{ "resourceType" : "StructureDefinition", "id" : "JP-FamilyMemberHistory-eCS", "language" : "ja", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition JP-FamilyMemberHistory-eCS

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
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" FamilyMemberHistory 0..*JP_FamilyMemberHistoryInformation about patient's relatives, relevant for patient. 患者の家族に関する情報のうち、患者に関連する情報（家族歴）
\".\"\".\"\".\" meta S1..1Metaリソースに関するMetadata / Metadata about the resource
\".\"\".\"\".\"\".\" lastUpdated S1..1instantこのリソースのデータが最後に作成、更新、複写された日時。最終更新日時。YYYY-MM-DDThh:mm:ss.sss+zz:zz\u3000例:2015-02-07T13:28:17.239+09:00
\".\"\".\"\".\"\".\" profile S1..*canonical(StructureDefinition)本プロファイルを識別する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。
\".\"\".\"\".\" status S1..1code部分的 | 完了 | エラー入力 | 不明 / partial | completed | entered-in-error | health-unknown
Required Pattern: partial
\".\"\".\"\".\" dataAbsentReason S0..1CodeableConcept家族の情報がとれない理由コード
Binding: FamilyHistoryAbsentReason (required)
\".\"\".\"\".\" patient S1..1Reference(JP Core Patient Profile)対象となる患者リソースへの参照。
\".\"\".\"\".\" date S0..1dateTime家族歴情報が取得された、または更新された日時。
\".\"\".\"\".\" name S0..1stringこの家族の名前。通称や患者からの呼び名でもよい
\".\"\".\"\".\" relationship S1..1CodeableConcept患者に対するこの家族の関係
\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
\".\"\".\"\".\"\".\"\".\" system S1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
\".\"\".\"\".\"\".\"\".\" code S1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\"\".\" display S0..1stringRepresentation defined by the system
\".\"\".\"\".\" sex S0..1CodeableConcept男性|女性|その他|わからない / male | female | other | unknown
\".\"\".\"\".\"\".\" coding S1..1CodingCode defined by a terminology system
\".\"\".\"\".\"\".\"\".\" system S1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/administrative-gender
\".\"\".\"\".\"\".\"\".\" display S0..1stringRepresentation defined by the system
\".\"\".\"\".\" age[x] S0..1Age, Range, stringこの家族の年齢。
\".\"\".\"\".\" estimatedAge S0..1boolean上記年齢は（計算やアルゴリズムによる）推定値によるものであれば true、それ以外は false。
\".\"\".\"\".\" deceased[x] S0..1boolean, Age, Range, date, stringこの家族が死亡しているかどうか。
\".\"\".\"\".\" note S0..*Annotationこの家族に関する一般的な情報のテキスト記述。
\".\"\".\"\".\" condition S0..*BackboneElement家族が持っていた重要な健康状態（家族歴に記述すべき疾病等。複数記述できる。
\".\"\".\"\".\"\".\" code S1..1CodeableConcept疾病コード情報またはテキスト情報
\".\"\".\"\".\"\".\"\".\" coding S0..1CodingCode defined by a terminology system
\".\"\".\"\".\"\".\"\".\" text S0..1string疾病のテキスト情報（コードにより十分表現できない場合などに使用）
\".\"\".\"\".\"\".\" Slices for onset[x] 0..1Age, Range, Period, string条件が最初に現れたとき / When condition first manifested
Slice: Unordered, Open by type:$this
\".\"\".\"\".\"\".\"\".\" onset[x]:onsetAge S0..1Ageその家族における疾病の（発症）年齢。

\"doco\" Documentation for this format
" }, "url" : "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_FamilyMemberHistory_eCS", "version" : "1.13.0-preR1", "name" : "JP_FamilyMemberHistory_eCS", "status" : "active", "date" : "2024-09-14", "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・サマリー汎用 FamilyMemberHistory", "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" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }], "kind" : "resource", "abstract" : false, "type" : "FamilyMemberHistory", "baseDefinition" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_FamilyMemberHistory", "derivation" : "constraint", "snapshot" : { "element" : [{ "id" : "FamilyMemberHistory", "path" : "FamilyMemberHistory", "short" : "Information about patient's relatives, relevant for patient. 患者の家族に関する情報のうち、患者に関連する情報（家族歴）", "definition" : "Significant health conditions for a person related to the patient relevant in the context of care for the patient. \n患者の診療に関連する、患者家族の疾患に関する情報。", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "リソースが別のリソースに含まれている場合、ネストされたリソースを含めてはなりません / If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1" }, { "key" : "dom-3", "severity" : "error", "human" : "リソースが別のリソースに含まれている場合、それはリソースの他の場所から参照されるか、含有リソースを参照するものとします / If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1" }, { "key" : "dom-4", "severity" : "error", "human" : "リソースが別のリソースに含まれている場合、meta.versionidもmeta.lastupdatedも持ってはならない。 / 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" : "別のリソースにリソースが含まれている場合、セキュリティラベルはありません / If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "リソースに叙述(Narative)がない場合、データを完全に理解するシステムのみがリソースを人間に安全に表示できます。リソースに人間の読み取り可能な表現を含めることは、はるかに堅牢なエコシステムと、仲介システムによるリソースのより安価な取り扱いになります。