HL7 FHIR JP Core ImplementationGuide
1.1.2-url - ci-build
Japan
HL7 FHIR JP Core ImplementationGuide
1.1.2-url - ci-build
Japan
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.2-url) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2023-06-26 |
JSON representation of the jp-allergyintolerance resource profile.
{
"resourceType" : "StructureDefinition",
"id" : "jp-allergyintolerance",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition jp-allergyintolerance</b></p><a name=\"jp-allergyintolerance\"> </a><a name=\"hcjp-allergyintolerance\"> </a><a name=\"jp-allergyintolerance-ja\"> </a><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 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 & 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-allergyintolerance-definitions.html#AllergyIntolerance\" title=\"Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance. \nこのリソースは患者のアレルギー不耐症を表現する。具体的には、特定の物質または物質群への暴露によって生じる有害反応の傾向や、潜在的なリスクを表現する。\">AllergyIntolerance</a><a name=\"AllergyIntolerance\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</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 href=\"http://hl7.org/fhir/R4/allergyintolerance.html\">AllergyIntolerance</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Allergy or Intolerance (generally: Risk of adverse reaction to a substance). アレルギー不耐症 (特定の物質への暴露で生じた有害反応)</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.text\">text</a><a name=\"AllergyIntolerance.text\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Narrative\">Narrative</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.clinicalStatus\" title=\"The clinical status of the allergy or intolerance. \nこのアレルギー不耐症のステータス。\">clinicalStatus</a><a name=\"AllergyIntolerance.clinicalStatus\"> </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\"><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#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">active | inactive | resolved (アクティブ | 非アクティブ | 解決済み)</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.verificationStatus\" title=\"Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product). \n特定された物質（医薬品を含む）が有害反応を誘発する確実性の度合い。\">verificationStatus</a><a name=\"AllergyIntolerance.verificationStatus\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">unconfirmed | confirmed | refuted | entered-in-error (未確認 | 確認済み | 否定された | 入力エラー)</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.type\" title=\"Identification of the underlying physiological mechanism for the reaction risk. \n有害反応を誘発する生理的なメカニズムが特定できる場合にアレルギーか不耐性かを区別する。\">type</a><a name=\"AllergyIntolerance.type\"> </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\"><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#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">allergy | intolerance - Underlying mechanism (if known) （アレルギー | 不耐症）</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.category\" title=\"Category of the identified substance. \n同定された物質のカテゴリー。\">category</a><a name=\"AllergyIntolerance.category\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">food | medication | environment | biologic (食品 | 薬品 | 環境 | 生体)</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.criticality\" title=\"Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. \n同定された物質が誘発する有害反応の臨床的な重要度。\">criticality</a><a name=\"AllergyIntolerance.criticality\"> </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\"><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#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">low | high | unable-to-assess (低い | 高い | 評価できない)</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.code\" title=\"Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., "Latex"), an allergy or intolerance condition (e.g., "Latex allergy"), or a negated/excluded code for a specific substance or class (e.g., "No latex allergy") or a general or categorical negated statement (e.g., "No known allergy", "No known drug allergies"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \nアレルギー不耐症を識別するためのコード（肯定または否定・除外の両者を含む）。このコードは、アレルゲンとなる物資（例:Latex）、状態としてのアレルギー不耐性（例:Latex allergy）、特定の物質やクラスに対する否定・除外コード（例: No latex allergy）、物質やクラス全般に対する否定・除外コード（例: No known allergy, No known drug allergies）などが考えられる。 \n注: 特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質（ブランド薬など）や、特定された物質を含む複合製品の場合がある。 \nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。 \n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に（前者が後者の意味的な下位概念にあること）を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。\">code</a><a name=\"AllergyIntolerance.code\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code that identifies the allergy or intolerance. このアレルギー不耐症の識別コード<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS\" title=\"http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS\">JP Core AllergyIntolerance ValueSet</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.patient\" title=\"The patient who has the allergy or intolerance. \nこのアレルギー不耐症を有する患者。\">patient</a><a name=\"AllergyIntolerance.patient\"> </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\"><span style=\"opacity: 0.5\">1</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 href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-patient.html\">JP Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Who the sensitivity is for. このアレルギー不耐症を有する患者</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.encounter\" title=\"The encounter when the allergy or intolerance was asserted. \nこのアレルギー不耐症が判明した受療の状況（外来、入院、救急、在宅など）\">encounter</a><a name=\"AllergyIntolerance.encounter\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-encounter.html\">JP Core Encounter Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Encounter when the allergy or intolerance was asserted. このアレルギー不耐症が判明した受療の状況（外来、入院、救急、在宅など）</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.onset[x]\" title=\"Estimated or actual date, date-time, or age when allergy or intolerance was identified. \nこのアレルギー不耐症が同定された事実もしくは推定された時期（日付、日時、年齢）。