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
Active as of 2022-12-14 |
Definitions for the JP-Patient-eClinicalSummary resource profile(リソースプロファイル).
Guidance on how to interpret the contents of this table can be found here.
1. Patient | |
2. Patient.text | |
Control | 0..? |
3. Patient.text.status | |
Definition | テキスト内容の全てがリソースのコンテンツから生成されたことを示す。 |
Control | 0..? |
4. Patient.text.div | |
Definition | 本リソースの構造化情報から生成したテキスト表現をいれてもよい。 XHTML形式。 例:田中一郎、男、1980/7/1生、東京都中央区日本橋1-1-1, 03_1234_5678 |
Control | 0..? |
5. Patient.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
6. Patient.identifier.assigner | |
Control | 0..? |
7. Patient.identifier.assigner.reference | |
Definition | Bundleリソース内に記述される患者番号を付番した医療機関情報(Organization)のfullUrlに記述されるUUIDを設定。 例:"urn:uuid:179f9f7f_e546_04c2_6888_a9e0b24e5720" 省略されたときには、処方発行機関での患者番号とみなす。 処方発行発行機関や処方医所属医療機関と異なる場合、Bundleリソース内に患者番号を付番した医療機関情報を記述したOrganizationリソースを記述し、それを参照する。 |
Control | 0..? |
Must Support | true |
8. Patient.name | |
Control | 10..* |
Must Support | true |
9. Patient.gender | |
Control | 10..1 |
Must Support | true |
10. Patient.birthDate | |
Control | 10..1 |
Must Support | true |
11. Patient.address | |
Definition | An address for the individual. 患者の住所。必須。 An address for the individual. 個人の住所。 |
Control | 10..1* |
Must Support | true |
12. Patient.address.text | |
Control | 10..1 |
Must Support | true |
13. Patient.address.postalCode | |
Control | 10..1 |
Must Support | true |
14. Patient.address.country | |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here.
1. Patient | |
Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services. ケアまたはその他の健康関連サービスを受けている個人または動物に関する人口統計およびその他の管理情報。 |
Control | 0..* |
Summary | false |
Alternate Names | SubjectOfCare Client Resident |
Invariants | Defined on this element dom-2: 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 ResourcesIf the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: 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 resourceIf 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: 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.lastUpdatedIf 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: 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 labelIf a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: 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 managementA resource should have narrative for robust management (: text.`div`.exists()) |
2. Patient.implicitRules | |
Definition | リソースが構築されたときに従った一連のルールへの参照。コンテンツの処理時に理解する必要があります。多くの場合、これは他のプロファイルなどとともに特別なルールを定義する実装ガイドへの参照です。 / A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Summary | true |
Comments | このルールセットを主張することは、コンテンツが限られた取引パートナーのセットによってのみ理解されることを制限します。これにより、本質的に長期的にデータの有用性が制限されます。ただし、既存の健康エコシステムは非常に破壊されており、一般的に計算可能な意味でデータを定義、収集、交換する準備ができていません。可能な限り、実装者や仕様ライターはこの要素の使用を避ける必要があります。多くの場合、使用する場合、URLは、これらの特別なルールを他のプロファイル、バリューセットなどとともに叙述(Narative)の一部として定義する実装ガイドへの参照です。 / Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
3. Patient.extension:religion | |
SliceName | religion |
Definition | The patient's professed religious affiliations. 患者の公言された宗教的所属。 |
Control | 0..* |
Type | Extension(religion) (Extension Type: CodeableConcept) |
Summary | false |
Alternate Names | extensions, user content |
Comments | 患者の宗教をValueSet(v3.ReligiousAffiliation)より選択する。輸血や食事で考慮が必要な場合がある。
など |
Invariants | Defined on this element ele-1: 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: 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()) |
4. Patient.extension:birthPlace | |
SliceName | birthPlace |
Definition | The registered place of birth of the patient. A system may use the address.text if they don't store the birthPlace address in discrete elements. 患者の登録された出生地。システムは、birthPlaceアドレスを個別の要素に格納しない場合、address.textを使用してよい。 |
Control | 0..1 |
Type | Extension(birthPlace) (Extension Type: Address) |
Summary | false |
Alternate Names | extensions, user content |
Comments | 患者の生誕地をAddress型で表現する |
Invariants | Defined on this element ele-1: 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: 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()) |
5. Patient.extension:race | |
SliceName | race |
Definition | Optional Extension Element - found in all resources. オプションの拡張要素-すべてのリソースで使用できる。 |
Control | 0..* |
Type | Extension(JP_Patient_Race) (Extension Type: CodeableConcept) |
Summary | false |
Alternate Names | extensions, user content |
Comments | 患者の人種をValueSet(Race)より選択する。
など |
Invariants | Defined on this element ele-1: 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: 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()) |
6. Patient.modifierExtension | |
Definition | リソースの基本的な定義の一部ではなく、それを含む要素の理解および/または含有要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義することが許可されていますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。 モディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | false |
Requirements | 修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: 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 bothMust have either extensions or value[x], not both (: extension.exists() != value.exists()) |
7. Patient.identifier | |
Definition | An identifier for this patient. この患者の識別子。 |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* |
Type | Identifier |
Summary | true |
Requirements | Patients are almost always assigned specific numerical identifiers. ほとんどの場合、患者には特定の数値識別子が割り当てられる。 |
Comments | IDの名前空間を表す Patient.identifier.system と ID値そのものを表す Patient.identifier.value の組み合わせとして表現する。
なお、urn:oid:1.2.392.100495.20.3.51の部分は、「処方情報 HL7FHIR 記述仕様」表19 識別子名前空間一覧において医療機関等の患者IDとして割り当てられたOIDのURL型である。地域医療連携ネットワークの地域患者IDを指定する場合も同様に、地域患者IDを識別する名前空間(IHE ITI PIX等で使用されるOID等)をsystemに使用することができる。 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
