本プロファイルは、医療従事者に関する情報の登録や検索、取得のために 、FHIR Practitioner リソースを使用するにあたっての、最低限の制約を記述したものである。Practitioner リソースに対して本プロファイルに準拠する場合に必須となる要素や、サポートすべき拡張、用語、検索パラメータを定義する。

背景および想定シナリオ

本プロファイルは、以下のようなユースケースを想定している。

• 氏名または医籍登録番号による医療従事者の検索

• 他のリソースからの医療従事者情報の参照（例：Patientリソースの generalPractitionerで参照される患者の主治医や、Encounterリソースのparticipantで参照される診察の担当医）

スコープ

医療（ヘルスケア）の提供、及び、ヘルスケア関連サービスに、直接的、または、間接的に係わる全ての人を表す。本リソースに含まれる医療従事者の例を示す（ただし、この一覧に限定されない）。

• 医師、歯科医師、薬剤師
• 看護師、保健師、医療クラーク
• 助産師、栄養士、心理士
• 臨床検査技師、放射線技師
• 臨床工学技士、義肢装具士
• 医療事務者（受付担当者）

本リソースは、友人や親戚、隣人のケアをする個人のように、正式な責任を持たずに医療に関与する個人を表現するために使用してはならない。それらの情報は、患者の関係者として RelatedPerson リソースを使用して表現されるべきである。

Practitioner リソースは、ヘルスケアサービスの提供組織を代表し、複数の患者のために行動する個人に対して使用される。一方で、RelatedPerson リソースは、特定の組織に関連づけられておらず、特定の患者に関係する個人を表現するために使用される。

PractitionerRole リソースは、医療従事者が、特定の組織において与えられている役割の詳細を表す。特定の施設に関係しない資格や識別子（例：医籍番号や麻薬施用者免許証番号）は、Practitioner リソースに記録することが望ましい。一方で、特定の施設における医療従事者の識別子や役割（例：特定の医療機関における医療従事者ID）は、施設を表すOrganizationリソースとあわせて PractitionerRole リソースに記録することが望ましい。

プロファイル定義

• Text Summary
• Differential Table
• Snapshot Table
• Terminology Bindings
• Constraints
• All

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	ヘルスケアまたは関連サービスの提供に正式な責任を負う人
identifier		0..*	Identifier	An identifier for the person as this agent Practitionerリソースに対する識別子【詳細参照】
active		0..1	boolean	Whether this practitioner's record is in active use
name		0..*	JP_HumanName	Name of a human - parts and usage　人の名前情報、その一部分と使い方
telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)　電話番号やメールアドレスなど、従事者への詳細な連絡先
period		0..1	Period	Time period when the contact point was/is in use
address		0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)　役割が特定されていない従事者の住所（通常は自宅の住所）
period		0..1	Period	Time period when address was/is in use
gender		0..1	code	male | female | other | unknown
birthDate		0..1	date	The date on which the practitioner was born　医療従事者の生年月日
photo		0..*	Attachment	Image of the person
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care　ケアの提供に関連する認定、ライセンス、またはトレーニング 【詳細参照】 Slice: Unordered, Open by pattern:code
qualification:All Slices				Content/Rules for all slices
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
qualification:narcoticPrescriptionLicenseNumber		0..47	BackboneElement	Certification, licenses, or training pertaining to the provision of care
identifier		0..*	Identifier	都道府県別 麻薬施用者免許番号
system		0..1	uri	麻薬施用者免許番号OIDを格納。OIDは右記のルールに従う。urn:oid:1.2.392.100495.20.3.32.[1(固定)+都道府県番号(２桁)] 【詳細参照】
value		0..1	string	都道府県別　麻薬施用者免許番号 【詳細参照】
assigner		0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narcotics-practitioner
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
qualification:medicalRegistrationNumber		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
identifier		0..*	Identifier	医籍登録番号
system		0..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.31
value		0..1	string	医籍登録番号
assigner		0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-registration
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication　医療従事者が患者とのコミュニケーションで使用できる言語
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	ヘルスケアまたは関連サービスの提供に正式な責任を負う人
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	An identifier for the person as this agent Practitionerリソースに対する識別子【詳細参照】
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name		0..*	JP_HumanName	Name of a human - parts and usage　人の名前情報、その一部分と使い方
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)　電話番号やメールアドレスなど、従事者への詳細な連絡先
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)　役割が特定されていない従事者の住所（通常は自宅の住所）
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born　医療従事者の生年月日
photo		0..*	Attachment	Image of the person
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care　ケアの提供に関連する認定、ライセンス、またはトレーニング 【詳細参照】 Slice: Unordered, Open by pattern:code
qualification:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
qualification:narcoticPrescriptionLicenseNumber		0..47	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	都道府県別 麻薬施用者免許番号
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	麻薬施用者免許番号OIDを格納。OIDは右記のルールに従う。urn:oid:1.2.392.100495.20.3.32.[1(固定)+都道府県番号(２桁)] 【詳細参照】 Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	都道府県別　麻薬施用者免許番号 【詳細参照】 Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narcotics-practitioner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
qualification:medicalRegistrationNumber		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	医籍登録番号
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.31
value	Σ	0..1	string	医籍登録番号 Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-registration
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication　医療従事者が患者とのコミュニケーションで使用できる言語 Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