\">onset[x]</a><a name=\"AllergyIntolerance.onset_x_\"> </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\"><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#dateTime\">dateTime</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Age\">Age</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Range\">Range</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When allergy or intolerance was identified. このアレルギー不耐症のオンセット</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.recordedDate\" title=\"The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. このアレルギー不耐症の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。\">recordedDate</a><a name=\"AllergyIntolerance.recordedDate\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date first version of the resource instance was recorded. このアレルギー不耐症が初めて記録された日時</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.recorder\" title=\"Individual who recorded the record and takes responsibility for its content. \nこのアレルギー不耐症を記録しその内容に責任を持つ個人。\">recorder</a><a name=\"AllergyIntolerance.recorder\"> </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\"><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 href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-practitioner.html\">JP Core Practitioner Profile</a> | <a href=\"StructureDefinition-jp-practitionerrole.html\">JP Core PractitionerRole Profile</a> | <a href=\"StructureDefinition-jp-patient.html\">JP Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.asserter\" title=\"The source of the information about the allergy that is recorded. \nこのアレルギー不耐症に関する情報の発生源または取得元。\">asserter</a><a name=\"AllergyIntolerance.asserter\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-patient.html\">JP Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a href=\"StructureDefinition-jp-practitioner.html\">JP Core Practitioner Profile</a> | <a href=\"StructureDefinition-jp-practitionerrole.html\">JP Core PractitionerRole Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Source of the information about the allergy. このアレルギー不耐症の情報源</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.lastOccurrence\" title=\"Represents the date and/or time of the last known occurrence of a reaction event. \n最も直近に発生した日時を表す。\">lastOccurrence</a><a name=\"AllergyIntolerance.lastOccurrence\"> </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\"><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#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date(/time) of last known occurrence of a reaction. このアレルギー不耐症が最も直近に発生した日時</td></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_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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-allergyintolerance-definitions.html#AllergyIntolerance.note\" title=\"Additional narrative about the propensity for the Adverse Reaction, not captured in other fields. \n他のフィールド要素では表現できない、このアレルギー不耐症に関する追加的な記述。\">note</a><a name=\"AllergyIntolerance.note\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Annotation\">Annotation</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Additional text not captured in other fields. 他のフィールド要素では記述できない追加テキスト</td></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_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: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction\" title=\"Details about each adverse reaction event linked to exposure to the identified substance. \n同定された物質への暴露に関連する個々の有害反応に関する詳細情報。\">reaction</a><a name=\"AllergyIntolerance.reaction\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</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#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Adverse Reaction Events linked to exposure to substance. このアレルゲンへの暴露に関連する有害反応</td></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_bck010.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.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-allergyintolerance-definitions.html#AllergyIntolerance.reaction.substance\" title=\"Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \n有害反応の原因と考えられる物質（または医薬品）。 \n注：特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質（ブランド薬など）や、特定された物質を含む複合製品の場合がある。 \nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。 \n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に（前者が後者の意味的な下位概念にあること）を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。\">substance</a><a name=\"AllergyIntolerance.reaction.substance\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Specific substance or pharmaceutical product considered to be responsible for event. 有害反応の原因と考えられる特定の物質または医薬品</td></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_bck010.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.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-allergyintolerance-definitions.html#AllergyIntolerance.reaction.manifestation\" title=\"Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. \nこの有害反応に関連する症状や兆候。\">manifestation</a><a name=\"AllergyIntolerance.reaction.manifestation\"> </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\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</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#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候</td></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_bck010.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.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-allergyintolerance-definitions.html#AllergyIntolerance.reaction.description\" title=\"Text description about the reaction as a whole, including details of the manifestation if required. \n必要であれば症状兆候の詳細も含めた、有害反応全体に関するテキストによる記述。