">coding</a><a name=\"Encounter.hospitalization.dischargeDisposition.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\">1..1</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></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_bck10010.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.dischargeDisposition.coding.system\">system</a><a name=\"Encounter.hospitalization.dischargeDisposition.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\"><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\">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://terminology.hl7.org/CodeSystem/discharge-disposition</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_bck10010.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.dischargeDisposition.coding.code\">code</a><a name=\"Encounter.hospitalization.dischargeDisposition.coding.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#code\">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=\"opacity: 0.5\">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</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_bck10000.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.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-Encounter-eCS-definitions.html#Encounter.hospitalization.dischargeDisposition.coding.display\">display</a><a name=\"Encounter.hospitalization.dischargeDisposition.coding.display\"> </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 style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</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\">システムによって定義された表現 / Representation defined by the system</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_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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.location\" title=\"入院中の所在場所（病棟病室など）。診療情報提供書では不要。\">location</a><a name=\"Encounter.location\"> </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#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">入院中の所在場所（病棟病室など）。診療情報提供書では不要。</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-Encounter-eCS-definitions.html#Encounter.location.location\" title=\"入院中の所在場所（病棟病室など）への参照。\">location</a><a name=\"Encounter.location.location\"> </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\">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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.1-snap&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location\">JP Core Location Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">入院中の所在場所（病棟病室など）への参照。</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_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: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.location.status\">status</a><a name=\"Encounter.location.status\"> </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#code\">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=\"opacity: 0.5\">計画|アクティブ|予約済み|完了しました / planned | active | reserved | completed</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">completed</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_bck011.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-Encounter-eCS-definitions.html#Encounter.location.physicalType\" title=\"所在場所のタイプ。bu: 建物wa: 病棟ro: 病室bd: ベッドarea: エリアなど。\">physicalType</a><a name=\"Encounter.location.physicalType\"> </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 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\">入院中の所在場所（病棟病室など）の種別</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_bck0101.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_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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Encounter-eCS-definitions.html#Encounter.location.physicalType.coding\">coding</a><a name=\"Encounter.location.physicalType.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\">1..1</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></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_bck01010.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_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.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-Encounter-eCS-definitions.html#Encounter.location.physicalType.coding.system\">system</a><a name=\"Encounter.location.physicalType.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\"><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\">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://terminology.hl7.org/CodeSystem/location-physical-type</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_bck01010.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_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.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-Encounter-eCS-definitions.html#Encounter.location.physicalType.coding.code\">code</a><a name=\"Encounter.location.physicalType.coding.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#code\">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=\"opacity: 0.5\">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</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_bck01000.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_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.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-Encounter-eCS-definitions.html#Encounter.location.physicalType.coding.display\">display</a><a name=\"Encounter.location.physicalType.coding.display\"> </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 style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</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\">システムによって定義された表現 / Representation defined by the system</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_bck001.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-Encounter-eCS-definitions.html#Encounter.location.period\" title=\"所在期間\">period</a><a name=\"Encounter.location.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=\"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#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\">所在期間</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_bck0010.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_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-Encounter-eCS-definitions.html#Encounter.location.period.start\">start</a><a name=\"Encounter.location.period.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\"><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\">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#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\"><span style=\"opacity: 0.5\">包括的境界で開始時間 / Starting time with inclusive boundary</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_bck0000.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_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-Encounter-eCS-definitions.html#Encounter.location.period.end\">end</a><a name=\"Encounter.location.period.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\"><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\">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\"><span style=\"opacity: 0.5\">継続していない場合、包括的境界で終了時間 / End time with inclusive boundary, if not ongoing</span></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_Encounter_eCS",

  "version" : "0.1.0",

  "name" : "JP_Encounter_eCS",

  "status" : "active",

  "date" : "2023-03-31",

  "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" : "診療情報提供では、紹介理由を記述するEncouter情報\u3000JP_Encounterの派生プロファイル。診療サマリーではサマリー対象となる受診や入院に関する情報。",

  "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" : "rim",

      "uri" : "http://hl7.org/v3",

      "name" : "RIM Mapping"

    },

    {

      "identity" : "w5",

      "uri" : "http://hl7.org/fhir/fivews",

      "name" : "FiveWs Pattern Mapping"

    },

    {

      "identity" : "v2",

      "uri" : "http://hl7.org/v2",

      "name" : "HL7 v2 Mapping"

    }

  ],

  "kind" : "resource",

  "abstract" : false,

  "type" : "Encounter",

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

  "derivation" : "constraint",

  "snapshot" : {

    "element" : [

      {

        "id" : "Encounter",

        "path" : "Encounter",

        "short" : "An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用",

        "definition" : "An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.\r\n\r\n医療サービスの提供または患者の健康状態の評価を目的とした、患者と医療提供者との間の相互作用。Encounterと表現される。\r\n\r\n【JP Core仕様】外来受診、救急受診、入院、退院、対面診察、電話診察、など。",

        "alias" : [

          "Visit"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter",

          "min" : 0,

          "max" : "*"

        },

        "constraint" : [

          {

            "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" : "rim",

            "map" : "Encounter[@moodCode='EVN']"

          }

        ]

      },

      {

        "id" : "Encounter.id",

        "path" : "Encounter.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" : "Encounter.meta",

        "path" : "Encounter.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" : "Encounter.meta.id",

        "path" : "Encounter.meta.id",

        "representation" : [

          "xmlAttr"

        ],

        "short" : "エレメント相互参照のためのユニークID",

        "definition" : "リソース内の要素の固有ID（内部参照用）。これは、スペースを含まない任意の文字列値である可能性があります。",

        "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" : "Encounter.meta.extension",

        "path" : "Encounter.meta.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "description" : "拡張子は常にURLで切り片にされます。",

          "rules" : "open"

        },

        "short" : "実装によって定義される追加コンテンツ",

        "definition" : "「要素の基本的な定義に含まれない追加情報を表すために使用されることがあります。拡張機能の使用を安全かつ管理しやすくするために、定義および使用に適用される厳格なガバナンスのセットがあります。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す必要のある要件のセットがあります。」",

        "comment" : "どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。",

        "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要素は、@valueまたはchildrenを持っている必要があります。",

            "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" : "「拡張機能または値[x]のいずれかが必要です。両方ではありません。」",

            "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" : "Encounter.meta.versionId",

        "path" : "Encounter.meta.versionId",

        "short" : "バージョン固有の識別子 (Baajon koyū no shikibetsu-shi)",

        "definition" : "URLのバージョン部分に表示されるバージョン固有の識別子。この値は、リソースが作成、更新、または削除された場合に変更されます。",

        "comment" : "サーバーがこの値を割り当て、クライアントが指定した値を無視する。ただし、サーバーが更新/削除時にバージョンの整合性を強制する場合を除く。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Meta.versionId",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "id"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",

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

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

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

          }

        ],

        "isModifier" : false,

        "isSummary" : true

      },

      {

        "id" : "Encounter.meta.lastUpdated",

        "path" : "Encounter.meta.lastUpdated",

        "short" : "「リソースのバージョンが最後に変更されたとき」",

        "definition" : "リソースが最後に変更されたとき - 例えば、バージョンが変更されたとき。",

        "comment" : "この値はリソースが初めて作成される場合を除いて常に設定されています。サーバー/リソースマネージャーがこの値を設定します。クライアントが提供する値は関係ありません。これはHTTP Last-Modifiedに相当し、[read](http://hl7.org/fhir/R4/http.html#read)のインタラクションで同じ値を持つべきです。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Meta.lastUpdated",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "instant"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",

            "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

      },

      {

        "id" : "Encounter.meta.source",

        "path" : "Encounter.meta.source",

        "short" : "「リソースがどこから来たかを特定する」(Risōsu ga doko kara kita ka o tokutei suru)",

        "definition" : "リソースのソースシステムを識別するURI。これにより、リソース内の情報のソースをトラックまたは区別するために使用できる最小限の[プロビナンス]（provenance.html＃）情報が提供されます。ソースは、別のFHIRサーバー、ドキュメント、メッセージ、データベースなどを識別できます。",

        "comment" : "「プロバナンスのリソースにおいて、これはProvenance.entity.what[x]に対応します。ソースの正確な使用方法（および含意されるProvenance.entity.role）は実装者の判断に委ねられます。指定されたソースは1つだけです。追加のプロバナンスの詳細が必要な場合は、完全なプロバナンスリソースを使用するべきです。\n\nこの要素は、正規のURLでホストされていないリソースの現在のマスターソースがどこにあるかを示すために使用できます。」",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Meta.source",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",

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

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

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

          }

        ],

        "isModifier" : false,

        "isSummary" : true

      },

      {

        "id" : "Encounter.meta.profile",

        "path" : "Encounter.meta.profile",

        "short" : "このリソースが適合を主張するプロファイル",

        "definition" : "このリソースが準拠すると主張する [StructureDefinition](structuredefinition.html#) リソースに関するプロファイルのリストです。URL は [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url) への参照です。",

        "comment" : "これらの主張が時間の経過に伴って検証または更新される方法と、それらを決定するサーバーや他の基盤に任されます。プロファイルURLのリストは1セットです。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Meta.profile",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "canonical",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/StructureDefinition"

            ]

