{ "resourceType" : "StructureDefinition", "id" : "JP-Composition-eReferral", "language" : "ja", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition JP-Composition-eReferral

Language: ja

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Composition C0..*Composition(4.0.1)A set of resources composed into a single coherent clinical statement with clinical attestation
\".\"\".\"\".\" meta S1..1MetaMetadata about the resource
\".\"\".\"\".\"\".\" lastUpdated S1..1instantWhen the resource version last changed
\".\"\".\"\".\"\".\" profile S1..*canonical(StructureDefinition)準拠しているプロファイルとして次のURLとバージョンを指定する。バージョン指定を省略した場合には、データ受信時点の最新バージョンとみなされる。http://jpfhir.jp/fhir/ePCS/StructureDefinition/JP_Composition_eReferral|x.y.z
\".\"\".\"\".\" Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\"\".\" extension:version S1..1(Complex)文書バージョンを表す拡張
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
\".\"\".\"\".\"\".\"\".\" url S1..1uriidentifies the meaning of the extension
\".\"\".\"\".\"\".\"\".\" value[x] S1..1string文書のバージョン番号を表す文字列。
\".\"\".\"\".\" identifier S1..1IdentifierVersion-independent identifier for the Composition
\".\"\".\"\".\"\".\" system S1..1uri文書リソースIDの名前空間を表すURI。固定値。
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
\".\"\".\"\".\"\".\" value S1..1string文書リソースID
\".\"\".\"\".\" status 1..1codeこの文書のステータス。
Fixed Value: final
\".\"\".\"\".\" type S1..1CodeableConcept文書区分コード
Binding: JP_valueSet_documentTypeCode (1.0.0) (required)
\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
\".\"\".\"\".\"\".\"\".\" system S1..1uriIdentity of the terminology system
Fixed Value: http://jpfhir.jp/fhir/Common/CodeSystem/doc-typecodes
\".\"\".\"\".\"\".\"\".\" version S0..1stringVersion of the system - if relevant
\".\"\".\"\".\"\".\"\".\" code S1..1codeSymbol in syntax defined by the system
Fixed Value: 57133-1
\".\"\".\"\".\"\".\"\".\" display 0..1string文書区分コードの表示名。
Fixed Value: 診療情報提供書
\".\"\".\"\".\" category S1..1CodeableConcept文書カテゴリーコード
Binding: JP_valueSet_documentSubTypeCode (1.0.0) (required)
\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
\".\"\".\"\".\"\".\"\".\" system S1..1uri文書カテゴリコードのコード体系
Fixed Value: http://jpfhir.jp/fhir/Common/CodeSystem/doc-subtypecodes
\".\"\".\"\".\"\".\"\".\" code S1..1code文書カテゴリコード
\".\"\".\"\".\"\".\"\".\" display 0..1string文書カテゴリコードの表示名
\".\"\".\"\".\" subject S1..1Reference(JP_Patient_eCS(1.13.0-preR1))患者情報を表すPatientリソースへの参照。
\".\"\".\"\".\"\".\" reference S1..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定。
\".\"\".\"\".\" encounter S0..1Reference(JP_Encounter-eCS(1.13.0-preR1))この文書が作成された受診時状況情報を表すEncounterリソースへの参照
\".\"\".\"\".\"\".\" reference S1..1stringEncounterリソースのfullUrl要素に指定されるUUIDを指定。
\".\"\".\"\".\" date S1..1dateTimeComposition editing time
\".\"\".\"\".\" author S2..3Reference(JP_Practitioner_eCS(1.13.0-preR1) | JP_Organization_eCS(1.13.0-preR1))文書作成責任者と文書作成機関への参照。
\".\"\".\"\".\" title S1..1stringHuman Readable name/title
Fixed Value: 診療情報提供書
\".\"\".\"\".\" custodian S1..1Reference(JP_Organization_eCS(1.13.0-preR1))文書の作成・修正を行い、文書の管理責任を持つ医療機関（Organizationリソース）への参照
\".\"\".\"\".\"\".\" reference 1..1stringcustodianに対応するOrganizationリソースのfullUrl要素に指定されるUUIDを指定。
\".\"\".\"\".\" event S1..1BackboneElement診療情報提供書の発行イベントの情報
\".\"\".\"\".\"\".\" code S1..1CodeableConceptCode(s) that apply to the event being documented
\".\"\".\"\".\"\".\"\".\" coding 0..0Code defined by a terminology system
\".\"\".\"\".\"\".\"\".\" text S1..1stringPlain text representation of the concept
Fixed Value: 診療情報提供書発行
\".\"\".\"\".\"\".\" period S1..1Period診療情報提供書発行日
\".\"\".\"\".\"\".\"\".\" start S1..1dateTime診療情報提供書発行日
\".\"\".\"\".\"\".\"\".\" end 0..1dateTime診療情報提供書の場合記述しないが、startと同一であれば存在していてもよい
\".\"\".\"\".\" Slices for section 2..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code.coding.code
\".\"\".\"\".\"\".\" section:referralFromSection S1..1BackboneElement紹介元情報セクション
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: 紹介元情報
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 920
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 紹介元情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" Slices for entry 1..3Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
\".\"\".\"\".\"\".\"\".\" Slices for entry Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\"\".\" entry:referralFromOrganization S1..1Reference(JP_Organization_eCS(1.13.0-preR1))紹介元医療機関
\".\"\".\"\".\"\".\"\".\"\".\" entry:referralFromDoctor S0..1Reference(JP_Practitioner_eCS(1.13.0-preR1))紹介元医師
\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\" section:referralToSection S1..1BackboneElement紹介先情報セクション
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: 紹介先情報
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 910
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 紹介先情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" Slices for entry 1..3Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
\".\"\".\"\".\"\".\"\".\" Slices for entry Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\"\".\" entry:referralToOrganization S1..1Reference(JP_Organization_eCS(1.13.0-preR1))紹介先医療機関
\".\"\".\"\".\"\".\"\".\"\".\" entry:referralToDoctor S0..1Reference(JP_Practitioner_eCS(1.13.0-preR1))紹介先医師
\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\" section:cdaSection S0..1BackboneElementCDA参照セクション-本セクションは電子カルテ情報共有サービスでは使用しない。
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: CDA参照
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 200
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: CDA参照セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" entry 1..1Reference(DocumentReference)CDA規約文書ファイルへの参照
\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\" section:compositionSection S0..1BackboneElement構造情報セクション
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: 構造情報
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 300
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 構造情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..0本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" emptyReason S0..1CodeableConceptWhy the section is empty
\".\"\".\"\".\"\".\"\".\" Slices for section 3..*Nested Section
Slice: Unordered, Open by value:code.coding.code
\".\"\".\"\".\"\".\"\".\" Slices for section Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\"\".\" section:referralPurposeSection S1..1BackboneElement紹介目的セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 紹介目的
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 950
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 紹介目的セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..1Reference(JP_Encounter-eCS(1.13.0-preR1))紹介先で予定している受診を記述したEncounterリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" emptyReason S0..1CodeableConceptWhy the section is empty
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:problemSection S1..1BackboneElement傷病名・主訴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 傷病名・主訴
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 340
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 傷病名・主訴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_Condition_eCS(1.13.0-preR1))傷病名・主訴を１個以上必ず記述する。
\".\"\".\"\".\"\".\"\".\"\".\"\".\" emptyReason S0..1CodeableConceptWhy the section is empty
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:presentIllnessSection S1..1BackboneElement現病歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 現病歴
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 360
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 現病歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_Condition_eCS(1.13.0-preR1))現病歴として記述すべき疾患に関する現在にいたる経過歴を１個以上必ず記述したConditionリソースを参照する。
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:pastIllnessSection S0..1BackboneElement既往歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 既往歴
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 370
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 既往歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_Condition_eCS(1.13.0-preR1))既往歴をConditionリソースに記述して参照する。
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:allergiesIIntoleranceSection S0..1BackboneElementアレルギー・不耐性反応セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: アレルギー・不耐性反応
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 510
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: アレルギー・不耐性反応セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_AllergyIntolerance_eCS(1.13.0-preR1))アレルギー・不耐性反応情報を記述したAllergyIntoleranceリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:familiyHistorySection S0..1BackboneElement家族歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 家族歴
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 550
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 家族歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core FamilyMemberHistory Profile)家族歴情報を記述したFamilyMemberHistoryリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:admissionPhysicalStatusSection S0..1BackboneElement身体所見セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 身体所見
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 610
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 身体所見セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Observation Common Profile)身体所見を記述したObservationリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:infectiousDiseaseInformationSection S0..1BackboneElement感染症情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 感染症情報
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 520
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 感染症情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Observation Common Profile | JP_Condition_eCS(1.13.0-preR1))感染症情報を記述したObservationリソースまたはConditionリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:socialHistorySection S0..1BackboneElement社会歴・生活習慣セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 社会歴・生活習慣
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 640
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 社会歴・生活習慣セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Observation Common Profile)社会歴・生活習慣情報を記述したObservationリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:immunizationSection S0..1BackboneElement予防接種歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 予防接種歴
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 530
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 予防接種歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_Immunization_eCS(1.13.0-preR1))予防接種歴情報を記述したImmunizationリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:surgicalProcedureSection S0..1BackboneElement手術セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 手術
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 730
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 手術セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Procedure Profile)手術情報を記述したProcedureリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:bloodInfusionProcedureSection S0..1BackboneElement輸血歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 輸血歴
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 740
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 輸血歴セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Procedure Profile)輸血歴情報を記述したProcedureリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:treatmentProcedureSection S0..1BackboneElement処置セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 処置
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 720
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 処置セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Procedure Profile)処置情報を記述したProcedureリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:medicationSection S0..1BackboneElement投薬指示セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 投薬指示
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 430
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 投薬指示セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_MedicationRequest_eCS(1.13.0-preR1))投薬指示情報を記述したMedicationRequestリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:examsStudySection S0..1BackboneElement検査結果セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 検査結果
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 620
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 検査結果セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP Core Observation Common Profile | ImagingStudy | DiagnosticReport)検査結果情報を記述したObservationリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:clinicalCourseSection S0..1BackboneElement臨床経過セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 臨床経過
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 330
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 臨床経過セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_DocumentReference)臨床経過を記述したDocumentReferenceリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:clinicalInstructionSection S0..1BackboneElement診療方針指示セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 診療方針指示
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 420
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 診療方針指示セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_CarePlan)診療方針指示を記述したCarePlanリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:medicalDeviceSection S0..1BackboneElement医療機器セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 医療機器
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 810
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 医療機器セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_DeviceUseStatement)医療機器情報を記述したDocumentReferenceリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:advanceDirectiveSection S0..1BackboneElement事前指示セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 事前指示
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 410
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 事前指示セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_Consent)事前指示を記述したConcentリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\"\".\"\".\" section:researchParticipationSection S0..1BackboneElement臨床研究参加セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Required Pattern: 臨床研究参加
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 830
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 臨床研究参加セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry S0..*Reference(JP_ResearchSubject)臨床研究参加情報を記述したDocumentReferenceリソースを参照
\".\"\".\"\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\" section:attachmentSection S0..1BackboneElement添付情報セクション
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: 添付情報
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 210
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 添付情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" entry 1..*Reference(DocumentReference | Bundle)添付情報ファイルへの参照
\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\" section:remarksCommunicationSection S0..1BackboneElement備考・連絡情報セクション
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: 備考・連絡情報
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 220
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: 備考・連絡情報セクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" entry 0..1Reference(DocumentReference | JP_DocumentReference)備考・連絡情報バイナリファイルへの参照
\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section
\".\"\".\"\".\"\".\" section:pdfSection S0..1BackboneElementPDFセクション
\".\"\".\"\".\"\".\"\".\" title S1..1stringセクションタイトル
Fixed Value: PDF
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptセクション区分コード
\".\"\".\"\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
Binding: JP_valueSet_eReferral_document_section (1.0.0) (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriセクション区分コードのコード体系
Fixed Value: http://jpfhir.jp/fhir/clins/CodeSystem/document-section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeセクション区分のコード値
Fixed Value: 230
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringセクション区分コードの表示名
Required Pattern: PDFセクション
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0If this coding was chosen directly by the user
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Plain text representation of the concept