\">description</a><a name=\"AllergyIntolerance.reaction.description\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Description of the event as a whole. この有害反応に関する全般的な記述</td></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_bck010.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.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-allergyintolerance-definitions.html#AllergyIntolerance.reaction.onset\" title=\"Record of the date and/or time of the onset of the Reaction. \nこの有害反応の開始の日付もしくは日時の記録。\">onset</a><a name=\"AllergyIntolerance.reaction.onset\"> </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\"><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#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date(/time) when manifestations showed. この有害反応がみられた日時</td></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_bck010.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.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-allergyintolerance-definitions.html#AllergyIntolerance.reaction.severity\" title=\"Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. \n有害反応の重症度の全体としての臨床的な評価で、潜在的には複数の異なる症状兆候を考慮して決める。\">severity</a><a name=\"AllergyIntolerance.reaction.severity\"> </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\"><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: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">mild | moderate | severe (of event as a whole) （軽度 | 中度 | 重度）</td></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_bck010.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.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-allergyintolerance-definitions.html#AllergyIntolerance.reaction.exposureRoute\" title=\"Identification of the route by which the subject was exposed to the substance. \n患者がどのような経路でこの物質に暴露したかの同定。\">exposureRoute</a><a name=\"AllergyIntolerance.reaction.exposureRoute\"> </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\"><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#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How the subject was exposed to the substance. 患者がこの物質にどのように暴露したか</td></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_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: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.note\" title=\"Additional text about the adverse reaction event not captured in other fields. \n他のフィールド要素では記述できない、有害反応に関する追加テキスト。\">note</a><a name=\"AllergyIntolerance.reaction.note\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Annotation\">Annotation</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Text about event not captured in other fields. 他のフィールド要素では記述できない追加テキスト</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/core/StructureDefinition/JP_AllergyIntolerance",
"version" : "1.1.2-url",
"name" : "JP_AllergyIntolerance",
"title" : "JP Core AllergyIntolerance Profile",
"status" : "active",
"date" : "2023-06-26",
"publisher" : "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
"contact" : [
{
"name" : "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
"telecom" : [
{
"system" : "url",
"value" : "http://jpfhir.jp"
},
{
"system" : "email",
"value" : "office@hlfhir.jp"
}
]
}
],
"description" : "このプロファイルはAllergyIntoleranceリソースに対して、患者のアレルギー不耐症に関するデータを送受信するための制約と拡張を定めるものである。",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "JP"
}
]
}
],
"copyright" : "Copyright FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会NeXEHRS課題研究会FHIR日本実装検討WG",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "AllergyIntolerance",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "AllergyIntolerance",
"path" : "AllergyIntolerance",
"short" : "Allergy or Intolerance (generally: Risk of adverse reaction to a substance). アレルギー不耐症 (特定の物質への暴露で生じた有害反応)",
"definition" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance. \nこのリソースは患者のアレルギー不耐症を表現する。具体的には、特定の物質または物質群への暴露によって生じる有害反応の傾向や、潜在的なリスクを表現する。",
"comment" : "物質には、個人に適切な投与量で正しく投与される治療物質が含まれますが、これらに限定されません。食物;植物または動物に由来する材料。または昆虫の刺し傷からの毒。 / Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.",
"alias" : [
"Allergy",
"Intolerance",
"Adverse Reaction"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "ait-1",
"severity" : "error",
"human" : "AllergyIntolerance.ClinicalStatusが存在する場合は、存在するものとします。 / AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.",
"expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()",
"xpath" : "f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)",
"source" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
},
{
"key" : "ait-2",
"severity" : "error",
"human" : "AllergyIntolerance.ClinicalStatusは、検証ステータスが入力されている場合、存在しないでください / AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
"expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()",
"xpath" : "not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))",
"source" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
},
{
"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またはmeta.lastupdatedを持たないものとします / 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" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "AllergyIntolerance.id",
"path" : "AllergyIntolerance.id",
"short" : "このアーティファクトの論理ID / Logical id of this artifact",
"definition" : "リソースのURLで使用されるリソースの論理ID。割り当てられたら、この値は変更されません。 / The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "リソースにIDがないのは、IDが作成操作を使用してサーバーに送信されている場合です。 / The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "AllergyIntolerance.meta",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.implicitRules",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.language",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.text",
"path" : "AllergyIntolerance.text",
"short" : "Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約",