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",

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

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

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

          }

        ],

        "isModifier" : false,

        "isSummary" : true

      },

      {

        "id" : "Encounter.meta.security",

        "path" : "Encounter.meta.security",

        "short" : "このリソースに適用されたセキュリティラベル",

        "definition" : "このリソースにはセキュリティラベルが適用されています。これらのタグにより、特定のリソースが全体的なセキュリティポリシーやインフラストラクチャに関連付けられます。",

        "comment" : "セキュリティラベルは変更せずにリソースのバージョンを更新可能です。セキュリティラベルのリストはセットであり、一意性はシステム/コードに基づき、バージョンと表示は無視されます。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Meta.security",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",

            "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" : "SecurityLabels"

            }

          ],

          "strength" : "extensible",

          "description" : "医療プライバシーおよびセキュリティ分類システムからのセキュリティラベル。",

          "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"

        }

      },

      {

        "id" : "Encounter.meta.tag",

        "path" : "Encounter.meta.tag",

        "short" : "このリソースに適用されたタグ",

        "definition" : "このリソースに適用されるタグです。タグは、リソースをプロセスやワークフローに識別し、関連付けるために使用することが意図されており、アプリケーションはリソースの意味を解釈する際にタグを考慮する必要はありません。",

        "comment" : "リソースの表示バージョンを変更することなく、タグを更新できます。タグのリストは集合です。ユニーク性はシステム/コードに基づき、バージョンと表示は無視されます。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Meta.tag",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Coding"

          }

        ],

        "constraint" : [

          {

            "key" : "ele-1",

            "severity" : "error",

            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",

            "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" : "Tags"

            }

          ],

          "strength" : "example",

          "description" : "「様々なタグを表すコードで、一般的にはワークフローに関連しています。例：「ジョーンズ博士によるレビューが必要です」。」",

          "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags"

        }

      },

      {

        "id" : "Encounter.implicitRules",

        "path" : "Encounter.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" : "Encounter.language",

        "path" : "Encounter.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" : "Encounter.text",

        "path" : "Encounter.text",

        "short" : "人間の解釈のためのリソースのテキスト概要 / Text summary of the resource, for human interpretation",

        "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" : "Encounter.contained",

        "path" : "Encounter.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" : "Encounter.extension",

        "path" : "Encounter.extension",

        "slicing" : {

          "discriminator" : [

            {

              "type" : "value",

              "path" : "url"

            }

          ],

          "ordered" : false,

          "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" : "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" : "Encounter.extension:associatedEncounter",

        "path" : "Encounter.extension",

        "sliceName" : "associatedEncounter",

        "short" : "関連するEncounter",

        "definition" : "関連するEncounter",

        "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" : "1",

        "base" : {

          "path" : "DomainResource.extension",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Extension",

            "profile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"

            ]

          }

        ],

        "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" : "Encounter.modifierExtension",

        "path" : "Encounter.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" : "Encounter.identifier",

        "path" : "Encounter.identifier",

        "short" : "この医療機関における患者の受診番号、入院管理番号",

        "definition" : "この医療機関における患者の受診番号、入院管理番号",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.identifier"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.identifier"

          },

          {

            "identity" : "v2",

            "map" : "PV1-19"

          },

          {

            "identity" : "rim",

            "map" : ".id"

          }

        ]

      },

      {

        "id" : "Encounter.identifier.id",

        "path" : "Encounter.identifier.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" : "Encounter.identifier.extension",

        "path" : "Encounter.identifier.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" : "Encounter.identifier.use",

        "path" : "Encounter.identifier.use",

        "short" : "通常|公式|温度|セカンダリ|古い（知られている場合） / usual | official | temp | secondary | old (If known)",

        "definition" : "この識別子の目的。 / The purpose of this identifier.",

        "comment" : "アプリケーションは、識別子が一時的なものであると明示的に言っていない限り、永続的であると想定できます。 / Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",

        "requirements" : "特定の使用のコンテキストが一連の識別子の中から選択される適切な識別子を許可します。 / Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Identifier.use",

          "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" : true,

        "isModifierReason" : "これは、アプリケーションが一時的なIDを永続的なIDと間違えてはならないため、「IS修飾子」とラベル付けされています。 / This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "IdentifierUse"

            }

          ],

          "strength" : "required",

          "description" : "既知の場合、この識別子の目的を識別します。 / Identifies the purpose for this identifier, if known .",

          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "N/A"

          },

          {

            "identity" : "rim",

            "map" : "Role.code or implied by context"

          }

        ]

      },

      {

        "id" : "Encounter.identifier.type",

        "path" : "Encounter.identifier.type",

        "short" : "識別子の説明 / Description of identifier",

        "definition" : "特定の目的に使用する識別子を決定するために使用できる識別子のコード化されたタイプ。 / A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",

        "comment" : "この要素は、識別子の一般的なカテゴリのみを扱います。識別子。システムに対応するコードに使用しないでください。一部の識別子は、一般的な使用法により複数のカテゴリに分類される場合があります。システムがわかっている場合、タイプは常にシステム定義の一部であるため、タイプは不要です。ただし、システムが不明な識別子を処理する必要があることがよくあります。多くの異なるシステムが同じタイプを持っているため、タイプとシステムの間に1：1の関係はありません。 / This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",

        "requirements" : "識別子システムが不明な場合、ユーザーは識別子を使用できます。 / Allows users to make use of identifiers when the identifier system is not known.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Identifier.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" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "IdentifierType"

            }

          ],

          "strength" : "extensible",

          "description" : "特定の目的に使用する識別子を決定するために使用できる識別子のコード化されたタイプ。 / A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "CX.5"

          },

          {

            "identity" : "rim",

            "map" : "Role.code or implied by context"

          }

        ]

      },

      {

        "id" : "Encounter.identifier.system",

        "path" : "Encounter.identifier.system",

        "short" : "識別子値の名前空間 / The namespace for the identifier value",

        "definition" : "値の名前空間、つまり一意のセット値を記述するURLを確立します。 / Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",

        "comment" : "識別子。システムは常にケースに敏感です。 / Identifier.system is always case sensitive.",

        "requirements" : "識別子のセットがたくさんあります。2つの識別子を一致させるには、どのセットを扱っているかを知る必要があります。システムは、特定の一意の識別子セットを識別します。 / There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Identifier.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",

        "example" : [

          {

            "label" : "General",

            "valueUri" : "http://www.acme.com/identifiers/patient"

          }

        ],

        "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" : "CX.4 / EI-2-4"

          },

          {

            "identity" : "rim",

            "map" : "II.root or Role.id.root"

          },

          {

            "identity" : "servd",

            "map" : "./IdentifierType"

          }

        ]

      },

      {

        "id" : "Encounter.identifier.value",

        "path" : "Encounter.identifier.value",

        "short" : "一意の値 / The value that is unique",

        "definition" : "通常、識別子の部分はユーザーに関連し、システムのコンテキスト内で一意のユーザーに関連しています。 / The portion of the identifier typically relevant to the user and which is unique within the context of the system.",

        "comment" : "値が完全なURIの場合、システムはurn：ietf：rfc：3986でなければなりません。値の主な目的は、計算マッピングです。その結果、比較目的で正規化される可能性があります（例えば、有意でない白文字、ダッシュなどの削除）ヒューマンディスプレイ用の値は、[レンダリングされた値拡張]（拡張レンダリングValue.html）を使用して伝達できます。識別子。価値は、識別子の知識を使用しない限り、ケースに敏感なものとして扱われます。システムにより、プロセッサーは、非セイズに固有の処理が安全であると確信できます。 / If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Identifier.value",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "example" : [

          {

            "label" : "General",

            "valueString" : "123456"

          }

        ],

        "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" : "CX.1 / EI.1"

          },

          {

            "identity" : "rim",

            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"

          },

          {

            "identity" : "servd",

            "map" : "./Value"

          }

        ]

      },

      {

        "id" : "Encounter.identifier.period",

        "path" : "Encounter.identifier.period",

        "short" : "IDが使用に有効だった時間期間 / Time period when id is/was valid for use",

        "definition" : "識別子が使用される/有効な期間。 / Time period during which identifier is/was valid for use.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Identifier.period",

          "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" : "v2",

            "map" : "CX.7 + CX.8"

          },

          {

            "identity" : "rim",

            "map" : "Role.effectiveTime or implied by context"

          },

          {

            "identity" : "servd",

            "map" : "./StartDate and ./EndDate"

          }

        ]

      },

      {

        "id" : "Encounter.identifier.assigner",

        "path" : "Encounter.identifier.assigner",

        "short" : "IDを発行した組織（単なるテキストである可能性があります） / Organization that issued id (may be just text)",

        "definition" : "識別子を発行/管理する組織。 / Organization that issued/manages the identifier.",

        "comment" : "識別子は、.reference要素を省略し、割り当て組織に関する名前またはその他のテキスト情報を反映した.display要素のみを含む場合があります。 / The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Identifier.assigner",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/Organization"

            ]

          }

        ],

        "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" : "CX.4 / (CX.4,CX.9,CX.10)"

          },

          {

            "identity" : "rim",

            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"

          },

          {

            "identity" : "servd",

            "map" : "./IdentifierIssuingAuthority"

          }

        ]

      },

      {

        "id" : "Encounter.status",

        "path" : "Encounter.status",

        "short" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】",

        "definition" : "finished の固定値を設定する。",

        "comment" : "Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).\r\n\r\n内部のビジネス・ルールは、ステータス(およびクラス)間で発生する可能性のある適切な遷移を検出することに注意すること。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.status",

          "min" : 1,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "fixedCode" : "finished",