\".\"\".\"\".\"\".\"\".\" text S0..1Narrative本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。
\".\"\".\"\".\"\".\"\".\"\".\" status S1..1codeセクションの内容作成状態コード
Fixed Value: additional
\".\"\".\"\".\"\".\"\".\"\".\" div 1..1xhtmlxhtml簡略形式に従った叙述記述データ
\".\"\".\"\".\"\".\"\".\" mode 0..0working | snapshot | changes
\".\"\".\"\".\"\".\"\".\" orderedBy 0..0Order of section entries
\".\"\".\"\".\"\".\"\".\" entry 1..*Reference(DocumentReference | JP_DocumentReference)PDFファイルへの参照
\".\"\".\"\".\"\".\"\".\" section 0..0Nested Section

\"doco\" Documentation for this format
" }, "url" : "http://jpfhir.jp/fhir/eReferral/StructureDefinition/JP_Composition_eReferral", "version" : "1.13.0-preR1", "name" : "JP_Composition_eReferral", "status" : "active", "date" : "2024-09-16", "publisher" : "管理：（一社）日本医療情報学会.", "contact" : [{ "name" : "管理：（一社）日本医療情報学会.", "telecom" : [{ "system" : "url", "value" : "https://jami.jp" }, { "system" : "email", "value" : "office@jami.jp" }] }], "description" : "診療情報提供書情報のリソース構成情報と文書日付に関するCompositionの派生プロファイル", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166-2", "code" : "JP" }] }], "copyright" : "（一社）日本医療情報学会. CC BY-ND 4.0", "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" : "cda", "uri" : "http://hl7.org/v3/cda", "name" : "CDA (R2)" }, { "identity" : "fhirdocumentreference", "uri" : "http://hl7.org/fhir/documentreference", "name" : "FHIR DocumentReference" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }], "kind" : "resource", "abstract" : false, "type" : "Composition", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "Composition", "path" : "Composition", "short" : "A set of resources composed into a single coherent clinical statement with clinical attestation", "definition" : "A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).", "comment" : "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.", "min" : 0, "max" : "*", "base" : { "path" : "Composition", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "dom-3", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "dom-4", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "dom-5", "severity" : "error", "human" : "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|4.0.1" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "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" : "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|4.0.1" }, { "key" : "checkExist-CDASection-or-CompositionSection", "severity" : "error", "human" : "【セクション構成はCDAセクションと構造情報セクションのどちらか一方だけ存在している必要がある。】", "expression" : "((section.code.coding.where(code = '200')).exists()) xor ((section.code.coding.where(code = '300')).exists())", "source" : "http://jpfhir.jp/fhir/eReferral/StructureDefinition/JP_Composition_eReferral|1.13.0-preR1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "rim", "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]" }, { "identity" : "cda", "map" : "ClinicalDocument" }, { "identity" : "fhirdocumentreference", "map" : "when described by DocumentReference" }] }, { "id" : "Composition.id", "path" : "Composition.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "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" : "Composition.meta", "path" : "Composition.meta", "short" : "Metadata about the resource", "definition" : "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" : 1, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "Composition.meta.id", "path" : "Composition.meta.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.meta.extension", "path" : "Composition.meta.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.meta.versionId", "path" : "Composition.meta.versionId", "short" : "Version specific identifier", "definition" : "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.", "comment" : "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [{ "code" : "id" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true }, { "id" : "Composition.meta.lastUpdated", "path" : "Composition.meta.lastUpdated", "short" : "When the resource version last changed", "definition" : "When the resource last changed - e.g. when the version changed.", "comment" : "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.", "min" : 1, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "Composition.meta.source", "path" : "Composition.meta.source", "short" : "Identifies where the resource comes from", "definition" : "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.", "comment" : "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true }, { "id" : "Composition.meta.profile", "path" : "Composition.meta.profile", "short" : "準拠しているプロファイルとして次のURLとバージョンを指定する。バージョン指定を省略した場合には、データ受信時点の最新バージョンとみなされる。http://jpfhir.jp/fhir/ePCS/StructureDefinition/JP_Composition_eReferral|x.y.z", "definition" : "準拠しているプロファイルとして次のURLとバージョンを指定する。バージョン指定を省略した場合には、データ受信時点の最新バージョンとみなされる。http://jpfhir.jp/fhir/ePCS/StructureDefinition/JP_Composition_eReferral|x.y.z", "comment" : "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min" : 1, "max" : "*", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "Composition.meta.security", "path" : "Composition.meta.security", "short" : "Security Labels applied to this resource", "definition" : "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment" : "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" }], "strength" : "extensible", "description" : "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels|4.0.1" } }, { "id" : "Composition.meta.tag", "path" : "Composition.meta.tag", "short" : "Tags applied to this resource", "definition" : "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment" : "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" }], "strength" : "example", "description" : "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags|4.0.1" } }, { "id" : "Composition.implicitRules", "path" : "Composition.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "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" : "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" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.language", "path" : "Composition.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages|4.0.1" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|4.0.1" } }, { "id" : "Composition.text", "path" : "Composition.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "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" : "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" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "Composition.contained", "path" : "Composition.contained", "short" : "Contained, inline Resources", "definition" : "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" : "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" : "Composition.extension", "path" : "Composition.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 1, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false }, { "id" : "Composition.extension:version", "path" : "Composition.extension", "sliceName" : "version", "short" : "文書バージョンを表す拡張", "definition" : "Version specific identifier for the composition, assigned when each version is created/updated. Note: this extension is only used before R5 because Composition has a version element which should be used instead.", "comment" : "While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example.", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.3.0"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Composition.extension:version.id", "path" : "Composition.extension.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.extension:version.extension", "path" : "Composition.extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false }, { "id" : "Composition.extension:version.url", "path" : "Composition.extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedUri" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.extension:version.value[x]", "path" : "Composition.extension.value[x]", "short" : "文書のバージョン番号を表す文字列。", "definition" : "文書のバージョン番号を表す文字列。\r\n例 : 第１版は \"1\" とする。", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.modifierExtension", "path" : "Composition.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.identifier", "path" : "Composition.identifier", "short" : "Version-independent identifier for the Composition", "definition" : "A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.", "comment" : "Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "rim", "map" : "Document.id / Document.setId" }, { "identity" : "cda", "map" : ".setId" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.masterIdentifier" }] }, { "id" : "Composition.identifier.id", "path" : "Composition.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.identifier.extension", "path" : "Composition.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.identifier.use", "path" : "Composition.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "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" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "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" : "Composition.identifier.type", "path" : "Composition.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "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" : "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" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "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|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "Composition.identifier.system", "path" : "Composition.identifier.system", "short" : "文書リソースIDの名前空間を表すURI。固定値。", "definition" : "文書リソースIDの名前空間を表すURI。固定値。", "comment" : "Identifier.system is always case sensitive.", "requirements" : "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" : "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|4.0.1" }], "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" : "Composition.identifier.value", "path" : "Composition.identifier.value", "short" : "文書リソースID", "definition" : "その医療機関が発行した診療情報提供書をその医療機関内において一意に識別するID（診療情報提供書番号）を設定する。\r\n\nIdentifier型のvalue要素に、保険医療機関番号（10桁）、発行年（4桁）、施設内において発行年内で一意となる番号（32桁以内）をハット文字(“＾”)で連結した文字列を指定する。\r\n\n例：”1311234567^2020^00123456", "comment" : "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" : "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|4.0.1" }], "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" : "Composition.identifier.period", "path" : "Composition.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "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" : "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|4.0.1" }], "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" : "Composition.identifier.assigner", "path" : "Composition.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "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|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.status", "path" : "Composition.status", "short" : "この文書のステータス。", "definition" : "この文書のステータス。\r\n仕様上は、preliminary | final | amended | entered_in_error\u3000のいずれかを設定できるが、医療機関から登録される段階では、\"final\" でなければならない。", "comment" : "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements. \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.", "requirements" : "Need to be able to mark interim, amended, or withdrawn compositions or documents.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "final", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "This element is labelled 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", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionStatus" }], "strength" : "required", "description" : "The workflow/clinical status of the composition.", "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\"; final: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]); amended: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]=\"obsolete\"" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.status" }] }, { "id" : "Composition.type", "path" : "Composition.type", "short" : "文書区分コード", "definition" : "documentタイプのうち文書種別", "comment" : "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.", "requirements" : "Key metadata element describing the composition, used in searching/filtering.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.type", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/Common/ValueSet/doc-typecodes|1.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.code" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.type" }] }, { "id" : "Composition.type.id", "path" : "Composition.type.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.type.extension", "path" : "Composition.type.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.type.coding", "path" : "Composition.type.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "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" : "Composition.type.coding.id", "path" : "Composition.type.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.type.coding.extension", "path" : "Composition.type.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.type.coding.system", "path" : "Composition.type.coding.system", "short" : "Identity of the terminology system", "definition" : "文書区分コードのコード体系を識別するURI。固定値", "comment" : "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" : "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://jpfhir.jp/fhir/Common/CodeSystem/doc-typecodes", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.type.coding.version", "path" : "Composition.type.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "mustSupport" : true, "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" : "Composition.type.coding.code", "path" : "Composition.type.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "診療情報提供書\"57133-1\"を指定。固定値。", "requirements" : "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" }], "fixedCode" : "57133-1", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.type.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.type.coding.display", "short" : "文書区分コードの表示名。", "definition" : "文書区分コードの表示名。", "requirements" : "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" }], "fixedString" : "診療情報提供書", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.type.coding.userSelected", "path" : "Composition.type.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.type.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.type.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "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|4.0.1" }], "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" : "Composition.category", "path" : "Composition.category", "short" : "文書カテゴリーコード", "definition" : "文書カテゴリーコード。\u3000診療情報提供書では文書サブ区分からDISCHARGE:退院時文書、OUTPATIENT:外来文書 のいずれかを使用する。", "comment" : "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).", "requirements" : "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.category", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/Common/ValueSet/doc-subtypecodes|1.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "fhirdocumentreference", "map" : "DocumenttReference.category" }] }, { "id" : "Composition.category.id", "path" : "Composition.category.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.category.extension", "path" : "Composition.category.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.category.coding", "path" : "Composition.category.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "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" : "Composition.category.coding.id", "path" : "Composition.category.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.category.coding.extension", "path" : "Composition.category.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.category.coding.system", "path" : "Composition.category.coding.system", "short" : "文書カテゴリコードのコード体系", "definition" : "文書カテゴリコードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/Common/CodeSystem/doc-subtypecodes", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.category.coding.version", "path" : "Composition.category.