HL7 FHIR JP Core ImplementationGuide
1.1.1 - release
HL7 FHIR JP Core ImplementationGuide
1.1.1 - release
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.1). See the Directory of published versions
| 項目 | 内容 |
| 定義URL | http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole |
| Version | 1.1.1 |
| Name | JP_PractitionerRole |
| Title | JP Core PractitionerRole Profile |
| Status | Active ( 2022-10-24 ) |
| 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 |
このプロファイルはPractitionerRoleリソースに対して、医療従事者役割のデータを送受信するための基礎となる制約と拡張を定めたものである。
医療者が組織で一定期間担当する可能性のある特定の役割/場所/専門分野/サービスのセット。
本プロファイルは、PractitionerRoleリソースが医療者の役割を記録、検索、および取得するための最小の期待値を設定する。 これは、本プロファイルを使用するときにPractitionerRoleリソースに存在する必要がある必須のコア要素、拡張機能、語彙、および値セットを識別する。
本プロファイルは、以下のようなユースケースを想定している。
医療者の臨床専門分野による医療者役割の検索
他のリソースからの医療者役割の参照（例：Encounterリソースのparticipantで参照される患者の関係者の医療者役割）
医療者役割は、医療者が組織に提供できるサービスの場所と種類の記録をカバーする。
医療者役割の他のインスタンスで必要に応じて、ロール、スペシャリティ、ロケーションテレコム、およびHealthcareServiceプロパティを繰り返すことができる。 単一の場所のサービス値のコレクションを記録するシステムもあれば、単一のサービスとそれが利用可能な場所のリストを記録するシステムもある。 どちらも、このデータを表すための許容可能なオプションである。可用性、通信、またはその他の詳細がすべてのヘルスケアサービス間で同じではない場合、または場所ごとに個別の医療者役割インスタンスを作成する必要がある。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from PractitionerRole
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  PractitionerRole | 0..* | PractitionerRole | 医療従事者が関連付けられている役割/組織 | |
  identifier | 0..* | Identifier | Business Identifiers that are specific to a role/location 役割/場所に固有のビジネス識別子 | |
| active | 0..1 | boolean | Whether this practitioner role record is in active use このPractitionerRoleレコードがアクティブに使用されているかどうか | |
| period | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間 | |
 practitioner | 0..1 | Reference(JP Core Practitioner Profile) | Practitioner that is able to provide the defined services for the organization 組織に定義されたサービスを提供できる医療従事者 | |
| organization | 0..1 | Reference(JP Core Organization Profile) | Organization where the roles are available 役割が可能な組織 | |
| code | 0..* | CodeableConcept | Roles which this practitioner may perform この医療従事者が果たす役割【詳細参照】 Binding: JP Core PractitionerRole ValueSet (preferred) | |
| specialty | 0..* | CodeableConcept | Specific specialty of the practitioner | |
| location | 0..* | Reference(JP Core Location Profile) | The location(s) at which this practitioner provides care この医療従事者がケアを提供している場所 | |
| healthcareService | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト | |
| telecom | 0..* | ContactPoint | Contact details that are specific to the role/location/service 役割/場所/サービスに固有の連絡先の詳細 | |
| availableTime | 0..* | BackboneElement | Times the Service Site is available | |
 daysOfWeek | 0..* | code | mon | tue | wed | thu | fri | sat | sun | |
| allDay | 0..1 | boolean | Always available? e.g. 24 hour service | |
| availableStartTime | 0..1 | time | Opening time of day (ignored if allDay = true) | |
 availableEndTime | 0..1 | time | Closing time of day (ignored if allDay = true) | |
| notAvailable | 0..* | BackboneElement | Not available during this time due to provided reason この期間中は利用できない理由と期間 | |
| description | 1..1 | string | Reason presented to the user explaining why time not available | |
| during | 0..1 | Period | Service not available from this date | |
| availabilityExceptions | 0..1 | string | Description of availability exceptions | |
| endpoint | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| PractitionerRole | 0..* | PractitionerRole | 医療従事者が関連付けられている役割/組織 | |||||
 id | Σ | 0..1 | id | Logical id of this artifact | ||||
 meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifiers that are specific to a role/location 役割/場所に固有のビジネス識別子 | ||||
| active | Σ | 0..1 | boolean | Whether this practitioner role record is in active use このPractitionerRoleレコードがアクティブに使用されているかどうか | ||||
| period | Σ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間 | ||||
| practitioner | Σ | 0..1 | Reference(JP Core Practitioner Profile) | Practitioner that is able to provide the defined services for the organization 組織に定義されたサービスを提供できる医療従事者 | ||||
| organization | Σ | 0..1 | Reference(JP Core Organization Profile) | Organization where the roles are available 役割が可能な組織 | ||||
| code | Σ | 0..* | CodeableConcept | Roles which this practitioner may perform この医療従事者が果たす役割【詳細参照】 Binding: JP Core PractitionerRole ValueSet (preferred) | ||||
| specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency. | ||||
