JAMI ePrescriptionData ImplementationGuide
1.0.0 - ci-build
JAMI ePrescriptionData ImplementationGuide
1.0.0 - ci-build
JAMI ePrescriptionData ImplementationGuide - Local Development build (v1.0.0). See the Directory of published versions
| 項目 | 内容 |
| 定義URL | http://jpfhir.jp/fhir/ePrescription/StructureDefinition/JP_Coverage_ePrescriptionData_insurance |
| Version | 1.0.0 |
| Name | JP_Coverage_ePrescriptionData_insurance |
| Status | Draft ( 2022-06-29 ) |
処方の保険情報 Coverageリソースプロファイル JP_Coverageの派生プロファイル
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Coverage | 0..* | JP_Coverage | Insurance or medical plan or a payment agreement 保険または医療費支払いプラン、または合意された支払い方法 | |
  JP_Coverage_InsuredPersonSymbol | 0..1 | string | 被保険者証記号情報 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol | |
   url | 1..1 | uri | "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol" | |
 value[x] | 1..1 | string | 被保険者証記号 | |
| JP_Coverage_InsuredPersonNumber | 0..1 | string | 被保険者証番号情報 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber | |
| url | 1..1 | uri | "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber" | |
| value[x] | 1..1 | string | 被保険者証番号 | |
| JP_Coverage_InsuredPersonSubNumber | 0..1 | string | 被保険者証等「枝番」情報 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber | |
| url | 1..1 | uri | "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber" | |
| value[x] | 1..1 | string | 個人単位被保険者番号（枝番） | |
 type | Σ | 1..1 | CodeableConcept | 保険種別コード Binding: MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 (required) |
 coding | Σ | 1..1 | Coding | Code defined by a terminology system |
 system | Σ | 1..1 | uri | 保険種別コード体系を識別するURI Fixed Value: urn:oid:1.2.392.100495.20.2.61 |
| code | Σ | 1..1 | code | 保険種別コード |
 beneficiary | Σ | 1..1 | Reference(Patient) | 被給付者情報 |
| reference | ΣI | 0..1 | string | PatientリソースのfullUrl要素に指定されるUUIDを指定 |
| dependent | Σ | 0..1 | string | 被保険者番号（枝番） |
| relationship | 1..1 | CodeableConcept | Beneficiary relationship to the subscriber 加入者との受益者関係 Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |
| coding | Σ | 1..1 | Coding | Code defined by a terminology system |
| system | Σ | 0..1 | uri | コード体系を識別するURI Fixed Value: urn:oid:1.2.392.100495.20.2.62 |
| code | Σ | 0..1 | code | 被保険者区分コード |
| display | Σ | 0..1 | string | コードに対応する表示文字列 |
| period | Σ | 0..1 | Period | 保険証の有効期間 |
| start | ΣI | 0..1 | dateTime | 保険証の有効期間の開始日 |
| end | ΣI | 0..1 | dateTime | 保険証の有効期間の終了日 |
 Slices for payor | Σ | 1..1 | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy Slice: Unordered, Open by profile:resolve() |
 payor:insurer | Σ | 0..1 | Reference(JP_Organization_ePrescriptionData_coveragePayer) | 保険者情報 |
 reference | ΣI | 0..1 | string | OrganizationリソースのfullUrl要素に指定されるUUIDを指定 |
 payor:selfPayment | Σ | 0..1 | Reference(JP_Patient_ePrescriptionData) | Issuer of the policy |
| reference | ΣI | 0..1 | string | PatientリソースのfullUrl要素に指定されるUUIDを指定 |
| costToBeneficiary | 0..* | BackboneElement | 自己負担率 | |
| type | Σ | 1..1 | CodeableConcept | Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified. |
| coding | Σ | 1..1 | Coding | Code defined by a terminology system |
| system | Σ | 1..1 | uri | 自己負担の種別を識別するコードのコード体系を識別するURI Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-copay-type |
| code | Σ | 1..1 | code | 自己負担率を表すコード Fixed Value: copaypct |
| display | Σ | 0..1 | string | コードの表示名 Fixed Value: 負担率 |
| value[x] | I | 1..1 | SimpleQuantity | 自己負担割合 |
| value | Σ | 1..1 | decimal | 自己負担割合 |
| unit | Σ | 1..1 | string | 単位 Fixed Value: % |
| system | ΣI | 1..1 | uri | 単位コード Fixed Value: http://unitsofmeasure.org |
| code | Σ | 1..1 | code | パーセントを表すUCUMコード Fixed Value: % |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| Coverage.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Coverage.status | required | Fixed Value: active |
| Coverage.type | required | MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 |
| Coverage.beneficiary.type | extensible | ResourceType |
| Coverage.relationship | extensible | SubscriberRelationshipCodes |
| Coverage.payor:insurer.type | extensible | ResourceType |
| Coverage.payor:selfPayment.type | extensible | ResourceType |
| Coverage.class.type | extensible | CoverageClassCodes |
| Coverage.costToBeneficiary.type | extensible | CoverageCopayTypeCodes |
| Coverage.costToBeneficiary.exception.type | example | ExampleCoverageFinancialExceptionCodes |
| Id | Grade | Path | Details | Requirements |
| dom-2 | error | Coverage | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Coverage | 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 : 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() | |
| dom-4 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Best Practice | Coverage | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | Coverage.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.extension:InsuredPersonSymbol | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.extension:InsuredPersonSymbol | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.extension:InsuredPersonSymbol.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.extension:InsuredPersonNumber | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.extension:InsuredPersonNumber | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.extension:InsuredPersonNumber.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.extension:InsuredPersonSubNumber | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.extension:InsuredPersonSubNumber | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.extension:InsuredPersonSubNumber.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.type.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.type.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.type.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.type.coding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.type.coding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.type.coding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.type.coding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.type.coding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.type.coding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.beneficiary | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.beneficiary.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.beneficiary.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.beneficiary.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.beneficiary.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.beneficiary.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.beneficiary.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.dependent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.relationship | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.relationship.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.relationship.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.relationship.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.relationship.coding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.relationship.coding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.relationship.coding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.relationship.coding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.relationship.coding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.relationship.coding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.period.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.period.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.period.start | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.period.end | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:insurer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:insurer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.payor:insurer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.payor:insurer.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:insurer.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:insurer.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:insurer.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:selfPayment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:selfPayment.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.payor:selfPayment.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.payor:selfPayment.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:selfPayment.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:selfPayment.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.payor:selfPayment.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.class.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.class.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.class.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.class.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.class.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.class.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.class.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.type.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.type.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.type.coding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.type.coding.userSelected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| qty-3 | error | Coverage.costToBeneficiary.value[x] | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | Coverage.costToBeneficiary.value[x] | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| ele-1 | error | Coverage.costToBeneficiary.value[x].extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.value[x].extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.value[x].value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.value[x].unit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.value[x].system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.value[x].code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.exception.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.exception.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.exception.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Coverage.costToBeneficiary.exception.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Coverage.costToBeneficiary.exception.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Coverage.costToBeneficiary.exception.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