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.category.coding.code", "path" : "Composition.category.coding.code", "short" : "文書カテゴリコード", "definition" : "文書カテゴリコード 診療情報提供書では、文書サブ区分からDISCHARGE:退院時文書、OUTPATIENT:外来文書 のいずれかを使用する。", "requirements" : "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" : "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|4.0.1" }], "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" : "Composition.category.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.category.coding.display", "short" : "文書カテゴリコードの表示名", "definition" : "文書カテゴリ", "requirements" : "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" : "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|4.0.1" }], "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" : "Composition.category.coding.userSelected", "path" : "Composition.category.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.category.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.category.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "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|4.0.1" }], "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" : "Composition.subject", "path" : "Composition.subject", "short" : "患者情報を表すPatientリソースへの参照。", "definition" : "患者情報を表すPatientリソースへの参照。", "comment" : "For clinical documents, this is usually the patient.", "requirements" : "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.subject", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS|1.13.0-preR1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "rim", "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]" }, { "identity" : "cda", "map" : ".recordTarget" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.subject" }, { "identity" : "w5", "map" : "FiveWs.subject" }] }, { "id" : "Composition.subject.id", "path" : "Composition.subject.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.subject.extension", "path" : "Composition.subject.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.subject.reference", "path" : "Composition.subject.reference", "short" : "PatientリソースのfullUrl要素に指定されるUUIDを指定。", "definition" : "Bundleリソースに記述されるPatientリソースのfullUrl要素に指定されるUUIDを指定。\r\n例：\"urn:uuid:11f0a9a6_a91d_3aef_fc4e_069995b89c4f\"", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.subject.type", "path" : "Composition.subject.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.subject.identifier", "path" : "Composition.subject.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Composition.subject.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.subject.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.encounter", "path" : "Composition.encounter", "short" : "この文書が作成された受診時状況情報を表すEncounterリソースへの参照", "definition" : "この文書が作成された受診時状況情報を表すEncounterリソースへの参照", "requirements" : "Provides context for the composition and supports searching.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.encounter", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.context" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])" }, { "identity" : "cda", "map" : ".componentOf.encompassingEncounter" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.context.encounter" }] }, { "id" : "Composition.encounter.id", "path" : "Composition.encounter.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.encounter.extension", "path" : "Composition.encounter.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.encounter.reference", "path" : "Composition.encounter.reference", "short" : "EncounterリソースのfullUrl要素に指定されるUUIDを指定。", "definition" : "Bundleリソースに記述されるEncounterリソースのfullUrl要素に指定されるUUIDを指定。\r\n例：\"urn:uuid:12f0a9a6_a91d_8aef_d14e_069795b89c9f\"", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.encounter.type", "path" : "Composition.encounter.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.encounter.identifier", "path" : "Composition.encounter.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Composition.encounter.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.encounter.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.date", "path" : "Composition.date", "short" : "Composition editing time", "definition" : "このリソースを作成または最後に編集した日時。ISO8601に準拠し、秒の精度まで記録し、タイムゾーンも付記する。\r\n午前0時を\"24:00\"と記録することはできないため\"00:00\"と記録すること。\u3000\r\n例：\"2020_08_21T12:28:21+09:00\"", "comment" : "The Last Modified Date on the composition may be after the date of the document was attested without being changed.", "requirements" : "dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.date", "min" : 1, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }, { "identity" : "rim", "map" : ".effectiveTime[type=\"TS\"]" }, { "identity" : "cda", "map" : ".effectiveTime" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.content.attachment.date, DocumentReference.created" }] }, { "id" : "Composition.author", "path" : "Composition.author", "short" : "文書作成責任者と文書作成機関への参照。", "definition" : "文書作成責任者を表すPractitionerリソースの参照、および文書作成機関（必須）と診療科（任意）を表す最大2つのOrganizationリソースへの参照と合わせて最大3つの Referenceを繰り返す。", "requirements" : "Identifies who is responsible for the content.", "min" : 2, "max" : "3", "base" : { "path" : "Composition.author", "min" : 1, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.13.0-preR1", "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer" }, { "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.agent" }] }, { "id" : "Composition.title", "path" : "Composition.title", "short" : "Human Readable name/title", "definition" : "Official human-readable label for the composition.", "comment" : "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.title", "min" : 1, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "診療情報提供書", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.description, DocumentReference.content.attachment.title" }] }, { "id" : "Composition.confidentiality", "path" : "Composition.confidentiality", "short" : "As defined by affinity domain", "definition" : "The code specifying the level of confidentiality of the Composition.", "comment" : "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.confidentiality", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentConfidentiality" }], "strength" : "required", "description" : "Codes specifying the level of confidentiality of the composition.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26" }, "mapping" : [{ "identity" : "rim", "map" : ".confidentialityCode" }, { "identity" : "cda", "map" : ".confidentialityCode" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.securityLabel" }] }, { "id" : "Composition.attester", "path" : "Composition.attester", "short" : "Attests to accuracy of composition", "definition" : "A participant who has attested to the accuracy of the composition/document.", "comment" : "Only list each attester once.", "requirements" : "Identifies responsibility for the accuracy of the composition content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.attester", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".authenticator/.legalAuthenticator" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.authenticator" }] }, { "id" : "Composition.attester.id", "path" : "Composition.attester.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.attester.extension", "path" : "Composition.attester.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.attester.modifierExtension", "path" : "Composition.attester.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.attester.mode", "path" : "Composition.attester.mode", "short" : "personal | professional | legal | official", "definition" : "The type of attestation the authenticator offers.", "requirements" : "Indicates the level of authority of the attestation.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.attester.mode", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionAttestationMode" }], "strength" : "required", "description" : "The way in which a person authenticated a composition.", "valueSet" : "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "unique(./modeCode)" }, { "identity" : "cda", "map" : "implied by .authenticator/.legalAuthenticator" }] }, { "id" : "Composition.attester.time", "path" : "Composition.attester.time", "short" : "When the composition was attested", "definition" : "When the composition was attested by the party.", "requirements" : "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).", "min" : 0, "max" : "1", "base" : { "path" : "Composition.attester.time", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./time[type=\"TS\" and isNormalDatatype()]" }, { "identity" : "cda", "map" : ".authenticator.time" }] }, { "id" : "Composition.attester.party", "path" : "Composition.attester.party", "short" : "Who attested the composition", "definition" : "Who attested the composition in the specified way.", "requirements" : "Identifies who has taken on the responsibility for accuracy of the composition content.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.attester.party", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.witness" }, { "identity" : "rim", "map" : "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]" }, { "identity" : "cda", "map" : ".authenticator.assignedEnttty" }] }, { "id" : "Composition.custodian", "path" : "Composition.custodian", "short" : "文書の作成・修正を行い、文書の管理責任を持つ医療機関（Organizationリソース）への参照", "definition" : "文書作成機関と同一の組織の場合、custodian要素からは文書作成機関を表すOrganizationリソースへの参照となる。文書作成機関とは異なる組織である場合は、文書作成機関とは別のOrganizationリソースで表現し、custodian要素からはそのOrganizationリソースを参照する。", "comment" : "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.", "requirements" : "Identifies where to go to find the current version, where to report issues, etc.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.custodian", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]" }, { "identity" : "cda", "map" : ".custodian.assignedCustodian" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.custodian" }] }, { "id" : "Composition.custodian.id", "path" : "Composition.custodian.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.custodian.extension", "path" : "Composition.custodian.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.custodian.reference", "path" : "Composition.custodian.reference", "short" : "custodianに対応するOrganizationリソースのfullUrl要素に指定されるUUIDを指定。", "definition" : "custodianに対応するOrganizationリソースのfullUrl要素に指定されるUUIDを指定。\r\n例：\"urn:uuid:179f9f7f_e546_04c2_6888_a9e0b24e5720\"", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.custodian.type", "path" : "Composition.custodian.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.custodian.identifier", "path" : "Composition.custodian.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Composition.custodian.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.custodian.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.relatesTo", "path" : "Composition.relatesTo", "short" : "Relationships to other compositions/documents", "definition" : "Relationships that this composition has with other compositions or documents that already exist.", "comment" : "A document is a version specific composition.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.relatesTo", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship" }, { "identity" : "cda", "map" : ".relatedDocument" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.relatesTo" }] }, { "id" : "Composition.relatesTo.id", "path" : "Composition.relatesTo.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.relatesTo.extension", "path" : "Composition.relatesTo.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.relatesTo.modifierExtension", "path" : "Composition.relatesTo.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.relatesTo.code", "path" : "Composition.relatesTo.code", "short" : "replaces | transforms | signs | appends", "definition" : "The type of relationship that this composition has with anther composition or document.", "comment" : "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.relatesTo.code", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentRelationshipType" }], "strength" : "required", "description" : "The type of relationship between documents.", "valueSet" : "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship.typeCode" }, { "identity" : "cda", "map" : ".relatedDocument.typeCode" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.relatesTo.code" }] }, { "id" : "Composition.relatesTo.target[x]", "path" : "Composition.relatesTo.target[x]", "short" : "Target of the relationship", "definition" : "The target composition/document of this relationship.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.relatesTo.target[x]", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Identifier" }, { "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".target[classCode=\"DOC\", moodCode=\"EVN\"].id" }, { "identity" : "cda", "map" : ".relatedDocument.id" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.relatesTo.target" }] }, { "id" : "Composition.event", "path" : "Composition.event", "short" : "診療情報提供書の発行イベントの情報", "definition" : "診療情報提供書の発行イベントの情報", "comment" : "The event needs to be consistent with the type element, though can provide further information if desired.", "requirements" : "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.event", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']" }, { "identity" : "cda", "map" : ".documentationOf.serviceEvent" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.event" }] }, { "id" : "Composition.event.id", "path" : "Composition.event.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.event.extension", "path" : "Composition.event.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.event.modifierExtension", "path" : "Composition.event.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.event.code", "path" : "Composition.event.code", "short" : "Code(s) that apply to the event being documented", "definition" : "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.", "comment" : "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.event.code", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentEventType" }], "strength" : "example", "description" : "This list of codes represents the main clinical acts being documented.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0" }, "mapping" : [{ "identity" : "rim", "map" : ".code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.event.code" }] }, { "id" : "Composition.event.code.id", "path" : "Composition.event.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.event.code.extension", "path" : "Composition.event.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.event.code.coding", "path" : "Composition.event.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.event.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.event.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "診療情報提供書発行", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.event.period", "path" : "Composition.event.period", "short" : "診療情報提供書発行日", "definition" : "診療情報提供書発行日。ISO8601に準拠yyyy-mm-dd形式で記述する。", "min" : 1, "max" : "1", "base" : { "path" : "Composition.event.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".effectiveTime" }, { "identity" : "cda", "map" : ".effectiveTime" }, { "identity" : "fhirdocumentreference", "map" : "DocumentReference.event.period" }] }, { "id" : "Composition.event.period.id", "path" : "Composition.event.period.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.event.period.extension", "path" : "Composition.event.period.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.event.period.start", "path" : "Composition.event.period.start", "short" : "診療情報提供書発行日", "definition" : "診療情報提供書発行日。ISO8601に準拠yyyy-mm-dd形式で記述する。", "comment" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.1" }, { "identity" : "rim", "map" : "./low" }] }, { "id" : "Composition.event.period.end", "path" : "Composition.event.period.end", "short" : "診療情報提供書の場合記述しないが、startと同一であれば存在していてもよい", "definition" : "診療情報提供書の場合記述しない。