8. Patient.identifier.use | |
Definition | この識別子の目的。 / The purpose of this identifier. The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse 既知の場合、この識別子の目的を識別します。 / Identifies the purpose for this identifier, if known . Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true |
Summary | true |
Requirements | 特定の使用のコンテキストが一連の識別子の中から選択される適切な識別子を許可します。 / Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
9. Patient.identifier.value | |
Definition | 通常、識別子の部分はユーザーに関連し、システムのコンテキスト内で一意のユーザーに関連しています。 / The portion of the identifier typically relevant to the user and which is unique within the context of the system. The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 10..1 |
Type | string |
Summary | true |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processor to be confident that non-case-sensitive processing is safe. 患者を一意的に識別するID(例えば、患者IDやカルテ番号など)を設定。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. Patient.identifier.assigner | |
Definition | 識別子を発行/管理する組織。 / Organization that issued/manages the identifier. Organization that issued/manages the identifier. |
Control | 0..1 |
Type | Reference(JP_Organization|Organization) |
Summary | true |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. IDを発行した組織(テキストのみでも可) |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
11. Patient.identifier.assigner.reference | |
Definition | Bundleリソース内に記述される患者番号を付番した医療機関情報(Organization)のfullUrlに記述されるUUIDを設定。 例:"urn:uuid:179f9f7f_e546_04c2_6888_a9e0b24e5720" 省略されたときには、処方発行機関での患者番号とみなす。 処方発行発行機関や処方医所属医療機関と異なる場合、Bundleリソース内に患者番号を付番した医療機関情報を記述したOrganizationリソースを記述し、それを参照する。 A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 0..1 This element is affected by the following invariants: ref-1 |
Type | string |
Must Support | true |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
12. Patient.active | |
Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. |
Control | 0..1 |
Type | boolean |
Is Modifier | true |
Summary | true |
Requirements | Need to be able to mark a patient record as not to be used because it was created in error. Need to be able to mark a patient record as not to be used because it was created in error. |
Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. |
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element アクティブな要素に値が指定されていない場合、このリソースは通常アクティブであると想定される |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
13. Patient.name | |
Definition | A name associated with the individual. 個人に関連付けられた名前。 |
Control | 10..* |
Type | HumanName(JP_HumanName) |
Must Support | true |
Summary | true |
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. 複数の名前で患者を追跡できる必要がある。例としては、正式名とパートナー名がある。 |
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
14. Patient.gender | |
Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. 管理上の性別-患者が管理および記録管理の目的で持つと見なされる性別。 Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. |
Control | 10..1 |
Binding | The codes SHALL be taken from AdministrativeGender 管理目的で使用される人の性別。 / The gender of a person used for administrative purposes. The gender of a person used for administrative purposes. |
Type | code |
Must Support | true |
Summary | true |
Requirements | (少なくとも)名前と生年月日と組み合わせて、個人の識別に必要です。 / Needed for identification of the individual, in combination with (at least) name and birth date. Needed for identification of the individual, in combination with (at least) name and birth date. |
Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. 患者の性別をValueSet(AdministrativeGender)より選択する。 male 男性 female 女性 other その他 unknown 不明 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
15. Patient.birthDate | |
Definition | The date of birth for the individual. 個人の生年月日 The date of birth for the individual. |
Control | 10..1 |
Type | date |
Must Support | true |
Summary | true |
Requirements | 個人の年齢は、多くの臨床プロセスを推進します。 / Age of the individual drives many clinical processes. Age of the individual drives many clinical processes. |
Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
LOINC Code | 21112-8 |
16. Patient.deceased[x] | |
Definition | Indicates if the individual is deceased or not. 個人が死亡しているかどうかを示す。 Indicates if the individual is deceased or not. |
Control | 0..1 |
Type | Choice of: boolean, dateTime |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Is Modifier | true |
Summary | true |
Requirements | 患者が亡くなったという事実は、臨床プロセスに影響を与えます。また、人間のコミュニケーションと関係管理において、その人が生きているかどうかを知る必要があります。 / The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. |
Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
17. Patient.address | |
Definition | An address for the individual. 患者の住所。必須。 An address for the individual. |
Control | 10..1* |
Type | Address |
Must Support | true |
Summary | true |
Requirements | 連絡、請求、報告の要件のために患者の住所を追跡し、識別を支援する必要がある場合があります。 / May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. |
Comments | Patient may have multiple addresses with different uses or applicable periods. 患者は、異なる用途または適用可能な期間で複数の住所を持っている可能性がある。 【JP Core仕様】FHIRデータ型仕様に従って、以下の案とした。
※診療文書構造化記述規約等では、streetAddressLine (FHIRではlineに対応) に指定するとなっていた。 Patient may have multiple addresses with different uses or applicable periods. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
18. Patient.address.use | |
Definition | The purpose of this address. 住所の用途 The purpose of this address. |
Control | 0..1 |
Binding | The codes SHALL be taken from AddressUse アドレスの使用。 / The use of an address. The use of an address. |
Type | code |
Is Modifier | true |
Summary | true |
Requirements | 多くのリストから適切なアドレスを選択できるようにします。 / Allows an appropriate address to be chosen from a list of many. Allows an appropriate address to be chosen from a list of many. |