This structure is derived from Practitioner

Summary

Fixed Value: 1 element

Structures

This structure refers to these other structures:

• JP Core HumanName DataType (http://jpfhir.jp/fhir/core/StructureDefinition/JP_HumanName)
• JP Core Organization Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization)

Slices

This structure defines the following Slices:

• The element Practitioner.qualification is sliced based on the value of pattern:code

Differential View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	ヘルスケアまたは関連サービスの提供に正式な責任を負う人
identifier		0..*	Identifier	An identifier for the person as this agent Practitionerリソースに対する識別子【詳細参照】
active		0..1	boolean	Whether this practitioner's record is in active use
name		0..*	JP_HumanName	Name of a human - parts and usage　人の名前情報、その一部分と使い方
telecom		0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)　電話番号やメールアドレスなど、従事者への詳細な連絡先
period		0..1	Period	Time period when the contact point was/is in use
address		0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)　役割が特定されていない従事者の住所（通常は自宅の住所）
period		0..1	Period	Time period when address was/is in use
gender		0..1	code	male | female | other | unknown
birthDate		0..1	date	The date on which the practitioner was born　医療従事者の生年月日
photo		0..*	Attachment	Image of the person
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care　ケアの提供に関連する認定、ライセンス、またはトレーニング 【詳細参照】 Slice: Unordered, Open by pattern:code
qualification:All Slices				Content/Rules for all slices
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
qualification:narcoticPrescriptionLicenseNumber		0..47	BackboneElement	Certification, licenses, or training pertaining to the provision of care
identifier		0..*	Identifier	都道府県別 麻薬施用者免許番号
system		0..1	uri	麻薬施用者免許番号OIDを格納。OIDは右記のルールに従う。urn:oid:1.2.392.100495.20.3.32.[1(固定)+都道府県番号(２桁)] 【詳細参照】
value		0..1	string	都道府県別　麻薬施用者免許番号 【詳細参照】
assigner		0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narcotics-practitioner
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
qualification:medicalRegistrationNumber		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
identifier		0..*	Identifier	医籍登録番号
system		0..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.31
value		0..1	string	医籍登録番号
assigner		0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-registration
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication　医療従事者が患者とのコミュニケーションで使用できる言語
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	ヘルスケアまたは関連サービスの提供に正式な責任を負う人
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	An identifier for the person as this agent Practitionerリソースに対する識別子【詳細参照】
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name		0..*	JP_HumanName	Name of a human - parts and usage　人の名前情報、その一部分と使い方
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)　電話番号やメールアドレスなど、従事者への詳細な連絡先
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)　役割が特定されていない従事者の住所（通常は自宅の住所）
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born　医療従事者の生年月日
photo		0..*	Attachment	Image of the person
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care　ケアの提供に関連する認定、ライセンス、またはトレーニング 【詳細参照】 Slice: Unordered, Open by pattern:code
qualification:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
qualification:narcoticPrescriptionLicenseNumber		0..47	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	都道府県別 麻薬施用者免許番号
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	麻薬施用者免許番号OIDを格納。OIDは右記のルールに従う。urn:oid:1.2.392.100495.20.3.32.[1(固定)+都道府県番号(２桁)] 【詳細参照】 Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	都道府県別　麻薬施用者免許番号 【詳細参照】 Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: narcotics-practitioner
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
qualification:medicalRegistrationNumber		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	医籍登録番号
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.31
value	Σ	0..1	string	医籍登録番号 Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(JP Core Organization Profile)	Organization that issued id (may be just text)
code		1..1	CodeableConcept	Coded representation of the qualification Binding: JP Core MedicalLicense Certificate ValueSet (required) Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medical-registration
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(JP Core Organization Profile)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication　医療従事者が患者とのコミュニケーションで使用できる言語 Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.telecom.system	required	ContactPointSystem
Practitioner.telecom.use	required	ContactPointUse
Practitioner.address.use	required	AddressUse
Practitioner.address.type	required	AddressType
Practitioner.gender	required	AdministrativeGender
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.use	required	IdentifierUse
Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.type	extensible	Identifier Type Codes
Practitioner.qualification:narcoticPrescriptionLicenseNumber.code	required	Pattern: narcotics-practitioner
Practitioner.qualification:medicalRegistrationNumber.identifier.use	required	IdentifierUse
Practitioner.qualification:medicalRegistrationNumber.identifier.type	extensible	Identifier Type Codes
Practitioner.qualification:medicalRegistrationNumber.code	required	Pattern: medical-registration
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