"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" : "AllergyIntolerance.contained",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.extension",
"path" : "AllergyIntolerance.extension",
"short" : "実装で定義された追加のコンテンツ / Additional content defined by implementations",
"definition" : "リソースの基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "すべてのFHIR要素には、@valueまたは子供が必要です / 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" : "AllergyIntolerance.modifierExtension",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.identifier",
"path" : "AllergyIntolerance.identifier",
"short" : "このアイテムの外部ID / External ids for this item",
"definition" : "リソースが更新され、サーバーからサーバーに伝播するにつれて一定のままであるパフォーマーまたは他のシステムによってこのアレルギー耐性に割り当てられたビジネス識別子。 / Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"comment" : "これはビジネス識別子であり、リソース識別子ではありません（[ディスカッション]（Resource.html＃識別子を参照））。識別子が単一のリソースインスタンスにのみ表示することがベストプラクティスですが、ビジネス慣行は、同じ識別子を持つ複数のリソースインスタンスが存在する可能性があることを時々決定する場合があります。たとえば、複数の患者と個人のリソースインスタンスは、同じ社会保険番号を共有する場合があります。 / This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"requirements" : "さまざまな参加システムで知られており、サーバー全体で一貫している方法でアレルギー耐性を識別できるようにします。 / Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance.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" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "v2",
"map" : "IAM-7"
},
{
"identity" : "rim",
"map" : "id"
}
]
},
{
"id" : "AllergyIntolerance.clinicalStatus",
"path" : "AllergyIntolerance.clinicalStatus",
"short" : "active | inactive | resolved (アクティブ | 非アクティブ | 解決済み)",
"definition" : "The clinical status of the allergy or intolerance. \nこのアレルギー不耐症のステータス。",
"comment" : "Clincalstatusのデータが欠落している場合は、[Discussion]（Extensibility.html＃Special-Case）を参照してください。\nClinicalStatusには臨床的判断が関与しているため、データ型はCodeAbleconceptです。そのため、必要なFHIR値セットが許可するよりも特異性が必要になる場合があります。たとえば、スノムコーディングにより、追加の特異性が可能になる場合があります。 / Refer to [discussion](http://hl7.org/fhir/R4/extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.clinicalStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"ait-1",
"ait-2"
],
"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" : "この要素には、ステータスが非アクティブであるコードを含み、アレルギー耐性をアクティブにしなくなったとマークする解決されたため、修飾子としてラベル付けされています。 / This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "AllergyIntoleranceClinicalStatus"
}
],
"strength" : "required",
"description" : "アレルギーまたは不耐性の臨床状態。 / The clinical status of the allergy or intolerance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "rim",
"map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
}
]
},
{
"id" : "AllergyIntolerance.verificationStatus",
"path" : "AllergyIntolerance.verificationStatus",
"short" : "unconfirmed | confirmed | refuted | entered-in-error (未確認 | 確認済み | 否定された | 入力エラー)",
"definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product). \n特定された物質（医薬品を含む）が有害反応を誘発する確実性の度合い。",
"comment" : "検証型には臨床的判断が含まれているため、データ型はCodeAbleconceptです。そのため、必要なFHIR値セットが許可するよりも特異性が必要になる場合があります。たとえば、スノムコーディングにより、追加の特異性が可能になる場合があります。 / The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.verificationStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"ait-1",
"ait-2"
],
"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、アレルギー耐性を現在有効ではないとマークする反論および侵入のコードが含まれているため、修飾子としてラベル付けされています。 / This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "AllergyIntoleranceVerificationStatus"
}
],
"strength" : "required",
"description" : "特定された物質に対する反応の傾向または潜在的なリスクに関連する確実性に関する主張。 / Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "rim",
"map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
}
]
},
{
"id" : "AllergyIntolerance.type",
"path" : "AllergyIntolerance.type",
"short" : "allergy | intolerance - Underlying mechanism (if known) （アレルギー | 不耐症）",
"definition" : "Identification of the underlying physiological mechanism for the reaction risk. \n有害反応を誘発する生理的なメカニズムが特定できる場合にアレルギーか不耐性かを区別する。",
"comment" : "アレルギー性（通常は免疫媒介）反応は、伝統的に、重大な将来のリスクへの潜在的なエスカレーションの指標と見なされてきました。現代の知識は、以前は免疫媒介であると考えられていたいくつかの反応は、実際には非免疫であるが、場合によっては生命を脅かすリスクをもたらす可能性があることを示唆しています。多くの臨床医が特定の反応のメカニズムを区別する立場にない可能性があることが認められています。多くの場合、「アレルギー」という用語はかなり一般的に使用され、「不寛容」の使用と重複する場合があります。実際には、これら2つの概念の境界は明確に定義されたり理解されたりしない場合があります。それでも、多くのレガシーシステムがこの属性をキャプチャしているため、このデータ要素が含まれています。免疫学的検査は、反応と原因物質の基礎についての支持的な証拠を提供する可能性がありますが、特定の物質に対する感受性に対して100％感度または特異的である検査はありません。一般的にそうであるように、反応がアレルギーまたは不耐性によるものであるかどうかが不明である場合、タイプ要素はリソースから省略する必要があります。 / Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.",
"alias" : [
"Category",
"Class"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.type",
"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" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "AllergyIntoleranceType"
}
],
"strength" : "required",
"description" : "反応リスクの基礎となる生理学的メカニズムの特定。 / Identification of the underlying physiological mechanism for a Reaction Risk.",
"valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "v2",
"map" : "IAM-9"
},
{
"identity" : "rim",
"map" : "code"
}
]
},
{
"id" : "AllergyIntolerance.category",
"path" : "AllergyIntolerance.category",
"short" : "food | medication | environment | biologic (食品 | 薬品 | 環境 | 生体)",
"definition" : "Category of the identified substance. \n同定された物質のカテゴリー。",
"comment" : "このデータ要素は、現在いくつかの臨床システムでキャプチャされているため、含まれています。このデータは、コーディングシステムが使用されている物質から導き出すことができ、その状況では効果的に冗長です。カテゴリを検索するときは、カテゴリなしでアレルギー耐性リソースの意味を考慮してください。たとえば、カテゴリ=薬で検索すると、評価されていないカテゴリがない薬物療法は返されません。[検索]（Search.html）を参照してください。カテゴリを失ったカテゴリを使用してカテゴリを検索する方法の詳細については、カテゴリを持たないアレルギーを取得します。さらに、カテゴリは送信者に基づいて主観的である可能性があるため、カテゴリは注意して使用する必要があります。 / This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.",
"alias" : [
"Category",
"Type",
"Reaction Type",
"Class"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance.category",
"min" : 0,
"max" : "*"
},
"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" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "AllergyIntoleranceCategory"
}
],