startと同一であれば存在していてもよい", "comment" : "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" : "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" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.2" }, { "identity" : "rim", "map" : "./high" }] }, { "id" : "Composition.event.detail", "path" : "Composition.event.detail", "short" : "The event(s) being documented", "definition" : "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.event.detail", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=\"SUBJ\"].target" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section", "path" : "Composition.section", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "code.coding.code" }], "rules" : "open" }, "short" : "Composition is broken into sections", "definition" : "The root of the sections that make up the composition.", "min" : 2, "max" : "*", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, 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.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:referralFromSection", "path" : "Composition.section", "sliceName" : "referralFromSection", "short" : "紹介元情報セクション", "definition" : "紹介元情報セクション", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:referralFromSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralFromSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralFromSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:referralFromSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "紹介元情報", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:referralFromSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:referralFromSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralFromSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralFromSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:referralFromSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralFromSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralFromSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralFromSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:referralFromSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "920", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralFromSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "紹介元情報セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralFromSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralFromSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralFromSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:referralFromSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:referralFromSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:referralFromSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralFromSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralFromSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:referralFromSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:referralFromSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:referralFromSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:referralFromSection.entry", "path" : "Composition.section.entry", "slicing" : { "discriminator" : [{ "type" : "profile", "path" : "resolve()" }], "rules" : "open" }, "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "3", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:referralFromSection.entry:referralFromOrganization", "path" : "Composition.section.entry", "sliceName" : "referralFromOrganization", "short" : "紹介元医療機関", "definition" : "紹介元医療機関.診療科情報をExtensionで含めることが可能。", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:referralFromSection.entry:referralFromDoctor", "path" : "Composition.section.entry", "sliceName" : "referralFromDoctor", "short" : "紹介元医師", "definition" : "紹介元医師", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:referralFromSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:referralToSection", "path" : "Composition.section", "sliceName" : "referralToSection", "short" : "紹介先情報セクション", "definition" : "紹介先情報セクション", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:referralToSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralToSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralToSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:referralToSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "紹介先情報", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:referralToSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:referralToSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralToSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralToSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:referralToSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralToSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralToSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralToSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:referralToSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "910", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralToSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "紹介先情報セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralToSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralToSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:referralToSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:referralToSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:referralToSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:referralToSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:referralToSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:referralToSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:referralToSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:referralToSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:referralToSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:referralToSection.entry", "path" : "Composition.section.entry", "slicing" : { "discriminator" : [{ "type" : "profile", "path" : "resolve()" }], "rules" : "open" }, "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "3", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:referralToSection.entry:referralToOrganization", "path" : "Composition.section.entry", "sliceName" : "referralToOrganization", "short" : "紹介先医療機関", "definition" : "紹介先医療機関.診療科情報をExtensionで含めることが可能。", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:referralToSection.entry:referralToDoctor", "path" : "Composition.section.entry", "sliceName" : "referralToDoctor", "short" : "紹介先医師", "definition" : "紹介先医師", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:referralToSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:cdaSection", "path" : "Composition.section", "sliceName" : "cdaSection", "short" : "CDA参照セクション-本セクションは電子カルテ情報共有サービスでは使用しない。", "definition" : "CDA参照セクション-本セクションは電子カルテ情報共有サービスでは使用しない。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:cdaSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:cdaSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:cdaSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:cdaSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "CDA参照", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:cdaSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:cdaSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:cdaSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:cdaSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:cdaSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:cdaSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:cdaSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:cdaSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:cdaSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "200", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:cdaSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "CDA参照セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:cdaSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:cdaSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:cdaSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:cdaSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:cdaSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:cdaSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:cdaSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:cdaSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:cdaSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:cdaSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:cdaSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:cdaSection.entry", "path" : "Composition.section.entry", "short" : "CDA規約文書ファイルへの参照", "definition" : "CDA規約文書ファイルへの参照", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:cdaSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection", "path" : "Composition.section", "sliceName" : "compositionSection", "short" : "構造情報セクション", "definition" : "構造情報セクション", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:compositionSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "構造情報", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "300", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "構造情報セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section.title", "path" : "Composition.section.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section.code", "path" : "Composition.section.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section.text", "path" : "Composition.section.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, 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.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section.entry", "path" : "Composition.section.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection", "path" : "Composition.section.section", "sliceName" : "referralPurposeSection", "short" : "紹介目的セクション", "definition" : "紹介目的セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:referralPurposeSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:referralPurposeSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "紹介目的", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "950", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "紹介目的セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:referralPurposeSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:referralPurposeSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:referralPurposeSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.entry", "path" : "Composition.section.section.entry", "short" : "紹介先で予定している受診を記述したEncounterリソースを参照", "definition" : "紹介先で予定している受診を記述したEncounterリソースを参照。Encounter.reasonCodeに紹介する理由を記述するが、疾患や症状にもとづく診療紹介の場合には、その症状や疾患のコードあるいはテキストを記述する。そうでない場合には、コード化にかかわらずEncounter.reasonCode.textに紹介理由もtext形式で記述する。", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:problemSection", "path" : "Composition.section.section", "sliceName" : "problemSection", "short" : "傷病名・主訴セクション", "definition" : "傷病名・主訴セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:problemSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:problemSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "傷病名・主訴", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:problemSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:problemSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:problemSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:problemSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:problemSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "340", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:problemSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "傷病名・主訴セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:problemSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:problemSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:problemSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:problemSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.entry", "path" : "Composition.section.section.entry", "short" : "傷病名・主訴を１個以上必ず記述する。", "definition" : "傷病名・主訴を１個以上必ず記述する。1つにつき1つのConditionで記述されたものを参照する。フリーテキストでしか記述できない場合には、Condition.code.text に記述する。", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:problemSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection", "path" : "Composition.section.section", "sliceName" : "presentIllnessSection", "short" : "現病歴セクション", "definition" : "現病歴セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:presentIllnessSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:presentIllnessSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "現病歴", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "360", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "現病歴セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:presentIllnessSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:presentIllnessSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:presentIllnessSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.entry", "path" : "Composition.section.section.entry", "short" : "現病歴として記述すべき疾患に関する現在にいたる経過歴を１個以上必ず記述したConditionリソースを参照する。", "definition" : "フリーテキストでしか記述できない場合には、それをCondition.code.text \n およびCodition.noteに記述したConditionリソースを参照する。\n 疾患ごとに分けて現病歴を記述できる場合には、それぞれをひとつのConditionリソースで記述して参照する。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection", "path" : "Composition.section.section", "sliceName" : "pastIllnessSection", "short" : "既往歴セクション", "definition" : "既往歴セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:pastIllnessSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:pastIllnessSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "既往歴", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "370", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "既往歴セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:pastIllnessSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:pastIllnessSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:pastIllnessSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.entry", "path" : "Composition.section.section.entry", "short" : "既往歴をConditionリソースに記述して参照する。", "definition" : "既往歴をConditionリソースに記述して参照する。\n 1つの既往疾患につき1つのConditionリソースで記述されたものを参照する。\n 記述すべき既往疾患が存在しないことを明示的に記述する（「既往特になし」など）場合にはentry要素は出現せず、emptyReasonにnilknownを記述する。\n 既往疾患情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection", "path" : "Composition.section.section", "sliceName" : "allergiesIIntoleranceSection", "short" : "アレルギー・不耐性反応セクション", "definition" : "アレルギー・不耐性反応セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "アレルギー・不耐性反応", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "510", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "アレルギー・不耐性反応セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.entry", "path" : "Composition.section.section.entry", "short" : "アレルギー・不耐性反応情報を記述したAllergyIntoleranceリソースを参照", "definition" : "アレルギー・不耐性反応情報を記述して参照する。\n 1つの既往疾患につき1つのAllergyIntoleranceリソースで記述されたものを参照する。\n 記述すべきアレルギー・不耐性反応情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n アレルギー・不耐性反応情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。 \n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_AllergyIntolerance_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection", "path" : "Composition.section.section", "sliceName" : "familiyHistorySection", "short" : "家族歴セクション", "definition" : "家族歴セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:familiyHistorySection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:familiyHistorySection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "家族歴", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "550", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "家族歴セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:familiyHistorySection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:familiyHistorySection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:familiyHistorySection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.entry", "path" : "Composition.section.section.entry", "short" : "家族歴情報を記述したFamilyMemberHistoryリソースを参照", "definition" : "家族歴情報情報を記述して参照する。\n 1つの家族歴につき1つのFamilyMemberHistoryリソースで記述されたものを参照する。\n 記述すべき家族歴情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 家族歴情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_FamilyMemberHistory"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection", "path" : "Composition.section.section", "sliceName" : "admissionPhysicalStatusSection", "short" : "身体所見セクション", "definition" : "身体所見セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "身体所見", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "610", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "身体所見セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.entry", "path" : "Composition.section.section.entry", "short" : "身体所見を記述したObservationリソースを参照", "definition" : "身体所見を記述して参照する。