ePath R4 Implementation Guide
1.0.1 - ci-build Japan

ePath R4 Implementation Guide - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: EPathConditionCarePlanAddresses - Detailed Descriptions

Active as of 2026-02-19

Definitions for the EPathConditionCarePlanAddresses resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. 健康上の懸念となるレベルに達した、身体的、精神的、社会的な負の状態(condition)や問題（problem／issue）、医療者による診断(diagnosis)、生じたイベント(event)、置かれている状況(situation)、臨床的概念(clinical concept)。 A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Short | Detailed information about conditions, problems or diagnoses. 患者の臨床状態、問題、または診断に関する詳細な情報
Control | 0..*
Is Modifier | false
Summary | false
Invariants | con-3: verificationStatus」が「entered-in-error」でなく、「category」が「problem-list-item」である場合、「condition.clinicalStatus」が存在している必要があります。 (`clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`) con-4: もし状態が軽減された場合、臨床状態は不活動、解決、または寛解でなければなりません。 (`abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`) con-5: verificationStatusがentered-in-errorである場合、condition.clinicalStatusは存在してはなりません。 (`verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`) dom-2: もしリソースが他のリソースに含まれている場合、そのリソースにはネストされたリソースを含めてはなりません (moshi risōsu ga hoka no risōsu ni fukumarete iru baai, sono risōsu ni wa nesuto sareta risōsu o fukumete wa narimasen). (`contained.contained.empty()`) dom-3: もしリソースが他のリソースに含まれている場合、それはリソースの他の場所から参照されるか、含まれるリソースに参照されるべきです。 (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: もしリソースが別のリソースの中に含まれる場合、meta.versionIdまたはmeta.lastUpdatedを持つべきではありません。 (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: もしリソースが他のリソースに含まれている場合、セキュリティラベルを持つべきではありません。 (`contained.meta.security.empty()`) dom-6: 資源は堅牢な管理のために物語を持つべきである。 (`text.`div`.exists()`) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Condition.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、リソースのバージョン変更と常に関連しているわけではありません。 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.
Short | リソースに関するメタデータMetadata about the resource
Control | 10..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Condition.meta.profile
Definition | 本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses|x.y.z を設定する。 A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | 本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses|x.y.z を設定する。Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 10..*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Condition.implicitRules
Definition | リソース構築時に遵守された一連のルールを指すものであり、コンテンツを処理する際に理解する必要があります。しばしば、特別なルールを定義する実装ガイドとその他のプロファイルなどを含むものです。 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.
Short | このコンテンツが作成されたルールセットA set of rules under which this content was created
Comments | このルールセットを主張することで、取引先の限られた集団にしか内容を理解させることができず、長期的にはデータの有用性が制限されます。しかしながら、現存するヘルスエコシステムは高度に分断化しており、一般的に計算可能な形式でデータを定義、収集、交換する準備が整っていません。できる限り、実装者および/または仕様ライターはこの要素の使用を避けるべきです。使用する場合、URLは、そのナラティブとともに他のプロファイル、値セットなどを含む実装ガイドを定義する参照となります。 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.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Condition.modifierExtension
Definition | リソースの基本的な定義に含まれない、要素の理解や、それを含む要素の子孫の理解を修正する追加情報を表すためにも使用されることがあります。通常、修飾要素は否定や修飾を提供します。拡張機能の使用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対して厳格な統治が適用されます。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す必要がある要件があります。リソースを処理するアプリケーションは、修飾子拡張をチェックする必要があります。修飾子拡張は、リソースまたはドメインリソースの任意の要素の意味を変更してはなりません（修飾子拡張自体の意味も変更できません）。 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).
Short | 無視できない拡張機能 (Mushi dekinai kakuchou kinou)Extensions that cannot be ignored
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | 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
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`) 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())
10. Condition.identifier
Definition | サーバーからサーバーへ伝搬するにつれて更新され、パフォーマーまたは他のシステムによって割り当てられたビジネス識別子が、この状態に対して一定の値を保持します。 Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Short | この状態の外部ID。External Ids for this condition
Comments | これはビジネス識別子であり、リソース識別子ではありません（[discussion]（resource.html＃identifiers）を参照）。 識別子が単一のリソースインスタンスにのみ表示されることが最善の方法ですが、ビジネス上の実践によっては、同じ識別子を持つ複数のリソースインスタンスが存在する場合があります。 たとえば、複数の患者と個人リソースインスタンスが同じ社会保険番号を共有する場合があります。 This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Condition.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ system
12. Condition.identifier:resourceInstanceIdentifier
Slice Name | resourceInstanceIdentifier
Definition | サーバーからサーバーへ伝搬するにつれて更新され、パフォーマーまたは他のシステムによって割り当てられたビジネス識別子が、この状態に対して一定の値を保持します。 Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Short | この状態の外部ID。External Ids for this condition
Comments | これはビジネス識別子であり、リソース識別子ではありません（[discussion]（resource.html＃identifiers）を参照）。 識別子が単一のリソースインスタンスにのみ表示されることが最善の方法ですが、ビジネス上の実践によっては、同じ識別子を持つ複数のリソースインスタンスが存在する場合があります。 たとえば、複数の患者と個人リソースインスタンスが同じ社会保険番号を共有する場合があります。 This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Condition.identifier:resourceInstanceIdentifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Condition.identifier:resourceInstanceIdentifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 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.
