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_Encounter_eClinicalSummary |
| Version | 1.1.1-rc |
| Name | JP_Encounter_eClinicalSummary |
| Status | Active ( 2022-11-07 ) |
| Copyright | Copyright HL7Japan and Japan Association of Medical Informatics (JAMI), CC(Creative Commons license) BY-ND CC表示・改変禁止 |
診療情報提供では、紹介理由を記述するEncouter情報 JP_Encounterの派生プロファイル。診療サマリーではサマリー対象となる受診や入院に関する情報。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from JP_Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter | 0..* | JP_Encounter | An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用 | |
  status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】 Fixed Value: finished |
| class | S | 1..1 | Coding | Classification of patient encounter / 患者とのEncounterの分類【詳細参照】 |
 system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode |
| code | S | 1..1 | code | Symbol in syntax defined by the system Binding: ActEncounterCode (extensible) |
 display | S | 0..1 | string | Representation defined by the system |
| classHistory | 0..1 | BackboneElement | List of past encounter classes / 過去のEncounter classのリスト【詳細参照】 | |
| reasonCode | S | 0..* | CodeableConcept | 入院時主訴・入院理由。紹介する理由（主訴・目的） |
 coding | ||||
| system | S | 0..1 | uri | Identity of the terminology system |
| code | S | 0..1 | code | Symbol in syntax defined by the system |
| text | S | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.class.code | extensible | ActEncounterCode |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | JP_Encounter | An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用 | |
 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 |
 associatedEncounter | 0..1 | Reference(Encounter) | 関連するEncounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
 modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】 Binding: EncounterStatus (required): Encounterの現在の状態。 / Current state of the encounter. Fixed Value: finished |
 class | SΣ | 1..1 | Coding | Classification of patient encounter / 患者とのEncounterの分類【詳細参照】 Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Binding: ActEncounterCode (extensible) |
| display | SΣ | 0..1 | string | Representation defined by the system |
| classHistory | 0..1 | BackboneElement | List of past encounter classes / 過去のEncounter classのリスト【詳細参照】 | |
| 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 |
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + / 入院｜外来｜外来｜救急＋ Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. | |
| period | 1..1 | Period | The time that the episode was in the specified class / 指定されたクラスにエピソードがあった時間 | |
| reasonCode | SΣ | 0..* | CodeableConcept | 入院時主訴・入院理由。紹介する理由（主訴・目的） Binding: EncounterReasonCodes (preferred): Encounterが起こる理由。 / Reason why the encounter takes place. |
| coding | Σ | 0..* | Coding | Code defined by a terminology system |
| system | SΣ | 0..1 | uri | Identity of the terminology system |
| code | SΣ | 0..1 | code | Symbol in syntax defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Encounter.status | required | Fixed Value: finished |
| Encounter.class | extensible | ActEncounterCode |
| Encounter.class.code | extensible | ActEncounterCode |
| Encounter.classHistory.class | extensible | ActEncounterCode |
| Encounter.reasonCode | preferred | EncounterReasonCodes |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | 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 | Encounter | 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 | Encounter | 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 | Encounter | 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 | Encounter | 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter | 0..* | JP_Encounter | An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用 | |||||
| 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 | 0..1 | Narrative | 人間の解釈のためのリソースのテキスト概要 / Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | インラインリソースが含まれています / Contained, inline Resources | |||||
 Slices for extension | 0..* | Extension | 実装で定義された追加のコンテンツ / Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| associatedEncounter | 0..1 | Reference(Encounter) | 関連するEncounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |||||
| modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known / このEncounterが知られている識別子（複数可）【詳細参照】 | ||||
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】 Binding: EncounterStatus (required): Encounterの現在の状態。 / Current state of the encounter. Fixed Value: finished | ||||
| statusHistory | 0..* | BackboneElement | List of past encounter statuses / 過去のEncounterのステータス一覧【詳細参照】 | |||||
| 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 | ||||
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+. Binding: EncounterStatus (required): Encounterの現在の状態。 / Current state of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified status / そのエピソードが指定された状態になっていた時間 | |||||
