【2026.8.31リリース予定の公開準備版】電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.13.0-preR1
1.13.0-preR1 - update Japan

【2026.8.31リリース予定の公開準備版】電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.13.0-preR1 - Local Development build (v1.13.0-preR1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Extension: JP Core Disease Postfix Modifier Extension

項目 内容
定義URL http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Condition_DiseasePostfixModifier
Version 1.13.0-preR1
Name

JP_Condition_DiseasePostfixModifier
Title

JP Core Disease Postfix Modifier Extension
Status Active ( 2024-02-25 )
Copyright

（一社）日本医療情報学会. CC BY-ND 4.0 （クリエイティブ・コモンズ 表示-改変禁止 4.0 国際 パブリック・ライセンス）

この実装ガイドは、今後正式リリースされる予定の公開準備版です。
この公開準備版は正式リリースまでさらに今後も内容が変更される可能性があります。

病名の後置修飾語を格納するための拡張

Context of Use

This extension may be used on the following element(s):

  • Element ID Condition.code

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: 病名の後置修飾語を格納するための拡張

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) 後置修飾語
... extension 0..0 Extension
... url 1..1 uri "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Condition_DiseasePostfixModifier"
... value[x] 0..1 CodeableConcept 後置修飾語
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:medisExchange S 0..1 Coding MEDIS ICD10対応標準病名マスター(修飾語交換用コード) 。
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modExCode
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
..... coding:medisRecordNo S 1..1 Coding MEDIS ICD10対応標準病名マスター(修飾語管理番号) 。
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modKeyNumber
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
..... coding:receipt S 0..1 Coding レセプト電算用修飾語マスター。
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterZ-disease-modifier
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) 後置修飾語
Constraints: ext-1
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
... url 1..1 uri "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Condition_DiseasePostfixModifier"
... value[x] 0..1 CodeableConcept 後置修飾語
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:medisExchange SΣ 0..1 Coding MEDIS ICD10対応標準病名マスター(修飾語交換用コード) 。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modExCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:medisRecordNo SΣ 1..1 Coding MEDIS ICD10対応標準病名マスター(修飾語管理番号) 。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modKeyNumber
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:receipt SΣ 0..1 Coding レセプト電算用修飾語マスター。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterZ-disease-modifier
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: 病名の後置修飾語を格納するための拡張

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) 後置修飾語
... extension 0..0 Extension
... url 1..1 uri "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Condition_DiseasePostfixModifier"
... value[x] 0..1 CodeableConcept 後置修飾語
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:medisExchange S 0..1 Coding MEDIS ICD10対応標準病名マスター(修飾語交換用コード) 。
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modExCode
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
..... coding:medisRecordNo S 1..1 Coding MEDIS ICD10対応標準病名マスター(修飾語管理番号) 。
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modKeyNumber
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
..... coding:receipt S 0..1 Coding レセプト電算用修飾語マスター。
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterZ-disease-modifier
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) 後置修飾語
Constraints: ext-1
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
... url 1..1 uri "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Condition_DiseasePostfixModifier"
... value[x] 0..1 CodeableConcept 後置修飾語
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:medisExchange SΣ 0..1 Coding MEDIS ICD10対応標準病名マスター(修飾語交換用コード) 。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modExCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:medisRecordNo SΣ 1..1 Coding MEDIS ICD10対応標準病名マスター(修飾語管理番号) 。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://medis.or.jp/CodeSystem/master-disease-modKeyNumber
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:receipt SΣ 0..1 Coding レセプト電算用修飾語マスター。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterZ-disease-modifier
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Id Grade Path(s) Description Expression
ele-1 error Extension, Extension.value[x], Extension.value[x].extension, Extension.value[x].coding, Extension.value[x].coding:medisExchange, Extension.value[x].coding:medisExchange.extension, Extension.value[x].coding:medisExchange.system, Extension.value[x].coding:medisExchange.version, Extension.value[x].coding:medisExchange.code, Extension.value[x].coding:medisExchange.display, Extension.value[x].coding:medisExchange.userSelected, Extension.value[x].coding:medisRecordNo, Extension.value[x].coding:medisRecordNo.extension, Extension.value[x].coding:medisRecordNo.system, Extension.value[x].coding:medisRecordNo.version, Extension.value[x].coding:medisRecordNo.code, Extension.value[x].coding:medisRecordNo.display, Extension.value[x].coding:medisRecordNo.userSelected, Extension.value[x].coding:receipt, Extension.value[x].coding:receipt.extension, Extension.value[x].coding:receipt.system, Extension.value[x].coding:receipt.version, Extension.value[x].coding:receipt.code, Extension.value[x].coding:receipt.display, Extension.value[x].coding:receipt.userSelected, Extension.value[x].text All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Extension, Extension.value[x].extension, Extension.value[x].coding:medisExchange.extension, Extension.value[x].coding:medisRecordNo.extension, Extension.value[x].coding:receipt.extension Must have either extensions or value[x], not both extension.exists() != value.exists()