一部のエコシステムは、リソースの分布をリソースを完全に理解しているシステムのみに制限しており、その結果、実装者は叙述(Narative)が余計であると信じるかもしれません。しかし、経験によると、そのようなエコシステムは、多くの場合、時間の経過とともに新しい参加者に開かれています。 / When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "リソースには、堅牢な管理のための叙述(Narative)が存在することが望ましい / 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" : "fhs-1", "severity" : "error", "human" : "年齢[x]または生まれ[x]を持つことができますが、両方ではありません / Can have age[x] or born[x], but not both", "expression" : "age.empty() or born.empty()", "xpath" : "not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])", "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_FamilyMemberHistory" }, { "key" : "fhs-2", "severity" : "error", "human" : "年齢[x]が存在する場合にのみ推定される可能性があります / Can only have estimatedAge if age[x] is present", "expression" : "age.exists() or estimatedAge.empty()", "xpath" : "exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))", "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_FamilyMemberHistory" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "v2", "map" : "Not in scope for v2" }, { "identity" : "rim", "map" : "Observation[classCode=OBS, moodCode=EVN]" }] }, { "id" : "FamilyMemberHistory.id", "path" : "FamilyMemberHistory.id", "short" : "このアーティファクトの論理ID / Logical id of this artifact", "definition" : "リソースのURLで使用されるリソースの論理ID。割り当てられたら、この値は変更されません。 / The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "リソースにIDがないのは、IDが作成操作を使用してサーバーに送信されている場合です。 / The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : true }, { "id" : "FamilyMemberHistory.meta", "path" : "FamilyMemberHistory.meta", "short" : "リソースに関するMetadata / Metadata about the resource", "definition" : "リソースに関するMetadata。これは、インフラストラクチャによって維持されるコンテンツです。コンテンツの変更は、常にリソースのバージョンの変更に関連付けられているとは限りません。 / The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 1, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "FamilyMemberHistory.meta.id", "path" : "FamilyMemberHistory.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" : "FamilyMemberHistory.meta.extension", "path" : "FamilyMemberHistory.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" : "FamilyMemberHistory.meta.versionId", "path" : "FamilyMemberHistory.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" : "FamilyMemberHistory.meta.lastUpdated", "path" : "FamilyMemberHistory.meta.lastUpdated", "short" : "このリソースのデータが最後に作成、更新、複写された日時。最終更新日時。YYYY-MM-DDThh:mm:ss.sss+zz:zz\u3000例:2015-02-07T13:28:17.239+09:00", "definition" : "このリソースのデータが最後に作成、更新、複写された日時。最終更新日時。YYYY-MM-DDThh:mm:ss.sss+zz:zz\u3000例:2015-02-07T13:28:17.239+09:00", "comment" : "この要素は、このリソースのデータを取り込んで蓄積していたシステムが、このリソースになんらかの変更があった可能性があった日時を取得し、このデータを再取り込みする必要性の判断をするために使われる。本要素に前回取り込んだ時点より後の日時が設定されている場合には、なんらかの変更があった可能性がある（変更がない場合もある）ものとして判断される。したがって、内容になんらかの変更があった場合、またはこのリソースのデータが初めて作成された場合には、その時点以降の日時（たとえば、このリソースのデータを作成した日時）を設定しなければならない。内容の変更がない場合でも、このリソースのデータが作り直された場合や単に複写された場合にその日時を設定しなおしてもよい。ただし、内容に変更がないのであれば、日時を変更しなくてもよい。また、この要素の変更とmeta.versionIdの変更とは、必ずしも連動しないことがある。", "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" : "FamilyMemberHistory.meta.source", "path" : "FamilyMemberHistory.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" : "FamilyMemberHistory.meta.profile", "path" : "FamilyMemberHistory.meta.profile", "short" : "本プロファイルを識別するURLとバージョンを指定する。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。", "definition" : "本プロファイルを識別するURLとバージョンを指定する。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。", "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" : "FamilyMemberHistory.meta.security", "path" : "FamilyMemberHistory.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" : "FamilyMemberHistory.meta.tag", "path" : "FamilyMemberHistory.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" : "FamilyMemberHistory.implicitRules", "path" : "FamilyMemberHistory.implicitRules", "short" : "このコンテンツが作成されたルールのセット / A set of rules under which this content was created", "definition" : "リソースが構築されたときに従った一連のルールへの参照。コンテンツの処理時に理解する必要があります。多くの場合、これは他のプロファイルなどとともに特別なルールを定義する実装ガイドへの参照です。 / A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "このルールセットを主張することは、コンテンツが限られた取引パートナーのセットによってのみ理解されることを制限します。これにより、本質的に長期的にデータの有用性が制限されます。ただし、既存の健康エコシステムは非常に破壊されており、一般的に計算可能な意味でデータを定義、収集、交換する準備ができていません。可能な限り、実装者や仕様ライターはこの要素の使用を避ける必要があります。多くの場合、使用する場合、URLは、これらの特別なルールを他のプロファイル、バリューセットなどとともに叙述(Narative)の一部として定義する実装ガイドへの参照です。 / Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : true, "isModifierReason" : "暗黙のルールは、意味または解釈を変更するリソースに関する追加の知識を提供する可能性があるため、この要素は修飾子としてラベル付けされています。 / This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true }, { "id" : "FamilyMemberHistory.language", "path" : "FamilyMemberHistory.language", "short" : "リソースコンテンツの言語 / Language of the resource content", "definition" : "リソースが書かれている基本言語。 / The base language in which the resource is written.", "comment" : "言語は、インデックス作成とアクセシビリティをサポートするために提供されます（通常、テキストから音声までのサービスなどのサービスが言語タグを使用します）。叙述(Narative)のHTML言語タグは、叙述(Narative)に適用されます。リソース上の言語タグを使用して、リソース内のデータから生成された他のプレゼンテーションの言語を指定できます。すべてのコンテンツが基本言語である必要はありません。リソース。言語は、叙述(Narative)に自動的に適用されると想定されるべきではありません。言語が指定されている場合、HTMLのDIV要素にも指定されている場合（XML：LangとHTML Lang属性の関係については、HTML5のルールを参照してください）。 / Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|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" : "人間の言語。 / A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|4.0.1" } }, { "id" : "FamilyMemberHistory.text", "path" : "FamilyMemberHistory.text", "short" : "人間の解釈のためのリソースのテキスト概要 / Text summary of the resource, for human interpretation", "definition" : "リソースの概要を含み、人間へのリソースの内容を表すために使用できる人間の読み取り可能な叙述(Narative)。叙述(Narative)はすべての構造化されたデータをエンコードする必要はありませんが、人間が叙述(Narative)を読むだけで「臨床的に安全」にするために十分な詳細を含める必要があります。リソースの定義は、臨床的安全を確保するために、叙述(Narative)で表現するコンテンツを定義する場合があります。 / A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "含まれるリソースには叙述(Narative)がありません。含まれていないリソースには叙述(Narative)が必要です。場合によっては、リソースには、追加の個別のデータがほとんどまたはまったくないテキストのみがあります（すべてのMinoccur = 1要素が満たされている限り）。これは、情報がtext blob (バイナリー ラージ オブジェクト)としてキャプチャされるレガシーシステムからのデータ、またはテキストが生またはナレーションされ、エンコードされた情報が後で追加される場合に必要になる場合があります。 / Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "FamilyMemberHistory.contained", "path" : "FamilyMemberHistory.contained", "short" : "インラインリソースが含まれています / Contained, inline Resources", "definition" : "これらのリソースには、それらを含むリソースを除いて独立した存在はありません - 独立して特定することはできず、独自の独立したトランザクションスコープを持つこともできません。 / These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "識別が失われると、コンテンツを適切に識別できる場合は、これを行うべきではありません。含まれるリソースには、メタ要素にプロファイルとタグがある場合がありますが、セキュリティラベルはありません。 / This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "FamilyMemberHistory.extension", "path" : "FamilyMemberHistory.extension", "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations", "definition" : "リソースの基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "FamilyMemberHistory.modifierExtension", "path" : "FamilyMemberHistory.modifierExtension", "short" : "無視できない拡張機能 / Extensions that cannot be ignored", "definition" : "リソースの基本的な定義の一部ではなく、それを含む要素の理解および/または含有要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義することが許可されていますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" }], "isModifier" : true, "isModifierReason" : "モディファイア拡張は、それらを含むリソースの意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "FamilyMemberHistory.identifier", "path" : "FamilyMemberHistory.identifier", "short" : "このレコードの外部ID / External Id(s) for this record", "definition" : "リソースが更新され、サーバーからサーバーに伝播するにつれて一定のままであるパフォーマーまたはその他のシステムによってこの家族の歴史に割り当てられたビジネスidentifier。 / Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server.", "comment" : "これはビジネスidentifierであり、リソースidentifierではありません（[ディスカッション]（Resource.html＃identifierを参照））。identifierが単一のリソースインスタンスにのみ表示することがベストプラクティスですが、ビジネス慣行は、同じidentifierを持つ複数のリソースインスタンスが存在する可能性があることを時々決定する場合があります。たとえば、複数の患者と個人のリソースインスタンスは、同じ社会保険番号を共有する場合があります。 / This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", "requirements" : "さまざまな参加システムで知られており、サーバー全体で一貫性を保っている方法で、家族の歴史を特定できます。 / Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "rim", "map" : "id" }] }, { "id" : "FamilyMemberHistory.instantiatesCanonical", "path" : "FamilyMemberHistory.instantiatesCanonical", "short" : "FHIRプロトコルまたは定義をインスタンス化します / Instantiates FHIR protocol or definition", "definition" : "FHIR定義のプロトコル、ガイドライン、オーダーセット、またはこの家族の歴史が一部または部分的に順守されているその他の定義を指しているURL。 / The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.instantiatesCanonical", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1", "http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1", "http://hl7.org/fhir/StructureDefinition/Measure|4.0.1", "http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.instantiatesCanonical" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "FamilyMemberHistory.instantiatesUri", "path" : "FamilyMemberHistory.instantiatesUri", "short" : "外部プロトコルまたは定義をインスタンス化します / Instantiates external protocol or definition", "definition" : "URLは、外部からメンテナンスされたプロトコル、ガイドライン、オーダーセット、またはこのファミリーメンバー史によって全体または一部が順守されているその他の定義を指しています。 / The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.", "comment" : "これは、HTMLページ、PDFなどである可能性があるか、単に解決できないURIidentifierである可能性があります。 / This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.instantiatesUri", "min" : 0, "max" : "*" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.instantiatesUri" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "FamilyMemberHistory.status", "path" : "FamilyMemberHistory.status", "short" : "部分的 | 完了 | エラー入力 | 不明 / partial | completed | entered-in-error | health-unknown", "definition" : "特定の家族の家族歴史の記録のステータスを指定するコード。 / A code specifying the status of the record of the family history of a specific family member.", "comment" : "この要素は、リソースを現在有効ではないとマークするコードが含まれているため、修飾子としてラベル付けされています。 / This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "FamilyMemberHistory.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "patternCode" : "partial", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "この要素は、リソースを有効として扱うべきではないことを意味するステータスに入力されたステータスを含むステータス要素であるため、修飾子としてラベル付けされています。 / 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" : "FamilyHistoryStatus" }], "strength" : "required", "description" : "家族歴史記録のステータスを識別するコード。 / A code that identifies the status of the family history record.", "valueSet" : "http://hl7.org/fhir/ValueSet/history-status|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }] }, { "id" : "FamilyMemberHistory.dataAbsentReason", "path" : "FamilyMemberHistory.dataAbsentReason", "short" : "家族の情報がとれない理由コード", "definition" : "家族の情報がとれない理由コード", "requirements" : "これは、ReasonCodeから明確なバインディングを可能にするための別の要素です。 / This is a separate element to allow it to have a distinct binding from reasonCode.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.dataAbsentReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://hl7.org/fhir/ValueSet/history-absent-reason|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".reasonCode" }] }, { "id" : "FamilyMemberHistory.patient", "path" : "FamilyMemberHistory.patient", "short" : "対象となる患者リソースへの参照。", "definition" : "対象となる患者リソースへの参照。", "alias" : ["Proband"], "min" : 1, "max" : "1", "base" : { "path" : "FamilyMemberHistory.patient", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "rim", "map" : "participation[typeCode=SBJ].role" }, { "identity" : "w5", "map" : "FiveWs.subject" }] }, { "id" : "FamilyMemberHistory.date", "path" : "FamilyMemberHistory.date", "short" : "家族歴情報が取得された、または更新された日時。", "definition" : "家族歴情報が取得された、または更新された日時。", "comment" : "これは、完全な家族歴を集約するリストの日付と同じであってもキャプチャする必要があります。 / This should be captured even if the same as the date on the List aggregating the full family history.", "requirements" : "概要がどのように電流であるかを判断できます。 / Allows determination of how current the summary is.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.date", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "rim", "map" : "participation[typeCode=AUT].time" }] }, { "id" : "FamilyMemberHistory.name", "path" : "FamilyMemberHistory.name", "short" : "この家族の名前。通称や患者からの呼び名でもよい", "definition" : "この家族の名前。通称や患者からの呼び名でもよい", "requirements" : "同じ人が話されていることを確実にするために、より容易になります。 / Allows greater ease in ensuring the same person is being talked about.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.name", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "name" }] }, { "id" : "FamilyMemberHistory.relationship", "path" : "FamilyMemberHistory.relationship", "short" : "患者に対するこの家族の関係", "definition" : "患者に対するこの家族の関係", "min" : 1, "max" : "1", "base" : { "path" : "FamilyMemberHistory.relationship", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FamilialRelationship" }], "strength" : "example", "description" : "患者と関連者との関係の性質は、家族の歴史に記載されています。 / The nature of the relationship between the patient and the related person being described in the family member history.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-FamilyMember|3.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "code" }] }, { "id" : "FamilyMemberHistory.relationship.id", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.extension", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.coding", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.coding.id", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.coding.extension", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.coding.system", "path" : "FamilyMemberHistory.relationship.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "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://terminology.hl7.org/CodeSystem/v3-RoleCode", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (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" : "FamilyMemberHistory.relationship.coding.version", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.coding.code", "path" : "FamilyMemberHistory.relationship.