        "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" : true,

        "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid / この要素は、リソースを有効なものとして扱うべきではないことを意味する status entered-in-error を含む status 要素であるため、修飾子としてラベル付けされる。",

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "EncounterStatus"

            }

          ],

          "strength" : "required",

          "description" : "Encounterの現在の状態。 / Current state of the encounter.",

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

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.status"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.status"

          },

          {

            "identity" : "v2",

            "map" : "No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"

          },

          {

            "identity" : "rim",

            "map" : ".statusCode"

          }

        ]

      },

      {

        "id" : "Encounter.statusHistory",

        "path" : "Encounter.statusHistory",

        "short" : "List of past encounter statuses / 過去のEncounterのステータス一覧【詳細参照】",

        "definition" : "The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.\r\n\r\nステータス履歴(status History)は、リソースの歴史的なバージョンを読み込んだり、サーバに保存させたりすることなく、Encounterリソースがステータス履歴を含むことを可能にする。",

        "comment" : "The current status is always found in the current version of the resource, not the status history.\r\n\r\n現在のステータスは、ステータスの履歴ではなく、常にリソースの現在のバージョンにある。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.statusHistory",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "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" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.statusHistory.id",

        "path" : "Encounter.statusHistory.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" : "Encounter.statusHistory.extension",

        "path" : "Encounter.statusHistory.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" : "Encounter.statusHistory.modifierExtension",

        "path" : "Encounter.statusHistory.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" : "Encounter.statusHistory.status",

        "path" : "Encounter.statusHistory.status",

        "short" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+.",

        "definition" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.\r\n\r\n予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+.",

        "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size\r\n\r\nFHIR 文字列のサイズは 1MB を超えてはならないことに注意すること。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.statusHistory.status",

          "min" : 1,

          "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-bindingName",

              "valueString" : "EncounterStatus"

            }

          ],

          "strength" : "required",

          "description" : "Encounterの現在の状態。 / Current state of the encounter.",

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

        },

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.statusHistory.period",

        "path" : "Encounter.statusHistory.period",

        "short" : "The time that the episode was in the specified status / そのエピソードが指定された状態になっていた時間",

        "definition" : "The time that the episode was in the specified status.\r\n\r\nそのエピソードが指定された状態になっていた時間。",

        "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).\r\n\r\nこれは期間ではない-これは時間の尺度（別のタイプ）であり、時間の固定値で発生する期間である。 期間は時間の範囲を指定する。 使用状況は、範囲全体が適用されるか（たとえば、「患者はこの時間範囲で入院していた」）、または範囲から1つの値が適用されるか（たとえば、「これら2回の間に患者に与える」）を指定する。 期間が必要な場合は、タイプをInterval | Durationとして指定する。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.statusHistory.period",

          "min" : 1,

          "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" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.class",

        "path" : "Encounter.class",

        "short" : "受診イベントの分類",

        "definition" : "受診イベントの分類。外来（外来）、入院、救急、在宅医療、その他の地域差による患者Encouterの分類を表す概念。",

        "comment" : "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.\r\n\r\nコードは列挙やコードリストの中で非常にカジュアルに定義されることもあれば、SNOMED CTのような非常にフォーマルな定義まである。 - 詳細はHL7 v3コア・プリンシプルを参照すること。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.class",

          "min" : 1,

          "max" : "1"

        },

        "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,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "EncounterClass"

            }

          ],

          "strength" : "extensible",

          "description" : "Encounterの分類。 / Classification of the encounter.",

          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"

        },

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.class"

          },

          {

            "identity" : "v2",

            "map" : "PV1-2"

          },

          {

            "identity" : "rim",

            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"

          }

        ]

      },

      {

        "id" : "Encounter.class.id",

        "path" : "Encounter.class.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" : "Encounter.class.extension",

        "path" : "Encounter.class.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" : "Encounter.class.system",

        "path" : "Encounter.class.system",

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

        "definition" : "コード体系v3.ActEncounterCodeを識別するURI。固定値。",

        "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://terminology.hl7.org/CodeSystem/v3-ActCode",

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.class.version",

        "path" : "Encounter.class.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" : "Encounter.class.code",

        "path" : "Encounter.class.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" : "AMB:外来\u3000EMER:救急\u3000HH:在宅ケア    IMP:入院または入院中    ACUTE: 入院中臨時     NONAC:入院中定時   PRENC:予定入院時    VR:リモート診療",

        "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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "binding" : {

          "strength" : "extensible",

          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "C*E.1"

          },

          {

            "identity" : "rim",

            "map" : "./code"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.class.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.class.display",

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

        "definition" : "AMB:外来\u3000EMER:救急\u3000HH:在宅ケア    IMP:入院または入院中    ACUTE: 入院中臨時     NONAC:入院中定時   PRENC:予定入院時    VR:リモート診療",

        "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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.class.userSelected",

        "path" : "Encounter.class.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" : "Encounter.classHistory",

        "path" : "Encounter.classHistory",

        "short" : "外来受診履歴や入院履歴の繰り返し記述。",

        "definition" : "この入院期間までの外来受診履歴や入院履歴を記述したい場合にここに繰り返しで記述する。紹介先受診情報では不要。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.classHistory",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.classHistory.id",

        "path" : "Encounter.classHistory.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" : "Encounter.classHistory.extension",

        "path" : "Encounter.classHistory.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" : "Encounter.classHistory.modifierExtension",

        "path" : "Encounter.classHistory.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" : "Encounter.classHistory.class",

        "path" : "Encounter.classHistory.class",

        "short" : "inpatient | outpatient | ambulatory | emergency + / 入院｜外来｜外来｜救急＋",

        "definition" : "inpatient | outpatient | ambulatory | emergency +.\r\n\r\n入院｜外来｜外来｜救急＋。",

        "comment" : "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.\r\n\r\nコードは列挙やコードリストの中で非常にカジュアルに定義されることもあれば、SNOMED CTのような非常にフォーマルな定義まである- 詳細はHL7 v3コア・プリンシプルを参照すること。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.classHistory.class",

          "min" : 1,

          "max" : "1"

        },

        "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" : false,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "EncounterClass"

            }

          ],

          "strength" : "extensible",

          "description" : "Encounterの分類。 / Classification of the encounter.",

          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"

        },

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.classHistory.class.id",

        "path" : "Encounter.classHistory.class.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" : "Encounter.classHistory.class.extension",

        "path" : "Encounter.classHistory.class.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" : "Encounter.classHistory.class.system",

        "path" : "Encounter.classHistory.class.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://terminology.hl7.org/CodeSystem/v3-ActCode",

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.classHistory.class.version",

        "path" : "Encounter.classHistory.class.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" : "Encounter.classHistory.class.code",

        "path" : "Encounter.classHistory.class.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.classHistory.class.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.classHistory.class.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.classHistory.class.userSelected",

        "path" : "Encounter.classHistory.class.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" : "Encounter.classHistory.period",

        "path" : "Encounter.classHistory.period",

        "short" : "入院期間を表す必要がある場合には必須。外来では必要な場合を除き省略可。",

        "definition" : "入院期間を表す必要がある場合には必須。外来では必要な場合を除き省略可。",

        "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).\r\n\r\nこれは期間ではない-これは時間の尺度（別のタイプ）であり、時間の固定値で発生する期間である。 期間は時間の範囲を指定する。 使用状況は、範囲全体が適用されるか（たとえば、「患者はこの時間範囲で入院していた」）、または範囲から1つの値が適用されるか（たとえば、「これら2回の間に患者に与える」）を指定する。 期間が必要な場合は、タイプをInterval | Durationとして指定する。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.classHistory.period",

          "min" : 1,

          "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.classHistory.period.id",

        "path" : "Encounter.classHistory.period.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" : "Encounter.classHistory.period.extension",

        "path" : "Encounter.classHistory.period.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" : "Encounter.classHistory.period.start",

        "path" : "Encounter.classHistory.period.start",

        "short" : "包括的境界で開始時間 / Starting time with inclusive boundary",

        "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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.1"

          },

          {

            "identity" : "rim",

            "map" : "./low"

          }

        ]

      },

      {

        "id" : "Encounter.classHistory.period.end",

        "path" : "Encounter.classHistory.period.end",

        "short" : "継続していない場合、包括的境界で終了時間 / End time with inclusive boundary, if not ongoing",

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.2"

          },

          {

            "identity" : "rim",

            "map" : "./high"

          }

        ]

      },

      {

        "id" : "Encounter.type",

        "path" : "Encounter.type",

        "short" : "Specific type of encounter / Encounterの具体的なタイプ【詳細参照】",

        "definition" : "Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).\r\n\r\n具体的なEncounterの種類（メール相談、外科デイケア、熟練看護、リハビリテーションなど）",

        "comment" : "Since there are many ways to further classify encounters, this element is ..*.\r\n\r\nEncounterをさらに分類する方法はいろいろあるので、この要素は...*である。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.type",

          "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" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "EncounterType"

            }

          ],

          "strength" : "example",

          "description" : "Encounterのタイプ。 / The type of encounter.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-type"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.code"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.class"

          },

          {

            "identity" : "v2",

            "map" : "PV1-4 / PV1-18"

          },

          {

            "identity" : "rim",

            "map" : ".code"

          }

        ]