\n 1つの身体所見につき1つのObservationリソースで記述されたものを参照する。\n 記述すべき身体所見が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 身体所見を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection", "path" : "Composition.section.section", "sliceName" : "infectiousDiseaseInformationSection", "short" : "感染症情報セクション", "definition" : "感染症情報セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "感染症情報", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "520", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "感染症情報セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.entry", "path" : "Composition.section.section.entry", "short" : "感染症情報を記述したObservationリソースまたはConditionリソースを参照", "definition" : "感染症情報を記述して参照する。\n 1つの感染症情報につき1つのObservationリソース(JP_Observation_Commonの派生プロファイル（たとえばJP_Observation_LabResult_eCS）に従うリソース）またはConditionリソース（JP_Condition_eCS）で記述されたものを参照する。\n 記述すべき感染症情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 感染症情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common", "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection", "path" : "Composition.section.section", "sliceName" : "socialHistorySection", "short" : "社会歴・生活習慣セクション", "definition" : "社会歴・生活習慣セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:socialHistorySection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:socialHistorySection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "社会歴・生活習慣", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:socialHistorySection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "640", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "社会歴・生活習慣セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:socialHistorySection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:socialHistorySection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:socialHistorySection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.entry", "path" : "Composition.section.section.entry", "short" : "社会歴・生活習慣情報を記述したObservationリソースを参照", "definition" : "社会歴・生活習慣情報を記述して参照する。\n 1つの社会歴・生活習慣につき1つのObservationリソースで記述されたものを参照する。\n 記述すべき社会歴・生活習慣情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 社会歴・生活習慣情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection", "path" : "Composition.section.section", "sliceName" : "immunizationSection", "short" : "予防接種歴セクション", "definition" : "予防接種歴セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:immunizationSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:immunizationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "予防接種歴", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:immunizationSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:immunizationSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:immunizationSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:immunizationSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:immunizationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "530", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:immunizationSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "予防接種歴セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:immunizationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:immunizationSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:immunizationSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:immunizationSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.entry", "path" : "Composition.section.section.entry", "short" : "予防接種歴情報を記述したImmunizationリソースを参照", "definition" : "予防接種歴情報を記述して参照する。\n 1つの予防接種歴情報につき1つのImmunizationリソースで記述されたものを参照する。\n 記述すべき予防接種歴情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 予防接種歴情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Immunization_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:immunizationSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection", "path" : "Composition.section.section", "sliceName" : "surgicalProcedureSection", "short" : "手術セクション", "definition" : "手術セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "手術", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "730", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "手術セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:surgicalProcedureSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.entry", "path" : "Composition.section.section.entry", "short" : "手術情報を記述したProcedureリソースを参照", "definition" : "手術情報を記述して参照する。\n 1つの手術情報につき1つのProcedureリソースで記述されたものを参照する。\n 記述すべき手術情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 手術情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection", "path" : "Composition.section.section", "sliceName" : "bloodInfusionProcedureSection", "short" : "輸血歴セクション", "definition" : "輸血歴セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "輸血歴", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "740", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "輸血歴セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.entry", "path" : "Composition.section.section.entry", "short" : "輸血歴情報を記述したProcedureリソースを参照", "definition" : "輸血歴情報を記述して参照する。\n 1つの輸血歴情報につき1つのProcedureリソースで記述されたものを参照する。\n 記述すべき輸血歴情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 輸血歴情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection", "path" : "Composition.section.section", "sliceName" : "treatmentProcedureSection", "short" : "処置セクション", "definition" : "処置セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "処置", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "720", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "処置セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:treatmentProcedureSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.entry", "path" : "Composition.section.section.entry", "short" : "処置情報を記述したProcedureリソースを参照", "definition" : "処置情報を記述して参照する。\n 1つの処置情報につき1つのProcedureリソースで記述されたものを参照する。\n 記述すべき処置情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 処置情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection", "path" : "Composition.section.section", "sliceName" : "medicationSection", "short" : "投薬指示セクション", "definition" : "投薬指示セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicationSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:medicationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "投薬指示", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicationSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:medicationSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicationSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicationSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "430", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicationSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "投薬指示セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicationSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicationSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicationSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.entry", "path" : "Composition.section.section.entry", "short" : "投薬指示情報を記述したMedicationRequestリソースを参照", "definition" : "投薬指示情報を記述して参照する。\n 1つの投薬指示情報につき1つのMedicationRequestリソースで記述されたものを参照する。\n 記述すべき投薬指示情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 投薬指示情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_MedicationRequest_eCS|1.13.0-preR1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:medicationSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection", "path" : "Composition.section.section", "sliceName" : "examsStudySection", "short" : "検査結果セクション", "definition" : "検査結果セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:examsStudySection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:examsStudySection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "検査結果", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:examsStudySection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:examsStudySection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:examsStudySection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:examsStudySection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:examsStudySection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "620", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:examsStudySection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "検査結果セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:examsStudySection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:examsStudySection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:examsStudySection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:examsStudySection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.entry", "path" : "Composition.section.section.entry", "short" : "検査結果情報を記述したObservationリソースを参照", "definition" : "検査結果情報を記述して参照する。\n 1つの検査結果情報につき1つのObservationリソースで記述されたものを参照する。\n 記述すべき検査結果情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 検査結果情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common", "http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:examsStudySection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection", "path" : "Composition.section.section", "sliceName" : "clinicalCourseSection", "short" : "臨床経過セクション", "definition" : "臨床経過セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalCourseSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:clinicalCourseSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "臨床経過", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "330", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "臨床経過セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalCourseSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalCourseSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalCourseSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.entry", "path" : "Composition.section.section.entry", "short" : "臨床経過を記述したDocumentReferenceリソースを参照", "definition" : "臨床経過を記述して参照する。\n 1つ以上のDocumentReferenceリソースで記述されたものを参照する。\n 診療情報提供書では臨床経過の記述は常に必要である。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_DocumentReference"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection", "path" : "Composition.section.section", "sliceName" : "clinicalInstructionSection", "short" : "診療方針指示セクション", "definition" : "診療方針指示セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "診療方針指示", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "420", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "診療方針指示セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:clinicalInstructionSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.entry", "path" : "Composition.section.section.entry", "short" : "診療方針指示を記述したCarePlanリソースを参照", "definition" : "診療方針指示を記述して参照する。\n 1つの指示をひとつのCarePlanリソースで記述されたものを参照する。\n 記述すべき診療方針指示が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_CarePlan"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection", "path" : "Composition.section.section", "sliceName" : "medicalDeviceSection", "short" : "医療機器セクション", "definition" : "医療機器セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicalDeviceSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:medicalDeviceSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "医療機器", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "810", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "医療機器セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicalDeviceSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:medicalDeviceSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:medicalDeviceSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.entry", "path" : "Composition.section.section.entry", "short" : "医療機器情報を記述したDocumentReferenceリソースを参照", "definition" : "医療機器情報を記述して参照する。\n 1つの医療機器情報をひとつのDeviceUseStatementリソースで記述されたものを参照する。\n 記述すべき医療機器情報が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_DeviceUseStatement"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection", "path" : "Composition.section.section", "sliceName" : "advanceDirectiveSection", "short" : "事前指示セクション", "definition" : "事前指示セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "事前指示", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "410", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "事前指示セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:advanceDirectiveSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.entry", "path" : "Composition.section.section.entry", "short" : "事前指示を記述したConcentリソースを参照", "definition" : "事前指示を記述して参照する。\n 1つの指示をひとつのConsentリソースで記述されたものを参照する。\n 記述すべき事前指示が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Consent"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection", "path" : "Composition.section.section", "sliceName" : "researchParticipationSection", "short" : "臨床研究参加セクション", "definition" : "臨床研究参加セクション", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.id", "path" : "Composition.section.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:researchParticipationSection.extension", "path" : "Composition.section.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.modifierExtension", "path" : "Composition.section.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:compositionSection.section:researchParticipationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "patternString" : "臨床研究参加", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.id", "path" : "Composition.section.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.extension", "path" : "Composition.section.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding", "path" : "Composition.section.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.id", "path" : "Composition.section.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.extension", "path" : "Composition.section.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.version", "path" : "Composition.section.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "830", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "臨床研究参加セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:researchParticipationSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:compositionSection.section:researchParticipationSection.author", "path" : "Composition.section.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.focus", "path" : "Composition.section.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text.id", "path" : "Composition.section.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:compositionSection.section:researchParticipationSection.text.extension", "path" : "Composition.section.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.mode", "path" : "Composition.section.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.entry", "path" : "Composition.section.section.entry", "short" : "臨床研究参加情報を記述したDocumentReferenceリソースを参照", "definition" : "臨床研究参加情報を記述して参照する。\n 1つの臨床研究参加情報をひとつのResearchSubjectリソースで記述されたものを参照する。\n 記述すべき臨床研究参加情報が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_ResearchSubject"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.emptyReason", "path" : "Composition.section.