| location | Σ | 0..* | Reference(JP Core Location Profile) | The location(s) at which this practitioner provides care この医療従事者がケアを提供している場所 | ||||
| healthcareService | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト | |||||
| telecom | Σ | 0..* | ContactPoint | Contact details that are specific to the role/location/service 役割/場所/サービスに固有の連絡先の詳細 | ||||
| availableTime | 0..* | BackboneElement | Times the Service Site is available | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| daysOfWeek | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week. | |||||
| allDay | 0..1 | boolean | Always available? e.g. 24 hour service | |||||
| availableStartTime | 0..1 | time | Opening time of day (ignored if allDay = true) | |||||
| availableEndTime | 0..1 | time | Closing time of day (ignored if allDay = true) | |||||
| notAvailable | 0..* | BackboneElement | Not available during this time due to provided reason この期間中は利用できない理由と期間 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| description | 1..1 | string | Reason presented to the user explaining why time not available | |||||
| during | 0..1 | Period | Service not available from this date | |||||
| availabilityExceptions | 0..1 | string | Description of availability exceptions | |||||
| endpoint | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| PractitionerRole.language | preferred | CommonLanguages
| ||||
| PractitionerRole.code | preferred | JP_PractitionerRole_VS (a valid code from http://jpfhir.jp/fhir/core/CodeSystem/JP_PractitionerRole_CS) | ||||
| PractitionerRole.specialty | preferred | PracticeSettingCodeValueSet | ||||
| PractitionerRole.availableTime.daysOfWeek | required | DaysOfWeek |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from PractitionerRole
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| PractitionerRole | 0..* | PractitionerRole | 医療従事者が関連付けられている役割/組織 | |
| identifier | 0..* | Identifier | Business Identifiers that are specific to a role/location 役割/場所に固有のビジネス識別子 | |
| active | 0..1 | boolean | Whether this practitioner role record is in active use このPractitionerRoleレコードがアクティブに使用されているかどうか | |
| period | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間 | |
| practitioner | 0..1 | Reference(JP Core Practitioner Profile) | Practitioner that is able to provide the defined services for the organization 組織に定義されたサービスを提供できる医療従事者 | |
| organization | 0..1 | Reference(JP Core Organization Profile) | Organization where the roles are available 役割が可能な組織 | |
| code | 0..* | CodeableConcept | Roles which this practitioner may perform この医療従事者が果たす役割【詳細参照】 Binding: JP Core PractitionerRole ValueSet (preferred) | |
| specialty | 0..* | CodeableConcept | Specific specialty of the practitioner | |
| location | 0..* | Reference(JP Core Location Profile) | The location(s) at which this practitioner provides care この医療従事者がケアを提供している場所 | |
| healthcareService | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト | |
| telecom | 0..* | ContactPoint | Contact details that are specific to the role/location/service 役割/場所/サービスに固有の連絡先の詳細 | |
| availableTime | 0..* | BackboneElement | Times the Service Site is available | |
| daysOfWeek | 0..* | code | mon | tue | wed | thu | fri | sat | sun | |
| allDay | 0..1 | boolean | Always available? e.g. 24 hour service | |
| availableStartTime | 0..1 | time | Opening time of day (ignored if allDay = true) | |
| availableEndTime | 0..1 | time | Closing time of day (ignored if allDay = true) | |
| notAvailable | 0..* | BackboneElement | Not available during this time due to provided reason この期間中は利用できない理由と期間 | |
| description | 1..1 | string | Reason presented to the user explaining why time not available | |
| during | 0..1 | Period | Service not available from this date | |
| availabilityExceptions | 0..1 | string | Description of availability exceptions | |
| endpoint | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| PractitionerRole | 0..* | PractitionerRole | 医療従事者が関連付けられている役割/組織 | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifiers that are specific to a role/location 役割/場所に固有のビジネス識別子 | ||||
| active | Σ | 0..1 | boolean | Whether this practitioner role record is in active use このPractitionerRoleレコードがアクティブに使用されているかどうか | ||||
| period | Σ | 0..1 | Period | The period during which the practitioner is authorized to perform in these role(s) その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間 | ||||