      },

      {

        "id" : "Encounter.serviceType",

        "path" : "Encounter.serviceType",

        "short" : "Specific type of service / 具体的なサービスの種類【詳細参照】",

        "definition" : "Broad categorization of the service that is to be provided (e.g. cardiology).\r\n\r\n提供されるサービスの大まかな分類（心臓病など）。",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべてのターミノロジの使用がこの一般的なパターンに適合するわけではない。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係とpre-coordinationとpost-coordinationの用語関係を管理するための独自の構造を提供する必要がある。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.serviceType",

          "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" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "EncounterServiceType"

            }

          ],

          "strength" : "example",

          "description" : "提供されるサービスの広範な分類。 / Broad categorization of the service that is to be provided.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.code"

          },

          {

            "identity" : "v2",

            "map" : "PV1-10"

          },

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.priority",

        "path" : "Encounter.priority",

        "short" : "Indicates the urgency of the encounter / このEncounterの緊急性を示す【詳細参照】",

        "definition" : "Indicates the urgency of the encounter.\r\n\r\nこのEncounterの緊急性を示す。",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべてのターミノロジの使用がこの一般的なパターンに適合するわけではない。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係とpre-coordinationとpost-coordinationの用語関係を管理するための独自の構造を提供する必要がある。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.priority",

          "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" : "Priority"

            }

          ],

          "strength" : "example",

          "description" : "Encounterの緊急性を示します。 / Indicates the urgency of the encounter.",

          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"

        },

        "mapping" : [

          {

            "identity" : "w5",

            "map" : "FiveWs.grade"

          },

          {

            "identity" : "v2",

            "map" : "PV2-25"

          },

          {

            "identity" : "rim",

            "map" : ".priorityCode"

          }

        ]

      },

      {

        "id" : "Encounter.subject",

        "path" : "Encounter.subject",

        "short" : "The patient or group present at the encounter / このEncounterに立ち会う患者またはグループ【詳細参照】",

        "definition" : "The patient or group present at the encounter.\r\n\r\nこのEncounterに立ち会う患者またはグループ。",

        "comment" : "While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).\r\n\r\nこのEncounterは常に患者に関するものであるが、患者は実際にはすべての使用状況で知られているわけではなく、匿名である可能性のある患者のグループが存在する可能性がある。（匿名のアルコール依存症の集団療法など-遭遇は、人数/スタッフの請求に使用でき、特定の患者の状況には重要ではない）",

        "alias" : [

          "patient"

        ],

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.subject",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"🔗 ,

              "http://hl7.org/fhir/StructureDefinition/Group"

            ]

          }

        ],

        "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.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" : "Encounter.episodeOfCare",

        "path" : "Encounter.episodeOfCare",

        "short" : "Episode(s) of care that this encounter should be recorded against / このEncounterが記録されるべきケアのエピソード【詳細参照】",

        "definition" : "Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).\r\n\r\n特定のEncounterをケアの特定のエピソードの一部として分類する必要がある場合は、このフィールドを使用する必要がある。この関連付けにより、政府の報告、問題追跡、一般的な問題を介した関連付けなど、特定の目的のために関連するEncounterをグループ化することが容易になる。これらは通常、ケアのエピソードの後に作成され、ケアのエピソードを編集して別のEncounterを追加するのではなく、エントリ時にグループ化されるため、関連付けはEncounterに記録される（ケアのエピソードは数年にわたる場合がある）。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は、実際のFHIRリソースへの参照である必要があり、解決可能（内容に到達可能）である必要がある（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.episodeOfCare",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"

            ]

          }

        ],

        "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.context"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.context"

          },

          {

            "identity" : "v2",

            "map" : "PV1-54, PV1-53"

          },

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.basedOn",

        "path" : "Encounter.basedOn",

        "short" : "The ServiceRequest that initiated this encounter / このEncounterを開始したServiceRequest【詳細参照】",

        "definition" : "The request this encounter satisfies (e.g. incoming referral or procedure request).\r\n\r\nこのEncounterが満たすリクエスト（例：入ってくる紹介または手続きリクエスト）。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は、実際のFHIRリソースへの参照である必要があり、解決可能（内容に到達可能）である必要がある（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。",

        "alias" : [

          "incomingReferral"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.basedOn",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/ServiceRequest"

            ]

          }

        ],

        "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.basedOn"

          },

          {

            "identity" : "rim",

            "map" : ".reason.ClinicalDocument"

          }

        ]

      },

      {

        "id" : "Encounter.participant",

        "path" : "Encounter.participant",

        "short" : "List of participants involved in the encounter / このEncounterに関わった参加者一覧【詳細参照】",

        "definition" : "The list of people responsible for providing the service.\r\n\r\nサービスを提供する責任がある人々のリスト。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.participant",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "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.performer"

          },

          {

            "identity" : "v2",

            "map" : "ROL"

          },

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=PFM]"

          }

        ]

      },

      {

        "id" : "Encounter.participant.id",

        "path" : "Encounter.participant.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" : "Encounter.participant.extension",

        "path" : "Encounter.participant.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" : "Encounter.participant.modifierExtension",

        "path" : "Encounter.participant.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" : "Encounter.participant.type",

        "path" : "Encounter.participant.type",

        "short" : "Role of participant in encounter / このEncounterにおける参加者の役割",

        "definition" : "Role of participant in encounter.\r\n\r\nこのEncounterにおける参加者の役割。",

        "comment" : "The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.\r\n\r\n参加者タイプは、個人がEncounterにどのように参加するかを示す。これには、開業医以外の参加者が含まれる。開業医の場合、これは、このEncounterのコンテキストでのアクションタイプを説明することである（例：入院医師、出席医師、翻訳者、コンサルティング医師）。これは、雇用、教育、ライセンスなどの条件から派生した機能的な役割である開業医の役割とは異なる。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.participant.type",

          "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" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "ParticipantType"

            }

          ],

          "strength" : "extensible",

          "description" : "Encounterの参加者の役割。 / Role of participant in encounter.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.performer.function"

          },

          {

            "identity" : "v2",

            "map" : "ROL-3 (or maybe PRT-4)"

          },

          {

            "identity" : "rim",

            "map" : ".functionCode"

          }

        ]

      },

      {

        "id" : "Encounter.participant.period",

        "path" : "Encounter.participant.period",

        "short" : "Period of time during the encounter that the participant participated / この参加者が参加したEncounterの中での期間",

        "definition" : "The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.\r\n\r\n指定された参加者がEncounterに参加した期間。これらは重複することも、Encounter全体の期間のサブセットになることもある。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.participant.period",

          "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" : false,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "ROL-5, ROL-6 (or maybe PRT-5)"

          },

          {

            "identity" : "rim",

            "map" : ".time"

          }

        ]

      },

      {

        "id" : "Encounter.participant.individual",

        "path" : "Encounter.participant.individual",

        "short" : "Persons involved in the encounter other than the patient / 患者以外のこのEncounterに関わった人",

        "definition" : "Persons involved in the encounter other than the patient.\r\n\r\n患者以外のこのEncounterに関わった人。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.participant.individual",

          "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://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" : "workflow",

            "map" : "Event.performer.actor"

          },

          {

            "identity" : "w5",

            "map" : "FiveWs.who"

          },

          {

            "identity" : "v2",

            "map" : "ROL-4"

          },

          {

            "identity" : "rim",

            "map" : ".role"

          }

        ]

      },

      {

        "id" : "Encounter.appointment",

        "path" : "Encounter.appointment",

        "short" : "The appointment that scheduled this encounter / このEncounterをスケジュールした予定【詳細参照】",

        "definition" : "The appointment that scheduled this encounter.\r\n\r\nこのEncounterをスケジュールした予定。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は、実際のFHIRリソースへの参照である必要があり、解決可能（内容に到達可能）である必要がある（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.appointment",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/Appointment"

            ]

          }

        ],

        "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.basedOn"

          },

          {

            "identity" : "v2",

            "map" : "SCH-1 / SCH-2"

          },

          {

            "identity" : "rim",

            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"

          }

        ]

      },

      {

        "id" : "Encounter.period",

        "path" : "Encounter.period",

        "short" : "入院期間。退院時サマリーでは必須。外来では必要な場合を除き省略可。",

        "definition" : "入院期間。退院時サマリーでは必須。外来では必要な場合を除き省略可。",

        "comment" : "If not (yet) known, the end of the Period may be omitted.\r\n\r\n（まだ）わからない場合は、期間の終了を省略できる。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.period",

          "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.occurrence[x]"

          },

          {

            "identity" : "w5",

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

          },

          {

            "identity" : "v2",

            "map" : "PV1-44, PV1-45"

          },

          {

            "identity" : "rim",

            "map" : ".effectiveTime (low & high)"

          }

        ]

      },

      {

        "id" : "Encounter.period.id",

        "path" : "Encounter.period.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" : "Encounter.period.extension",

        "path" : "Encounter.period.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" : "Encounter.period.start",

        "path" : "Encounter.period.start",

        "short" : "包括的境界で開始時間 / Starting time with inclusive boundary",

        "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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.1"

          },

          {

            "identity" : "rim",

            "map" : "./low"

          }

        ]

      },

      {

        "id" : "Encounter.period.end",

        "path" : "Encounter.period.end",

        "short" : "継続していない場合、包括的境界で終了時間 / End time with inclusive boundary, if not ongoing",

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.2"

          },

          {

            "identity" : "rim",

            "map" : "./high"

          }

        ]