Fixed Value | `http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Condition.identifier:resourceInstanceIdentifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
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 processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Condition.clinicalStatus
Definition | The clinical status of the condition. この患者状態の臨床的ステータス（アクティブか否かなど） The clinical status of the condition.
Short | active | recurrence | relapse | inactive | remission | resolved （アクティブ | 再発 | 再燃 | インアクティブ | 寛解 | 完治）
Comments | データ型はCodeableConceptです。なぜなら、clinicalStatusには一定の臨床判断が含まれるため、必要なFHIR値セットが許容するよりもさらに特定性が必要になる場合があるためです。例えば、SNOMEDコーディングは追加の特定性を許容する場合があります。 The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 10..1 This element is affected by the following invariants: con-3, con-4, con-5
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` ) 病態や診断の臨床状態。 The clinical status of the condition or diagnosis.
Type | CodeableConcept
Is Modifier | true because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Must Support | true
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Condition.clinicalStatus.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Condition.clinicalStatus.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://terminology.hl7.org/CodeSystem/condition-clinical`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Condition.clinicalStatus.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Fixed Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Condition.verificationStatus
Definition | The verification status to support the clinical status of the condition. この患者状態が存在するかどうかの検証状況。 The verification status to support the clinical status of the condition.
Short | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error（十分に確認されていない | 暫定的 | 鑑別的 | 十分な根拠で存在 | 十分な根拠で否定 | 誤記載）
Comments | 検証状態は必須ではありません。例えば、救急治療室で患者が腹痛を訴えた場合、一般的には検証状態が必要ないでしょう。 データ型はCodeableConceptであり、検証状態には臨床的な判断が必要なため、必要なFHIR値のセットよりも詳細な仕様が必要になる場合があります。例えば、SNOMEDのコーディングではさらに詳細な情報を含むことができます。 verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 10..1 This element is affected by the following invariants: con-3, con-5
Binding | The codes SHALL be taken from ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` ) 状態や診断の臨床状況を支持または拒否するための検証状況 The verification status to support or decline the clinical status of the condition or diagnosis.
Type | CodeableConcept
Is Modifier | true because This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Must Support | true
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Condition.verificationStatus.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Condition.verificationStatus.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Condition.verificationStatus.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Fixed Value | `confirmed`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Condition.code
Definition | 病名を識別するコード・名称 MEDIS-DC標準病名、ICD10の病名コード・名称は、下記の付録1コード一覧の項目より要素繰り返しで設定する。 MEDIS-DC 標準病名マスタ管理番号 ICD10 標準病名コード 要素繰り返しの順序もこれに沿って記述すること。 施設等のローカル内で定めたコードを追加で設定してもよい。但し、その場合、上記の標準病名コードは必ず１つは設定し、ローカルコードの記述順は繰り返しの最後になること。 Identification of the condition, problem or diagnosis.
Short | 病名を識別するコード・名称Identification of the condition, problem or diagnosis
Control | 10..1
Binding | For example codes, see Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 (example to `http://hl7.org/fhir/ValueSet/condition-code` ) 状態や診断の特定 Identification of the condition or diagnosis.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 0..1 to account for primarily narrative only resources.
Alternate Names | type
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Condition.code.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Binding | For example codes, see For codes, see JP Core Condition Disease Code MEDIS RecordNo ValueSet (example to `http://medis.or.jp/ValueSet/master-disease-keyNumber` )
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Condition.code.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ system
40. Condition.code.coding:masterDiseaseKeyNumber
Slice Name | masterDiseaseKeyNumber
Definition | MEDIS ICD10対応標準病名マスター(管理番号) A reference to a code defined by a terminology system.
