HL7 Japan-JAMI eReferral ImplementationGuide
1.1.1-rc - release
HL7 Japan-JAMI eReferral ImplementationGuide
1.1.1-rc - release
HL7 Japan-JAMI eReferral ImplementationGuide - Local Development build (v1.1.1-rc). See the Directory of published versions
| 項目 | 内容 |
| 定義URL | http://jpfhir.jp/fhir/eClinicalSummary/StructureDefinition/JP_AllergyIntolerance_eClinicalSummary |
| Version | 1.1.1-rc |
| Name | JP_AllergyIntolerance_eClinicalSummary |
| Status | Active ( 2022-12-14 ) |
| Copyright | Copyright HL7Japan and Japan Association of Medical Informatics (JAMI), CC(Creative Commons license) BY-ND CC表示・改変禁止 |
Derived Profile from JP-Core
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from JP_AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AllergyIntolerance | 0..* | JP_AllergyIntolerance | 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) | |
  text | S | 0..1 | Narrative | 本リソースをテキストで表現したものを入れてもよい。 |
 status | 1..1 | code | generated Required Pattern: generated | |
 div | 1..1 | xhtml | Limited xhtml content | |
| identifier | S | 0..1 | Identifier | このアイテムの外部ID / External ids for this item |
| system | S | 1..1 | uri | The namespace for the identifier value Required Pattern: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
| value | S | 1..1 | string | The value that is unique |
| clinicalStatus | S | 0..1 | CodeableConcept | 臨床的状態のステータス。 |
| verificationStatus | S | 0..1 | CodeableConcept | 入力された臨床的状態に対する検証状況を示す。確からしさと考えられる。 |
| type | S | 0..1 | code | 副反応の生理的なメカニズムの種類（アレルギーによるものか不耐性によるものかどうか） |
| category | S | 0..1 | code | 特定された原因物質のカテゴリ。記述を可能な限り推奨する。 |
| criticality | S | 0..1 | code | 潜在的な臨床的危険性、致命度 |
| code | S | 1..1 | CodeableConcept | アレルギー・不耐反応の対象物の情報。アレルギー・不耐反応の対象物の情報。 Binding: JP Core AllergyIntolerance ValueSet (preferred) |
| text | S | 1..1 | string | アレルギー情報をフリーテキストで記述した内容 |
| patient | S | 1..1 | Reference(JP Core Patient Profile) | Who the sensitivity is for. このアレルギー不耐症を有する患者 |
| encounter | S | 0..1 | Reference(JP Core Encounter Profile) | 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） |
| onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified. このアレルギー不耐症のオンセット |
| recordedDate | S | 0..1 | dateTime | 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 |
| asserter | S | 0..1 | Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile) | Source of the information about the allergy. このアレルギー不耐症の情報源 |
| lastOccurrence | S | 0..1 | dateTime | 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 |
| note | S | 0..1 | Annotation | 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 |
| reaction | S | 0..1 | BackboneElement | 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| AllergyIntolerance.code | preferred | JP_AllergyIntolerance_VS |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | C | 0..* | JP_AllergyIntolerance | 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) |
 implicitRules | ?!Σ | 0..1 | uri | 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 |
 text | S | 0..1 | Narrative | 本リソースをテキストで表現したものを入れてもよい。 |
| status | 1..1 | code | generated Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: generated | |
| div | C | 1..1 | xhtml | Limited xhtml content |
 modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored |
| identifier | SΣ | 0..1 | Identifier | このアイテムの外部ID / External ids for this item |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | 臨床的状態のステータス。 Binding: AllergyIntoleranceClinicalStatusCodes (required): アレルギーまたは不耐性の臨床状態。 / The clinical status of the allergy or intolerance. |
| verificationStatus | ?!SΣC | 0..1 | CodeableConcept | 入力された臨床的状態に対する検証状況を示す。確からしさと考えられる。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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. |
| type | SΣ | 0..1 | code | 副反応の生理的なメカニズムの種類（アレルギーによるものか不耐性によるものかどうか） Binding: AllergyIntoleranceType (required): 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. |
| category | SΣ | 0..1 | code | 特定された原因物質のカテゴリ。記述を可能な限り推奨する。 Binding: AllergyIntoleranceCategory (required): 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. |
| criticality | SΣ | 0..1 | code | 潜在的な臨床的危険性、致命度 Binding: AllergyIntoleranceCriticality (required): 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. |
| code | SΣ | 1..1 | CodeableConcept | アレルギー・不耐反応の対象物の情報。アレルギー・不耐反応の対象物の情報。 Binding: JP Core AllergyIntolerance ValueSet (preferred) |
| text | SΣ | 1..1 | string | アレルギー情報をフリーテキストで記述した内容 |
 patient | SΣ | 1..1 | Reference(JP Core Patient Profile) | Who the sensitivity is for. このアレルギー不耐症を有する患者 |
| encounter | S | 0..1 | Reference(JP Core Encounter Profile) | 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） |
 onset[x] | S | 0..1 | When allergy or intolerance was identified. このアレルギー不耐症のオンセット | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | S | 0..1 | dateTime | 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 |
| asserter | SΣ | 0..1 | Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile) | Source of the information about the allergy. このアレルギー不耐症の情報源 |
| lastOccurrence | S | 0..1 | dateTime | 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 |
| note | S | 0..1 | Annotation | 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 |
