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） v1.3.0-rc3 (リリース候補v3) - Local Development build (v1.3.0-rc3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: JP_Immunization_eCS - JSON Profile

Active as of 2024-06-24

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

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{
  "resourceType" : "StructureDefinition",
  "id" : "JP-Immunization-eCS",
  "language" : "ja",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Immunization-eCS-definitions.html#Immunization\">Immunization</a><a name=\"Immunization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Immunization\">JP_Immunization</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Immunization-eCS-definitions.html#Immunization.meta\">meta</a><a name=\"Immunization.meta\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-JP-Immunization-eCS-definitions.html#Immunization.meta.lastUpdated\">lastUpdated</a><a name=\"Immunization.meta.lastUpdated\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">「リソースのバージョンが最後に変更されたとき」</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Immunization_eCS",
  "version" : "1.3.0-rc3",
  "name" : "JP_Immunization_eCS",
  "status" : "active",
  "date" : "2024-06-24",
  "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" : "Derived Profile from JP-Core",
  "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"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Immunization",
  "baseDefinition" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Immunization",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Immunization",
        "path" : "Immunization",
        "short" : "予防接種",
        "definition" : "ワクチンを接種したときの記録，あるいは予防接種について患者や医療従事者などが報告した記録。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "リソースが別のリソースに含まれている場合、ネストされたリソースを含めてはなりません / If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "リソースが別のリソースに含まれている場合、それはリソースの他の場所から参照されるか、含有リソースを参照するものとします / If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "リソースが別のリソースに含まれている場合、meta.versionid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"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "別のリソースにリソースが含まれている場合、セキュリティラベルはありません / If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "リソースに叙述(Narative)がない場合、データを完全に理解するシステムのみがリソースを人間に安全に表示できます。リソースに人間の読み取り可能な表現を含めることは、はるかに堅牢なエコシステムと、仲介システムによるリソースのより安価な取り扱いになります。一部のエコシステムは、リソースの分布をリソースを完全に理解しているシステムのみに制限しており、その結果、実装者は叙述(Narative)が余計であると信じるかもしれません。しかし、経験によると、そのようなエコシステムは、多くの場合、時間の経過とともに新しい参加者に開かれています。 / When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "リソースには、堅牢な管理のための叙述(Narative)が必要です / A resource should have narrative for robust management",
            "expression" : "text.`div`.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "VXU_V04"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }
        ]
      },
      {
        "id" : "Immunization.id",
        "path" : "Immunization.id",
        "short" : "このResourceに対する論理ID",
        "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" : "Immunization.meta",
        "path" : "Immunization.meta",
        "short" : "リソースに関するメタデータ / Metadata about the resource",
        "definition" : "リソースに関するメタデータ。これは、インフラストラクチャによって維持されるコンテンツです。コンテンツの変更は、常にリソースのバージョンの変更に関連付けられているとは限りません。 / The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.meta.id",
        "path" : "Immunization.meta.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "エレメント相互参照のためのユニークID",
        "definition" : "リソース内の要素の固有ID（内部参照用）。これは、スペースを含まない任意の文字列値である可能性があります。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.meta.extension",
        "path" : "Immunization.meta.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "拡張子は常にURLで切り片にされます。",
          "rules" : "open"
        },
        "short" : "実装によって定義される追加コンテンツ",
        "definition" : "「要素の基本的な定義に含まれない追加情報を表すために使用されることがあります。拡張機能の使用を安全かつ管理しやすくするために、定義および使用に適用される厳格なガバナンスのセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たす必要のある要件のセットがあります。」",
        "comment" : "どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "「拡張機能または値[x]のいずれかが必要です。両方ではありません。」",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.meta.versionId",
        "path" : "Immunization.meta.versionId",
        "short" : "バージョン固有の識別子 (Baajon koyū no shikibetsu-shi)",
        "definition" : "URLのバージョン部分に表示されるバージョン固有の識別子。この値は、リソースが作成、更新、または削除された場合に変更されます。",
        "comment" : "サーバーがこの値を割り当て、クライアントが指定した値を無視する。ただし、サーバーが更新/削除時にバージョンの整合性を強制する場合を除く。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Meta.versionId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.meta.lastUpdated",
        "path" : "Immunization.meta.lastUpdated",
        "short" : "「リソースのバージョンが最後に変更されたとき」",
        "definition" : "リソースが最後に変更されたとき - 例えば、バージョンが変更されたとき。",