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old. 住所の用途をValueSet(AddressUse)より選択する。
|
Example | General:home |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
19. Patient.address.text | |
Definition | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. |
Control | 10..1 |
Type | string |
Must Support | true |
Summary | true |
Requirements | レンダリング可能で、不コード化されていないフォーム。 / A renderable, unencoded form. A renderable, unencoded form. |
Comments | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
例:東京都文京区本郷7-3-1 Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. |
Example | General:137 Nowhere Street, Erewhon 9132 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
20. Patient.address.postalCode | |
Definition | 郵便サービスによって定義された地域を指定する郵便番号。 / A postal code designating a region defined by the postal service. A postal code designating a region defined by the postal service. |
Control | 10..1 |
Type | string |
Must Support | true |
Summary | true |
Alternate Names | Zip |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
1MBを超えないこと。 |
Example | General:9132 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. Patient.address.country | |
Definition | Country - a nation as commonly understood or generally accepted. 国-一般的に理解されている、または一般的に受け入れられている国の国名かコード。 Country - a nation as commonly understood or generally accepted. |
Control | 0..1 |
Type | string |
Must Support | true |
Summary | true |
Comments | ISO 3166 3 letter codes can be used in place of a human readable country name. ISO 3166 3 letter codes can be used in place of a human readable country name. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
22. Patient.link | |
Definition | Link to another patient resource that concerns the same actual patient. 事実上の同一患者をリンクする別のPatientリソース。 |
Control | 0..* |
Type | BackboneElement |
Is Modifier | true |
Summary | true |
Requirements | There are multiple use cases:
複数のユースケースがある。
There are multiple use cases:
|
Comments | There is no assumption that linked patient records have mutual links. リンクされた患者記録に相互リンクがあるという仮定はない。 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
23. Patient.link.modifierExtension | |
Definition | 要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。 モディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: 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 bothMust have either extensions or value[x], not both (: extension.exists() != value.exists()) |
24. Patient.link.other | |
Definition | The other patient resource that the link refers to. リンクが参照する他の患者リソース。 |
Control | 1..1 |
Type | Reference(JP_Patient|RelatedPerson|Patient) |
Summary | true |
Comments | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. ここでRelatedPersonを参照すると、Personレコードを使用して患者とRelatedPersonを同じ個人として関連付ける必要がなくなる。 |
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
25. Patient.link.type | |
Definition | The type of link between this patient resource and another patient resource. この患者リソースと別の患者リソース間のリンクのタイプ。 |
Control | 1..1 |
Binding | The codes SHALL be taken from LinkType この患者リソースと別の患者リソースとの間のリンクのタイプ。 / The type of link between this patient resource and another patient resource. The type of link between this patient resource and another patient resource. |
Type | code |
Summary | true |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
|
Invariants | Defined on this element ele-1: 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 childrenAll FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here.
1. Patient | |||||
Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services. ケアまたはその他の健康関連サービスを受けている個人または動物に関する人口統計およびその他の管理情報。 | ||||
Control | 0..* | ||||
Summary | false | ||||
Alternate Names | SubjectOfCare Client Resident | ||||
2. Patient.id | |||||
Definition | リソースのURLで使用されるリソースの論理ID。割り当てられたら、この値は変更されません。 / The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Control | 0..1 | ||||
Type | id | ||||
Summary | true | ||||
Comments | リソースにIDがないのは、IDが作成操作を使用してサーバーに送信されている場合です。 / The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
3. Patient.meta | |||||
Definition | リソースに関するメタデータ。これは、インフラストラクチャによって維持されるコンテンツです。コンテンツの変更は、常にリソースのバージョンの変更に関連付けられているとは限りません。 / The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Summary | true | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
4. Patient.implicitRules | |||||
Definition | リソースが構築されたときに従った一連のルールへの参照。コンテンツの処理時に理解する必要があります。多くの場合、これは他のプロファイルなどとともに特別なルールを定義する実装ガイドへの参照です。 / A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true | ||||
Summary | true | ||||
Comments | このルールセットを主張することは、コンテンツが限られた取引パートナーのセットによってのみ理解されることを制限します。これにより、本質的に長期的にデータの有用性が制限されます。ただし、既存の健康エコシステムは非常に破壊されており、一般的に計算可能な意味でデータを定義、収集、交換する準備ができていません。可能な限り、実装者や仕様ライターはこの要素の使用を避ける必要があります。多くの場合、使用する場合、URLは、これらの特別なルールを他のプロファイル、バリューセットなどとともに叙述(Narative)の一部として定義する実装ガイドへの参照です。 / Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
5. Patient.language | |||||
Definition | リソースが書かれている基本言語。 / The base language in which the resource is written. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages
人間の言語。 / A human language
| ||||
Type | code | ||||
Summary | false | ||||
Comments | 言語は、インデックス作成とアクセシビリティをサポートするために提供されます(通常、テキストから音声までのサービスなどのサービスが言語タグを使用します)。叙述(Narative)のHTML言語タグは、叙述(Narative)に適用されます。リソース上の言語タグを使用して、リソース内のデータから生成された他のプレゼンテーションの言語を指定できます。すべてのコンテンツが基本言語である必要はありません。リソース。言語は、叙述(Narative)に自動的に適用されると想定されるべきではありません。言語が指定されている場合、HTMLのDIV要素にも指定されている場合(XML:LangとHTML Lang属性の関係については、HTML5のルールを参照してください)。 / Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
6. Patient.text | |||||