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "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" : "FamilyMemberHistory.relationship.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "FamilyMemberHistory.relationship.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "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" }], "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" : "FamilyMemberHistory.relationship.coding.userSelected", "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.relationship.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "FamilyMemberHistory.relationship.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" : "FamilyMemberHistory.sex", "path" : "FamilyMemberHistory.sex", "short" : "男性|女性|その他|わからない / male | female | other | unknown", "definition" : "家族の出生セックス。 / The birth sex of the family member.", "comment" : "この要素は、個人が遺伝的に男性か女性かを理想的に反映する必要があります。ただし、患者の知識または友人/親relativeの報告に基づいた報告された情報は、報告された性別が完全に正確ではない状況があるかもしれません。例えば。「スーおばさん」はxxではなくxyかもしれません。この情報を求める質問は、知られている場合の遺伝的性別の捕獲を促進するために表現されるべきです。ただし、分析を実行するシステムは、この要素との不正確さの可能性も可能にする必要があります。 / This element should ideally reflect whether the individual is genetically male or female. However, as reported information based on the knowledge of the patient or reporting friend/relative, there may be situations where the reported sex might not be totally accurate. E.g. 'Aunt Sue' might be XY rather than XX. Questions soliciting this information should be phrased to encourage capture of genetic sex where known. However, systems performing analysis should also allow for the possibility of imprecision with this element.", "requirements" : "すべての関係コードが性別を意味するわけではなく、親relativeの性別がリスク評価に関連する可能性があります。 / Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.sex", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Sex" }], "strength" : "extensible", "description" : "出生登録に文書化された出生時に割り当てられた性別を説明するコード。 / Codes describing the sex assigned at birth as documented on the birth registration.", "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" } }, { "id" : "FamilyMemberHistory.sex.id", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.extension", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.coding", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.coding.id", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.coding.extension", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.coding.system", "path" : "FamilyMemberHistory.sex.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "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://hl7.org/fhir/administrative-gender", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (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" : "FamilyMemberHistory.sex.coding.version", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.coding.code", "path" : "FamilyMemberHistory.sex.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "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" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "FamilyMemberHistory.sex.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "FamilyMemberHistory.sex.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "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" }], "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" : "FamilyMemberHistory.sex.coding.userSelected", "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.sex.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "FamilyMemberHistory.sex.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" : "FamilyMemberHistory.born[x]", "path" : "FamilyMemberHistory.born[x]", "short" : "（おおよそ）生年月日 / (approximate) date of birth", "definition" : "親relativeの実際のまたは近似日。 / The actual or approximate date of birth of the relative.", "requirements" : "親relativeの年齢の計算を可能にします。 / Allows calculation of the relative's age.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.born[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }, { "code" : "date" }, { "code" : "string" }], "condition" : ["fhs-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)" }] }, { "id" : "FamilyMemberHistory.age[x]", "path" : "FamilyMemberHistory.age[x]", "short" : "この家族の年齢。", "definition" : "この家族の年齢。", "comment" : "推定値を使用して、年齢が実際のかどうかを示します。 / use estimatedAge to indicate whether the age is actual or not.", "requirements" : "年齢は生年月日から計算できますが、時々直接記録することは臨床医にとってより自然です。 / While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.age[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Age" }, { "code" : "Range" }, { "code" : "string" }], "condition" : ["fhs-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code=\"age\"].value" }] }, { "id" : "FamilyMemberHistory.estimatedAge", "path" : "FamilyMemberHistory.estimatedAge", "short" : "上記年齢は（計算やアルゴリズムによる）推定値によるものであれば true、それ以外は false。", "definition" : "真である場合、指定された年齢値が推定値であることを示します。 / If true, indicates that the age value specified is an estimated value.", "comment" : "この要素は、年齢が推定されるという事実が、指定された年齢に基づいて計算するアルゴリズムの結果を変更できる/変更できるため、修飾子としてラベル付けされています。 / This element is labeled as a modifier because the fact that age is estimated can/should change the results of any algorithm that calculates based on the specified age.", "requirements" : "臨床医は、多くの場合、年齢範囲ではなく推定年齢を指定することを好みます。 / Clinicians often prefer to specify an estimaged age rather than an age range.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.estimatedAge", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "meaningWhenMissing" : "年齢が推定であるかどうかは不明です / It is unknown whether the age is an estimate or not", "condition" : ["fhs-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "FamilyMemberHistory.deceased[x]", "path" : "FamilyMemberHistory.deceased[x]", "short" : "この家族が死亡しているかどうか。", "definition" : "家族が死亡している場合に、その真偽、年齢、時期などのいずれかひとつの要素で記述する。", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.deceased[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }, { "code" : "Age" }, { "code" : "Range" }, { "code" : "date" }, { "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role" }] }, { "id" : "FamilyMemberHistory.reasonCode", "path" : "FamilyMemberHistory.reasonCode", "short" : "家族歴が作成された理由 / Why was family member history performed?", "definition" : "家族歴がコーディングされた形式またはテキスト形式で発生した理由について説明します。 / Describes why the family member history occurred in coded or textual form.", "comment" : "テキストの理由は、ReasonCode.textを使用してキャプチャできます。 / Textual reasons can be captured using reasonCode.text.", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.reasonCode", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FamilyHistoryReason" }], "strength" : "example", "description" : "家族の歴史が行われた理由を示すコード。 / Codes indicating why the family member history was done.", "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.reasonCode" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : ".reasonCode" }] }, { "id" : "FamilyMemberHistory.reasonReference", "path" : "FamilyMemberHistory.reasonReference", "short" : "家族歴が作成された理由 / Why was family member history performed?", "definition" : "家族歴がコーディングされた形式またはテキスト形式で発生した理由について説明します。 / Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.reasonReference", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1", "http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_AllergyIntolerance", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_Common"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.reasonReference" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=RSON].target" }] }, { "id" : "FamilyMemberHistory.note", "path" : "FamilyMemberHistory.note", "short" : "この家族に関する一般的な情報のテキスト記述。", "definition" : "この家族に関する一般的な情報のテキスト記述。", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.note", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Annotation" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.note" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value" }] }, { "id" : "FamilyMemberHistory.condition", "path" : "FamilyMemberHistory.condition", "short" : "家族が持っていた重要な健康状態（家族歴に記述すべき疾病等。複数記述できる。", "definition" : "家族が持っていた重要な健康状態（家族歴に記述すべき疾病等）。複数記述できる。", "min" : 0, "max" : "*", "base" : { "path" : "FamilyMemberHistory.condition", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "FamilyMemberHistory.condition.modifierExtension", "path" : "FamilyMemberHistory.condition.modifierExtension", "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized", "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }, { "key" : "ext-1", "severity" : "error", "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" }], "isModifier" : true, "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "FamilyMemberHistory.condition.code", "path" : "FamilyMemberHistory.condition.code", "short" : "疾病コード情報またはテキスト情報", "definition" : "疾病コード情報またはテキスト情報", "min" : 1, "max" : "1", "base" : { "path" : "FamilyMemberHistory.condition.code", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ConditionCode" }], "strength" : "example", "description" : "状態または診断の識別。 / Identification of the Condition or diagnosis.", "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : ".value" }] }, { "id" : "FamilyMemberHistory.condition.code.id", "path" : "FamilyMemberHistory.condition.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" : "FamilyMemberHistory.condition.code.extension", "path" : "FamilyMemberHistory.condition.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" : "FamilyMemberHistory.condition.code.coding", "path" : "FamilyMemberHistory.condition.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" : "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" : "FamilyMemberHistory.condition.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "FamilyMemberHistory.condition.code.text", "short" : "疾病のテキスト情報（コードにより十分表現できない場合などに使用）", "definition" : "疾病のテキスト情報（コードにより十分表現できない場合などに使用）", "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" }], "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" : "FamilyMemberHistory.condition.outcome", "path" : "FamilyMemberHistory.condition.outcome", "short" : "故人|永久障害|等 / deceased | permanent disability | etc.", "definition" : "状態に従って何が起こったかを示します。条件が死亡した場合、亡くなった日付が関係で捕らえられます。 / Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.condition.outcome", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ConditionOutcome" }], "strength" : "example", "description" : "患者の状態の結果。例えば死、永久障害、一時的な障害など。 / The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.", "valueSet" : "http://hl7.org/fhir/ValueSet/condition-outcome|4.0.1" }, "mapping" : [{ "identity" : "rim", "map" : "outboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION].value" }] }, { "id" : "FamilyMemberHistory.condition.contributedToDeath", "path" : "FamilyMemberHistory.condition.contributedToDeath", "short" : "状態が死因に貢献したかどうか / Whether the condition contributed to the cause of death", "definition" : "この状態は、関連者の死因に貢献しました。貢献したtodeathが埋め込まれていない場合、それは不明です。 / This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.condition.contributedToDeath", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false }, { "id" : "FamilyMemberHistory.condition.onset[x]", "path" : "FamilyMemberHistory.condition.onset[x]", "slicing" : { "discriminator" : [{ "type" : "type", "path" : "$this" }], "ordered" : false, "rules" : "open" }, "short" : "条件が最初に現れたとき / When condition first manifested", "definition" : "発症年齢、おおよその年齢の範囲、または記述文字列のいずれかを記録できます。複数の発生がある条件の場合、これは最初の既知の発生を説明します。 / Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence.", "requirements" : "親relativeの状態の発症年齢は、患者のリスクを予測します。 / Age of onset of a condition in relatives is predictive of risk for the patient.", "min" : 0, "max" : "1", "base" : { "path" : "FamilyMemberHistory.condition.onset[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Age" }, { "code" : "Range" }, { "code" : "Period" }, { "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "すべてのFHIR要素には、@valueまたは子要素が必要です / All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"Subject Age at measurement\", value 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" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"Subject Age at measurement\", value 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" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value" }] }] }, "differential" : { "element" : [{ "id" : "FamilyMemberHistory", "path" : "FamilyMemberHistory" }, { "id" : "FamilyMemberHistory.meta", "path" : "FamilyMemberHistory.meta", "min" : 1, "mustSupport" : true }, { "id" : "FamilyMemberHistory.meta.lastUpdated", "path" : "FamilyMemberHistory.meta.lastUpdated", "short" : "このリソースのデータが最後に作成、更新、複写された日時。最終更新日時。YYYY-MM-DDThh:mm:ss.sss+zz:zz\u3000例:2015-02-07T13:28:17.239+09:00", "definition" : "このリソースのデータが最後に作成、更新、複写された日時。最終更新日時。YYYY-MM-DDThh:mm:ss.sss+zz:zz\u3000例:2015-02-07T13:28:17.239+09:00", "comment" : "この要素は、このリソースのデータを取り込んで蓄積していたシステムが、このリソースになんらかの変更があった可能性があった日時を取得し、このデータを再取り込みする必要性の判断をするために使われる。本要素に前回取り込んだ時点より後の日時が設定されている場合には、なんらかの変更があった可能性がある（変更がない場合もある）ものとして判断される。したがって、内容になんらかの変更があった場合、またはこのリソースのデータが初めて作成された場合には、その時点以降の日時（たとえば、このリソースのデータを作成した日時）を設定しなければならない。内容の変更がない場合でも、このリソースのデータが作り直された場合や単に複写された場合にその日時を設定しなおしてもよい。ただし、内容に変更がないのであれば、日時を変更しなくてもよい。また、この要素の変更とmeta.versionIdの変更とは、必ずしも連動しないことがある。", "min" : 1, "mustSupport" : true }, { "id" : "FamilyMemberHistory.meta.profile", "path" : "FamilyMemberHistory.meta.profile", "short" : "本プロファイルを識別するURLとバージョンを指定する。