"strength" : "required",
"description" : "アレルギーまたは不耐性に関連する同定された物質のカテゴリ。 / Category of an identified substance associated with allergies or intolerances.",
"valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "v2",
"map" : "AL1-2"
},
{
"identity" : "rim",
"map" : "value < IntoleranceValue (Agent)"
}
]
},
{
"id" : "AllergyIntolerance.criticality",
"path" : "AllergyIntolerance.criticality",
"short" : "low | high | unable-to-assess (低い | 高い | 評価できない)",
"definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. \n同定された物質が誘発する有害反応の臨床的な重要度。",
"comment" : "副作用に対するあらゆる傾向のデフォルトのクリティカリティ値は「低リスク」である必要があり、少なくとも物質への意図的または自発的な暴露に対する相対的な禁忌を示しています。臨床医がアナフィラキシーなどのより深刻または潜在的に生命を脅かす反応の傾向を特定し、物質への意図的または自発的な暴露に対する絶対的な禁忌を暗示している場合、「高リスク」にフラグが立てられます。この要素が欠落している場合、臨界性は不明です（ただし、他の場所で知られている場合があります）。条件レベルで重症度をキャプチャするシステムは、実際には臨界の概念を表していますが、反応レベルで文書化された重大度は真の反応の重症度を表しています。条件の臨界性と反応の重症度の両方をキャプチャしている既存のシステムは、「重大度」という用語を使用して両方を表す場合があります。臨界性は、将来的には最悪です（つまり、状況に依存しない）が、重大度は状況に依存します。 / The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.",
"alias" : [
"Severity",
"Seriousness",
"Contra-indication",
"Risk"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.criticality",
"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" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "AllergyIntoleranceCriticality"
}
],
"strength" : "required",
"description" : "特定された物質に対する反応の潜在的な臨床的危害または深刻さの推定。 / Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
"valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.grade"
},
{
"identity" : "v2",
"map" : "AL1-4"
},
{
"identity" : "rim",
"map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
}
]
},
{
"id" : "AllergyIntolerance.code",
"path" : "AllergyIntolerance.code",
"short" : "Code that identifies the allergy or intolerance. このアレルギー不耐症の識別コード",
"definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g., \"No known allergy\", \"No known drug allergies\"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \nアレルギー不耐症を識別するためのコード（肯定または否定・除外の両者を含む）。このコードは、アレルゲンとなる物資（例:Latex）、状態としてのアレルギー不耐性（例:Latex allergy）、特定の物質やクラスに対する否定・除外コード（例: No latex allergy）、物質やクラス全般に対する否定・除外コード（例: No known allergy, No known drug allergies）などが考えられる。 \n注: 特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質（ブランド薬など）や、特定された物質を含む複合製品の場合がある。 \nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。 \n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に（前者が後者の意味的な下位概念にあること）を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。",
"comment" : "このプロファイルを利用するにあたっては注意事項も参照のこと。[JP Core Allergyintoleranceプロファイル 注意事項](StructureDefinition-jp-allergyintolerance.html#%E6%B3%A8%E6%84%8F%E4%BA%8B%E9%A0%85)",
"alias" : [
"Code"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.code",
"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" : {
"strength" : "example",
"valueSet" : "http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.what[x]"
},
{
"identity" : "v2",
"map" : "AL1-3 / IAM-3"
},
{
"identity" : "rim",
"map" : "substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"
}
]
},
{
"id" : "AllergyIntolerance.patient",
"path" : "AllergyIntolerance.patient",
"short" : "Who the sensitivity is for. このアレルギー不耐症を有する患者",
"definition" : "The patient who has the allergy or intolerance. \nこのアレルギー不耐症を有する患者。",
"alias" : [
"Patient"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.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" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "(PID-3)"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "AllergyIntolerance.encounter",
"path" : "AllergyIntolerance.encounter",
"short" : "Encounter when the allergy or intolerance was asserted. このアレルギー不耐症が判明した受療の状況（外来、入院、救急、在宅など）",
"definition" : "The encounter when the allergy or intolerance was asserted. \nこのアレルギー不耐症が判明した受療の状況（外来、入院、救急、在宅など）",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.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" : "w5",
"map" : "FiveWs.context"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
},
{
"id" : "AllergyIntolerance.onset[x]",
"path" : "AllergyIntolerance.onset[x]",
"short" : "When allergy or intolerance was identified. このアレルギー不耐症のオンセット",
"definition" : "Estimated or actual date, date-time, or age when allergy or intolerance was identified. \nこのアレルギー不耐症が同定された事実もしくは推定された時期（日付、日時、年齢）。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.onset[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Age"
},
{
"code" : "Period"
},
{
"code" : "Range"
},
{
"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" : "w5",
"map" : "FiveWs.init"
},
{
"identity" : "rim",
"map" : "effectiveTime.low"
}
]
},
{
"id" : "AllergyIntolerance.recordedDate",
"path" : "AllergyIntolerance.recordedDate",
"short" : "Date first version of the resource instance was recorded. このアレルギー不耐症が初めて記録された日時",
"definition" : "The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. このアレルギー不耐症の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.recordedDate",
"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" : "v2",
"map" : "IAM-13"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].time"
}
]
},
{
"id" : "AllergyIntolerance.recorder",
"path" : "AllergyIntolerance.recorder",
"short" : "Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか",
"definition" : "Individual who recorded the record and takes responsibility for its content. \nこのアレルギー不耐症を記録しその内容に責任を持つ個人。",
"alias" : [
"Author"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.recorder",
"min" : 0,
"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_Patient"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
],
"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.author"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].role"
}
]
},
{
"id" : "AllergyIntolerance.asserter",
"path" : "AllergyIntolerance.asserter",
"short" : "Source of the information about the allergy. このアレルギー不耐症の情報源",