| practitioner | Σ | 0..1 | Reference(JP Core Practitioner Profile) | Practitioner that is able to provide the defined services for the organization 組織に定義されたサービスを提供できる医療従事者 | ||||
| organization | Σ | 0..1 | Reference(JP Core Organization Profile) | Organization where the roles are available 役割が可能な組織 | ||||
| code | Σ | 0..* | CodeableConcept | Roles which this practitioner may perform この医療従事者が果たす役割【詳細参照】 Binding: JP Core PractitionerRole ValueSet (preferred) | ||||
| specialty | Σ | 0..* | CodeableConcept | Specific specialty of the practitioner Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency. | ||||
| location | Σ | 0..* | Reference(JP Core Location Profile) | The location(s) at which this practitioner provides care この医療従事者がケアを提供している場所 | ||||
| healthcareService | 0..* | Reference(HealthcareService) | The list of healthcare services that this worker provides for this role's Organization/Location(s) この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト | |||||
| telecom | Σ | 0..* | ContactPoint | Contact details that are specific to the role/location/service 役割/場所/サービスに固有の連絡先の詳細 | ||||
| availableTime | 0..* | BackboneElement | Times the Service Site is available | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| daysOfWeek | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week. | |||||
| allDay | 0..1 | boolean | Always available? e.g. 24 hour service | |||||
| availableStartTime | 0..1 | time | Opening time of day (ignored if allDay = true) | |||||
| availableEndTime | 0..1 | time | Closing time of day (ignored if allDay = true) | |||||
| notAvailable | 0..* | BackboneElement | Not available during this time due to provided reason この期間中は利用できない理由と期間 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| description | 1..1 | string | Reason presented to the user explaining why time not available | |||||
| during | 0..1 | Period | Service not available from this date | |||||
| availabilityExceptions | 0..1 | string | Description of availability exceptions | |||||
| endpoint | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the practitioner with this role | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| PractitionerRole.language | preferred | CommonLanguages
| ||||
| PractitionerRole.code | preferred | JP_PractitionerRole_VS (a valid code from http://jpfhir.jp/fhir/core/CodeSystem/JP_PractitionerRole_CS) | ||||
| PractitionerRole.specialty | preferred | PracticeSettingCodeValueSet | ||||
| PractitionerRole.availableTime.daysOfWeek | required | DaysOfWeek |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Other representations of profile: CSV, Excel, Schematron
本プロファイルで定義された必須項目はない。
本プロファイルで追加定義された拡張はない。
| コンフォーマンス | パラメータ | 型 | 例 |
|---|---|---|---|
| SHALL | identifier | token | GET [base]/PractitionerRole?identifier=http://myhospital.com/fhir/PractitionerRoleid|1234 |
| SHOULD | specialty | token | GET [base]/PractitionerRole?specialty=http://nucc.org/provider-taxonomy|208D0000X |
| SHOULD | practitioner | token | GET [base]/PractitionerRole?practitioner.identifier=http://myhospital.com/fhir/Practitionerid|97860456 |
次の検索パラメータは必須でサポートされなければならない。
identifier 検索パラメータを使用して、職種IDなどの識別子によるPractitionerRoleの検索をサポートしなければならない（SHALL）
GET [base]/PractitionerRole?identifier={system|}[code]
例：
GET [base]/PractitionerRole?identifier=http://myhospital.com/fhir/PractitionerRoleid|1234
指定された識別子に一致するPractitionerRoleリソースを含むBundleを検索する。
次の検索パラメータをサポートすることが望ましい。
specialty 検索パラメータを使用して、医療者の特定の専門性によるPractitionerRoleの検索をサポートすることが望ましい（SHOULD）
GET [base]/PractitionerRole?specialty={system|}[code]
例：
GET [base]/PractitionerRole?specialty=http://nucc.org/provider-taxonomy|208D0000X
指定された医療者の特定の専門性に一致するPractitionerRoleリソースを含むBundleを検索する。
practitioner 検索パラメータを使用して、医療者の名前と識別子によるPractitionerRoleの検索をサポートすることが望ましい（SHOULD）
GET [base]/PractitionerRole?practitioner={Type/}[id]
例：
1.GET [base]/PractitionerRole?practitioner.identifier=http://myhospital.com/fhir/Practitionerid|97860456&_include=PractitionerRole:practitioner&_include=PractitionerRole?endpoint
2.GET [base]/PractitionerRole?practitioner.name=山田&_include=PractitionerRole:practitioner&_include=PractitionerRole?endpoint
practitioner.nameまたはpractitioner.identifierの連結パラメータに一致するPractitionerRoleリソースを含むBundleを検索する。PractitionerRole.practitionerとPractitionerRole.endpointの_include検索をサポートすることが望ましい。（SHOULD）
追加検索パラメータは定義しない。
PractitionerRoleには、ここで定義されているlocationに住所が含まれているため、addressは存在しない。 これにより、複数のリソースにaddressの値を重複させる必要がなくなる。