| class | SΣ | 1..1 | Coding | Classification of patient encounter / 患者とのEncounterの分類【詳細参照】 Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Binding: ActEncounterCode (extensible) | ||||
| display | SΣ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| classHistory | 0..1 | BackboneElement | List of past encounter classes / 過去のEncounter classのリスト【詳細参照】 | |||||
| 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 | ||||
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + / 入院｜外来｜外来｜救急＋ Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified class / 指定されたクラスにエピソードがあった時間 | |||||
| type | Σ | 0..* | CodeableConcept | Specific type of encounter / Encounterの具体的なタイプ【詳細参照】 Binding: EncounterType (example): Encounterのタイプ。 / The type of encounter. | ||||
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service / 具体的なサービスの種類【詳細参照】 Binding: ServiceType (example): 提供されるサービスの広範な分類。 / Broad categorization of the service that is to be provided. | ||||
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter / このEncounterの緊急性を示す【詳細参照】 Binding: ActPriority (example): Encounterの緊急性を示します。 / Indicates the urgency of the encounter. | |||||
 subject | Σ | 0..1 | Reference(JP Core Patient Profile | Group) | The patient or group present at the encounter / このEncounterに立ち会う患者またはグループ【詳細参照】 | ||||
| episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against / このEncounterが記録されるべきケアのエピソード【詳細参照】 | ||||
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter / このEncounterを開始したServiceRequest【詳細参照】 | |||||
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter / このEncounterに関わった参加者一覧【詳細参照】 | ||||
| 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 | ||||
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter / このEncounterにおける参加者の役割 Binding: ParticipantType (extensible): Encounterの参加者の役割。 / Role of participant in encounter. | ||||
| period | 0..1 | Period | Period of time during the encounter that the participant participated / この参加者が参加したEncounterの中での期間 | |||||
| individual | Σ | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | RelatedPerson) | Persons involved in the encounter other than the patient / 患者以外のこのEncounterに関わった人 | ||||
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter / このEncounterをスケジュールした予定【詳細参照】 | ||||
| period | 0..1 | Period | The start and end time of the encounter / このEncounterの開始時間と終了時間【詳細参照】 | |||||
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) / Encounterが続いた時間の量（欠席時間が少ない）【詳細参照】 | |||||
| reasonCode | SΣ | 0..* | CodeableConcept | 入院時主訴・入院理由。紹介する理由（主訴・目的） Binding: EncounterReasonCodes (preferred): Encounterが起こる理由。 / Reason why the encounter takes place. | ||||
| 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 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference | Σ | 0..* | Reference(JP Core Condition Profile | JP Core Procedure Profile | JP Core Observation Common Profile | ImmunizationRecommendation) | Reason the encounter takes place (reference) Encounterがあった理由【詳細参照】 | ||||
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter / このEncounterに関連する診断名のリスト【詳細参照】 | ||||
| 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 | ||||
| condition | Σ | 1..1 | Reference(JP Core Condition Profile | JP Core Procedure Profile) | The diagnosis or procedure relevant to the encounter / Encounterに関連する診断または処置 | ||||
| use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) / この診断名がある受診機会において持っている役割（例えば、入院、請求、退院...） Binding: DiagnosisRole (preferred): この状態が表す診断のタイプ。 / The type of diagnosis this condition represents. | |||||
| rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) / 診断名の順位（役割別） | |||||
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter / あるEncounterの請求に使用される会計セット【詳細参照】 | |||||
| hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service/医療機関への入院に関する詳細【詳細参照】 | |||||
| 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 | ||||
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier/入院前識別子 | |||||
| origin | 0..1 | Reference(JP Core Location Profile | JP Core Organization Profile) | The location/organization from which the patient came before admission/患者が入院する前に来院した場所/組織 | |||||
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer)/患者がどこから入院したか（医師の紹介、転院） Binding: AdmitSource (preferred): 患者が入院した場所から。 / From where the patient was admitted. | |||||
| reAdmission | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission / 発生した病院の再入院のタイプ（もしあれば）、値がない場合これは再入院として識別されない Binding: hl7VS-re-admissionIndicator (example): この入院遭遇の再入院の理由。 / The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient / 患者から報告された食事の好み Binding: Diet (example): ケータリングの要件を支援する医療、文化、または倫理的な食品の好み。 / Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) / 特別待遇(VIP、役員) Binding: SpecialCourtesy (preferred): 特別な礼儀。 / Special courtesies. | |||||
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. / 車椅子、トランスレータ、ストレッチャなど Binding: SpecialArrangements (preferred): 特別な手配。 / Special arrangements. | |||||