"definition" : "The source of the information about the allergy that is recorded. \nこのアレルギー不耐症に関する情報の発生源または取得元。",
"comment" : "レコーダーはコンテンツに対して責任を負いますが、入手した場所からソースを参照できます。 / The recorder takes responsibility for the content, but can reference the source from where they got it.",
"alias" : [
"Source",
"Informant"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.asserter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,
"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"🔗 ,
"http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"
]
}
],
"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" : "IAM-14 (if patient) / IAM-18 (if practitioner)"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=INF].role"
}
]
},
{
"id" : "AllergyIntolerance.lastOccurrence",
"path" : "AllergyIntolerance.lastOccurrence",
"short" : "Date(/time) of last known occurrence of a reaction. このアレルギー不耐症が最も直近に発生した日時",
"definition" : "Represents the date and/or time of the last known occurrence of a reaction event. \n最も直近に発生した日時を表す。",
"comment" : "この日付は、反応日の開始の1つによって複製される場合があります。最後の発生の日付のテキスト表現が必要な場合。「10年前の幼少期に」コメント要素を使用する必要があります。 / This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.lastOccurrence",
"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" : "rim",
"map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime"
}
]
},
{
"id" : "AllergyIntolerance.note",
"path" : "AllergyIntolerance.note",
"short" : "Additional text not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
"definition" : "Additional narrative about the propensity for the Adverse Reaction, not captured in other fields. \n他のフィールド要素では表現できない、このアレルギー不耐症に関する追加的な記述。",
"comment" : "例：「高リスク」の深刻さにフラグを立てる理由を含む。集中治療室内またはコルチコステロイドカバーの下での投与など、将来の曝露または物質の投与に関連する指示。メモは、一般的な条件としてのアレルギーまたは不耐性に関連しており、その特定のエピソードとは関係ありません。エピソードノートと説明には、allergyIntolerance.event.descriptionとallergyIntolerance.event.notesを使用します。 / For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance.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" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "subjectOf.observationEvent[code=\"annotation\"].value"
}
]
},
{
"id" : "AllergyIntolerance.reaction",
"path" : "AllergyIntolerance.reaction",
"short" : "Adverse Reaction Events linked to exposure to substance. このアレルゲンへの暴露に関連する有害反応",
"definition" : "Details about each adverse reaction event linked to exposure to the identified substance. \n同定された物質への暴露に関連する個々の有害反応に関する詳細情報。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance.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" : "rim",
"map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]"
}
]
},
{
"id" : "AllergyIntolerance.reaction.id",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.reaction.extension",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.reaction.modifierExtension",
"path" : "AllergyIntolerance.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" : "AllergyIntolerance.reaction.substance",
"path" : "AllergyIntolerance.reaction.substance",
"short" : "Specific substance or pharmaceutical product considered to be responsible for event. 有害反応の原因と考えられる特定の物質または医薬品",
"definition" : "Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \n有害反応の原因と考えられる物質（または医薬品）。 \n注：特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質（ブランド薬など）や、特定された物質を含む複合製品の場合がある。 \nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。 \n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に（前者が後者の意味的な下位概念にあること）を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。",
"comment" : "特定の物質（または医薬品）のコード化は、可能な限り、意思決定サポートをトリガーできる用語で使用する必要があります。「コード」要素は、特定の物質または医薬品、またはグループまたはクラスの物質を使用できるようにします。物質のクラスに対するアレルギーまたは不耐性の場合（たとえば、「ペニシリン」）、「反応」要素を使用して、反応を引き起こしたと特定された特定の物質をコーディングすることができます（たとえば、例えば、「アモキシシリン」）。「コード」と「反応」要素の値の複製は、特定の物質が「コード」に記録されている場合に受け入れられます。 / Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, \"penicillins\"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, \"amoxycillin\"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.reaction.substance",
"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" : "SubstanceCode"
}
],
"strength" : "example",
"description" : "物質のタイプを定義するコード（医薬品を含む）。 / Codes defining the type of the substance (including pharmaceutical products).",
"valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
},
"mapping" : [
{
"identity" : "rim",
"map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]"
}
]
},
{
"id" : "AllergyIntolerance.reaction.manifestation",
"path" : "AllergyIntolerance.reaction.manifestation",
"short" : "Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候",
"definition" : "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. \nこの有害反応に関連する症状や兆候。",
"comment" : "顕現は、単語、フレーズ、または簡単な説明として表現できます。例：吐き気、発疹、または反応なし。可能であれば、症状は用語でコード化することが望ましい。ここに入力された値は、英国NHS CUIガイドラインで推奨されるように、副作用のリストの一部としてアプリケーション画面に表示するために使用できます。一般的に使用される用語には、Snomed CTまたはICD10が含まれますが、これらに限定されません。 / Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.",
"alias" : [
"Symptoms",
"Signs"
],
"min" : 1,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance.reaction.manifestation",
"min" : 1,
"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" : "Manifestation"
}
],
"strength" : "example",
"description" : "有害反応イベントに観察または関連する臨床症状および/または徴候。 / Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.",
"valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
},
"mapping" : [
{
"identity" : "v2",
"map" : "AL1-5"
},
{
"identity" : "rim",
"map" : "code"
}
]
},
{
"id" : "AllergyIntolerance.reaction.description",
"path" : "AllergyIntolerance.reaction.description",
"short" : "Description of the event as a whole. この有害反応に関する全般的な記述",
"definition" : "Text description about the reaction as a whole, including details of the manifestation if required. \n必要であれば症状兆候の詳細も含めた、有害反応全体に関するテキストによる記述。",