      },

      {

        "id" : "Encounter.length",

        "path" : "Encounter.length",

        "short" : "この入院の在院日数",

        "definition" : "この入院の在院日数",

        "comment" : "May differ from the time the Encounter.period lasted because of leave of absence.\r\n\r\n休職のため、Encounter.periodが続いた時間とは異なる場合がある。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.length",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Duration"

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.occurrence[x]"

          },

          {

            "identity" : "v2",

            "map" : "(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"

          },

          {

            "identity" : "rim",

            "map" : ".lengthOfStayQuantity"

          }

        ]

      },

      {

        "id" : "Encounter.length.id",

        "path" : "Encounter.length.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" : "Encounter.length.extension",

        "path" : "Encounter.length.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" : "Encounter.length.value",

        "path" : "Encounter.length.value",

        "short" : "数値（暗黙の精度を持つ） / Numerical value (with implicit precision)",

        "definition" : "測定量の値。値には、値の表示に暗黙の精度が含まれます。 / The value of the measured amount. The value includes an implicit precision in the presentation of the value.",

        "comment" : "値の暗黙の精度は常に尊重されるべきです。金銭的価値には、精度を処理するための独自のルールがあります（標準的な会計の教科書を参照）。 / The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",

        "requirements" : "精度は、測定のほとんどすべての場合に暗黙的に処理されます。 / Precision is handled implicitly in almost all cases of measurement.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Quantity.value",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "decimal"

          }

        ],

        "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" : "SN.2  / CQ - N/A"

          },

          {

            "identity" : "rim",

            "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"

          }

        ]

      },

      {

        "id" : "Encounter.length.comparator",

        "path" : "Encounter.length.comparator",

        "short" : "<|<= |> = |>  - 価値を理解する方法 / < | <= | >= | > - how to understand the value",

        "definition" : "値をどのように理解し、表現する必要があるか - 測定の問題により実際の値が記載されている値よりも大きいか小さいかどうか。例えばコンパレータが「<」の場合、実際の値は<stated値です。 / How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.",

        "requirements" : "測定方法の制限があるため、値が<5ug/Lまたは> 400mg/Lの測定値を処理するためのフレームワークが必要です。 / Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Quantity.comparator",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "meaningWhenMissing" : "コンパレータがない場合、値の変更はありません / If there is no comparator, then there is no modification of the value",

        "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" : "これは、コンパレータが値の解釈を大幅に変更するため、「IS修飾子」とラベル付けされています。コンパレータがない場合、値の変更はありません / This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value",

        "isSummary" : true,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "QuantityComparator"

            }

          ],

          "strength" : "required",

          "description" : "量を理解し、表現する方法。 / How the Quantity should be understood and represented.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "SN.1  / CQ.1"

          },

          {

            "identity" : "rim",

            "map" : "IVL properties"

          }

        ]

      },

      {

        "id" : "Encounter.length.unit",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.length.unit",

        "short" : "ユニット表現 / Unit representation",

        "definition" : "日",

        "requirements" : "測定単位には多くの表現があり、多くのコンテキストでは、特定の表現が固定され、必要です。すなわちマイクログラム用MCG。 / There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Quantity.unit",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "string"

          }

        ],

        "fixedString" : "日",

        "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" : "(see OBX.6 etc.) / CQ.2"

          },

          {

            "identity" : "rim",

            "map" : "PQ.unit"

          }

        ]

      },

      {

        "id" : "Encounter.length.system",

        "path" : "Encounter.length.system",

        "short" : "コード化されたユニットフォームを定義するシステム / System that defines coded unit form",

        "definition" : "ユニットのコード化された形式を提供するシステムの識別。 / The identification of the system that provides the coded form of the unit.",

        "requirements" : "ユニットのコード化された形式を定義するシステムを知る必要があります。 / Need to know the system that defines the coded form of the unit.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Quantity.system",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "uri"

          }

        ],

        "fixedUri" : "http://unitsofmeasure.org",

        "condition" : [

          "qty-3"

        ],

        "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" : "(see OBX.6 etc.) / CQ.2"

          },

          {

            "identity" : "rim",

            "map" : "CO.codeSystem, PQ.translation.codeSystem"

          }

        ]

      },

      {

        "id" : "Encounter.length.code",

        "path" : "Encounter.length.code",

        "short" : "ユニットのコード化された形式 / Coded form of the unit",

        "definition" : "日",

        "comment" : "優先システムはUCUMですが、スノムCTは（慣習ユニットに）または通貨にISO 4217を使用することもできます。使用のコンテキストには、特定のシステムからのコードがさらに必要になる場合があります。 / The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.",

        "requirements" : "すべてのフォームに固定されたユニットの計算可能な形式が必要です。UCUMはこれを数量で提供しますが、Snomed CTは多くの関心のある単位を提供します。 / Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Quantity.code",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "fixedCode" : "d",

        "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" : "(see OBX.6 etc.) / CQ.2"

          },

          {

            "identity" : "rim",

            "map" : "PQ.code, MO.currency, PQ.translation.code"

          }

        ]

      },

      {

        "id" : "Encounter.reasonCode",

        "path" : "Encounter.reasonCode",

        "short" : "入院時主訴・入院理由。紹介する理由（主訴・目的）",

        "definition" : "コードで記述できる場合にそのコード記述。system値はMEDIS標準病名マスター病名交換用コードを使用できる。text要素にフリーテキストで記述してもよい。",

        "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).\r\n\r\nどれが主たる診断であったかを知る必要があるシステムでは、これらは標準のエクステンションであるprimaryDiagnosis（フラグではなくシーケンス値、1 = 主たる診断）でマークされる。",

        "alias" : [

          "Indication",

          "Admission diagnosis"

        ],

        "min" : 1,

        "max" : "*",

        "base" : {

          "path" : "Encounter.reasonCode",

          "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" : "EncounterReason"

            }

          ],

          "strength" : "preferred",

          "description" : "Encounterが起こる理由。 / Reason why the encounter takes place.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-reason"

        },

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.reasonCode"

          },

          {

            "identity" : "w5",

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

          },

          {

            "identity" : "v2",

            "map" : "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"

          },

          {

            "identity" : "rim",

            "map" : ".reasonCode"

          }

        ]

      },

      {

        "id" : "Encounter.reasonCode.id",

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.extension",

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.coding",

        "path" : "Encounter.reasonCode.coding",

        "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" : "Encounter.reasonCode.coding.id",

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.coding.extension",

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.coding.system",

        "path" : "Encounter.reasonCode.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"

          }

        ],

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.reasonCode.coding.version",

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.coding.code",

        "path" : "Encounter.reasonCode.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.reasonCode.coding.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.coding.userSelected",

        "path" : "Encounter.reasonCode.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" : "Encounter.reasonCode.text",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.reasonCode.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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.reasonReference",

        "path" : "Encounter.reasonReference",

        "short" : "Reason the encounter takes place (reference)\u3000Encounterがあった理由【詳細参照】",

        "definition" : "Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.\r\n\r\nコードとして表現されたEncounterが起こった理由。入院の場合、これはコード化されたコード化された入院時診断に使用できる。",

        "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).\r\n\r\nどれが主たる診断であったかを知る必要があるシステムでは、これらは標準のエクステンションであるprimaryDiagnosis（フラグではなくシーケンス値、1 = 主たる診断）でマークされる。",

        "alias" : [

          "Indication",

          "Admission diagnosis"

        ],

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.reasonReference",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

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

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common"🔗 ,

              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"

            ]

          }

        ],

        "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.reasonCode"

          },

          {

            "identity" : "w5",

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

          },

          {

            "identity" : "v2",

            "map" : "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"

          },

          {

            "identity" : "rim",

            "map" : ".reasonCode"

          }

        ]

      },

      {

        "id" : "Encounter.diagnosis",

        "path" : "Encounter.diagnosis",

        "short" : "入院期間中の診断情報。診療情報提供書では不要。",

        "definition" : "入院期間中の診断情報。診療情報提供書では不要。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.diagnosis",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "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" : "rim",

            "map" : ".outboundRelationship[typeCode=RSON]"

          }

        ]

      },

      {

        "id" : "Encounter.diagnosis.id",

        "path" : "Encounter.diagnosis.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" : "Encounter.diagnosis.extension",

        "path" : "Encounter.diagnosis.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" : "Encounter.diagnosis.modifierExtension",

        "path" : "Encounter.diagnosis.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" : "Encounter.diagnosis.condition",

        "path" : "Encounter.diagnosis.condition",

        "short" : "患者状態（病態・疾患名・症状）への参照",

        "definition" : "患者状態（病態・疾患名・症状）への参照",

        "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).\r\n\r\nどちらが一次診断であったかを知る必要があるシステムでは、これらは標準のエクステンションであるprimaryDiagnosis（フラグではなくシーケンス値、1 = 一次診断）でマークされる。",

        "alias" : [

          "Admission diagnosis",

          "discharge diagnosis",

          "indication"

        ],

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.diagnosis.condition",

          "min" : 1,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

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

            ]

          }

        ],

        "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.reasonReference"

          },

          {

            "identity" : "w5",

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

          },

          {

            "identity" : "v2",

            "map" : "Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."