Definition | リソースの概要を含み、人間へのリソースの内容を表すために使用できる人間の読み取り可能な叙述(Narative)。叙述(Narative)はすべての構造化されたデータをエンコードする必要はありませんが、人間が叙述(Narative)を読むだけで「臨床的に安全」にするために十分な詳細を含める必要があります。リソースの定義は、臨床的安全を確保するために、叙述(Narative)で表現するコンテンツを定義する場合があります。 / A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Comments | 含まれるリソースには叙述(Narative)がありません。含まれていないリソースには叙述(Narative)が必要です。場合によっては、リソースには、追加の個別のデータがほとんどまたはまったくないテキストのみがあります(すべてのMinoccur = 1要素が満たされている限り)。これは、情報がtext blob (バイナリー ラージ オブジェクト)としてキャプチャされるレガシーシステムからのデータ、またはテキストが生またはナレーションされ、エンコードされた情報が後で追加される場合に必要になる場合があります。 / Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
7. Patient.text.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
8. Patient.text.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.text.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
9. Patient.text.status | |||||
Definition | テキスト内容の全てがリソースのコンテンツから生成されたことを示す。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from NarrativeStatus The status of a resource narrative | ||||
Type | code | ||||
Summary | false | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
10. Patient.text.div | |||||
Definition | 本リソースの構造化情報から生成したテキスト表現をいれてもよい。 XHTML形式。 例:田中一郎、男、1980/7/1生、東京都中央区日本橋1-1-1, 03_1234_5678 | ||||
Control | 1..1 | ||||
Type | xhtml | ||||
Summary | false | ||||
Comments | The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) txt-1: 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: The narrative SHALL have some non-whitespace content (: htmlChecks()) | ||||
11. Patient.contained | |||||
Definition | これらのリソースには、それらを含むリソースを除いて独立した存在はありません - 独立して特定することはできず、独自の独立したトランザクションスコープを持つこともできません。 / These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
Comments | 識別が失われると、コンテンツを適切に識別できる場合は、これを行うべきではありません。含まれるリソースには、メタ要素にプロファイルとタグがある場合がありますが、セキュリティラベルはありません。 / This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
12. Patient.extension | |||||
Definition | リソースの基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
Slicing | This element introduces a set of slices on Patient.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
13. Patient.extension:religion | |||||
SliceName | religion | ||||
Definition | The patient's professed religious affiliations. 患者の公言された宗教的所属。 | ||||
Control | 0..* | ||||
Type | Extension(religion) (Extension Type: CodeableConcept) | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 患者の宗教をValueSet(v3.ReligiousAffiliation)より選択する。輸血や食事で考慮が必要な場合がある。
など | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
14. Patient.extension:birthPlace | |||||
SliceName | birthPlace | ||||
Definition | The registered place of birth of the patient. A system may use the address.text if they don't store the birthPlace address in discrete elements. 患者の登録された出生地。システムは、birthPlaceアドレスを個別の要素に格納しない場合、address.textを使用してよい。 | ||||
Control | 0..1 | ||||
Type | Extension(birthPlace) (Extension Type: Address) | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 患者の生誕地をAddress型で表現する | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
15. Patient.extension:race | |||||
SliceName | race | ||||
Definition | Optional Extension Element - found in all resources. オプションの拡張要素-すべてのリソースで使用できる。 | ||||
Control | 0..* | ||||
Type | Extension(JP_Patient_Race) (Extension Type: CodeableConcept) | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 患者の人種をValueSet(Race)より選択する。
など | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
16. Patient.modifierExtension | |||||
Definition | リソースの基本的な定義の一部ではなく、それを含む要素の理解および/または含有要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義することが許可されていますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。 モディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Summary | false | ||||
Requirements | 修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
17. Patient.identifier | |||||
Definition | An identifier for this patient. この患者の識別子。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..* | ||||
Type | Identifier | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. ほとんどの場合、患者には特定の数値識別子が割り当てられる。 | ||||
Comments | IDの名前空間を表す Patient.identifier.system と ID値そのものを表す Patient.identifier.value の組み合わせとして表現する。
なお、urn:oid:1.2.392.100495.20.3.51の部分は、「処方情報 HL7FHIR 記述仕様」表19 識別子名前空間一覧において医療機関等の患者IDとして割り当てられたOIDのURL型である。地域医療連携ネットワークの地域患者IDを指定する場合も同様に、地域患者IDを識別する名前空間(IHE ITI PIX等で使用されるOID等)をsystemに使用することができる。 | ||||
18. Patient.identifier.id | |||||
Definition | リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
19. Patient.identifier.extension | |||||
Definition | 要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
20. Patient.identifier.use | |||||
Definition | この識別子の目的。 / The purpose of this identifier. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse 既知の場合、この識別子の目的を識別します。 / Identifies the purpose for this identifier, if known | ||||
Type | code | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 特定の使用のコンテキストが一連の識別子の中から選択される適切な識別子を許可します。 / Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
21. Patient.identifier.type | |||||
Definition | 特定の目的に使用する識別子を決定するために使用できる識別子のコード化されたタイプ。 / A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable 特定の目的に使用する識別子を決定するために使用できる識別子のコード化されたタイプ。 / A coded type for an identifier that can be used to determine which identifier to use for a specific purpose | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
Requirements | 識別子システムが不明な場合、ユーザーは識別子を使用できます。 / Allows users to make use of identifiers when the identifier system is not known. | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
など | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
22. Patient.identifier.system | |||||
Definition | 値の名前空間、つまり一意のセット値を記述するURLを確立します。 / Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Summary | true | ||||
Requirements | 識別子のセットがたくさんあります。2つの識別子を一致させるには、どのセットを扱っているかを知る必要があります。システムは、特定の一意の識別子セットを識別します。 / There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Comments | Identifier.system is always case sensitive.