"comment" : "説明を使用して、状況、反応の詳細、前後に起こったことなど、発生した反応の特定のイベントの詳細を提供します。イベントに関連する情報ですが、特定のケアを説明しない情報は、コメントフィールドに把握する必要があります。たとえば、4歳で、患者に連鎖球菌のペニシリンを投与され、その後重度のじんましんを発症しました。 / Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.",
"alias" : [
"Narrative",
"Text"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.reaction.description",
"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" : "text"
}
]
},
{
"id" : "AllergyIntolerance.reaction.onset",
"path" : "AllergyIntolerance.reaction.onset",
"short" : "Date(/time) when manifestations showed. この有害反応がみられた日時",
"definition" : "Record of the date and/or time of the onset of the Reaction. \nこの有害反応の開始の日付もしくは日時の記録。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.reaction.onset",
"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" : "AL1-6"
},
{
"identity" : "rim",
"map" : "effectiveTime.low"
}
]
},
{
"id" : "AllergyIntolerance.reaction.severity",
"path" : "AllergyIntolerance.reaction.severity",
"short" : "mild | moderate | severe (of event as a whole) （軽度 | 中度 | 重度）",
"definition" : "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. \n有害反応の重症度の全体としての臨床的な評価で、潜在的には複数の異なる症状兆候を考慮して決める。",
"comment" : "この評価は非常に主観的であることが認められています。客観的なスケールが適用されている特定の実践ドメインがある場合があります。このモデルには、拡張機能として目的スケールを含めることができます。 / It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.reaction.severity",
"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-bindingName",
"valueString" : "AllergyIntoleranceSeverity"
}
],
"strength" : "required",
"description" : "反応イベント全体の重症度の臨床評価は、潜在的に複数の異なる症状を考慮しています。 / Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.",
"valueSet" : "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
}
]
},
{
"id" : "AllergyIntolerance.reaction.exposureRoute",
"path" : "AllergyIntolerance.reaction.exposureRoute",
"short" : "How the subject was exposed to the substance. 患者がこの物質にどのように暴露したか",
"definition" : "Identification of the route by which the subject was exposed to the substance. \n患者がどのような経路でこの物質に暴露したかの同定。",
"comment" : "可能な限り、用語による露出経路のコーディングは、可能な限り使用する必要があります。 / Coding of the route of exposure with a terminology should be used wherever possible.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AllergyIntolerance.reaction.exposureRoute",
"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" : "RouteOfAdministration"
}
],
"strength" : "example",
"description" : "被験者の体への、またはそれへの治療剤の投与の経路または生理学的経路を説明するコード化された概念。 / A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
"valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
},
"mapping" : [
{
"identity" : "rim",
"map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode"
}
]
},
{
"id" : "AllergyIntolerance.reaction.note",
"path" : "AllergyIntolerance.reaction.note",
"short" : "Text about event not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
"definition" : "Additional text about the adverse reaction event not captured in other fields. \n他のフィールド要素では記述できない、有害反応に関する追加テキスト。",
"comment" : "このフィールドを使用して、特定のイベントに間接的に関連する情報を記録し、説明に記載されていません。たとえば、臨床記録は利用できなくなり、母親と母親が患者に提供した情報に基づいて記録されています。 / Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "AllergyIntolerance.reaction.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" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "subjectOf.observationEvent[code=\"annotation\"].value"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "AllergyIntolerance",
"path" : "AllergyIntolerance",
"short" : "Allergy or Intolerance (generally: Risk of adverse reaction to a substance). アレルギー不耐症 (特定の物質への暴露で生じた有害反応)",
"definition" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance. \nこのリソースは患者のアレルギー不耐症を表現する。具体的には、特定の物質または物質群への暴露によって生じる有害反応の傾向や、潜在的なリスクを表現する。"
},
{
"id" : "AllergyIntolerance.text",
"path" : "AllergyIntolerance.text",
"short" : "Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約"
},
{
"id" : "AllergyIntolerance.clinicalStatus",
"path" : "AllergyIntolerance.clinicalStatus",
"short" : "active | inactive | resolved (アクティブ | 非アクティブ | 解決済み)",
"definition" : "The clinical status of the allergy or intolerance. \nこのアレルギー不耐症のステータス。"
},
{
"id" : "AllergyIntolerance.verificationStatus",
"path" : "AllergyIntolerance.verificationStatus",
"short" : "unconfirmed | confirmed | refuted | entered-in-error (未確認 | 確認済み | 否定された | 入力エラー)",
"definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product). \n特定された物質（医薬品を含む）が有害反応を誘発する確実性の度合い。"
},
{
"id" : "AllergyIntolerance.type",
"path" : "AllergyIntolerance.type",
"short" : "allergy | intolerance - Underlying mechanism (if known) （アレルギー | 不耐症）",
"definition" : "Identification of the underlying physiological mechanism for the reaction risk. \n有害反応を誘発する生理的なメカニズムが特定できる場合にアレルギーか不耐性かを区別する。"
},
{
"id" : "AllergyIntolerance.category",
"path" : "AllergyIntolerance.category",
"short" : "food | medication | environment | biologic (食品 | 薬品 | 環境 | 生体)",
"definition" : "Category of the identified substance. \n同定された物質のカテゴリー。"
},
{
"id" : "AllergyIntolerance.criticality",
"path" : "AllergyIntolerance.criticality",
"short" : "low | high | unable-to-assess (低い | 高い | 評価できない)",
"definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. \n同定された物質が誘発する有害反応の臨床的な重要度。"
},
{
"id" : "AllergyIntolerance.code",
"path" : "AllergyIntolerance.code",
"short" : "Code that identifies the allergy or intolerance. このアレルギー不耐症の識別コード",
"definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g., \"No known allergy\", \"No known drug allergies\"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \nアレルギー不耐症を識別するためのコード（肯定または否定・除外の両者を含む）。このコードは、アレルゲンとなる物資（例:Latex）、状態としてのアレルギー不耐性（例:Latex allergy）、特定の物質やクラスに対する否定・除外コード（例: No latex allergy）、物質やクラス全般に対する否定・除外コード（例: No known allergy, No known drug allergies）などが考えられる。 \n注: 特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質（ブランド薬など）や、特定された物質を含む複合製品の場合がある。 \nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。 \n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に（前者が後者の意味的な下位概念にあること）を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。",