| destination | 0..1 | Reference(JP Core Location Profile | JP Core Organization Profile) | Location/organization to which the patient is discharged / 患者が退院する場所・機関 | |||||
| dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge / 退院後の場所の区分や種類 Binding: DischargeDisposition (example): 放電処分。 / Discharge Disposition. | |||||
| location | 0..* | BackboneElement | List of locations where the patient has been / 患者がいたことのある場所の一覧【詳細参照】 | |||||
| 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 | ||||
| location | 1..1 | Reference(JP Core Location Profile) | Location the encounter takes place / Encounterの場所 | |||||
| status | 0..1 | code | 計画|アクティブ|予約済み|完了しました / planned | active | reserved | completed Binding: EncounterLocationStatus (required): 場所のステータス。 / The status of the location. | |||||
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierarchy - bed room ward etc.) / 場所の物理的なタイプ（通常は場所の階層のレベル - ベッド・病室・病棟など） Binding: LocationType (example): 場所の物理的な形。 / Physical form of the location. | |||||
| period | 0..1 | Period | Time period during which the patient was present at the location / 患者がその場所にいた期間 | |||||
| serviceProvider | 0..1 | Reference(JP Core Organization Profile) | The organization (facility) responsible for this encounter / このEncounterに責任を持つ組織（施設）【詳細参照】 | |||||
| partOf | 0..1 | Reference(JP Core Encounter Profile) | Another Encounter this encounter is part of / このEncounterが属するもう一つのEncounter【詳細参照】 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Encounter.language | preferred | CommonLanguages
| ||||
| Encounter.status | required | Fixed Value: finished | ||||
| Encounter.statusHistory.status | required | EncounterStatus | ||||
| Encounter.class | extensible | ActEncounterCode | ||||
| Encounter.class.code | extensible | ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCode | ||||
| Encounter.type | example | EncounterType | ||||
| Encounter.serviceType | example | ServiceType | ||||
| Encounter.priority | example | ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantType | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSource | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator | ||||
| Encounter.hospitalization.dietPreference | example | Diet | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition | ||||
| Encounter.location.status | required | EncounterLocationStatus | ||||
| Encounter.location.physicalType | example | LocationType |
| 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 | 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() |
This structure is derived from JP_Encounter
Differential View
This structure is derived from JP_Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | JP_Encounter | An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用 | |
| status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】 Fixed Value: finished |
| class | S | 1..1 | Coding | Classification of patient encounter / 患者とのEncounterの分類【詳細参照】 |
| system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode |
| code | S | 1..1 | code | Symbol in syntax defined by the system Binding: ActEncounterCode (extensible) |
| display | S | 0..1 | string | Representation defined by the system |
| classHistory | 0..1 | BackboneElement | List of past encounter classes / 過去のEncounter classのリスト【詳細参照】 | |
| reasonCode | S | 0..* | CodeableConcept | 入院時主訴・入院理由。紹介する理由（主訴・目的） |
| coding | ||||
| system | S | 0..1 | uri | Identity of the terminology system |
| code | S | 0..1 | code | Symbol in syntax defined by the system |
| text | S | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.class.code | extensible | ActEncounterCode |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | JP_Encounter | An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用 | |
| 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 |
| associatedEncounter | 0..1 | Reference(Encounter) | 関連するEncounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
| modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】 Binding: EncounterStatus (required): Encounterの現在の状態。 / Current state of the encounter. Fixed Value: finished |
| class | SΣ | 1..1 | Coding | Classification of patient encounter / 患者とのEncounterの分類【詳細参照】 Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Binding: ActEncounterCode (extensible) |
| display | SΣ | 0..1 | string | Representation defined by the system |
| classHistory | 0..1 | BackboneElement | List of past encounter classes / 過去のEncounter classのリスト【詳細参照】 | |
| 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 |
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + / 入院｜外来｜外来｜救急＋ Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. | |
| period | 1..1 | Period | The time that the episode was in the specified class / 指定されたクラスにエピソードがあった時間 | |
| reasonCode | SΣ | 0..* | CodeableConcept | 入院時主訴・入院理由。紹介する理由（主訴・目的） Binding: EncounterReasonCodes (preferred): Encounterが起こる理由。 / Reason why the encounter takes place. |
| coding | Σ | 0..* | Coding | Code defined by a terminology system |