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:attachmentSection", "path" : "Composition.section", "sliceName" : "attachmentSection", "short" : "添付情報セクション", "definition" : "添付情報セクション", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:attachmentSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:attachmentSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:attachmentSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:attachmentSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "添付情報", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:attachmentSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:attachmentSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:attachmentSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:attachmentSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:attachmentSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:attachmentSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:attachmentSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:attachmentSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:attachmentSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "210", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:attachmentSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "添付情報セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:attachmentSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:attachmentSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:attachmentSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:attachmentSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:attachmentSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:attachmentSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:attachmentSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:attachmentSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:attachmentSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:attachmentSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:attachmentSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:attachmentSection.entry", "path" : "Composition.section.entry", "short" : "添付情報ファイルへの参照", "definition" : "添付情報ファイルへの参照", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://hl7.org/fhir/StructureDefinition/Bundle|4.0.1"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:attachmentSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:remarksCommunicationSection", "path" : "Composition.section", "sliceName" : "remarksCommunicationSection", "short" : "備考・連絡情報セクション", "definition" : "備考・連絡情報セクション", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:remarksCommunicationSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:remarksCommunicationSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:remarksCommunicationSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:remarksCommunicationSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "備考・連絡情報", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:remarksCommunicationSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:remarksCommunicationSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:remarksCommunicationSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:remarksCommunicationSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:remarksCommunicationSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:remarksCommunicationSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:remarksCommunicationSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:remarksCommunicationSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:remarksCommunicationSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "220", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:remarksCommunicationSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "備考・連絡情報セクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:remarksCommunicationSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:remarksCommunicationSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:remarksCommunicationSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:remarksCommunicationSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:remarksCommunicationSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:remarksCommunicationSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:remarksCommunicationSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:remarksCommunicationSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:remarksCommunicationSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:remarksCommunicationSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:remarksCommunicationSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:remarksCommunicationSection.entry", "path" : "Composition.section.entry", "short" : "備考・連絡情報バイナリファイルへの参照", "definition" : "備考・連絡情報バイナリファイルへの参照", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DocumentReference"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:remarksCommunicationSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }, { "id" : "Composition.section:pdfSection", "path" : "Composition.section", "sliceName" : "pdfSection", "short" : "PDFセクション", "definition" : "PDFセクション", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "cmp-1", "severity" : "error", "human" : "A section must contain at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }] }, { "id" : "Composition.section:pdfSection.id", "path" : "Composition.section.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:pdfSection.extension", "path" : "Composition.section.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:pdfSection.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "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" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : true, "isModifierReason" : "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" : "Composition.section:pdfSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : ["header", "label", "caption"], "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "PDF", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" }] }, { "id" : "Composition.section:pdfSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" }], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }] }, { "id" : "Composition.section:pdfSection.code.id", "path" : "Composition.section.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:pdfSection.code.extension", "path" : "Composition.section.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:pdfSection.code.coding", "path" : "Composition.section.code.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "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. 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" : "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" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" }, "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" : "Composition.section:pdfSection.code.coding.id", "path" : "Composition.section.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:pdfSection.code.coding.extension", "path" : "Composition.section.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:pdfSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "comment" : "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" : "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://jpfhir.jp/fhir/clins/CodeSystem/document-section", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:pdfSection.code.coding.version", "path" : "Composition.section.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "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" : "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" : "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|4.0.1" }], "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" : "Composition.section:pdfSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "requirements" : "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" }], "fixedCode" : "230", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:pdfSection.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "requirements" : "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" }], "patternString" : "PDFセクション", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:pdfSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "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" : "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" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:pdfSection.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Composition.section.code.text", "short" : "Plain text representation of the concept", "definition" : "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" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "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" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "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" : "Composition.section:pdfSection.author", "path" : "Composition.section.author", "short" : "Who and/or what authored the section", "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.", "requirements" : "Identifies who is responsible for the content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.author", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1", "http://hl7.org/fhir/StructureDefinition/Device|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }] }, { "id" : "Composition.section:pdfSection.focus", "path" : "Composition.section.focus", "short" : "Who/what the section is about, when it is not about the subject of composition", "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).", "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "cda", "map" : ".subject? (CDA did not differentiate between subject and focus)" }] }, { "id" : "Composition.section:pdfSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["cmp-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }] }, { "id" : "Composition.section:pdfSection.text.id", "path" : "Composition.section.text.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "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" : "Composition.section:pdfSection.text.extension", "path" : "Composition.section.text.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : "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|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Composition.section:pdfSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "additional", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:pdfSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。", "comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]", "source" : "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Composition.section:pdfSection.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" }], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.1" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:pdfSection.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "0", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" }], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-order|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" }] }, { "id" : "Composition.section:pdfSection.entry", "path" : "Composition.section.entry", "short" : "PDFファイルへの参照", "definition" : "PDFファイルへの参照", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DocumentReference"] }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }] }, { "id" : "Composition.section:pdfSection.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "condition" : ["cmp-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "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|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" }], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" }] }] }, "differential" : { "element" : [{ "id" : "Composition", "path" : "Composition", "constraint" : [{ "key" : "checkExist-CDASection-or-CompositionSection", "severity" : "error", "human" : "【セクション構成はCDAセクションと構造情報セクションのどちらか一方だけ存在している必要がある。】", "expression" : "((section.code.coding.where(code = '200')).exists()) xor ((section.code.coding.where(code = '300')).exists())", "source" : "http://jpfhir.jp/fhir/eReferral/StructureDefinition/JP_Composition_eReferral|1.13.0-preR1" }] }, { "id" : "Composition.meta", "path" : "Composition.meta", "min" : 1, "mustSupport" : true }, { "id" : "Composition.meta.lastUpdated", "path" : "Composition.meta.lastUpdated", "min" : 1, "mustSupport" : true }, { "id" : "Composition.meta.profile", "path" : "Composition.meta.profile", "short" : "準拠しているプロファイルとして次のURLとバージョンを指定する。バージョン指定を省略した場合には、データ受信時点の最新バージョンとみなされる。http://jpfhir.jp/fhir/ePCS/StructureDefinition/JP_Composition_eReferral|x.y.z", "definition" : "準拠しているプロファイルとして次のURLとバージョンを指定する。バージョン指定を省略した場合には、データ受信時点の最新バージョンとみなされる。http://jpfhir.jp/fhir/ePCS/StructureDefinition/JP_Composition_eReferral|x.y.z", "min" : 1, "mustSupport" : true }, { "id" : "Composition.extension", "path" : "Composition.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "rules" : "open" }, "min" : 1 }, { "id" : "Composition.extension:version", "path" : "Composition.extension", "sliceName" : "version", "short" : "文書バージョンを表す拡張", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.3.0"] }], "mustSupport" : true }, { "id" : "Composition.extension:version.url", "path" : "Composition.extension.url", "mustSupport" : true }, { "id" : "Composition.extension:version.value[x]", "path" : "Composition.extension.value[x]", "short" : "文書のバージョン番号を表す文字列。", "definition" : "文書のバージョン番号を表す文字列。\r\n例 : 第１版は \"1\" とする。", "mustSupport" : true }, { "id" : "Composition.identifier", "path" : "Composition.identifier", "min" : 1, "mustSupport" : true }, { "id" : "Composition.identifier.system", "path" : "Composition.identifier.system", "short" : "文書リソースIDの名前空間を表すURI。固定値。", "definition" : "文書リソースIDの名前空間を表すURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier", "mustSupport" : true }, { "id" : "Composition.identifier.value", "path" : "Composition.identifier.value", "short" : "文書リソースID", "definition" : "その医療機関が発行した診療情報提供書をその医療機関内において一意に識別するID（診療情報提供書番号）を設定する。\r\n\nIdentifier型のvalue要素に、保険医療機関番号（10桁）、発行年（4桁）、施設内において発行年内で一意となる番号（32桁以内）をハット文字(“＾”)で連結した文字列を指定する。\r\n\n例：”1311234567^2020^00123456", "min" : 1, "mustSupport" : true }, { "id" : "Composition.status", "path" : "Composition.status", "short" : "この文書のステータス。", "definition" : "この文書のステータス。\r\n仕様上は、preliminary | final | amended | entered_in_error\u3000のいずれかを設定できるが、医療機関から登録される段階では、\"final\" でなければならない。", "fixedCode" : "final" }, { "id" : "Composition.type", "path" : "Composition.type", "short" : "文書区分コード", "definition" : "documentタイプのうち文書種別", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/Common/ValueSet/doc-typecodes|1.0.0" } }, { "id" : "Composition.type.coding", "path" : "Composition.type.coding", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "Composition.type.coding.system", "path" : "Composition.type.coding.system", "definition" : "文書区分コードのコード体系を識別するURI。固定値", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/Common/CodeSystem/doc-typecodes", "mustSupport" : true }, { "id" : "Composition.type.coding.version", "path" : "Composition.type.coding.version", "mustSupport" : true }, { "id" : "Composition.type.coding.code", "path" : "Composition.type.coding.code", "definition" : "診療情報提供書\"57133-1\"を指定。固定値。", "min" : 1, "fixedCode" : "57133-1", "mustSupport" : true }, { "id" : "Composition.type.coding.display", "path" : "Composition.type.coding.display", "short" : "文書区分コードの表示名。", "definition" : "文書区分コードの表示名。", "fixedString" : "診療情報提供書" }, { "id" : "Composition.category", "path" : "Composition.category", "short" : "文書カテゴリーコード", "definition" : "文書カテゴリーコード。\u3000診療情報提供書では文書サブ区分からDISCHARGE:退院時文書、OUTPATIENT:外来文書 のいずれかを使用する。", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/Common/ValueSet/doc-subtypecodes|1.0.0" } }, { "id" : "Composition.category.coding", "path" : "Composition.category.coding", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "Composition.category.coding.system", "path" : "Composition.category.coding.system", "short" : "文書カテゴリコードのコード体系", "definition" : "文書カテゴリコードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/Common/CodeSystem/doc-subtypecodes", "mustSupport" : true }, { "id" : "Composition.category.coding.code", "path" : "Composition.category.coding.code", "short" : "文書カテゴリコード", "definition" : "文書カテゴリコード 診療情報提供書では、文書サブ区分からDISCHARGE:退院時文書、OUTPATIENT:外来文書 のいずれかを使用する。", "min" : 1, "mustSupport" : true }, { "id" : "Composition.category.coding.display", "path" : "Composition.category.coding.display", "short" : "文書カテゴリコードの表示名", "definition" : "文書カテゴリ" }, { "id" : "Composition.subject", "path" : "Composition.subject", "short" : "患者情報を表すPatientリソースへの参照。", "definition" : "患者情報を表すPatientリソースへの参照。", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.subject.reference", "path" : "Composition.subject.reference", "short" : "PatientリソースのfullUrl要素に指定されるUUIDを指定。", "definition" : "Bundleリソースに記述されるPatientリソースのfullUrl要素に指定されるUUIDを指定。