        "comment" : "この値はリソースが初めて作成される場合を除いて常に設定されています。サーバー/リソースマネージャーがこの値を設定します。クライアントが提供する値は関係ありません。これはHTTP Last-Modifiedに相当し、[read](http://hl7.org/fhir/R4/http.html#read)のインタラクションで同じ値を持つべきです。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Meta.lastUpdated",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "instant"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.meta.source",
        "path" : "Immunization.meta.source",
        "short" : "「リソースがどこから来たかを特定する」(Risōsu ga doko kara kita ka o tokutei suru)",
        "definition" : "リソースのソースシステムを識別するURI。これにより、リソース内の情報のソースをトラックまたは区別するために使用できる最小限の[プロビナンス]（provenance.html＃）情報が提供されます。ソースは、別のFHIRサーバー、ドキュメント、メッセージ、データベースなどを識別できます。",
        "comment" : "「プロバナンスのリソースにおいて、これはProvenance.entity.what[x]に対応します。ソースの正確な使用方法（および含意されるProvenance.entity.role）は実装者の判断に委ねられます。指定されたソースは1つだけです。追加のプロバナンスの詳細が必要な場合は、完全なプロバナンスリソースを使用するべきです。\n\nこの要素は、正規のURLでホストされていないリソースの現在のマスターソースがどこにあるかを示すために使用できます。」",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Meta.source",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.meta.profile",
        "path" : "Immunization.meta.profile",
        "short" : "このリソースが適合を主張するプロファイル",
        "definition" : "このリソースが準拠すると主張する [StructureDefinition](structuredefinition.html#) リソースに関するプロファイルのリストです。URL は [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url) への参照です。",
        "comment" : "これらの主張が時間の経過に伴って検証または更新される方法と、それらを決定するサーバーや他の基盤に任されます。プロファイルURLのリストは1セットです。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Meta.profile",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              🔗 "http://hl7.org/fhir/StructureDefinition/StructureDefinition"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Immunization.meta.security",
        "path" : "Immunization.meta.security",
        "short" : "このリソースに適用されたセキュリティラベル",
        "definition" : "このリソースにはセキュリティラベルが適用されています。これらのタグにより、特定のリソースが全体的なセキュリティポリシーやインフラストラクチャに関連付けられます。",
        "comment" : "セキュリティラベルは変更せずにリソースのバージョンを更新可能です。セキュリティラベルのリストはセットであり、一意性はシステム/コードに基づき、バージョンと表示は無視されます。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Meta.security",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            }
          ],
          "strength" : "extensible",
          "description" : "医療プライバシーおよびセキュリティ分類システムからのセキュリティラベル。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
        }
      },
      {
        "id" : "Immunization.meta.tag",
        "path" : "Immunization.meta.tag",
        "short" : "このリソースに適用されたタグ",
        "definition" : "このリソースに適用されるタグです。タグは、リソースをプロセスやワークフローに識別し、関連付けるために使用することが意図されており、アプリケーションはリソースの意味を解釈する際にタグを考慮する必要はありません。",
        "comment" : "リソースの表示バージョンを変更することなく、タグを更新できます。タグのリストは集合です。ユニーク性はシステム/コードに基づき、バージョンと表示は無視されます。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Meta.tag",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Tags"
            }
          ],
          "strength" : "example",
          "description" : "「様々なタグを表すコードで、一般的にはワークフローに関連しています。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags"
        }
      },
      {
        "id" : "Immunization.implicitRules",
        "path" : "Immunization.implicitRules",
        "short" : "このコンテンツが作成されたルールのセット / A set of rules under which this content was created",
        "definition" : "リソースが構築されたときに従った一連のルールへの参照。コンテンツの処理時に理解する必要があります。多くの場合、これは他のプロファイルなどとともに特別なルールを定義する実装ガイドへの参照です。 / A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
        "comment" : "このルールセットを主張することは、コンテンツが限られた取引パートナーのセットによってのみ理解されることを制限します。これにより、本質的に長期的にデータの有用性が制限されます。ただし、既存の健康エコシステムは非常に破壊されており、一般的に計算可能な意味でデータを定義、収集、交換する準備ができていません。可能な限り、実装者や仕様ライターはこの要素の使用を避ける必要があります。多くの場合、使用する場合、URLは、これらの特別なルールを他のプロファイル、バリューセットなどとともに叙述(Narative)の一部として定義する実装ガイドへの参照です。 / Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "暗黙のルールは、意味または解釈を変更するリソースに関する追加の知識を提供する可能性があるため、この要素は修飾子としてラベル付けされています。 / This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary" : true
      },
      {
        "id" : "Immunization.language",
        "path" : "Immunization.language",
        "short" : "リソースコンテンツの言語 / Language of the resource content",
        "definition" : "リソースが書かれている基本言語。 / The base language in which the resource is written.",
        "comment" : "言語は、インデックス作成とアクセシビリティをサポートするために提供されます（通常、テキストから音声までのサービスなどのサービスが言語タグを使用します）。叙述(Narative)のHTML言語タグは、叙述(Narative)に適用されます。リソース上の言語タグを使用して、リソース内のデータから生成された他のプレゼンテーションの言語を指定できます。すべてのコンテンツが基本言語である必要はありません。リソース。言語は、叙述(Narative)に自動的に適用されると想定されるべきではありません。言語が指定されている場合、HTMLのDIV要素にも指定されている場合（XML：LangとHTML Lang属性の関係については、HTML5のルールを参照してください）。 / Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            }
          ],
          "strength" : "preferred",
          "description" : "人間の言語。 / A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "Immunization.text",
        "path" : "Immunization.text",