| system | SΣ | 0..1 | uri | Identity of the terminology system |
| code | SΣ | 0..1 | code | Symbol in syntax defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Encounter.status | required | Fixed Value: finished |
| Encounter.class | extensible | ActEncounterCode |
| Encounter.class.code | extensible | ActEncounterCode |
| Encounter.classHistory.class | extensible | ActEncounterCode |
| Encounter.reasonCode | preferred | EncounterReasonCodes |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | 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 | Encounter | 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 | Encounter | 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 | Encounter | 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 | Encounter | 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter | 0..* | JP_Encounter | An interaction during which services are provided to the patient / 患者にサービスが提供されている間の相互作用 | |||||
| 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 | 0..1 | Narrative | 人間の解釈のためのリソースのテキスト概要 / Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | インラインリソースが含まれています / Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | 実装で定義された追加のコンテンツ / Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| associatedEncounter | 0..1 | Reference(Encounter) | 関連するEncounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |||||
| modifierExtension | ?! | 0..* | Extension | 無視できない拡張機能 / Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known / このEncounterが知られている識別子（複数可）【詳細参照】 | ||||
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+【詳細参照】 Binding: EncounterStatus (required): Encounterの現在の状態。 / Current state of the encounter. Fixed Value: finished | ||||
| statusHistory | 0..* | BackboneElement | List of past encounter statuses / 過去のEncounterのステータス一覧【詳細参照】 | |||||
| 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 | ||||
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + / 予定｜到着｜トリアージ｜進行中｜保留中｜終了｜キャンセル+. Binding: EncounterStatus (required): Encounterの現在の状態。 / Current state of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified status / そのエピソードが指定された状態になっていた時間 | |||||
| class | SΣ | 1..1 | Coding | Classification of patient encounter / 患者とのEncounterの分類【詳細参照】 Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Binding: ActEncounterCode (extensible) | ||||
| display | SΣ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| classHistory | 0..1 | BackboneElement | List of past encounter classes / 過去のEncounter classのリスト【詳細参照】 | |||||
| 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 | ||||
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + / 入院｜外来｜外来｜救急＋ Binding: ActEncounterCode (extensible): Encounterの分類。 / Classification of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified class / 指定されたクラスにエピソードがあった時間 | |||||
| type | Σ | 0..* | CodeableConcept | Specific type of encounter / Encounterの具体的なタイプ【詳細参照】 Binding: EncounterType (example): Encounterのタイプ。 / The type of encounter. | ||||
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service / 具体的なサービスの種類【詳細参照】 Binding: ServiceType (example): 提供されるサービスの広範な分類。 / Broad categorization of the service that is to be provided. | ||||
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter / このEncounterの緊急性を示す【詳細参照】 Binding: ActPriority (example): Encounterの緊急性を示します。 / Indicates the urgency of the encounter. | |||||
| subject | Σ | 0..1 | Reference(JP Core Patient Profile | Group) | The patient or group present at the encounter / このEncounterに立ち会う患者またはグループ【詳細参照】 | ||||
| episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against / このEncounterが記録されるべきケアのエピソード【詳細参照】 | ||||
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter / このEncounterを開始したServiceRequest【詳細参照】 | |||||
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter / このEncounterに関わった参加者一覧【詳細参照】 | ||||
| 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 | ||||
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter / このEncounterにおける参加者の役割 Binding: ParticipantType (extensible): Encounterの参加者の役割。 / Role of participant in encounter. | ||||
| period | 0..1 | Period | Period of time during the encounter that the participant participated / この参加者が参加したEncounterの中での期間 | |||||
| individual | Σ | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | RelatedPerson) | Persons involved in the encounter other than the patient / 患者以外のこのEncounterに関わった人 | ||||
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter / このEncounterをスケジュールした予定【詳細参照】 | ||||
| period | 0..1 | Period | The start and end time of the encounter / このEncounterの開始時間と終了時間【詳細参照】 | |||||
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) / Encounterが続いた時間の量（欠席時間が少ない）【詳細参照】 | |||||
| reasonCode | SΣ | 0..* | CodeableConcept | 入院時主訴・入院理由。紹介する理由（主訴・目的） Binding: EncounterReasonCodes (preferred): Encounterが起こる理由。 / Reason why the encounter takes place. | ||||