\r\n例：\"urn:uuid:11f0a9a6_a91d_3aef_fc4e_069995b89c4f\"", "min" : 1, "mustSupport" : true }, { "id" : "Composition.encounter", "path" : "Composition.encounter", "short" : "この文書が作成された受診時状況情報を表すEncounterリソースへの参照", "definition" : "この文書が作成された受診時状況情報を表すEncounterリソースへの参照", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.encounter.reference", "path" : "Composition.encounter.reference", "short" : "EncounterリソースのfullUrl要素に指定されるUUIDを指定。", "definition" : "Bundleリソースに記述されるEncounterリソースのfullUrl要素に指定されるUUIDを指定。\r\n例：\"urn:uuid:12f0a9a6_a91d_8aef_d14e_069795b89c9f\"", "min" : 1, "mustSupport" : true }, { "id" : "Composition.date", "path" : "Composition.date", "definition" : "このリソースを作成または最後に編集した日時。ISO8601に準拠し、秒の精度まで記録し、タイムゾーンも付記する。\r\n午前0時を\"24:00\"と記録することはできないため\"00:00\"と記録すること。\u3000\r\n例：\"2020_08_21T12:28:21+09:00\"", "mustSupport" : true }, { "id" : "Composition.author", "path" : "Composition.author", "short" : "文書作成責任者と文書作成機関への参照。", "definition" : "文書作成責任者を表すPractitionerリソースの参照、および文書作成機関（必須）と診療科（任意）を表す最大2つのOrganizationリソースへの参照と合わせて最大3つの Referenceを繰り返す。", "min" : 2, "max" : "3", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.13.0-preR1", "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.title", "path" : "Composition.title", "fixedString" : "診療情報提供書", "mustSupport" : true }, { "id" : "Composition.custodian", "path" : "Composition.custodian", "short" : "文書の作成・修正を行い、文書の管理責任を持つ医療機関（Organizationリソース）への参照", "definition" : "文書作成機関と同一の組織の場合、custodian要素からは文書作成機関を表すOrganizationリソースへの参照となる。文書作成機関とは異なる組織である場合は、文書作成機関とは別のOrganizationリソースで表現し、custodian要素からはそのOrganizationリソースを参照する。", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.custodian.reference", "path" : "Composition.custodian.reference", "short" : "custodianに対応するOrganizationリソースのfullUrl要素に指定されるUUIDを指定。", "definition" : "custodianに対応するOrganizationリソースのfullUrl要素に指定されるUUIDを指定。\r\n例：\"urn:uuid:179f9f7f_e546_04c2_6888_a9e0b24e5720\"", "min" : 1 }, { "id" : "Composition.event", "path" : "Composition.event", "short" : "診療情報提供書の発行イベントの情報", "definition" : "診療情報提供書の発行イベントの情報", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "Composition.event.code", "path" : "Composition.event.code", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "Composition.event.code.coding", "path" : "Composition.event.code.coding", "max" : "0" }, { "id" : "Composition.event.code.text", "path" : "Composition.event.code.text", "min" : 1, "fixedString" : "診療情報提供書発行", "mustSupport" : true }, { "id" : "Composition.event.period", "path" : "Composition.event.period", "short" : "診療情報提供書発行日", "definition" : "診療情報提供書発行日。ISO8601に準拠yyyy-mm-dd形式で記述する。", "min" : 1, "mustSupport" : true }, { "id" : "Composition.event.period.start", "path" : "Composition.event.period.start", "short" : "診療情報提供書発行日", "definition" : "診療情報提供書発行日。ISO8601に準拠yyyy-mm-dd形式で記述する。", "min" : 1, "mustSupport" : true }, { "id" : "Composition.event.period.end", "path" : "Composition.event.period.end", "short" : "診療情報提供書の場合記述しないが、startと同一であれば存在していてもよい", "definition" : "診療情報提供書の場合記述しない。startと同一であれば存在していてもよい" }, { "id" : "Composition.section", "path" : "Composition.section", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "code.coding.code" }], "rules" : "open" }, "min" : 2 }, { "id" : "Composition.section:referralFromSection", "path" : "Composition.section", "sliceName" : "referralFromSection", "short" : "紹介元情報セクション", "definition" : "紹介元情報セクション", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "紹介元情報", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:referralFromSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "920", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "紹介元情報セクション", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:referralFromSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:referralFromSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:referralFromSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:referralFromSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:referralFromSection.entry", "path" : "Composition.section.entry", "slicing" : { "discriminator" : [{ "type" : "profile", "path" : "resolve()" }], "rules" : "open" }, "min" : 1, "max" : "3" }, { "id" : "Composition.section:referralFromSection.entry:referralFromOrganization", "path" : "Composition.section.entry", "sliceName" : "referralFromOrganization", "short" : "紹介元医療機関", "definition" : "紹介元医療機関.診療科情報をExtensionで含めることが可能。", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.entry:referralFromDoctor", "path" : "Composition.section.entry", "sliceName" : "referralFromDoctor", "short" : "紹介元医師", "definition" : "紹介元医師", "min" : 0, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:referralFromSection.section", "path" : "Composition.section.section", "max" : "0" }, { "id" : "Composition.section:referralToSection", "path" : "Composition.section", "sliceName" : "referralToSection", "short" : "紹介先情報セクション", "definition" : "紹介先情報セクション", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "紹介先情報", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:referralToSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:referralToSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "910", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "紹介先情報セクション", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:referralToSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:referralToSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:referralToSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:referralToSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:referralToSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:referralToSection.entry", "path" : "Composition.section.entry", "slicing" : { "discriminator" : [{ "type" : "profile", "path" : "resolve()" }], "rules" : "open" }, "min" : 1, "max" : "3" }, { "id" : "Composition.section:referralToSection.entry:referralToOrganization", "path" : "Composition.section.entry", "sliceName" : "referralToOrganization", "short" : "紹介先医療機関", "definition" : "紹介先医療機関.診療科情報をExtensionで含めることが可能。", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:referralToSection.entry:referralToDoctor", "path" : "Composition.section.entry", "sliceName" : "referralToDoctor", "short" : "紹介先医師", "definition" : "紹介先医師", "min" : 0, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:referralToSection.section", "path" : "Composition.section.section", "max" : "0" }, { "id" : "Composition.section:cdaSection", "path" : "Composition.section", "sliceName" : "cdaSection", "short" : "CDA参照セクション-本セクションは電子カルテ情報共有サービスでは使用しない。", "definition" : "CDA参照セクション-本セクションは電子カルテ情報共有サービスでは使用しない。", "min" : 0, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "CDA参照", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:cdaSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:cdaSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "200", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "CDA参照セクション", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:cdaSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:cdaSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:cdaSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:cdaSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:cdaSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:cdaSection.entry", "path" : "Composition.section.entry", "short" : "CDA規約文書ファイルへの参照", "definition" : "CDA規約文書ファイルへの参照", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"] }] }, { "id" : "Composition.section:cdaSection.section", "path" : "Composition.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection", "path" : "Composition.section", "sliceName" : "compositionSection", "short" : "構造情報セクション", "definition" : "構造情報セクション", "min" : 0, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "構造情報", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "300", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "構造情報セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "max" : "0", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.emptyReason", "path" : "Composition.section.emptyReason", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section", "path" : "Composition.section.section", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "code.coding.code" }], "rules" : "open" }, "min" : 3 }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection", "path" : "Composition.section.section", "sliceName" : "referralPurposeSection", "short" : "紹介目的セクション", "definition" : "紹介目的セクション", "min" : 1, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "紹介目的", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "950", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "紹介目的セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.entry", "path" : "Composition.section.section.entry", "short" : "紹介先で予定している受診を記述したEncounterリソースを参照", "definition" : "紹介先で予定している受診を記述したEncounterリソースを参照。Encounter.reasonCodeに紹介する理由を記述するが、疾患や症状にもとづく診療紹介の場合には、その症状や疾患のコードあるいはテキストを記述する。そうでない場合には、コード化にかかわらずEncounter.reasonCode.textに紹介理由もtext形式で記述する。", "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.emptyReason", "path" : "Composition.section.section.emptyReason", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:referralPurposeSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:problemSection", "path" : "Composition.section.section", "sliceName" : "problemSection", "short" : "傷病名・主訴セクション", "definition" : "傷病名・主訴セクション", "min" : 1, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "傷病名・主訴", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "340", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "傷病名・主訴セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:problemSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:problemSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:problemSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:problemSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:problemSection.entry", "path" : "Composition.section.section.entry", "short" : "傷病名・主訴を１個以上必ず記述する。", "definition" : "傷病名・主訴を１個以上必ず記述する。1つにつき1つのConditionで記述されたものを参照する。フリーテキストでしか記述できない場合には、Condition.code.text に記述する。", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.emptyReason", "path" : "Composition.section.section.emptyReason", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:problemSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection", "path" : "Composition.section.section", "sliceName" : "presentIllnessSection", "short" : "現病歴セクション", "definition" : "現病歴セクション", "min" : 1, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "現病歴", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "360", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "現病歴セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.entry", "path" : "Composition.section.section.entry", "short" : "現病歴として記述すべき疾患に関する現在にいたる経過歴を１個以上必ず記述したConditionリソースを参照する。", "definition" : "フリーテキストでしか記述できない場合には、それをCondition.code.text \n およびCodition.noteに記述したConditionリソースを参照する。\n 疾患ごとに分けて現病歴を記述できる場合には、それぞれをひとつのConditionリソースで記述して参照する。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:presentIllnessSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection", "path" : "Composition.section.section", "sliceName" : "pastIllnessSection", "short" : "既往歴セクション", "definition" : "既往歴セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "既往歴", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "370", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "既往歴セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.entry", "path" : "Composition.section.section.entry", "short" : "既往歴をConditionリソースに記述して参照する。", "definition" : "既往歴をConditionリソースに記述して参照する。\n 1つの既往疾患につき1つのConditionリソースで記述されたものを参照する。\n 記述すべき既往疾患が存在しないことを明示的に記述する（「既往特になし」など）場合にはentry要素は出現せず、emptyReasonにnilknownを記述する。\n 既往疾患情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:pastIllnessSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection", "path" : "Composition.section.section", "sliceName" : "allergiesIIntoleranceSection", "short" : "アレルギー・不耐性反応セクション", "definition" : "アレルギー・不耐性反応セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "アレルギー・不耐性反応", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "510", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "アレルギー・不耐性反応セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.entry", "path" : "Composition.section.section.entry", "short" : "アレルギー・不耐性反応情報を記述したAllergyIntoleranceリソースを参照", "definition" : "アレルギー・不耐性反応情報を記述して参照する。\n 1つの既往疾患につき1つのAllergyIntoleranceリソースで記述されたものを参照する。\n 記述すべきアレルギー・不耐性反応情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n アレルギー・不耐性反応情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。 \n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_AllergyIntolerance_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:allergiesIIntoleranceSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection", "path" : "Composition.section.section", "sliceName" : "familiyHistorySection", "short" : "家族歴セクション", "definition" : "家族歴セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "家族歴", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "550", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "家族歴セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.entry", "path" : "Composition.section.section.entry", "short" : "家族歴情報を記述したFamilyMemberHistoryリソースを参照", "definition" : "家族歴情報情報を記述して参照する。\n 1つの家族歴につき1つのFamilyMemberHistoryリソースで記述されたものを参照する。\n 記述すべき家族歴情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 家族歴情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_FamilyMemberHistory"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:familiyHistorySection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection", "path" : "Composition.section.section", "sliceName" : "admissionPhysicalStatusSection", "short" : "身体所見セクション", "definition" : "身体所見セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "身体所見", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "610", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "身体所見セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.entry", "path" : "Composition.section.section.entry", "short" : "身体所見を記述したObservationリソースを参照", "definition" : "身体所見を記述して参照する。\n 1つの身体所見につき1つのObservationリソースで記述されたものを参照する。\n 記述すべき身体所見が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 身体所見を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:admissionPhysicalStatusSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection", "path" : "Composition.section.section", "sliceName" : "infectiousDiseaseInformationSection", "short" : "感染症情報セクション", "definition" : "感染症情報セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "感染症情報", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "520", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "感染症情報セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.entry", "path" : "Composition.section.section.entry", "short" : "感染症情報を記述したObservationリソースまたはConditionリソースを参照", "definition" : "感染症情報を記述して参照する。\n 1つの感染症情報につき1つのObservationリソース(JP_Observation_Commonの派生プロファイル（たとえばJP_Observation_LabResult_eCS）に従うリソース）またはConditionリソース（JP_Condition_eCS）で記述されたものを参照する。\n 記述すべき感染症情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 感染症情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common", "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:infectiousDiseaseInformationSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:socialHistorySection", "path" : "Composition.section.section", "sliceName" : "socialHistorySection", "short" : "社会歴・生活習慣セクション", "definition" : "社会歴・生活習慣セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "社会歴・生活習慣", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "640", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "社会歴・生活習慣セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.entry", "path" : "Composition.section.section.entry", "short" : "社会歴・生活習慣情報を記述したObservationリソースを参照", "definition" : "社会歴・生活習慣情報を記述して参照する。\n 1つの社会歴・生活習慣につき1つのObservationリソースで記述されたものを参照する。