        "short" : "人間の解釈のためのリソースのテキスト概要 / Text summary of the resource, for human interpretation",
        "definition" : "リソースの概要を含み、人間へのリソースの内容を表すために使用できる人間の読み取り可能な叙述(Narative)。叙述(Narative)はすべての構造化されたデータをエンコードする必要はありませんが、人間が叙述(Narative)を読むだけで「臨床的に安全」にするために十分な詳細を含める必要があります。リソースの定義は、臨床的安全を確保するために、叙述(Narative)で表現するコンテンツを定義する場合があります。 / A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment" : "含まれるリソースには叙述(Narative)がありません。含まれていないリソースには叙述(Narative)が必要です。場合によっては、リソースには、追加の個別のデータがほとんどまたはまったくないテキストのみがあります（すべてのMinoccur = 1要素が満たされている限り）。これは、情報がtext blob (バイナリー ラージ オブジェクト)としてキャプチャされるレガシーシステムからのデータ、またはテキストが生またはナレーションされ、エンコードされた情報が後で追加される場合に必要になる場合があります。 / Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Immunization.contained",
        "path" : "Immunization.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" : "Immunization.extension",
        "path" : "Immunization.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "rules" : "open"
        },
        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",
        "definition" : "リソースの基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.extension:dueDateOfNextDose",
        "path" : "Immunization.extension",
        "sliceName" : "dueDateOfNextDose",
        "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" : "1",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              🔗 "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Immunization_DueDateOfNextDose"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.extension:manufacturedDate",
        "path" : "Immunization.extension",
        "sliceName" : "manufacturedDate",
        "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" : "1",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              🔗 "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Immunization_ManufacturedDate"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.extension:certificatedDate",
        "path" : "Immunization.extension",
        "sliceName" : "certificatedDate",
        "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" : "1",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              🔗 "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Immunization_CertificatedDate"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.modifierExtension",
        "path" : "Immunization.modifierExtension",
        "short" : "無視できない拡張機能 / Extensions that cannot be ignored",
        "definition" : "リソースの基本的な定義の一部ではなく、それを含む要素の理解および/または含有要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義することが許可されていますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "モディファイア拡張は、それらを含むリソースの意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.identifier",
        "path" : "Immunization.identifier",
        "short" : "ビジネス識別子 / Business identifier",
        "definition" : "この予防接種記録に割り当てられた一意の識別子。 / A unique identifier assigned to this immunization record.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
          }
        ]
      },
      {
        "id" : "Immunization.status",
        "path" : "Immunization.status",
        "short" : "完了|エラーに入った|まだ完成してない / completed | entered-in-error | not-done",
        "definition" : "予防接種記録の現在の状態を示すコード",
        "comment" : "通常、予防接種が完了したか、行われていないことを示すように設定されます。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。 / Will generally be set to show that the immunization has been completed or not done.  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" : "Immunization.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "この要素は、エラーに入力されたステータスを含むステータス要素であり、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 it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatus"
            }
          ],
          "strength" : "required",
          "description" : "予防接種の現在の状態を表すコード",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }
        ]
      },
      {
        "id" : "Immunization.statusReason",
        "path" : "Immunization.statusReason",
        "short" : "実施しなかった理由",
        "definition" : "予防接種イベントが実行されなかった理由を示します。 / Indicates the reason the immunization event was not performed.",
        "comment" : "これは通常、「Not-Done」のステータスにのみ使用されます。予防接種イベントを実行する理由は、ここではなくReasonCodeでキャプチャされます。 / This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.statusReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatusReason"
            }
          ],
          "strength" : "example",
          "description" : "ワクチンが投与されなかった理由。 / The reason why a vaccine was not administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status-reason"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }
        ]
      },
      {
        "id" : "Immunization.vaccineCode",
        "path" : "Immunization.vaccineCode",
        "short" : "接種されたワクチン製剤",