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。", "definition" : "本プロファイルを識別するURLとバージョンを指定する。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。", "min" : 1, "mustSupport" : true }, { "id" : "FamilyMemberHistory.status", "path" : "FamilyMemberHistory.status", "patternCode" : "partial", "mustSupport" : true }, { "id" : "FamilyMemberHistory.dataAbsentReason", "path" : "FamilyMemberHistory.dataAbsentReason", "short" : "家族の情報がとれない理由コード", "definition" : "家族の情報がとれない理由コード", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://hl7.org/fhir/ValueSet/history-absent-reason|4.0.1" } }, { "id" : "FamilyMemberHistory.patient", "path" : "FamilyMemberHistory.patient", "short" : "対象となる患者リソースへの参照。", "definition" : "対象となる患者リソースへの参照。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.date", "path" : "FamilyMemberHistory.date", "short" : "家族歴情報が取得された、または更新された日時。", "definition" : "家族歴情報が取得された、または更新された日時。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.name", "path" : "FamilyMemberHistory.name", "short" : "この家族の名前。通称や患者からの呼び名でもよい", "definition" : "この家族の名前。通称や患者からの呼び名でもよい", "mustSupport" : true }, { "id" : "FamilyMemberHistory.relationship", "path" : "FamilyMemberHistory.relationship", "short" : "患者に対するこの家族の関係", "definition" : "患者に対するこの家族の関係", "mustSupport" : true }, { "id" : "FamilyMemberHistory.relationship.coding", "path" : "FamilyMemberHistory.relationship.coding", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "FamilyMemberHistory.relationship.coding.system", "path" : "FamilyMemberHistory.relationship.coding.system", "min" : 1, "fixedUri" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "mustSupport" : true }, { "id" : "FamilyMemberHistory.relationship.coding.code", "path" : "FamilyMemberHistory.relationship.coding.code", "min" : 1, "mustSupport" : true }, { "id" : "FamilyMemberHistory.relationship.coding.display", "path" : "FamilyMemberHistory.relationship.coding.display", "mustSupport" : true }, { "id" : "FamilyMemberHistory.sex", "path" : "FamilyMemberHistory.sex", "mustSupport" : true }, { "id" : "FamilyMemberHistory.sex.coding", "path" : "FamilyMemberHistory.sex.coding", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "FamilyMemberHistory.sex.coding.system", "path" : "FamilyMemberHistory.sex.coding.system", "min" : 1, "fixedUri" : "http://hl7.org/fhir/administrative-gender", "mustSupport" : true }, { "id" : "FamilyMemberHistory.sex.coding.display", "path" : "FamilyMemberHistory.sex.coding.display", "mustSupport" : true }, { "id" : "FamilyMemberHistory.age[x]", "path" : "FamilyMemberHistory.age[x]", "short" : "この家族の年齢。", "definition" : "この家族の年齢。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.estimatedAge", "path" : "FamilyMemberHistory.estimatedAge", "short" : "上記年齢は（計算やアルゴリズムによる）推定値によるものであれば true、それ以外は false。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.deceased[x]", "path" : "FamilyMemberHistory.deceased[x]", "short" : "この家族が死亡しているかどうか。", "definition" : "家族が死亡している場合に、その真偽、年齢、時期などのいずれかひとつの要素で記述する。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.note", "path" : "FamilyMemberHistory.note", "short" : "この家族に関する一般的な情報のテキスト記述。", "definition" : "この家族に関する一般的な情報のテキスト記述。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.condition", "path" : "FamilyMemberHistory.condition", "short" : "家族が持っていた重要な健康状態（家族歴に記述すべき疾病等。複数記述できる。", "definition" : "家族が持っていた重要な健康状態（家族歴に記述すべき疾病等）。複数記述できる。", "mustSupport" : true }, { "id" : "FamilyMemberHistory.condition.code", "path" : "FamilyMemberHistory.condition.code", "short" : "疾病コード情報またはテキスト情報", "definition" : "疾病コード情報またはテキスト情報", "mustSupport" : true }, { "id" : "FamilyMemberHistory.condition.code.coding", "path" : "FamilyMemberHistory.condition.code.coding", "max" : "1", "mustSupport" : true }, { "id" : "FamilyMemberHistory.condition.code.text", "path" : "FamilyMemberHistory.condition.code.text", "short" : "疾病のテキスト情報（コードにより十分表現できない場合などに使用）", "definition" : "疾病のテキスト情報（コードにより十分表現できない場合などに使用）", "mustSupport" : true }, { "id" : "FamilyMemberHistory.condition.onset[x]", "path" : "FamilyMemberHistory.condition.onset[x]", "slicing" : { "discriminator" : [{ "type" : "type", "path" : "$this" }], "ordered" : false, "rules" : "open" } }, { "id" : "FamilyMemberHistory.condition.onset[x]:onsetAge", "path" : "FamilyMemberHistory.condition.onset[x]", "sliceName" : "onsetAge", "short" : "その家族における疾病の（発症）年齢。", "definition" : "その家族における疾病の（発症）年齢。", "min" : 0, "max" : "1", "type" : [{ "code" : "Age" }], "mustSupport" : true }] } }