\n 記述すべき社会歴・生活習慣情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 社会歴・生活習慣情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:socialHistorySection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:immunizationSection", "path" : "Composition.section.section", "sliceName" : "immunizationSection", "short" : "予防接種歴セクション", "definition" : "予防接種歴セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "予防接種歴", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "530", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "予防接種歴セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:immunizationSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:immunizationSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:immunizationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:immunizationSection.entry", "path" : "Composition.section.section.entry", "short" : "予防接種歴情報を記述したImmunizationリソースを参照", "definition" : "予防接種歴情報を記述して参照する。\n 1つの予防接種歴情報につき1つのImmunizationリソースで記述されたものを参照する。\n 記述すべき予防接種歴情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 予防接種歴情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Immunization_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:immunizationSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection", "path" : "Composition.section.section", "sliceName" : "surgicalProcedureSection", "short" : "手術セクション", "definition" : "手術セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "手術", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "730", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "手術セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.entry", "path" : "Composition.section.section.entry", "short" : "手術情報を記述したProcedureリソースを参照", "definition" : "手術情報を記述して参照する。\n 1つの手術情報につき1つのProcedureリソースで記述されたものを参照する。\n 記述すべき手術情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 手術情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:surgicalProcedureSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection", "path" : "Composition.section.section", "sliceName" : "bloodInfusionProcedureSection", "short" : "輸血歴セクション", "definition" : "輸血歴セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "輸血歴", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "740", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "輸血歴セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.entry", "path" : "Composition.section.section.entry", "short" : "輸血歴情報を記述したProcedureリソースを参照", "definition" : "輸血歴情報を記述して参照する。\n 1つの輸血歴情報につき1つのProcedureリソースで記述されたものを参照する。\n 記述すべき輸血歴情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 輸血歴情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:bloodInfusionProcedureSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection", "path" : "Composition.section.section", "sliceName" : "treatmentProcedureSection", "short" : "処置セクション", "definition" : "処置セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "処置", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "720", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "処置セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.entry", "path" : "Composition.section.section.entry", "short" : "処置情報を記述したProcedureリソースを参照", "definition" : "処置情報を記述して参照する。\n 1つの処置情報につき1つのProcedureリソースで記述されたものを参照する。\n 記述すべき処置情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 処置情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:treatmentProcedureSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicationSection", "path" : "Composition.section.section", "sliceName" : "medicationSection", "short" : "投薬指示セクション", "definition" : "投薬指示セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "投薬指示", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "430", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "投薬指示セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicationSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:medicationSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicationSection.entry", "path" : "Composition.section.section.entry", "short" : "投薬指示情報を記述したMedicationRequestリソースを参照", "definition" : "投薬指示情報を記述して参照する。\n 1つの投薬指示情報につき1つのMedicationRequestリソースで記述されたものを参照する。\n 記述すべき投薬指示情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 投薬指示情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_MedicationRequest_eCS|1.13.0-preR1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicationSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:examsStudySection", "path" : "Composition.section.section", "sliceName" : "examsStudySection", "short" : "検査結果セクション", "definition" : "検査結果セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "検査結果", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "620", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "検査結果セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:examsStudySection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:examsStudySection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:examsStudySection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:examsStudySection.entry", "path" : "Composition.section.section.entry", "short" : "検査結果情報を記述したObservationリソースを参照", "definition" : "検査結果情報を記述して参照する。\n 1つの検査結果情報につき1つのObservationリソースで記述されたものを参照する。\n 記述すべき検査結果情報が存在しないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 検査結果情報を聴取しようとしていない場合でそれを明示的に記述する（「取得せず」など）場合にはentry要素は出現せず、emptyReasonに notasked を記述する。\n 情報が患者やシステムから取得できない状況でそれを明示的に記述する（「取得できず」「不明」など）場合にはentry要素は出現せず、emptyReasonに unavailable を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common", "http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:examsStudySection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection", "path" : "Composition.section.section", "sliceName" : "clinicalCourseSection", "short" : "臨床経過セクション", "definition" : "臨床経過セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "臨床経過", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "330", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "臨床経過セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.entry", "path" : "Composition.section.section.entry", "short" : "臨床経過を記述したDocumentReferenceリソースを参照", "definition" : "臨床経過を記述して参照する。\n 1つ以上のDocumentReferenceリソースで記述されたものを参照する。\n 診療情報提供書では臨床経過の記述は常に必要である。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_DocumentReference"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalCourseSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection", "path" : "Composition.section.section", "sliceName" : "clinicalInstructionSection", "short" : "診療方針指示セクション", "definition" : "診療方針指示セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "診療方針指示", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "420", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "診療方針指示セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.entry", "path" : "Composition.section.section.entry", "short" : "診療方針指示を記述したCarePlanリソースを参照", "definition" : "診療方針指示を記述して参照する。\n 1つの指示をひとつのCarePlanリソースで記述されたものを参照する。\n 記述すべき診療方針指示が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_CarePlan"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:clinicalInstructionSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection", "path" : "Composition.section.section", "sliceName" : "medicalDeviceSection", "short" : "医療機器セクション", "definition" : "医療機器セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "医療機器", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "810", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "医療機器セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.entry", "path" : "Composition.section.section.entry", "short" : "医療機器情報を記述したDocumentReferenceリソースを参照", "definition" : "医療機器情報を記述して参照する。\n 1つの医療機器情報をひとつのDeviceUseStatementリソースで記述されたものを参照する。\n 記述すべき医療機器情報が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_DeviceUseStatement"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:medicalDeviceSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection", "path" : "Composition.section.section", "sliceName" : "advanceDirectiveSection", "short" : "事前指示セクション", "definition" : "事前指示セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "事前指示", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "410", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "事前指示セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.entry", "path" : "Composition.section.section.entry", "short" : "事前指示を記述したConcentリソースを参照", "definition" : "事前指示を記述して参照する。\n 1つの指示をひとつのConsentリソースで記述されたものを参照する。\n 記述すべき事前指示が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Consent"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:advanceDirectiveSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection", "path" : "Composition.section.section", "sliceName" : "researchParticipationSection", "short" : "臨床研究参加セクション", "definition" : "臨床研究参加セクション", "min" : 0, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.title", "path" : "Composition.section.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "patternString" : "臨床研究参加", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code", "path" : "Composition.section.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding", "path" : "Composition.section.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.system", "path" : "Composition.section.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.code", "path" : "Composition.section.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "830", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.display", "path" : "Composition.section.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "臨床研究参加セクション", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.coding.userSelected", "path" : "Composition.section.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.code.text", "path" : "Composition.section.section.code.text", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text", "path" : "Composition.section.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text.status", "path" : "Composition.section.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.text.div", "path" : "Composition.section.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.mode", "path" : "Composition.section.section.mode", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.orderedBy", "path" : "Composition.section.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.entry", "path" : "Composition.section.section.entry", "short" : "臨床研究参加情報を記述したDocumentReferenceリソースを参照", "definition" : "臨床研究参加情報を記述して参照する。\n 1つの臨床研究参加情報をひとつのResearchSubjectリソースで記述されたものを参照する。\n 記述すべき臨床研究参加情報が特にないことを明示的に記述する（「特になし」など）場合にはentry要素は出現せず、emptyReasonに nilknown を記述する。\n 記述すべき情報が特にない場合であって、そのことを明示的に記述する必要もない場合には、このサブセクションを出現させない。\n ", "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_ResearchSubject"] }], "mustSupport" : true }, { "id" : "Composition.section:compositionSection.section:researchParticipationSection.section", "path" : "Composition.section.section.section", "max" : "0" }, { "id" : "Composition.section:attachmentSection", "path" : "Composition.section", "sliceName" : "attachmentSection", "short" : "添付情報セクション", "definition" : "添付情報セクション", "min" : 0, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "添付情報", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:attachmentSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "210", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "添付情報セクション", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:attachmentSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:attachmentSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:attachmentSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:attachmentSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:attachmentSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:attachmentSection.entry", "path" : "Composition.section.entry", "short" : "添付情報ファイルへの参照", "definition" : "添付情報ファイルへの参照", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://hl7.org/fhir/StructureDefinition/Bundle|4.0.1"] }] }, { "id" : "Composition.section:attachmentSection.section", "path" : "Composition.section.section", "max" : "0" }, { "id" : "Composition.section:remarksCommunicationSection", "path" : "Composition.section", "sliceName" : "remarksCommunicationSection", "short" : "備考・連絡情報セクション", "definition" : "備考・連絡情報セクション", "min" : 0, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "備考・連絡情報", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:remarksCommunicationSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "220", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "備考・連絡情報セクション", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:remarksCommunicationSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:remarksCommunicationSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:remarksCommunicationSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:remarksCommunicationSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:remarksCommunicationSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:remarksCommunicationSection.entry", "path" : "Composition.section.entry", "short" : "備考・連絡情報バイナリファイルへの参照", "definition" : "備考・連絡情報バイナリファイルへの参照", "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DocumentReference"] }] }, { "id" : "Composition.section:remarksCommunicationSection.section", "path" : "Composition.section.section", "max" : "0" }, { "id" : "Composition.section:pdfSection", "path" : "Composition.section", "sliceName" : "pdfSection", "short" : "PDFセクション", "definition" : "PDFセクション", "min" : 0, "max" : "1", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.title", "path" : "Composition.section.title", "short" : "セクションタイトル", "definition" : "セクションタイトル。固定値。", "min" : 1, "fixedString" : "PDF", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.code", "path" : "Composition.section.code", "short" : "セクション区分コード", "definition" : "セクション区分コード", "min" : 1, "mustSupport" : true }, { "id" : "Composition.section:pdfSection.code.coding", "path" : "Composition.section.code.coding", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://jpfhir.jp/fhir/eReferral/ValueSet/document-section|1.0.0" } }, { "id" : "Composition.section:pdfSection.code.coding.system", "path" : "Composition.section.code.coding.system", "short" : "セクション区分コードのコード体系", "definition" : "セクション区分コードのコード体系を識別するURI。固定値。", "min" : 1, "fixedUri" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.code.coding.code", "path" : "Composition.section.code.coding.code", "short" : "セクション区分のコード値", "definition" : "セクション区分のコード値。\r\n固定値。", "min" : 1, "fixedCode" : "230", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.code.coding.display", "path" : "Composition.section.code.coding.display", "short" : "セクション区分コードの表示名", "definition" : "セクション区分コードの表示名。", "patternString" : "PDFセクション", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.code.coding.userSelected", "path" : "Composition.section.code.coding.userSelected", "max" : "0" }, { "id" : "Composition.section:pdfSection.code.text", "path" : "Composition.section.code.text", "max" : "0" }, { "id" : "Composition.section:pdfSection.text", "path" : "Composition.section.text", "short" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "definition" : "本セクションの内容の全部または一部をテキストで表現した文字列。内容を省略しても構わない。 このデータは人がこのセクションの内容の概略をひと目で把握するためだけに使われるものであるが、この情報の取り扱いはcommentの詳細を必ず参照すること。", "comment" : "entryが空（存在しない）場合には、このセクションが表す完全なテキスト記述をこの要素に記述しなければならない。受信側はこのテキスト記述を必要に応じて利用することができる。構造情報（FHIRリソース）を参照するentryが存在する場合には、この要素は省略して構わないが、entryが持つ情報の概要とそれだけでは記述しきれない追加情報を記述してもよい。受信側はこの要素はentryが持つ完全な情報を伝えていないことがあるため、正確な情報を利用するにはentryの構造情報を使用しなければならず、この要素の情報だけを利用することは適切でない。この要素の情報は、entryの構造情報へのあくまで追加的な補足情報として利用する。", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.text.status", "path" : "Composition.section.text.status", "short" : "セクションの内容作成状態コード", "definition" : "generated | extensions | additional | empty\u3000から\u3000\"additional\" の固定値。", "fixedCode" : "additional", "mustSupport" : true }, { "id" : "Composition.section:pdfSection.text.div", "path" : "Composition.section.text.div", "short" : "xhtml簡略形式に従った叙述記述データ", "definition" : "本セクションの内容を xhtml 形式のテキストで表現した文字列。" }, { "id" : "Composition.section:pdfSection.mode", "path" : "Composition.section.mode", "max" : "0" }, { "id" : "Composition.section:pdfSection.orderedBy", "path" : "Composition.section.orderedBy", "max" : "0" }, { "id" : "Composition.section:pdfSection.entry", "path" : "Composition.section.entry", "short" : "PDFファイルへの参照", "definition" : "PDFファイルへの参照", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DocumentReference"] }] }, { "id" : "Composition.section:pdfSection.section", "path" : "Composition.section.section", "max" : "0" }] } }