必須要素

本プロファイルで定義された必須項目はない。

Extensions定義

本プロファイルで使用される拡張は次の通りである。

既存のExtensionの利用

• nameRepresentationUse
  • 医療従事者氏名(Practitioner.name)の漢字表記・カナ表記識別のために使用する

その他

Practitioner.qualificationには、以下の医療従事者のqualification(資格)を格納できるようスライシングによる定義が追加されている。

利用方法

OperationおよびSearch Parameter 一覧

Search Parameter一覧

必須検索パラメータ

次の検索パラメータは必須でサポートされなければならない。

1. identifier 検索パラメータを使用して、医療従事者番号などの識別子によるPractitionerの検索をサポートしなければならない（SHALL）

   GET [base]/Practitioner?identifier={system|}[code]
   

   例：

   GET [base]/Practitioner?identifier=urn:oid:1.2.392.100495.20.3.41.11312345670|123456
   

   指定された識別子(identifier)に一致するPractitionerリソースを含むBundleを検索する。

2. name 検索パラメータを使用して、任意の名前パートによる文字列検索をサポートしなければならない（SHALL）

   GET [base]/Practitioner?name=[string]
   

   例：

   GET [base]/Practitioner?name=山田
   

   名前（姓:family、名:given、またはテキスト:text）が一致するPractitionerリソースを含むBundleを検索する。

推奨検索パラメータ

推奨検索パラメータ(SHOULD)は定義しない。

サンプル

• 女性医師 麻薬施用者番号あり
• 女性看護師
• 男性医師
• 男性看護師

その他、参考文献・リンク等

1. 退院時サマリー規約 http://www.hl7.jp/library/item/HL7J-CDA-007.pdf
2. 診療情報提供書規格 http://www.hl7.jp/intro/std/HL7J-CDA-005.pdf
3. 特定健診情報ファイル仕様 https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000165280.html
4. SS-MIX2 標準化ストレージ 仕様書 Ver.1.2h https://www.jami.jp/jamistd/docs/SS-MIX2/h/SS-MIX2_StndrdStrgSpecVer.1.2h.pdf
5. ICSR E2B(R3) https://www.pmda.go.jp/int-activities/int-harmony/ich/0093.html