"comment" : "このプロファイルを利用するにあたっては注意事項も参照のこと。[JP Core Allergyintoleranceプロファイル 注意事項](StructureDefinition-jp-allergyintolerance.html#%E6%B3%A8%E6%84%8F%E4%BA%8B%E9%A0%85)",
"binding" : {
"strength" : "example",
"valueSet" : "http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS"
}
},
{
"id" : "AllergyIntolerance.patient",
"path" : "AllergyIntolerance.patient",
"short" : "Who the sensitivity is for. このアレルギー不耐症を有する患者",
"definition" : "The patient who has the allergy or intolerance. \nこのアレルギー不耐症を有する患者。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"
]
}
]
},
{
"id" : "AllergyIntolerance.encounter",
"path" : "AllergyIntolerance.encounter",
"short" : "Encounter when the allergy or intolerance was asserted. このアレルギー不耐症が判明した受療の状況（外来、入院、救急、在宅など）",
"definition" : "The encounter when the allergy or intolerance was asserted. \nこのアレルギー不耐症が判明した受療の状況（外来、入院、救急、在宅など）",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"
]
}
]
},
{
"id" : "AllergyIntolerance.onset[x]",
"path" : "AllergyIntolerance.onset[x]",
"short" : "When allergy or intolerance was identified. このアレルギー不耐症のオンセット",
"definition" : "Estimated or actual date, date-time, or age when allergy or intolerance was identified. \nこのアレルギー不耐症が同定された事実もしくは推定された時期（日付、日時、年齢）。"
},
{
"id" : "AllergyIntolerance.recordedDate",
"path" : "AllergyIntolerance.recordedDate",
"short" : "Date first version of the resource instance was recorded. このアレルギー不耐症が初めて記録された日時",
"definition" : "The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. このアレルギー不耐症の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。"
},
{
"id" : "AllergyIntolerance.recorder",
"path" : "AllergyIntolerance.recorder",
"short" : "Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか",
"definition" : "Individual who recorded the record and takes responsibility for its content. \nこのアレルギー不耐症を記録しその内容に責任を持つ個人。",
"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_Patient"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
]
},
{
"id" : "AllergyIntolerance.asserter",
"path" : "AllergyIntolerance.asserter",
"short" : "Source of the information about the allergy. このアレルギー不耐症の情報源",
"definition" : "The source of the information about the allergy that is recorded. \nこのアレルギー不耐症に関する情報の発生源または取得元。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,
"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"🔗 ,
"http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"
]
}
]
},
{
"id" : "AllergyIntolerance.lastOccurrence",
"path" : "AllergyIntolerance.lastOccurrence",
"short" : "Date(/time) of last known occurrence of a reaction. このアレルギー不耐症が最も直近に発生した日時",
"definition" : "Represents the date and/or time of the last known occurrence of a reaction event. \n最も直近に発生した日時を表す。"
},
{
"id" : "AllergyIntolerance.note",
"path" : "AllergyIntolerance.note",
"short" : "Additional text not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
"definition" : "Additional narrative about the propensity for the Adverse Reaction, not captured in other fields. \n他のフィールド要素では表現できない、このアレルギー不耐症に関する追加的な記述。"
},
{
"id" : "AllergyIntolerance.reaction",
"path" : "AllergyIntolerance.reaction",
"short" : "Adverse Reaction Events linked to exposure to substance. このアレルゲンへの暴露に関連する有害反応",
"definition" : "Details about each adverse reaction event linked to exposure to the identified substance. \n同定された物質への暴露に関連する個々の有害反応に関する詳細情報。"
},
{
"id" : "AllergyIntolerance.reaction.substance",
"path" : "AllergyIntolerance.reaction.substance",
"short" : "Specific substance or pharmaceutical product considered to be responsible for event. 有害反応の原因と考えられる特定の物質または医薬品",
"definition" : "Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \n有害反応の原因と考えられる物質（または医薬品）。 \n注：特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質（ブランド薬など）や、特定された物質を含む複合製品の場合がある。 \nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。 \n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に（前者が後者の意味的な下位概念にあること）を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。"
},
{
"id" : "AllergyIntolerance.reaction.manifestation",
"path" : "AllergyIntolerance.reaction.manifestation",
"short" : "Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候",
"definition" : "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. \nこの有害反応に関連する症状や兆候。"
},
{
"id" : "AllergyIntolerance.reaction.description",
"path" : "AllergyIntolerance.reaction.description",
"short" : "Description of the event as a whole. この有害反応に関する全般的な記述",
"definition" : "Text description about the reaction as a whole, including details of the manifestation if required. \n必要であれば症状兆候の詳細も含めた、有害反応全体に関するテキストによる記述。"
},
{
"id" : "AllergyIntolerance.reaction.onset",
"path" : "AllergyIntolerance.reaction.onset",
"short" : "Date(/time) when manifestations showed. この有害反応がみられた日時",
"definition" : "Record of the date and/or time of the onset of the Reaction. \nこの有害反応の開始の日付もしくは日時の記録。"
},
{
"id" : "AllergyIntolerance.reaction.severity",
"path" : "AllergyIntolerance.reaction.severity",
"short" : "mild | moderate | severe (of event as a whole) （軽度 | 中度 | 重度）",
"definition" : "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. \n有害反応の重症度の全体としての臨床的な評価で、潜在的には複数の異なる症状兆候を考慮して決める。"
},
{
"id" : "AllergyIntolerance.reaction.exposureRoute",
"path" : "AllergyIntolerance.reaction.exposureRoute",
"short" : "How the subject was exposed to the substance. 患者がこの物質にどのように暴露したか",
"definition" : "Identification of the route by which the subject was exposed to the substance. \n患者がどのような経路でこの物質に暴露したかの同定。"
},
{
"id" : "AllergyIntolerance.reaction.note",
"path" : "AllergyIntolerance.reaction.note",
"short" : "Text about event not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
"definition" : "Additional text about the adverse reaction event not captured in other fields. \n他のフィールド要素では記述できない、有害反応に関する追加テキスト。"
}
]
}
}