なお、urn:oid:1.2.392.100495.20.3.51の部分は、「処方情報 HL7FHIR 記述仕様」表19 識別子名前空間一覧において医療機関等の患者IDとして割り当てられたOIDのURL型である。地域医療連携ネットワークの地域患者IDを指定する場合も同様に、地域患者IDを識別する名前空間(IHE ITI PIX等で使用されるOID等)をsystemに使用することができる。 | ||||
Example | General:http://www.acme.com/identifiers/patient | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
23. Patient.identifier.value | |||||
Definition | 通常、識別子の部分はユーザーに関連し、システムのコンテキスト内で一意のユーザーに関連しています。 / The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Control | 1..1 | ||||
Type | string | ||||
Summary | true | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processor to be confident that non-case-sensitive processing is safe. 患者を一意的に識別するID(例えば、患者IDやカルテ番号など)を設定。 | ||||
Example | General:123456 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
24. Patient.identifier.period | |||||
Definition | 識別子が使用される/有効な期間。 / Time period during which identifier is/was valid for use. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | true | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). IDが使われていた/使われている期間。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
25. Patient.identifier.assigner | |||||
Definition | 識別子を発行/管理する組織。 / Organization that issued/manages the identifier. | ||||
Control | 0..1 | ||||
Type | Reference(JP_Organization) | ||||
Summary | true | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. IDを発行した組織(テキストのみでも可) | ||||
26. Patient.identifier.assigner.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
27. Patient.identifier.assigner.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.assigner.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
28. Patient.identifier.assigner.reference | |||||
Definition | Bundleリソース内に記述される患者番号を付番した医療機関情報(Organization)のfullUrlに記述されるUUIDを設定。 例:"urn:uuid:179f9f7f_e546_04c2_6888_a9e0b24e5720" 省略されたときには、処方発行機関での患者番号とみなす。 処方発行発行機関や処方医所属医療機関と異なる場合、Bundleリソース内に患者番号を付番した医療機関情報を記述したOrganizationリソースを記述し、それを参照する。 | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Must Support | true | ||||
Summary | true | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
29. Patient.identifier.assigner.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ResourceType; other codes may be used where these codes are not suitable Aa resource (or, for logical models, the URI of the logical model) | ||||
Type | uri | ||||
Summary | true | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
30. Patient.identifier.assigner.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Summary | true | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
31. Patient.identifier.assigner.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Control | 0..1 | ||||
Type | string | ||||
Summary | true | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
32. Patient.active | |||||
Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | Need to be able to mark a patient record as not to be used because it was created in error. | ||||
Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element アクティブな要素に値が指定されていない場合、このリソースは通常アクティブであると想定される | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
33. Patient.name | |||||
Definition | A name associated with the individual. 個人に関連付けられた名前。 | ||||
Control | 1..* | ||||
Type | HumanName(JP_HumanName) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. 複数の名前で患者を追跡できる必要がある。例としては、正式名とパートナー名がある。 | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
34. Patient.telecom | |||||
Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. 個人に連絡するための連絡先の詳細(電話番号や電子メールアドレスなど)。 | ||||
Control | 0..* | ||||
Type | ContactPoint | ||||
Summary | true | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. 人々は、電話、電子メールなどの何らかの方法で彼らに連絡する(プライマリ)方法を持っている。 | ||||
Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). 患者は、さまざまな用途または適用期間違いで連絡先を複数の方法を持っている場合がある。緊急時連絡先として、また身元確認を支援するためのオプションが必要になる場合がある。患者当人に直接連絡できない場合があるが、患者を代理できる別の関係者(自宅の電話、またはペットの所有者の電話)を設定する場合もある。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
35. Patient.telecom.id | |||||
Definition | リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
36. Patient.telecom.extension | |||||
Definition | 要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
Slicing | This element introduces a set of slices on Patient.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
37. Patient.telecom.system | |||||
Definition | 接触点の通信フォーム - 連絡先を利用するために必要な通信システム。 / Telecommunications form for contact point - what communications system is required to make use of the contact. | ||||
Control | 0..1 This element is affected by the following invariants: cpt-2 | ||||
Binding | The codes SHALL be taken from ContactPointSystem 接触点の通信フォーム。 / Telecommunications form for contact point | ||||
Type | code | ||||
Summary | true | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
38. Patient.telecom.value | |||||
Definition | 実際の連絡先ポイントの詳細は、指定された通信システム(つまり、電話番号またはメールアドレス)にとって意味のある形式です。 / The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). | ||||
Control | 0..1 | ||||
Type | string | ||||
Summary | true | ||||
Requirements | 厳密に制御された形式ではないレガシー番号をサポートする必要があります。 / Need to support legacy numbers that are not in a tightly controlled format. | ||||
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. 連絡先の番号やメールアドレス | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
39. Patient.telecom.use | |||||
Definition | 接触点の目的を特定します。 / Identifies the purpose for the contact point. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ContactPointUse コンタクトポイントの使用。 / Use of contact point | ||||
Type | code | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 人がこの連絡先を使用する方法を追跡する必要があるため、ユーザーは自分の目的に適したものを選択できます。 / Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. | ||||
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
40. Patient.telecom.rank | |||||
Definition | 連絡先のセットを使用する優先順序を指定します。ランク値が低いコンタクトポイントは、ランク値が高いコンタクトポイントよりも優先されます。 / Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Summary | true | ||||
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance. 連絡先の使用順序(1 = 最高) | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
41. Patient.telecom.period | |||||
Definition | 接触点が使用されていた期間/使用されています。 / Time period when the contact point was/is in use. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | true | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
42. Patient.gender | |||||
Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. 管理上の性別-患者が管理および記録管理の目的で持つと見なされる性別。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from AdministrativeGender 管理目的で使用される人の性別。 / The gender of a person used for administrative purposes | ||||
Type | code | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | (少なくとも)名前と生年月日と組み合わせて、個人の識別に必要です。 / Needed for identification of the individual, in combination with (at least) name and birth date. | ||||
Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. 患者の性別をValueSet(AdministrativeGender)より選択する。 male 男性 female 女性 other その他 unknown 不明 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
43. Patient.birthDate | |||||
Definition | The date of birth for the individual. 個人の生年月日 | ||||
Control | 1..1 | ||||
Type | date | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 個人の年齢は、多くの臨床プロセスを推進します。 / Age of the individual drives many clinical processes. | ||||
Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
LOINC Code | 21112-8 | ||||
44. Patient.deceased[x] | |||||
Definition | Indicates if the individual is deceased or not. 個人が死亡しているかどうかを示す。 | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, dateTime | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 患者が亡くなったという事実は、臨床プロセスに影響を与えます。また、人間のコミュニケーションと関係管理において、その人が生きているかどうかを知る必要があります。 / The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. | ||||
Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
45. Patient.address | |||||
Definition | An address for the individual. 患者の住所。必須。 | ||||
Control | 1..1 | ||||
Type | Address | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 連絡、請求、報告の要件のために患者の住所を追跡し、識別を支援する必要がある場合があります。 / May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Comments | Patient may have multiple addresses with different uses or applicable periods. 患者は、異なる用途または適用可能な期間で複数の住所を持っている可能性がある。 【JP Core仕様】FHIRデータ型仕様に従って、以下の案とした。
※診療文書構造化記述規約等では、streetAddressLine (FHIRではlineに対応) に指定するとなっていた。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
46. Patient.address.id | |||||
Definition | リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
47. Patient.address.extension | |||||
Definition | 要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
Slicing | This element introduces a set of slices on Patient.address.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
48. Patient.address.use | |||||
Definition | The purpose of this address. 住所の用途 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AddressUse アドレスの使用。 / The use of an address | ||||
Type | code | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 多くのリストから適切なアドレスを選択できるようにします。 / Allows an appropriate address to be chosen from a list of many. | ||||
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old. 住所の用途をValueSet(AddressUse)より選択する。
| ||||
Example | General:home | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
49. Patient.address.type | |||||
Definition | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. 住所(訪問できる住所)と郵送先住所(私書箱や気付住所など)を区別する。ほとんどのアドレスは両方。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AddressType アドレスのタイプ(物理 /郵便)。 / The type of an address (physical / postal) | ||||
Type | code | ||||
Summary | true | ||||
Comments | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
| ||||
Example | General:both | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
50. Patient.address.text | |||||
Definition | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. | ||||
Control | 1..1 | ||||
Type | string | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | レンダリング可能で、不コード化されていないフォーム。 / A renderable, unencoded form. | ||||
Comments | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
例:東京都文京区本郷7-3-1 | ||||
Example | General:137 Nowhere Street, Erewhon 9132 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
51. Patient.address.line | |||||
Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. このコンポーネントには、家番号、アパート番号、通りの名前、通りの方向、P.O。が含まれる。ボックス番号、配達のヒント、および同様の住所情報など。 | ||||
Control | 0..* | ||||
Type | string | ||||
Summary | true | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
1MBを超えないこと。 例:本郷7-3-1 | ||||
Example | General:137 Nowhere Street | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
52. Patient.address.city | |||||
Definition | The name of the city, town, suburb, village or other community or delivery center. 市、町、郊外、村、その他のコミュニティまたは配達センターの名前。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Summary | true | ||||
Alternate Names | Municpality | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
1MBを超えないこと。 | ||||
Example | General:Erewhon | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
53. Patient.address.district | |||||
Definition | 管理エリア(郡)の名前。 / The name of the administrative area (county). | ||||
Control | 0..1 | ||||
Type | string | ||||
Summary | true | ||||
Alternate Names | County | ||||
Comments | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. 【JP Core仕様】日本の住所では使用しない。 | ||||
Example | General:Madison | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
54. Patient.address.state | |||||
Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). 国の主権が制限されている国のサブユニット。日本の場合、都道府県名。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Summary | true | ||||
Alternate Names | Province, Territory | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
1MBを超えないこと。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
55. Patient.address.postalCode | |||||
Definition | 郵便サービスによって定義された地域を指定する郵便番号。 / A postal code designating a region defined by the postal service. | ||||
Control | 1..1 | ||||
Type | string | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | Zip | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
1MBを超えないこと。 | ||||
Example | General:9132 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
56. Patient.address.country | |||||
Definition | Country - a nation as commonly understood or generally accepted. 国-一般的に理解されている、または一般的に受け入れられている国の国名かコード。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Must Support | true | ||||
Summary | true | ||||
Comments | ISO 3166 3 letter codes can be used in place of a human readable country name. | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
57. Patient.address.period | |||||
Definition | Time period when address was/is in use. 住所が使用されていた(いる)期間 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | true | ||||
Requirements | アドレスを歴史的な文脈に配置できるようにします。 / Allows addresses to be placed in historical context. | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").