        "definition" : "接種されたあるいは接種予定のワクチン。",
        "comment" : "全てのターミノロジがこのパターンに当てはまるわけではない。モデルによってはCodeableConceptではなく，独自構造でCodingを直接指定して文書やコーディング，その解釈や事前条件や事後条件との関連について示される。",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.vaccineCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-5"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
          }
        ]
      },
      {
        "id" : "Immunization.patient",
        "path" : "Immunization.patient",
        "short" : "予防接種を受けた人",
        "definition" : "予防接種を受けた，あるいは受けなかった患者。",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.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または子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[ttypeCode=].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }
        ]
      },
      {
        "id" : "Immunization.encounter",
        "path" : "Immunization.encounter",
        "short" : "予防接種を受けた診察",
        "definition" : "患者が医療従事者から予防接種を受けた外来，入院あるいは他の対面の状態を表す。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.encounter",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : "component->EncounterEvent"
          }
        ]
      },
      {
        "id" : "Immunization.occurrence[x]",
        "path" : "Immunization.occurrence[x]",
        "short" : "ワクチンを接種した日時",
        "definition" : "ワクチンを接種した日あるいは接種予定だった日。",
        "comment" : "予防接種が与えられた場合、特定の日付と時間を常に把握する必要があります。予防接種が患者を報告する場合、特定の日付はわからないかもしれません。部分的な日付は許可されていますが、成人患者は小児期の予防接種が与えられた年を思い出すことができないかもしれません。正確な日付は常に望ましいですが、正確な日付が不明な場合、文字列データ型の使用は許容されます。少数のワクチン（たとえば、生きた経口腸チフスワクチンなど）は、一連の患者の自己投与量として、期間にわたって投与されます。このような場合、多くの場合、最初の用量（通常はプロバイダーの監督付き用量）のみが、最初の用量の日付/時刻を示す発生で記録されます。 / When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.occurrence[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
          }
        ]
      },
      {
        "id" : "Immunization.recorded",
        "path" : "Immunization.recorded",
        "short" : "予防接種を受けた対象者の記録として最初に記載された日",
        "definition" : "予防接種の発生の日付は、最初に記録に記録されました - イベントの発生後には潜在的に大幅に。 / The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.recorded",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }
        ]
      },
      {
        "id" : "Immunization.primarySource",
        "path" : "Immunization.primarySource",
        "short" : "データが記録されたコンテキストを示します / Indicates context the data was recorded in",
        "definition" : "記録の内容は、ワクチンを投与した人からの情報に基づいていることを示しています。これは、データが最初に記録されたコンテキストを反映しています。 / An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.",
        "comment" : "コンテンツの「信頼性」を反映しています。 / Reflects the “reliability” of the content.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.primarySource",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : "immunization.uncertaintycode (if primary source=false, uncertainty=U)"
          }
        ]
      },
      {
        "id" : "Immunization.reportOrigin",
        "path" : "Immunization.reportOrigin",
        "short" : "二次的に報告された記録の発生源を示す",
        "definition" : "予防接種を実施した時に，ワクチンを接種した人以外からの報告からの情報である場合のデータの発生源。",
        "comment" : "PrimarySource = trueの場合、PrimarySource = falseであっても必須ではありません。 / Should not be populated if primarySource = True, not required even if primarySource = False.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.reportOrigin",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReportOrigin"
            }
          ],
          "strength" : "example",
          "description" : "主要なソースからのものではないレコードのデータのソース。 / The source of the data for a record which is not from a primary source.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-origin"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"
          }
        ]
      },
      {
        "id" : "Immunization.location",
        "path" : "Immunization.location",
        "short" : "ワクチンを接種した場所",
        "definition" : "接種医療機関。ワクチン接種がどこで実施されたかを表す。サービスが提供された場所。摂取された身体部位ではない。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.location",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-27  (or RXA-11, deprecated as of v2.7)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].COCT_MT240000UV"
          }
        ]
      },
      {
        "id" : "Immunization.manufacturer",
        "path" : "Immunization.manufacturer",
        "short" : "ワクチンメーカー",
        "definition" : "ワクチメーカーの名前。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.manufacturer",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-17"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
          }
        ]
      },
      {
        "id" : "Immunization.lotNumber",
        "path" : "Immunization.lotNumber",
        "short" : "ワクチンのロット番号",