          },

          {

            "identity" : "rim",

            "map" : ".outboundRelationship[typeCode=RSON].target"

          }

        ]

      },

      {

        "id" : "Encounter.diagnosis.use",

        "path" : "Encounter.diagnosis.use",

        "short" : "診断の位置付け区分",

        "definition" : "診断の位置付け区分（DiagnosisRole）。これにより、入院時診断、退院時診断、などが区別される。入院中のすべての診断病名にこのコードが必須ではないが、少なくともAD:入院時診断、DD:退院時診断、CC:主訴、についてはそれぞれ1個以上はこのコードがついている必要がある。AD:入院時診断\u3000DD:退院時診断\u3000FU:フォローアップ時診断 ",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.diagnosis.use",

          "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" : false,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "DiagnosisRole"

            }

          ],

          "strength" : "preferred",

          "description" : "この状態が表す診断のタイプ。 / The type of diagnosis this condition represents.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"

        },

        "mapping" : [

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.diagnosis.use.id",

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.use.extension",

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.use.coding",

        "path" : "Encounter.diagnosis.use.coding",

        "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" : 1,

        "max" : "1",

        "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" : "Encounter.diagnosis.use.coding.id",

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.use.coding.extension",

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.use.coding.system",

        "path" : "Encounter.diagnosis.use.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://terminology.hl7.org/CodeSystem/diagnosis-role",

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.diagnosis.use.coding.version",

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.use.coding.code",

        "path" : "Encounter.diagnosis.use.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.diagnosis.use.coding.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.diagnosis.use.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.diagnosis.use.coding.userSelected",

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.use.text",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.diagnosis.use.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" : "Encounter.diagnosis.rank",

        "path" : "Encounter.diagnosis.rank",

        "short" : "診断の優先順位",

        "definition" : "診断の優先順位。入院時診断、退院時診断、主訴、などの優先順位を表す。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.diagnosis.rank",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "positiveInt"

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".outboundRelationship[typeCode=RSON].priority"

          }

        ]

      },

      {

        "id" : "Encounter.account",

        "path" : "Encounter.account",

        "short" : "The set of accounts that may be used for billing for this Encounter / あるEncounterの請求に使用される会計セット【詳細参照】",

        "definition" : "The set of accounts that may be used for billing for this Encounter.\r\n\r\nあるEncounterの請求に使用される会計セット。",

        "comment" : "The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.\r\n\r\n請求システムは、内部ルールに基づいて、ある受診機会に関連付けられた請求可能な項目を異なる参照先の会計に割り当てることができる。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.account",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://hl7.org/fhir/StructureDefinition/Account"

            ]

          }

        ],

        "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" : ".pertains.A_Account"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization",

        "path" : "Encounter.hospitalization",

        "short" : "入退院の詳細状況。診療情報提供書では不要。",

        "definition" : "入退院の詳細状況。診療情報提供書では不要。",

        "comment" : "An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record.\r\n\r\nEncounterは、入院患者の滞在の記録だけではない。外来患者、地域の診療所、高齢者施設などのコンテクストも含まれる。\r\nこのEncounterの期間に記録された時間区間は、この入院記録の全範囲をカバーしている。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.id",

        "path" : "Encounter.hospitalization.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" : "Encounter.hospitalization.extension",

        "path" : "Encounter.hospitalization.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" : "Encounter.hospitalization.modifierExtension",

        "path" : "Encounter.hospitalization.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" : "Encounter.hospitalization.preAdmissionIdentifier",

        "path" : "Encounter.hospitalization.preAdmissionIdentifier",

        "short" : "Pre-admission identifier/入院前識別子",

        "definition" : "Pre-admission identifier.\r\n\r\n入院前識別子",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization.preAdmissionIdentifier",

          "min" : 0,

          "max" : "1"

        },

        "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" : false,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-5"

          },

          {

            "identity" : "rim",

            "map" : ".id"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.origin",

        "path" : "Encounter.hospitalization.origin",

        "short" : "入院前の所在場所または施設への参照。",

        "definition" : "入院前の所在場所または施設への参照。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は実際のFHIRリソースへの参照でなければならず、解決可能でなければならない。解決は URL からの検索、またはリソースタイプによって、絶対参照を正規の URL として扱い、ローカルのレジストリ/リポジトリで検索することで行うことができる。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization.origin",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization"

            ]

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=ORG].role"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.admitSource",

        "path" : "Encounter.hospitalization.admitSource",

        "short" : "入院経路を表すコード情報",

        "definition" : "入院経路を表すコード情報",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization.admitSource",

          "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" : false,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "AdmitSource"

            }

          ],

          "strength" : "preferred",

          "description" : "患者が入院した場所から。 / From where the patient was admitted.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-admit-source"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-14"

          },

          {

            "identity" : "rim",

            "map" : ".admissionReferralSourceCode"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.admitSource.id",

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.extension",

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.coding",

        "path" : "Encounter.hospitalization.admitSource.coding",

        "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" : 1,

        "max" : "1",

        "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" : "Encounter.hospitalization.admitSource.coding.id",

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.coding.extension",

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.coding.system",

        "path" : "Encounter.hospitalization.admitSource.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://terminology.hl7.org/CodeSystem/admit-source",

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.admitSource.coding.version",

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.coding.code",

        "path" : "Encounter.hospitalization.admitSource.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.hospitalization.admitSource.coding.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.coding.userSelected",

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.admitSource.text",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.hospitalization.admitSource.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" : "Encounter.hospitalization.reAdmission",

        "path" : "Encounter.hospitalization.reAdmission",

        "short" : "The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission / 発生した病院の再入院のタイプ（もしあれば）、値がない場合これは再入院として識別されない",

        "definition" : "Whether this hospitalization is a readmission and why if known.\r\n\r\nこの入院が再入院であるかどうかと、わかっている場合はその理由。",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization.reAdmission",

          "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" : "ReAdmissionType"

            }

          ],

          "strength" : "example",

          "description" : "この入院遭遇の再入院の理由。 / The reason for re-admission of this hospitalization encounter.",

          "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0092"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-13"

          },

          {

            "identity" : "rim",

            "map" : "n/a"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.dietPreference",

        "path" : "Encounter.hospitalization.dietPreference",

        "short" : "Diet preferences reported by the patient / 患者から報告された食事の好み",

        "definition" : "Diet preferences reported by the patient.\r\n\r\n患者から報告された食事の好み",

        "comment" : "For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).\r\n\r\n例えば、患者は、乳製品を含まない食事とナッツ類を含まない食事の両方を希望することができる（相互に排他的ではない）。",

        "requirements" : "Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.\r\n\r\n患者の食事制限および／または好み・嗜好を追跡するために使用される。滞在中の患者の栄養ニーズの完全な説明については、EncounterにリンクしているnutritionOrderリソースを使用する必要がある。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.hospitalization.dietPreference",

          "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" : "PatientDiet"

            }

          ],

          "strength" : "example",

          "description" : "ケータリングの要件を支援する医療、文化、または倫理的な食品の好み。 / Medical, cultural or ethical food preferences to help with catering requirements.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-diet"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-38"

          },

          {

            "identity" : "rim",

            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=\"diet\"]"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.specialCourtesy",

        "path" : "Encounter.hospitalization.specialCourtesy",

        "short" : "Special courtesies (VIP, board member) / 特別待遇(VIP、役員)",

        "definition" : "Special courtesies (VIP, board member).\r\n\r\n特別待遇(VIP、役員)",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.hospitalization.specialCourtesy",

          "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" : "Courtesies"

            }

          ],

          "strength" : "preferred",

          "description" : "特別な礼儀。 / Special courtesies.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-special-courtesy"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-16"

          },

          {

            "identity" : "rim",

            "map" : ".specialCourtesiesCode"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.specialArrangement",

        "path" : "Encounter.hospitalization.specialArrangement",

        "short" : "Wheelchair, translator, stretcher, etc. / 車椅子、トランスレータ、ストレッチャなど",

        "definition" : "Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.\r\n\r\n特定の器具の提供など、今回の入院の出会いのために特別な要望があったもの",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.hospitalization.specialArrangement",

          "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" : "Arrangements"

            }

          ],

          "strength" : "preferred",

          "description" : "特別な手配。 / Special arrangements.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-special-arrangements"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-15 / OBR-30 / OBR-43"

          },

          {

            "identity" : "rim",

            "map" : ".specialArrangementCode"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.destination",

        "path" : "Encounter.hospitalization.destination",

        "short" : "退院後の所在場所または施設への参照。",

        "definition" : "退院後の所在場所または施設への参照。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は実際のFHIRリソースへの参照でなければならず、解決可能でなければならない。解決は URL からの検索、またはリソースタイプによって、絶対参照を正規の URL として扱い、ローカルのレジストリ/リポジトリで検索することで行うことができる。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization.destination",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location"🔗 ,

              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization"

            ]

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-37"

          },

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=DST]"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition",

        "path" : "Encounter.hospitalization.dischargeDisposition",

        "short" : "退院時転帰コード情報",

        "definition" : "退院時転帰コード情報",

        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nすべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.hospitalization.dischargeDisposition",

          "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" : false,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "DischargeDisp"

            }

          ],

          "strength" : "example",

          "description" : "放電処分。 / Discharge Disposition.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"

        },

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "PV1-36"

          },

          {

            "identity" : "rim",

            "map" : ".dischargeDispositionCode"

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition.id",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.hospitalization.dischargeDisposition.extension",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.hospitalization.dischargeDisposition.coding",

        "path" : "Encounter.hospitalization.dischargeDisposition.coding",

        "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" : 1,

        "max" : "1",

        "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" : "Encounter.hospitalization.dischargeDisposition.coding.id",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.hospitalization.dischargeDisposition.coding.extension",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.hospitalization.dischargeDisposition.coding.system",