| reaction | S | 0..1 | BackboneElement | 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 |
 modifierExtension | ?!Σ | 0..* | Extension | 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 |
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候 Binding: SNOMEDCTClinicalFindings (example): 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. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| AllergyIntolerance.text.status | required | Pattern: generated |
| AllergyIntolerance.identifier.use | required | IdentifierUse |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes |
| AllergyIntolerance.type | required | AllergyIntoleranceType |
| AllergyIntolerance.category | required | AllergyIntoleranceCategory |
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality |
| AllergyIntolerance.code | preferred | JP_AllergyIntolerance_VS |
| AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindings |
| Id | Grade | Path(s) | Details | Requirements |
| ait-1 | error | AllergyIntolerance | 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. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | error | AllergyIntolerance | 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 : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | AllergyIntolerance | 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 : contained.contained.empty() | |
| dom-3 | error | AllergyIntolerance | 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 : 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 | AllergyIntolerance | 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 : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | AllergyIntolerance | 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 : contained.meta.security.empty() | |
| dom-6 | best practice | AllergyIntolerance | 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 : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | 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 : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | 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 : extension.exists() != value.exists() | |
| txt-1 | error | AllergyIntolerance.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | AllergyIntolerance.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance | C | 0..* | JP_AllergyIntolerance | 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) | ||||
| id | Σ | 0..1 | id | このアーティファクトの論理ID / Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | リソースに関するメタデータ / Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | 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 | ||||
| language | 0..1 | code | リソースコンテンツの言語 / Language of the resource content Binding: CommonLanguages (preferred): 人間の言語。 / A human language.
| |||||
| text | S | 0..1 | Narrative | 本リソースをテキストで表現したものを入れてもよい。 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| status | 1..1 | code | generated Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: generated | |||||
| div | C | 1..1 | xhtml | Limited xhtml content | ||||
| contained | 0..* | Resource | インラインリソースが含まれています / Contained, inline Resources | |||||
| extension | 0..* | Extension | 実装で定義された追加のコンテンツ / Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored | ||||
| identifier | SΣ | 0..1 | Identifier | このアイテムの外部ID / External ids for this item | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier | ||||
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | 臨床的状態のステータス。 Binding: AllergyIntoleranceClinicalStatusCodes (required): アレルギーまたは不耐性の臨床状態。 / The clinical status of the allergy or intolerance. | ||||
| verificationStatus | ?!SΣC | 0..1 | CodeableConcept | 入力された臨床的状態に対する検証状況を示す。確からしさと考えられる。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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. | ||||
| type | SΣ | 0..1 | code | 副反応の生理的なメカニズムの種類（アレルギーによるものか不耐性によるものかどうか） Binding: AllergyIntoleranceType (required): 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. | ||||
| category | SΣ | 0..1 | code | 特定された原因物質のカテゴリ。記述を可能な限り推奨する。 Binding: AllergyIntoleranceCategory (required): 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. | ||||
| criticality | SΣ | 0..1 | code | 潜在的な臨床的危険性、致命度 Binding: AllergyIntoleranceCriticality (required): 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. | ||||
| code | SΣ | 1..1 | CodeableConcept | アレルギー・不耐反応の対象物の情報。アレルギー・不耐反応の対象物の情報。 Binding: JP Core AllergyIntolerance ValueSet (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | SΣ | 1..1 | string | アレルギー情報をフリーテキストで記述した内容 | ||||
| patient | SΣ | 1..1 | Reference(JP Core Patient Profile) | Who the sensitivity is for. このアレルギー不耐症を有する患者 | ||||
| encounter | S | 0..1 | Reference(JP Core Encounter Profile) | 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） | ||||
| onset[x] | S | 0..1 | When allergy or intolerance was identified. このアレルギー不耐症のオンセット | |||||
| onsetDateTime | dateTime | |||||||
| onsetAge | Age | |||||||
| onsetPeriod | Period | |||||||
| onsetRange | Range | |||||||
| onsetString | string | |||||||
| recordedDate | S | 0..1 | dateTime | 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 | ||||