        "definition" : "ワクチン製剤のロット番号。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.lotNumber",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-15"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
          }
        ]
      },
      {
        "id" : "Immunization.expirationDate",
        "path" : "Immunization.expirationDate",
        "short" : "ワクチンの使用期限",
        "definition" : "ワクチンの消費期限を表す日。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.expirationDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-16"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
          }
        ]
      },
      {
        "id" : "Immunization.site",
        "path" : "Immunization.site",
        "short" : "ワクチンが接種された身体部位",
        "definition" : "ワクチンが接種された身体部位",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.site",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationSite"
            }
          ],
          "strength" : "example",
          "description" : "ワクチンが投与されたサイト。 / The site at which the vaccine was administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-site"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXR-2"
          },
          {
            "identity" : "rim",
            "map" : "observation.targetSiteCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
          }
        ]
      },
      {
        "id" : "Immunization.route",
        "path" : "Immunization.route",
        "short" : "ワクチンを接種した経路",
        "definition" : "ワクチンが体内へと接種された経路。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.route",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRoute"
            }
          ],
          "strength" : "example",
          "description" : "ワクチンが投与されたルート。 / The route by which the vaccine was administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-route"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXR-1"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
          }
        ]
      },
      {
        "id" : "Immunization.doseQuantity",
        "path" : "Immunization.doseQuantity",
        "short" : "ワクチンの投与量",
        "definition" : "ワクチン製剤が接種された量",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.doseQuantity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Quantity",
            "profile" : [
              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationSimpleQuantity"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-6 / RXA-7"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }
        ]
      },
      {
        "id" : "Immunization.performer",
        "path" : "Immunization.performer",
        "short" : "ワクチン接種を実施した人",
        "definition" : "誰が予防接種を実施したかを表す。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12 / RXA-10"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }
        ]
      },
      {
        "id" : "Immunization.performer.id",
        "path" : "Immunization.performer.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",
        "definition" : "リソース内の要素の一意のID（内部参照用）。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.performer.extension",
        "path" : "Immunization.performer.extension",
        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",
        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.performer.modifierExtension",
        "path" : "Immunization.performer.modifierExtension",
        "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized",
        "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.performer.function",
        "path" : "Immunization.performer.function",
        "short" : "どのような種類のパフォーマンスが行われました / What type of performance was done",
        "definition" : "パフォーマンスの種類（例：プロバイダーの注文、プロバイダーの管理など）について説明します。 / Describes the type of performance (e.g. ordering provider, administering provider, etc.).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.performer.function",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationFunction"
            }
          ],
          "strength" : "extensible",
          "description" : "予防接種イベントで開業医または組織が果たす役割。 / The role a practitioner or organization plays in the immunization event.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-function"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }
        ]
      },
      {
        "id" : "Immunization.performer.actor",
        "path" : "Immunization.performer.actor",
        "short" : "演奏していた個人または組織 / Individual or organization who was performing",
        "definition" : "アクションを実行した開業医または組織。 / The practitioner or organization who performed the action.",
        "comment" : "アクションを実行した個々の開業医が知られている場合、送信するのが最善です。 / When the individual practitioner who performed the action is known, it is best to send.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.performer.actor",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"🔗 ,