        "path" : "Encounter.hospitalization.dischargeDisposition.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://terminology.hl7.org/CodeSystem/discharge-disposition",

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition.coding.version",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.hospitalization.dischargeDisposition.coding.code",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.hospitalization.dischargeDisposition.coding.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.hospitalization.dischargeDisposition.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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.hospitalization.dischargeDisposition.coding.userSelected",

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.hospitalization.dischargeDisposition.text",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.hospitalization.dischargeDisposition.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" : "Encounter.location",

        "path" : "Encounter.location",

        "short" : "入院中の所在場所（病棟病室など）。診療情報提供書では不要。",

        "definition" : "入院中の所在場所（病棟病室など）。診療情報提供書では不要。",

        "comment" : "Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".\r\n\r\n仮想Encounterは、\"client's home \"のような \"kind \"型の場所を参照し、encounter.class = \"virtual \"を指定することで、Encounterに記録することができる。",

        "min" : 0,

        "max" : "*",

        "base" : {

          "path" : "Encounter.location",

          "min" : 0,

          "max" : "*"

        },

        "type" : [

          {

            "code" : "BackboneElement"

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".participation[typeCode=LOC]"

          }

        ]

      },

      {

        "id" : "Encounter.location.id",

        "path" : "Encounter.location.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" : "Encounter.location.extension",

        "path" : "Encounter.location.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" : "Encounter.location.modifierExtension",

        "path" : "Encounter.location.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" : "Encounter.location.location",

        "path" : "Encounter.location.location",

        "short" : "入院中の所在場所（病棟病室など）への参照。",

        "definition" : "入院中の所在場所（病棟病室など）への参照。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は実際のFHIRリソースへの参照でなければならず、解決可能でなければならない。解決は URL からの検索、またはリソースタイプによって、絶対参照を正規の URL として扱い、ローカルのレジストリ/リポジトリで検索することで行うことができる。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.location.location",

          "min" : 1,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location"

            ]

          }

        ],

        "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" : false,

        "mapping" : [

          {

            "identity" : "workflow",

            "map" : "Event.location"

          },

          {

            "identity" : "w5",

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

          },

          {

            "identity" : "v2",

            "map" : "PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"

          },

          {

            "identity" : "rim",

            "map" : ".role"

          }

        ]

      },

      {

        "id" : "Encounter.location.status",

        "path" : "Encounter.location.status",

        "short" : "計画|アクティブ|予約済み|完了しました / planned | active | reserved | completed",

        "definition" : "The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.\r\n\r\n指定された期間中の指定された場所での参加者の存在状況。参加者がその場所にいなくなった場合、その期間は終了日時を持つ。",

        "comment" : "When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.\r\n\r\n患者がその場所で活動しなくなった場合、期間終了日が入力され、ステータスが完了した状態に変更されることがある",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.location.status",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "code"

          }

        ],

        "patternCode" : "completed",

        "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" : false,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "EncounterLocationStatus"

            }

          ],

          "strength" : "required",

          "description" : "場所のステータス。 / The status of the location.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1"

        },

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".role.statusCode"

          }

        ]

      },

      {

        "id" : "Encounter.location.physicalType",

        "path" : "Encounter.location.physicalType",

        "short" : "入院中の所在場所（病棟病室など）の種別",

        "definition" : "所在場所のタイプ。bu: 建物wa: 病棟ro: 病室bd: ベッドarea: エリアなど。",

        "comment" : "This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierarchy, and this may only pic specific levels that are required for a specific usage scenario.\r\n\r\nこの情報は、メッセージングやクエリでのEncounterリソースの理解や処理を容易にするために、Locationリソースから非正規化されている。\r\n\r\n階層には多くのレベルがあり、これは特定の使用シナリオに必要とされる特定のレベルのみをピックすることができる。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.location.physicalType",

          "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" : false,

        "binding" : {

          "extension" : [

            {

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

              "valueString" : "PhysicalType"

            }

          ],

          "strength" : "example",

          "description" : "場所の物理的な形。 / Physical form of the location.",

          "valueSet" : "http://hl7.org/fhir/ValueSet/location-physical-type"

        }

      },

      {

        "id" : "Encounter.location.physicalType.id",

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.physicalType.extension",

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.physicalType.coding",

        "path" : "Encounter.location.physicalType.coding",

        "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" : 1,

        "max" : "1",

        "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" : "Encounter.location.physicalType.coding.id",

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.physicalType.coding.extension",

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.physicalType.coding.system",

        "path" : "Encounter.location.physicalType.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://terminology.hl7.org/CodeSystem/location-physical-type",

        "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.3"

          },

          {

            "identity" : "rim",

            "map" : "./codeSystem"

          },

          {

            "identity" : "orim",

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

          }

        ]

      },

      {

        "id" : "Encounter.location.physicalType.coding.version",

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.physicalType.coding.code",

        "path" : "Encounter.location.physicalType.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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.location.physicalType.coding.display",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.location.physicalType.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"

          }

        ],

        "mustSupport" : true,

        "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" : "Encounter.location.physicalType.coding.userSelected",

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.physicalType.text",

        "extension" : [

          {

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

            "valueBoolean" : true

          }

        ],

        "path" : "Encounter.location.physicalType.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" : "Encounter.location.period",

        "path" : "Encounter.location.period",

        "short" : "所在期間",

        "definition" : "所在期間",

        "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).\r\n\r\n期間は時間の範囲を指定する。 使用のコンテキストは、範囲全体が適用されるかどうかを指定する (例: \"患者はこの時間範囲の病院の入院患者でした\" )。または、範囲から1つの値が適用される（例：「この2回の間に患者に与える」）。\r\n\r\n期間は、期間(経過時間の尺度)には使用されない。Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)を参照のこと。",

        "min" : 1,

        "max" : "1",

        "base" : {

          "path" : "Encounter.location.period",

          "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : false,

        "mapping" : [

          {

            "identity" : "rim",

            "map" : ".time"

          }

        ]

      },

      {

        "id" : "Encounter.location.period.id",

        "path" : "Encounter.location.period.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" : "Encounter.location.period.extension",

        "path" : "Encounter.location.period.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" : "Encounter.location.period.start",

        "path" : "Encounter.location.period.start",

        "short" : "包括的境界で開始時間 / Starting time with inclusive boundary",

        "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" : 1,

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.1"

          },

          {

            "identity" : "rim",

            "map" : "./low"

          }

        ]

      },

      {

        "id" : "Encounter.location.period.end",

        "path" : "Encounter.location.period.end",

        "short" : "継続していない場合、包括的境界で終了時間 / End time with inclusive boundary, if not ongoing",

        "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"

          }

        ],

        "mustSupport" : true,

        "isModifier" : false,

        "isSummary" : true,

        "mapping" : [

          {

            "identity" : "v2",

            "map" : "DR.2"

          },

          {

            "identity" : "rim",

            "map" : "./high"

          }

        ]

      },

      {

        "id" : "Encounter.serviceProvider",

        "path" : "Encounter.serviceProvider",

        "short" : "The organization (facility) responsible for this encounter / このEncounterに責任を持つ組織（施設）【詳細参照】",

        "definition" : "The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed separately) for an external consultation.  Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.\r\n\r\nこのEncounterのサービスに主に責任を持つ組織。これは、患者記録上の組織と同じであってもよいが、例えば、サービスを実行しているアクターが外部組織のものである場合（外部コンサルテーションのために別個に請求される場合がある）など、異なる可能性がある。 大腸内視鏡検査のためのEncounterの省略されたセットを示すバンドル例を参照のこと。",

        "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\n参照は、実際のFHIRリソースへの参照である必要があり、解決可能（内容に到達可能）である必要がある（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.serviceProvider",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization"

            ]

          }

        ],

        "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.performer.actor"

          },

          {

            "identity" : "v2",

            "map" : "PL.6  & PL.1"

          },

          {

            "identity" : "rim",

            "map" : ".particiaption[typeCode=PFM].role"

          }

        ]

      },

      {

        "id" : "Encounter.partOf",

        "path" : "Encounter.partOf",

        "short" : "Another Encounter this encounter is part of / このEncounterが属するもう一つのEncounter【詳細参照】",

        "definition" : "Another Encounter of which this encounter is a part of (administratively or in time).\r\n\r\nこのEncounterが（管理的に、あるいは時間的に）一部となっているもう一つのEncounter。",

        "comment" : "This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.\r\n\r\n子供の受診を母親の受診にさかのぼって連携するときにも使われる。\r\n（※出産時などを表していると思われる）\r\n詳細については、Patient ResourceのNotesセクションを参照のこと。",

        "min" : 0,

        "max" : "1",

        "base" : {

          "path" : "Encounter.partOf",

          "min" : 0,

          "max" : "1"

        },

        "type" : [

          {

            "extension" : [

              {

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

                "valueBoolean" : true

              }

            ],

            "code" : "Reference",

            "targetProfile" : [

              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"

            ]

          }

        ],

        "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.partOf"

          },

          {

            "identity" : "rim",

            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"

          }

        ]

      }

    ]

  },

  "differential" : {

    "element" : [

      {

        "id" : "Encounter",

        "path" : "Encounter"

      },

      {

        "id" : "Encounter.meta.lastUpdated",

        "path" : "Encounter.meta.lastUpdated",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.identifier",