Period is not used for a duration (a measure of elapsed time). See Duration. | ||||
Example | General:<valuePeriod xmlns="http://hl7.org/fhir"> <start value="2010-03-23"/> <end value="2010-07-01"/> </valuePeriod> | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
58. Patient.maritalStatus | |||||
Definition | This field contains a patient's most recent marital (civil) status. このフィールドは患者の最新の婚姻(市民)状態が含む。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from Marital Status Codes; other codes may be used where these codes are not suitable 人の国内パートナーシップの状況。 / The domestic partnership status of a person | ||||
Type | CodeableConcept | ||||
Summary | false | ||||
Requirements | ほとんどの場合、すべてではないにしても、それをキャプチャします。 / Most, if not all systems capture it. | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
59. Patient.multipleBirth[x] | |||||
Definition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). 患者が多胎児の一人であるか(boolean)、実際の出生順位(integer)であるかを示す。 | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, integer | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Summary | false | ||||
Requirements | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. 多産児の曖昧性解消、特にラボなど、医療提供者が患者に会わない場合に関連する。 | ||||
Comments | Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
60. Patient.photo | |||||
Definition | Image of the patient. 患者の画像。 | ||||
Control | 0..* | ||||
Type | Attachment | ||||
Summary | false | ||||
Requirements | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. 多くのEHRシステムには、患者の画像をキャプチャする機能がある。より新しいソーシャルメディアの使用にも適合する。 | ||||
Comments | Guidelines:
ガイドライン:
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
61. Patient.contact | |||||
Definition | A contact party (e.g. guardian, partner, friend) for the patient. 患者の連絡先者(例:保護者、パートナー、友人)。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | false | ||||
Requirements | Need to track people you can contact about the patient. 患者について連絡できる人を確認する必要がある。 | ||||
Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. 連絡先には、家族、取引先、保護者、介護者など、あらゆる種類の連絡先が含まれる。連絡先として使用しない親戚や家族を登録するためには適用されない。 | ||||
Invariants | Defined on this element ele-1: 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())) pat-1: 少なくとも連絡先の詳細または組織への参照を含めるものとする / SHALL at least contain a contact's details or a reference to an organization (: name.exists() or telecom.exists() or address.exists() or organization.exists()) | ||||
62. Patient.contact.id | |||||
Definition | リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
63. Patient.contact.extension | |||||
Definition | 要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
64. Patient.contact.modifierExtension | |||||
Definition | 要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。 モディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
65. Patient.contact.relationship | |||||
Definition | The nature of the relationship between the patient and the contact person. 患者と連絡先の関係性。 | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from PatientContactRelationship; other codes may be used where these codes are not suitable その患者の患者と接触者との関係の性質。 / The nature of the relationship between a patient and a contact person for that patient | ||||
Type | CodeableConcept | ||||
Summary | false | ||||
Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. 状況に応じて、アプローチするのに最適な関係者を決定するために使用される。 | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
66. Patient.contact.name | |||||
Definition | A name associated with the contact person. 連絡先に登録された名前。 | ||||
Control | 0..1 | ||||
Type | HumanName | ||||
Summary | false | ||||
Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. 連絡先は名前で識別する必要があるが、その連絡先に複数の名前が必要になることはまれである。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
67. Patient.contact.telecom | |||||
Definition | A contact detail for the person, e.g. a telephone number or an email address. 連絡先に登録された連絡方法(電話番号やメールアドレスなど)。 | ||||
Control | 0..* | ||||
Type | ContactPoint | ||||
Summary | false | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. 電話、電子メールなどの(優先する)連絡方法を確認する必要がある。 | ||||
Comments | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. 連絡先には、さまざまな用途または適用期間で連絡を取るための複数の方法がある。その人に緊急に連絡する際の連絡先を確認する必要がある。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
68. Patient.contact.address | |||||
Definition | Address for the contact person. 連絡先の住所。 | ||||
Control | 0..1 | ||||
Type | Address | ||||
Summary | false | ||||
Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. 郵送ないし訪問により連絡を取ることができるよう注意する必要があるため。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
69. Patient.contact.gender | |||||
Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. 管理上の性別-連絡先担当者が管理および記録管理のために持っていると考えられる性別。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AdministrativeGender 管理目的で使用される人の性別。 / The gender of a person used for administrative purposes | ||||
Type | code | ||||
Summary | false | ||||
Requirements | Needed to address the person correctly. その人に正しく話しかけるために必要である。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
70. Patient.contact.organization | |||||
Definition | Organization on behalf of which the contact is acting or for which the contact is working. 連絡先が主として活動する、または勤務している組織。 | ||||
Control | 0..1 This element is affected by the following invariants: pat-1 | ||||
Type | Reference(JP_Organization) | ||||
Summary | false | ||||
Requirements | 保護者またはビジネス関連の連絡先については、組織が関連しています。 / For guardians or business related contacts, the organization is relevant. | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 連絡先に関連する組織 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
71. Patient.contact.period | |||||
Definition | The period during which this contact person or organization is valid to be contacted relating to this patient. この患者に関連して、この連絡担当者または組織に連絡することが有効な期間。 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | false | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