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"🔗 ,
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }
        ]
      },
      {
        "id" : "Immunization.note",
        "path" : "Immunization.note",
        "short" : "予防接種についての補足的記録",
        "definition" : "他の属性で伝達することができない予防接種に関する他の記録。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.note",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Annotation"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 48767-8"
          },
          {
            "identity" : "rim",
            "map" : "note"
          }
        ]
      },
      {
        "id" : "Immunization.reasonCode",
        "path" : "Immunization.reasonCode",
        "short" : "予防接種を接種した理由",
        "definition" : "予防接種が行われた理由",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.reasonCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReason"
            }
          ],
          "strength" : "example",
          "description" : "ワクチンが投与された理由。 / The reason why a vaccine was administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-reason"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "rim",
            "map" : "[actionNegationInd=false].reasonCode"
          }
        ]
      },
      {
        "id" : "Immunization.reasonReference",
        "path" : "Immunization.reasonReference",
        "short" : "予防接種を実施した理由",
        "definition" : "予防接種が実施された理由を表すCondition，ObservationあるいはDiagnosticReportリソースを参照する。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.reasonReference",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://hl7.org/fhir/StructureDefinition/Condition"🔗 ,
              "http://hl7.org/fhir/StructureDefinition/Observation"🔗 ,
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.isSubpotent",
        "path" : "Immunization.isSubpotent",
        "short" : "効力量",
        "definition" : "量が通常の効力より弱いと考えられているかどうかを示す。デフォルトでは示されている量と同等の効力をもつと考えられている。",
        "comment" : "通常、投与後の線量であるための用量の認識は遡及的です（管理後の製造業者のリコールの通知）。ただし、部分的な投与の場合（患者は予期せず動き、いくつかの投与量のみが実際に投与されます）、サブポテンシーはすぐに認識される場合がありますが、イベントを記録することは依然として重要です。 / Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.isSubpotent",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "デフォルトでは、用量は強力であると見なされる必要があります。 / By default, a dose should be considered to be potent.",
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "この要素は、水力ワクチンを備えた予防接種イベントが強力な用量と同じように患者を保護しないため、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 an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "RXA-20 = PA (partial administration)"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.subpotentReason",
        "path" : "Immunization.subpotentReason",
        "short" : "効力が減弱する理由",
        "definition" : "効力が減弱すると考えられている理由。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.subpotentReason",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubpotentReason"
            }
          ],
          "strength" : "example",
          "description" : "用量がサブポテントと見なされる理由。 / The reason why a dose is considered to be subpotent.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education",
        "path" : "Immunization.education",
        "short" : "患者に提示された教材",
        "definition" : "ワクチンを接種するときに患者（あるいは保護者）に提示された教材。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.education",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "imm-1",
            "severity" : "error",
            "human" : "DocumentTypeまたは参照の1つが存在するものとします / One of documentType or reference SHALL be present",
            "expression" : "documentType.exists() or reference.exists()",
            "xpath" : "exists(f:documentType) or exists(f:reference)",
            "source" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Immunization"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education.id",
        "path" : "Immunization.education.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",
        "definition" : "リソース内の要素の一意のID（内部参照用）。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.education.extension",
        "path" : "Immunization.education.extension",
        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",
        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.education.modifierExtension",
        "path" : "Immunization.education.modifierExtension",
        "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized",
        "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education.documentType",
        "path" : "Immunization.education.documentType",
        "short" : "教育資料文書識別子 / Educational material document identifier",