| 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 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 0..1 | uri | Identity of the terminology system | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference | Σ | 0..* | Reference(JP Core Condition Profile | JP Core Procedure Profile | JP Core Observation Common Profile | ImmunizationRecommendation) | Reason the encounter takes place (reference) Encounterがあった理由【詳細参照】 | ||||
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter / このEncounterに関連する診断名のリスト【詳細参照】 | ||||
| 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 | ||||
| condition | Σ | 1..1 | Reference(JP Core Condition Profile | JP Core Procedure Profile) | The diagnosis or procedure relevant to the encounter / Encounterに関連する診断または処置 | ||||
| use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) / この診断名がある受診機会において持っている役割（例えば、入院、請求、退院...） Binding: DiagnosisRole (preferred): この状態が表す診断のタイプ。 / The type of diagnosis this condition represents. | |||||
| rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) / 診断名の順位（役割別） | |||||
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter / あるEncounterの請求に使用される会計セット【詳細参照】 | |||||
| hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service/医療機関への入院に関する詳細【詳細参照】 | |||||
| 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 | ||||
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier/入院前識別子 | |||||
| origin | 0..1 | Reference(JP Core Location Profile | JP Core Organization Profile) | The location/organization from which the patient came before admission/患者が入院する前に来院した場所/組織 | |||||
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer)/患者がどこから入院したか（医師の紹介、転院） Binding: AdmitSource (preferred): 患者が入院した場所から。 / From where the patient was admitted. | |||||
| reAdmission | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission / 発生した病院の再入院のタイプ（もしあれば）、値がない場合これは再入院として識別されない Binding: hl7VS-re-admissionIndicator (example): この入院遭遇の再入院の理由。 / The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient / 患者から報告された食事の好み Binding: Diet (example): ケータリングの要件を支援する医療、文化、または倫理的な食品の好み。 / Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) / 特別待遇(VIP、役員) Binding: SpecialCourtesy (preferred): 特別な礼儀。 / Special courtesies. | |||||
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. / 車椅子、トランスレータ、ストレッチャなど Binding: SpecialArrangements (preferred): 特別な手配。 / Special arrangements. | |||||
| destination | 0..1 | Reference(JP Core Location Profile | JP Core Organization Profile) | Location/organization to which the patient is discharged / 患者が退院する場所・機関 | |||||
| dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge / 退院後の場所の区分や種類 Binding: DischargeDisposition (example): 放電処分。 / Discharge Disposition. | |||||
| location | 0..* | BackboneElement | List of locations where the patient has been / 患者がいたことのある場所の一覧【詳細参照】 | |||||
| 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 | ||||
| location | 1..1 | Reference(JP Core Location Profile) | Location the encounter takes place / Encounterの場所 | |||||
| status | 0..1 | code | 計画|アクティブ|予約済み|完了しました / planned | active | reserved | completed Binding: EncounterLocationStatus (required): 場所のステータス。 / The status of the location. | |||||
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierarchy - bed room ward etc.) / 場所の物理的なタイプ（通常は場所の階層のレベル - ベッド・病室・病棟など） Binding: LocationType (example): 場所の物理的な形。 / Physical form of the location. | |||||
| period | 0..1 | Period | Time period during which the patient was present at the location / 患者がその場所にいた期間 | |||||
| serviceProvider | 0..1 | Reference(JP Core Organization Profile) | The organization (facility) responsible for this encounter / このEncounterに責任を持つ組織（施設）【詳細参照】 | |||||
| partOf | 0..1 | Reference(JP Core Encounter Profile) | Another Encounter this encounter is part of / このEncounterが属するもう一つのEncounter【詳細参照】 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Encounter.language | preferred | CommonLanguages
| ||||
| Encounter.status | required | Fixed Value: finished | ||||
| Encounter.statusHistory.status | required | EncounterStatus | ||||
| Encounter.class | extensible | ActEncounterCode | ||||
| Encounter.class.code | extensible | ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCode | ||||
| Encounter.type | example | EncounterType | ||||
| Encounter.serviceType | example | ServiceType | ||||
| Encounter.priority | example | ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantType | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSource | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator | ||||
| Encounter.hospitalization.dietPreference | example | Diet | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition | ||||
| Encounter.location.status | required | EncounterLocationStatus | ||||
| Encounter.location.physicalType | example | LocationType |
| 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 | 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() |
This structure is derived from JP_Encounter
Other representations of profile: CSV, Excel, Schematron