| recorder | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Patient Profile | RelatedPerson) | Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか | |||||
| asserter | SΣ | 0..1 | Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile) | Source of the information about the allergy. このアレルギー不耐症の情報源 | ||||
| lastOccurrence | S | 0..1 | dateTime | 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 | ||||
| note | S | 0..1 | Annotation | 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 | ||||
| reaction | S | 0..1 | BackboneElement | 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 | ||||
| id | 0..1 | string | 要素間参照のための一意のID / Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | 実装で定義された追加のコンテンツ / Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 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 | ||||
| substance | 0..1 | CodeableConcept | 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 Binding: SubstanceCode (example): 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). | |||||
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候 Binding: SNOMEDCTClinicalFindings (example): 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. | |||||
| description | 0..1 | string | Description of the event as a whole. この有害反応に関する全般的な記述 | |||||
| onset | 0..1 | dateTime | Date(/time) when manifestations showed. この有害反応がみられた日時 | |||||
| severity | 0..1 | code | mild | moderate | severe (of event as a whole) （軽度 | 中度 | 重度） Binding: AllergyIntoleranceSeverity (required): 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. | |||||
| exposureRoute | 0..1 | CodeableConcept | 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 Binding: SNOMEDCTRouteCodes (example): 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. | |||||
| note | 0..* | Annotation | 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| AllergyIntolerance.language | preferred | CommonLanguages
| ||||
| AllergyIntolerance.text.status | required | Pattern: generated | ||||
| AllergyIntolerance.identifier.use | required | IdentifierUse | ||||
| AllergyIntolerance.identifier.type | extensible | Identifier Type Codes | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceType | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategory | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality | ||||
| AllergyIntolerance.code | preferred | JP_AllergyIntolerance_VS | ||||
| AllergyIntolerance.reaction.substance | example | SubstanceCode | ||||
| AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindings | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity | ||||
| AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | 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 : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| txt-1 | error | AllergyIntolerance.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | AllergyIntolerance.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
This structure is derived from JP_AllergyIntolerance
Differential View
This structure is derived from JP_AllergyIntolerance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | 0..* | JP_AllergyIntolerance | 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) | |
| text | S | 0..1 | Narrative | 本リソースをテキストで表現したものを入れてもよい。 |
| status | 1..1 | code | generated Required Pattern: generated | |
| div | 1..1 | xhtml | Limited xhtml content | |
| identifier | S | 0..1 | Identifier | このアイテムの外部ID / External ids for this item |
| system | S | 1..1 | uri | The namespace for the identifier value Required Pattern: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
| value | S | 1..1 | string | The value that is unique |
| clinicalStatus | S | 0..1 | CodeableConcept | 臨床的状態のステータス。 |
| verificationStatus | S | 0..1 | CodeableConcept | 入力された臨床的状態に対する検証状況を示す。確からしさと考えられる。 |
| type | S | 0..1 | code | 副反応の生理的なメカニズムの種類（アレルギーによるものか不耐性によるものかどうか） |
| category | S | 0..1 | code | 特定された原因物質のカテゴリ。記述を可能な限り推奨する。 |
| criticality | S | 0..1 | code | 潜在的な臨床的危険性、致命度 |
| code | S | 1..1 | CodeableConcept | アレルギー・不耐反応の対象物の情報。アレルギー・不耐反応の対象物の情報。 Binding: JP Core AllergyIntolerance ValueSet (preferred) |
| text | S | 1..1 | string | アレルギー情報をフリーテキストで記述した内容 |
| patient | S | 1..1 | Reference(JP Core Patient Profile) | Who the sensitivity is for. このアレルギー不耐症を有する患者 |
| encounter | S | 0..1 | Reference(JP Core Encounter Profile) | 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） |
| onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | When allergy or intolerance was identified. このアレルギー不耐症のオンセット |
| recordedDate | S | 0..1 | dateTime | 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 |
| asserter | S | 0..1 | Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile) | Source of the information about the allergy. このアレルギー不耐症の情報源 |
| lastOccurrence | S | 0..1 | dateTime | 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 |
| note | S | 0..1 | Annotation | 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 |
| reaction | S | 0..1 | BackboneElement | 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| AllergyIntolerance.code | preferred | JP_AllergyIntolerance_VS |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| AllergyIntolerance | C | 0..* | JP_AllergyIntolerance | 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) |