        "definition" : "患者に提示された材料の識別子。 / Identifier of the material presented to the patient.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.education.documentType",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 69764-9"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education.reference",
        "path" : "Immunization.education.reference",
        "short" : "教育資料の参照ポインター / Educational material reference pointer",
        "definition" : "情報がオンラインであった場合、患者に与えられた教育資料を参照してください。 / Reference pointer to the educational material given to the patient if the information was on line.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.education.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education.publicationDate",
        "path" : "Immunization.education.publicationDate",
        "short" : "教育資料の出版日 / Educational material publication date",
        "definition" : "日付教育資料が公開されました。 / Date the educational material was published.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.education.publicationDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 29768-9"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.education.presentationDate",
        "path" : "Immunization.education.presentationDate",
        "short" : "教育資料の提示日 / Educational material presentation date",
        "definition" : "日付患者に教育資料が与えられました。 / Date the educational material was given to the patient.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.education.presentationDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 29769-7"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.programEligibility",
        "path" : "Immunization.programEligibility",
        "short" : "ワクチン接種計画での患者適格性",
        "definition" : "ワクチン接種計画での患者適格性を示す",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.programEligibility",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramEligibility"
            }
          ],
          "strength" : "example",
          "description" : "患者の予防接種プログラムの適格性。 / The patient's eligibility for a vaccation program.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-program-eligibility"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 64994-7"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.fundingSource",
        "path" : "Immunization.fundingSource",
        "short" : "ワクチン接種計画のの資金源",
        "definition" : "ワクチンが実際に接種されるときの資金源を示す。これは患者適格性（たとえば，公的に購入されたワクチンには適格性があるが，在庫の問題で私的資金で購入されたワクチンを投与するような場合）とは異なることがある。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.fundingSource",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundingSource"
            }
          ],
          "strength" : "example",
          "description" : "投与されたワクチンの購入に使用される資金源。 / The source of funding used to purchase the vaccine administered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-funding-source"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.reaction",
        "path" : "Immunization.reaction",
        "short" : "予防接種後に起こった反応についての詳細な記録",
        "definition" : "予防接種に関連する時期に発生した副反応を示す分類されたデータ。",
        "comment" : "反応はアレルギーまたは不耐性の兆候である可能性があり、これが事実であると判断された場合、ほとんどのシステムは過去の免疫要素に対して照会しないため、新しいアレルギー耐性リソースインスタンスとして記録する必要があります。 / A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.reaction",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=obs].code"
          }
        ]
      },
      {
        "id" : "Immunization.reaction.id",
        "path" : "Immunization.reaction.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",
        "definition" : "リソース内の要素の一意のID（内部参照用）。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.reaction.extension",
        "path" : "Immunization.reaction.extension",
        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",
        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.reaction.modifierExtension",
        "path" : "Immunization.reaction.modifierExtension",
        "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized",
        "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.reaction.date",
        "path" : "Immunization.reaction.date",
        "short" : "反応が始まったとき / When reaction started",
        "definition" : "予防接種に対する反応日。 / Date of reaction to the immunization.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.reaction.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または子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }
        ]
      },
      {
        "id" : "Immunization.reaction.detail",
        "path" : "Immunization.reaction.detail",
        "short" : "反応に関する追加情報 / Additional information on reaction",
        "definition" : "反応の詳細。 / Details of the reaction.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.reaction.detail",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-5"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }
        ]
      },
      {
        "id" : "Immunization.reaction.reported",