72. Patient.communication | |||||
Definition | A language which may be used to communicate with the patient about his or her health. 彼または彼女の健康について患者と会話する際に使用する言語。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | false | ||||
Requirements | If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. | ||||
Comments | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
73. Patient.communication.id | |||||
Definition | リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
74. Patient.communication.extension | |||||
Definition | 要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
75. Patient.communication.modifierExtension | |||||
Definition | 要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。 モディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
76. Patient.communication.language | |||||
Definition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages
人間の言語。 / A human language
| ||||
Type | CodeableConcept | ||||
Summary | false | ||||
Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. 多言語の国のほとんどのシステムは、言語を伝えたいと考えられる。 すべてのシステムが実際に地域の方言を必要とするわけではない。 | ||||
Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. 患者とコミュニケーションするときに使用できる言語をValueSet(CommonLanguages)より選択する。
| ||||
Invariants | Defined on this element ele-1: 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())) | ||||
77. Patient.communication.preferred | |||||
Definition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). 患者がこの言語を優先するかどうかを示す(他の言語よりも特定レベルまで習得している)。 | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Summary | false | ||||
Requirements | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. 特定のレベルまで複数の言語を習得している人は、複数の言語を選択する可能性がある。つまり、特定の言語でのコミュニケーションに自信を持ち、他の言語を一種の備えとしている。 | ||||
Comments | This language is specifically identified for communicating healthcare information. この言語は、医療情報を伝えるために特に識別される。 患者がこの言語を習得している場合はtrue、そうでなければfalseを設定する。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
78. Patient.generalPractitioner | |||||
Definition | Patient's nominated care provider. 患者が指名するケア提供者 | ||||
Control | 0..* | ||||
Type | Reference(JP_Organization|JP_Practitioner|JP_PractitionerRole) | ||||
Summary | false | ||||
Alternate Names | careProvider | ||||
Comments | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.
Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
79. Patient.managingOrganization | |||||
Definition | Organization that is the custodian of the patient record. 患者記録の管理者である組織。 | ||||
Control | 0..1 | ||||
Type | Reference(JP_Organization) | ||||
Summary | true | ||||
Requirements | Need to know who recognizes this patient record, manages and updates it. この患者記録を誰が認識し、管理し、更新するかを知る必要がある。 | ||||
Comments | There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). 特定の患者記録を管理する組織は1つだけである。他の組織には独自の患者レコードがあり、Linkプロパティを使用してレコードを結合する場合がある(または、関連付けの信頼性評価を含めることができる個人リソース) | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
80. Patient.link | |||||
Definition | Link to another patient resource that concerns the same actual patient. 事実上の同一患者をリンクする別のPatientリソース。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | There are multiple use cases:
複数のユースケースがある。
| ||||
Comments | There is no assumption that linked patient records have mutual links. リンクされた患者記録に相互リンクがあるという仮定はない。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
81. Patient.link.id | |||||
Definition | リソース内の要素の一意のID(内部参照用)。これは、スペースを含まない文字列値である場合があります。 / Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
82. Patient.link.extension | |||||
Definition | 要素の基本的な定義の一部ではない追加情報を表すために使用できます。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。 / May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
83. Patient.link.modifierExtension | |||||
Definition | 要素の基本的な定義の一部ではなく、それが含まれている要素の理解、および/または含まれる要素の子孫の理解を変更するために使用される場合があります。通常、修飾子要素は否定または資格を提供します。拡張機能を安全で管理しやすくするために、拡張機能の定義と使用に適用される厳格なガバナンスセットがあります。実装者は拡張機能を定義できますが、拡張機能の定義の一部として満たされる一連の要件があります。アプリケーションの処理リソースは、修飾子拡張機能をチェックする必要があります。 モディファイア拡張は、リソースまたはdomainResource上の要素の意味を変更してはなりません(修飾軸自体の意味を変更することはできません)。 / May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Summary | true | ||||
Requirements | 修飾子拡張機能により、安全に無視できる大部分の拡張機能と明確に区別できるように、安全に無視できない拡張機能が可能になります。これにより、実装者が拡張の存在を禁止する必要性を排除することにより、相互運用性が促進されます。詳細については、[修飾子拡張の定義](拡張性.html#modifierextension)を参照してください。 / Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Comments | 拡張機能を使用または定義する機関や管轄権に関係なく、アプリケーション、プロジェクト、または標準による拡張機能の使用に関連するスティグマはありません。拡張機能の使用は、FHIR仕様がすべての人にコアレベルのシンプルさを保持できるようにするものです。 / There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: 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: 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()) | ||||
84. Patient.link.other | |||||
Definition | The other patient resource that the link refers to. リンクが参照する他の患者リソース。 | ||||
Control | 1..1 | ||||
Type | Reference(JP_Patient|RelatedPerson) | ||||
Summary | true | ||||
Comments | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. ここでRelatedPersonを参照すると、Personレコードを使用して患者とRelatedPersonを同じ個人として関連付ける必要がなくなる。 | ||||
Invariants | Defined on this element ele-1: 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())) | ||||
85. Patient.link.type | |||||
Definition | The type of link between this patient resource and another patient resource. この患者リソースと別の患者リソース間のリンクのタイプ。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from LinkType この患者リソースと別の患者リソースとの間のリンクのタイプ。 / The type of link between this patient resource and another patient resource | ||||
Type | code | ||||
Summary | true | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size
| ||||
Invariants | Defined on this element ele-1: 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())) |