| implicitRules | ?!Σ | 0..1 | uri | 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 |
| text | S | 0..1 | Narrative | 本リソースをテキストで表現したものを入れてもよい。 |
| status | 1..1 | code | generated Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: generated | |
| div | C | 1..1 | xhtml | Limited xhtml content |
| modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored |
| identifier | SΣ | 0..1 | Identifier | このアイテムの外部ID / External ids for this item |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | 臨床的状態のステータス。 Binding: AllergyIntoleranceClinicalStatusCodes (required): アレルギーまたは不耐性の臨床状態。 / The clinical status of the allergy or intolerance. |
| verificationStatus | ?!SΣC | 0..1 | CodeableConcept | 入力された臨床的状態に対する検証状況を示す。確からしさと考えられる。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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. |
| type | SΣ | 0..1 | code | 副反応の生理的なメカニズムの種類（アレルギーによるものか不耐性によるものかどうか） Binding: AllergyIntoleranceType (required): 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. |
| category | SΣ | 0..1 | code | 特定された原因物質のカテゴリ。記述を可能な限り推奨する。 Binding: AllergyIntoleranceCategory (required): 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. |
| criticality | SΣ | 0..1 | code | 潜在的な臨床的危険性、致命度 Binding: AllergyIntoleranceCriticality (required): 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. |
| code | SΣ | 1..1 | CodeableConcept | アレルギー・不耐反応の対象物の情報。アレルギー・不耐反応の対象物の情報。 Binding: JP Core AllergyIntolerance ValueSet (preferred) |
| text | SΣ | 1..1 | string | アレルギー情報をフリーテキストで記述した内容 |
| patient | SΣ | 1..1 | Reference(JP Core Patient Profile) | Who the sensitivity is for. このアレルギー不耐症を有する患者 |
| encounter | S | 0..1 | Reference(JP Core Encounter Profile) | 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） |
| onset[x] | S | 0..1 | When allergy or intolerance was identified. このアレルギー不耐症のオンセット | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | S | 0..1 | dateTime | 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 |
| asserter | SΣ | 0..1 | Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile) | Source of the information about the allergy. このアレルギー不耐症の情報源 |
| lastOccurrence | S | 0..1 | dateTime | 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 |
| note | S | 0..1 | Annotation | 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 |
| reaction | S | 0..1 | BackboneElement | 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 |
| modifierExtension | ?!Σ | 0..* | Extension | 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 |
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候 Binding: SNOMEDCTClinicalFindings (example): 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. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| AllergyIntolerance.text.status | required | Pattern: generated |
| AllergyIntolerance.identifier.use | required | IdentifierUse |
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes |
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes |
| AllergyIntolerance.type | required | AllergyIntoleranceType |
| AllergyIntolerance.category | required | AllergyIntoleranceCategory |
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality |
| AllergyIntolerance.code | preferred | JP_AllergyIntolerance_VS |
| AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindings |
| Id | Grade | Path(s) | Details | Requirements |
| ait-1 | error | AllergyIntolerance | 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. : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists() | |
| ait-2 | error | AllergyIntolerance | 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 : verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | AllergyIntolerance | 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 : contained.contained.empty() | |
| dom-3 | error | AllergyIntolerance | 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 : 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 | AllergyIntolerance | 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 : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | AllergyIntolerance | 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 : contained.meta.security.empty() | |
| dom-6 | best practice | AllergyIntolerance | 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 : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | 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 : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | 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 : extension.exists() != value.exists() | |
| txt-1 | error | AllergyIntolerance.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | AllergyIntolerance.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| AllergyIntolerance | C | 0..* | JP_AllergyIntolerance | 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) | ||||
| id | Σ | 0..1 | id | このアーティファクトの論理ID / Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | リソースに関するメタデータ / Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | 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 | ||||
| language | 0..1 | code | リソースコンテンツの言語 / Language of the resource content Binding: CommonLanguages (preferred): 人間の言語。 / A human language.