        "path" : "Encounter.identifier",

        "short" : "この医療機関における患者の受診番号、入院管理番号",

        "definition" : "この医療機関における患者の受診番号、入院管理番号",

        "max" : "1",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.identifier.system",

        "path" : "Encounter.identifier.system",

        "min" : 1,

        "fixedUri" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.identifier.value",

        "path" : "Encounter.identifier.value",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.status",

        "path" : "Encounter.status",

        "definition" : "finished の固定値を設定する。",

        "fixedCode" : "finished",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.class",

        "path" : "Encounter.class",

        "short" : "受診イベントの分類",

        "definition" : "受診イベントの分類。外来（外来）、入院、救急、在宅医療、その他の地域差による患者Encouterの分類を表す概念。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.class.system",

        "path" : "Encounter.class.system",

        "definition" : "コード体系v3.ActEncounterCodeを識別するURI。固定値。",

        "min" : 1,

        "fixedUri" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.class.code",

        "path" : "Encounter.class.code",

        "definition" : "AMB:外来\u3000EMER:救急\u3000HH:在宅ケア    IMP:入院または入院中    ACUTE: 入院中臨時     NONAC:入院中定時   PRENC:予定入院時    VR:リモート診療",

        "min" : 1,

        "mustSupport" : true,

        "binding" : {

          "strength" : "extensible",

          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"

        }

      },

      {

        "id" : "Encounter.class.display",

        "path" : "Encounter.class.display",

        "definition" : "AMB:外来\u3000EMER:救急\u3000HH:在宅ケア    IMP:入院または入院中    ACUTE: 入院中臨時     NONAC:入院中定時   PRENC:予定入院時    VR:リモート診療",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory",

        "path" : "Encounter.classHistory",

        "short" : "外来受診履歴や入院履歴の繰り返し記述。",

        "definition" : "この入院期間までの外来受診履歴や入院履歴を記述したい場合にここに繰り返しで記述する。紹介先受診情報では不要。",

        "max" : "1",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.class",

        "path" : "Encounter.classHistory.class",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.class.system",

        "path" : "Encounter.classHistory.class.system",

        "min" : 1,

        "fixedUri" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.class.code",

        "path" : "Encounter.classHistory.class.code",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.class.display",

        "path" : "Encounter.classHistory.class.display",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.period",

        "path" : "Encounter.classHistory.period",

        "short" : "入院期間を表す必要がある場合には必須。外来では必要な場合を除き省略可。",

        "definition" : "入院期間を表す必要がある場合には必須。外来では必要な場合を除き省略可。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.period.start",

        "path" : "Encounter.classHistory.period.start",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.classHistory.period.end",

        "path" : "Encounter.classHistory.period.end",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.period",

        "path" : "Encounter.period",

        "short" : "入院期間。退院時サマリーでは必須。外来では必要な場合を除き省略可。",

        "definition" : "入院期間。退院時サマリーでは必須。外来では必要な場合を除き省略可。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.period.start",

        "path" : "Encounter.period.start",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.period.end",

        "path" : "Encounter.period.end",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.length",

        "path" : "Encounter.length",

        "short" : "この入院の在院日数",

        "definition" : "この入院の在院日数",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.length.value",

        "path" : "Encounter.length.value",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.length.unit",

        "path" : "Encounter.length.unit",

        "definition" : "日",

        "min" : 1,

        "fixedString" : "日",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.length.system",

        "path" : "Encounter.length.system",

        "min" : 1,

        "fixedUri" : "http://unitsofmeasure.org",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.length.code",

        "path" : "Encounter.length.code",

        "definition" : "日",

        "min" : 1,

        "fixedCode" : "d",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.reasonCode",

        "path" : "Encounter.reasonCode",

        "short" : "入院時主訴・入院理由。紹介する理由（主訴・目的）",

        "definition" : "コードで記述できる場合にそのコード記述。system値はMEDIS標準病名マスター病名交換用コードを使用できる。text要素にフリーテキストで記述してもよい。",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.reasonCode.coding",

        "path" : "Encounter.reasonCode.coding",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.reasonCode.coding.system",

        "path" : "Encounter.reasonCode.coding.system",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.reasonCode.coding.code",

        "path" : "Encounter.reasonCode.coding.code",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.reasonCode.text",

        "path" : "Encounter.reasonCode.text",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis",

        "path" : "Encounter.diagnosis",

        "short" : "入院期間中の診断情報。診療情報提供書では不要。",

        "definition" : "入院期間中の診断情報。診療情報提供書では不要。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.condition",

        "path" : "Encounter.diagnosis.condition",

        "short" : "患者状態（病態・疾患名・症状）への参照",

        "definition" : "患者状態（病態・疾患名・症状）への参照",

        "type" : [

          {

            "code" : "Reference",

            "targetProfile" : [

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

            ]

          }

        ],

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.use",

        "path" : "Encounter.diagnosis.use",

        "short" : "診断の位置付け区分",

        "definition" : "診断の位置付け区分（DiagnosisRole）。これにより、入院時診断、退院時診断、などが区別される。入院中のすべての診断病名にこのコードが必須ではないが、少なくともAD:入院時診断、DD:退院時診断、CC:主訴、についてはそれぞれ1個以上はこのコードがついている必要がある。AD:入院時診断\u3000DD:退院時診断\u3000FU:フォローアップ時診断 ",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.use.coding",

        "path" : "Encounter.diagnosis.use.coding",

        "min" : 1,

        "max" : "1",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.use.coding.system",

        "path" : "Encounter.diagnosis.use.coding.system",

        "min" : 1,

        "fixedUri" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.use.coding.code",

        "path" : "Encounter.diagnosis.use.coding.code",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.use.coding.display",

        "path" : "Encounter.diagnosis.use.coding.display",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.diagnosis.rank",

        "path" : "Encounter.diagnosis.rank",

        "short" : "診断の優先順位",

        "definition" : "診断の優先順位。入院時診断、退院時診断、主訴、などの優先順位を表す。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization",

        "path" : "Encounter.hospitalization",

        "short" : "入退院の詳細状況。診療情報提供書では不要。",

        "definition" : "入退院の詳細状況。診療情報提供書では不要。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.origin",

        "path" : "Encounter.hospitalization.origin",

        "short" : "入院前の所在場所または施設への参照。",

        "definition" : "入院前の所在場所または施設への参照。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.admitSource",

        "path" : "Encounter.hospitalization.admitSource",

        "short" : "入院経路を表すコード情報",

        "definition" : "入院経路を表すコード情報",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.admitSource.coding",

        "path" : "Encounter.hospitalization.admitSource.coding",

        "min" : 1,

        "max" : "1",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.admitSource.coding.system",

        "path" : "Encounter.hospitalization.admitSource.coding.system",

        "min" : 1,

        "fixedUri" : "http://terminology.hl7.org/CodeSystem/admit-source",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.admitSource.coding.code",

        "path" : "Encounter.hospitalization.admitSource.coding.code",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.destination",

        "path" : "Encounter.hospitalization.destination",

        "short" : "退院後の所在場所または施設への参照。",

        "definition" : "退院後の所在場所または施設への参照。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition",

        "path" : "Encounter.hospitalization.dischargeDisposition",

        "short" : "退院時転帰コード情報",

        "definition" : "退院時転帰コード情報",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition.coding",

        "path" : "Encounter.hospitalization.dischargeDisposition.coding",

        "min" : 1,

        "max" : "1",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition.coding.system",

        "path" : "Encounter.hospitalization.dischargeDisposition.coding.system",

        "min" : 1,

        "fixedUri" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition.coding.code",

        "path" : "Encounter.hospitalization.dischargeDisposition.coding.code",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.hospitalization.dischargeDisposition.coding.display",

        "path" : "Encounter.hospitalization.dischargeDisposition.coding.display",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location",

        "path" : "Encounter.location",

        "short" : "入院中の所在場所（病棟病室など）。診療情報提供書では不要。",

        "definition" : "入院中の所在場所（病棟病室など）。診療情報提供書では不要。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.location",

        "path" : "Encounter.location.location",

        "short" : "入院中の所在場所（病棟病室など）への参照。",

        "definition" : "入院中の所在場所（病棟病室など）への参照。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.status",

        "path" : "Encounter.location.status",

        "min" : 1,

        "patternCode" : "completed",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.physicalType",

        "path" : "Encounter.location.physicalType",

        "short" : "入院中の所在場所（病棟病室など）の種別",

        "definition" : "所在場所のタイプ。bu: 建物wa: 病棟ro: 病室bd: ベッドarea: エリアなど。",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.physicalType.coding",

        "path" : "Encounter.location.physicalType.coding",

        "min" : 1,

        "max" : "1",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.physicalType.coding.system",

        "path" : "Encounter.location.physicalType.coding.system",

        "min" : 1,

        "fixedUri" : "http://terminology.hl7.org/CodeSystem/location-physical-type",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.physicalType.coding.code",

        "path" : "Encounter.location.physicalType.coding.code",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.physicalType.coding.display",

        "path" : "Encounter.location.physicalType.coding.display",

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.period",

        "path" : "Encounter.location.period",

        "short" : "所在期間",

        "definition" : "所在期間",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.period.start",

        "path" : "Encounter.location.period.start",

        "min" : 1,

        "mustSupport" : true

      },

      {

        "id" : "Encounter.location.period.end",

        "path" : "Encounter.location.period.end",

        "mustSupport" : true

      }

    ]

  }

}