        "path" : "Immunization.reaction.reported",
        "short" : "自己申告による反応を示します / Indicates self-reported reaction",
        "definition" : "自己報告インジケーター。 / Self-reported indicator.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.reaction.reported",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "(HL7 v2 doesn't seem to provide for this)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied",
        "path" : "Immunization.protocolApplied",
        "short" : "提供者が実施したプロトコール",
        "definition" : "ワクチンを接種した提供者が実施したプロトコール（推奨される手順の集合）。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.protocolApplied",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.id",
        "path" : "Immunization.protocolApplied.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "要素間参照のための一意のID / Unique id for inter-element referencing",
        "definition" : "リソース内の要素の一意のID（内部参照用）。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.extension",
        "path" : "Immunization.protocolApplied.extension",
        "short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",
        "definition" : "要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.modifierExtension",
        "path" : "Immunization.protocolApplied.modifierExtension",
        "short" : "認識されていなくても無視できない拡張機能 / Extensions that cannot be ignored even if unrecognized",
        "definition" : "要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。\n\nモディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません（修飾軸自体の意味を変更することはできません）。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義]（拡張性.html＃modifierextension）を参照してください。 / Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "両方ではなく、拡張または値[x]が必要です / Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "修飾子拡張は、それらを含む要素の意味または解釈を変更することが期待されています / Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.series",
        "path" : "Immunization.protocolApplied.series",
        "short" : "ワクチンシリーズの名前 / Name of vaccine series",
        "definition" : "権威の文脈の中で、病気に対する免疫が推定される免疫を達成するための1つの可能な道。 / One possible path to achieve presumed immunity against a disease - within the context of an authority.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.protocolApplied.series",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.authority",
        "path" : "Immunization.protocolApplied.authority",
        "short" : "推奨事項を公開する責任者は誰ですか / Who is responsible for publishing the recommendations",
        "definition" : "追跡されているプロトコル（ACIPなど）を公開した当局を示します。 / Indicates the authority who published the protocol (e.g. ACIP) that is being followed.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.protocolApplied.authority",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              🔗 "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.targetDisease",
        "path" : "Immunization.protocolApplied.targetDisease",
        "short" : "ワクチン予防可能な病気が標的にされています / Vaccine preventatable disease being targetted",
        "definition" : "ワクチン予防可能な疾患用量が投与されています。 / The vaccine preventable disease the dose is being administered against.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Immunization.protocolApplied.targetDisease",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TargetDisease"
            }
          ],
          "strength" : "example",
          "description" : "ワクチン予防可能な疾患用量が投与されています。 / The vaccine preventable disease the dose is being administered for.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-target-disease"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.doseNumber[x]",
        "path" : "Immunization.protocolApplied.doseNumber[x]",
        "short" : "シリーズ内の用量数 / Dose number within series",
        "definition" : "シリーズの名目上の位置。 / Nominal position in a series.",
        "comment" : "わかっている場合、整数の使用が好ましい。文字列は、整数が利用できない場合にのみ使用する必要があります（繰り返しブースター用量を文書化する場合など）。 / The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Immunization.protocolApplied.doseNumber[x]",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Immunization.protocolApplied.seriesDoses[x]",
        "path" : "Immunization.protocolApplied.seriesDoses[x]",
        "short" : "免疫のために推奨される用量数 / Recommended number of doses for immunity",
        "definition" : "免疫を達成するために推奨される用量の数。 / The recommended number of doses to achieve immunity.",
        "comment" : "わかっている場合、整数の使用が好ましい。文字列は、整数が利用できない場合にのみ使用する必要があります（繰り返しブースター用量を文書化する場合など）。 / The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Immunization.protocolApplied.seriesDoses[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "すべてのFHIR要素には、@valueまたは子供が必要です / All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Immunization.meta.lastUpdated",
        "path" : "Immunization.meta.lastUpdated",
        "mustSupport" : true
      }
    ]
  }
}