| |||||
| text | S | 0..1 | Narrative | 本リソースをテキストで表現したものを入れてもよい。 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| status | 1..1 | code | generated Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: generated | |||||
| div | C | 1..1 | xhtml | Limited xhtml content | ||||
| contained | 0..* | Resource | インラインリソースが含まれています / Contained, inline Resources | |||||
| extension | 0..* | Extension | 実装で定義された追加のコンテンツ / Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored | ||||
| identifier | SΣ | 0..1 | Identifier | このアイテムの外部ID / External ids for this item | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier | ||||
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | 臨床的状態のステータス。 Binding: AllergyIntoleranceClinicalStatusCodes (required): アレルギーまたは不耐性の臨床状態。 / The clinical status of the allergy or intolerance. | ||||
| verificationStatus | ?!SΣC | 0..1 | CodeableConcept | 入力された臨床的状態に対する検証状況を示す。確からしさと考えられる。 Binding: AllergyIntoleranceVerificationStatusCodes (required): 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. | ||||
| type | SΣ | 0..1 | code | 副反応の生理的なメカニズムの種類（アレルギーによるものか不耐性によるものかどうか） Binding: AllergyIntoleranceType (required): 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. | ||||
| category | SΣ | 0..1 | code | 特定された原因物質のカテゴリ。記述を可能な限り推奨する。 Binding: AllergyIntoleranceCategory (required): 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. | ||||
| criticality | SΣ | 0..1 | code | 潜在的な臨床的危険性、致命度 Binding: AllergyIntoleranceCriticality (required): 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. | ||||
| code | SΣ | 1..1 | CodeableConcept | アレルギー・不耐反応の対象物の情報。アレルギー・不耐反応の対象物の情報。 Binding: JP Core AllergyIntolerance ValueSet (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | SΣ | 1..1 | string | アレルギー情報をフリーテキストで記述した内容 | ||||
| patient | SΣ | 1..1 | Reference(JP Core Patient Profile) | Who the sensitivity is for. このアレルギー不耐症を有する患者 | ||||
| encounter | S | 0..1 | Reference(JP Core Encounter Profile) | 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） | ||||
| onset[x] | S | 0..1 | When allergy or intolerance was identified. このアレルギー不耐症のオンセット | |||||
| onsetDateTime | dateTime | |||||||
| onsetAge | Age | |||||||
| onsetPeriod | Period | |||||||
| onsetRange | Range | |||||||
| onsetString | string | |||||||
| recordedDate | S | 0..1 | dateTime | 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 | ||||
| recorder | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Patient Profile | RelatedPerson) | Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか | |||||
| asserter | SΣ | 0..1 | Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile) | Source of the information about the allergy. このアレルギー不耐症の情報源 | ||||
| lastOccurrence | S | 0..1 | dateTime | 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 | ||||
| note | S | 0..1 | Annotation | 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 | ||||
| reaction | S | 0..1 | BackboneElement | 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 | ||||
| id | 0..1 | string | 要素間参照のための一意のID / Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | 実装で定義された追加のコンテンツ / Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 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 | ||||
| substance | 0..1 | CodeableConcept | 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 Binding: SubstanceCode (example): 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). | |||||
| manifestation | 1..* | CodeableConcept | Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候 Binding: SNOMEDCTClinicalFindings (example): 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. | |||||
| description | 0..1 | string | Description of the event as a whole. この有害反応に関する全般的な記述 | |||||
| onset | 0..1 | dateTime | Date(/time) when manifestations showed. この有害反応がみられた日時 | |||||
| severity | 0..1 | code | mild | moderate | severe (of event as a whole) （軽度 | 中度 | 重度） Binding: AllergyIntoleranceSeverity (required): 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. | |||||
| exposureRoute | 0..1 | CodeableConcept | 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 Binding: SNOMEDCTRouteCodes (example): 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. | |||||
| note | 0..* | Annotation | 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| AllergyIntolerance.language | preferred | CommonLanguages
| ||||
| AllergyIntolerance.text.status | required | Pattern: generated | ||||
| AllergyIntolerance.identifier.use | required | IdentifierUse | ||||
| AllergyIntolerance.identifier.type | extensible | Identifier Type Codes | ||||
| AllergyIntolerance.clinicalStatus | required | AllergyIntoleranceClinicalStatusCodes | ||||
| AllergyIntolerance.verificationStatus | required | AllergyIntoleranceVerificationStatusCodes | ||||
| AllergyIntolerance.type | required | AllergyIntoleranceType | ||||
| AllergyIntolerance.category | required | AllergyIntoleranceCategory | ||||
| AllergyIntolerance.criticality | required | AllergyIntoleranceCriticality | ||||
| AllergyIntolerance.code | preferred | JP_AllergyIntolerance_VS | ||||
| AllergyIntolerance.reaction.substance | example | SubstanceCode | ||||
| AllergyIntolerance.reaction.manifestation | example | SNOMEDCTClinicalFindings | ||||
| AllergyIntolerance.reaction.severity | required | AllergyIntoleranceSeverity | ||||
| AllergyIntolerance.reaction.exposureRoute | example | SNOMEDCTRouteCodes |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | 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 : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| txt-1 | error | AllergyIntolerance.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | AllergyIntolerance.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
This structure is derived from JP_AllergyIntolerance
Other representations of profile: CSV, Excel, Schematron