Short | MEDIS ICD10対応標準病名マスター(管理番号)Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Binding | The codes SHOULD be taken from For codes, see JP Core Condition Disease Code MEDIS RecordNo ValueSet (preferred to `http://medis.or.jp/ValueSet/master-disease-keyNumber` )
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Condition.code.coding:masterDiseaseKeyNumber.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://medis.or.jp/CodeSystem/master-disease-keyNumber`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Condition.code.coding:masterDiseaseKeyNumber.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Condition.code.coding:masterDiseaseKeyNumber.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Condition.code.coding:ICD10-2013-full
Slice Name | ICD10-2013-full
Definition | MHLW 厚生労働省ICD102013版 A reference to a code defined by a terminology system.
Short | MHLW 厚生労働省ICD102013版Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Binding | The codes SHOULD be taken from For codes, see MHLW 厚生労働省ICD102013版 (preferred to `http://jpfhir.jp/fhir/core/mhlw/ValueSet/ICD10-2013-full` )
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Condition.code.coding:ICD10-2013-full.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://jpfhir.jp/fhir/core/mhlw/CodeSystem/ICD10-2013-full`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Condition.code.coding:ICD10-2013-full.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Condition.code.coding:ICD10-2013-full.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Condition.code.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Condition.subject
Definition | パスを適用する患者リソース（Patient）への参照 Indicates the patient or group who the condition record is associated with.
Short | パスを適用する患者リソース（Patient）への参照Who has the condition?
Control | 1..1
Type | Reference(JP Core Patient Profile, Patient, Group)
Is Modifier | false
Must Support | true
Summary | true
Requirements | Group is typically used for veterinary or public health use cases.
Alternate Names | patient
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ele-1: All 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 foundhere

0. Condition
2. Condition.meta
Control | 1..?
4. Condition.meta.profile
Definition | 本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses|x.y.z を設定する。
Short | 本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses|x.y.z を設定する。
Control | 1..?
Must Support | true
6. Condition.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..?
Slicing | This element introduces a set of slices on `Condition.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ system
8. Condition.identifier:resourceInstanceIdentifier
Slice Name | resourceInstanceIdentifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Must Support | true
10. Condition.identifier:resourceInstanceIdentifier.system
Control | 1..?
Fixed Value | `http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier`
12. Condition.identifier:resourceInstanceIdentifier.value
Control | 1..?
Must Support | true
14. Condition.clinicalStatus
Control | 1..?
Must Support | true
16. Condition.clinicalStatus.coding
18. Condition.clinicalStatus.coding.system
Control | 1..?
Fixed Value | `http://terminology.hl7.org/CodeSystem/condition-clinical`
20. Condition.clinicalStatus.coding.code
Control | 1..?
Must Support | true
Fixed Value | `active`
22. Condition.verificationStatus
Control | 1..?
Must Support | true
24. Condition.verificationStatus.coding
26. Condition.verificationStatus.coding.system
Control | 1..?
Fixed Value | `http://terminology.hl7.org/CodeSystem/condition-ver-status`
28. Condition.verificationStatus.coding.code
Control | 1..?
Must Support | true
Fixed Value | `confirmed`
30. Condition.code
Definition | 病名を識別するコード・名称 MEDIS-DC標準病名、ICD10の病名コード・名称は、下記の付録1コード一覧の項目より要素繰り返しで設定する。 MEDIS-DC 標準病名マスタ管理番号 ICD10 標準病名コード 要素繰り返しの順序もこれに沿って記述すること。 施設等のローカル内で定めたコードを追加で設定してもよい。但し、その場合、上記の標準病名コードは必ず１つは設定し、ローカルコードの記述順は繰り返しの最後になること。
Short | 病名を識別するコード・名称
Control | 1..?
Must Support | true
32. Condition.code.coding
Binding | For example codes, see JP Core Condition Disease Code MEDIS RecordNo ValueSet (example to `http://medis.or.jp/ValueSet/master-disease-keyNumber` )
Slicing | This element introduces a set of slices on `Condition.code.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ system
34. Condition.code.coding:masterDiseaseKeyNumber
Slice Name | masterDiseaseKeyNumber
Definition | MEDIS ICD10対応標準病名マスター(管理番号)
Short | MEDIS ICD10対応標準病名マスター(管理番号)
Control | 0..*
Binding | The codes SHOULD be taken from JP Core Condition Disease Code MEDIS RecordNo ValueSet (preferred to `http://medis.or.jp/ValueSet/master-disease-keyNumber` )
36. Condition.code.coding:masterDiseaseKeyNumber.system
Control | 1..?
Fixed Value | `http://medis.or.jp/CodeSystem/master-disease-keyNumber`
38. Condition.code.coding:masterDiseaseKeyNumber.code
Control | 1..?
Must Support | true
40. Condition.code.coding:masterDiseaseKeyNumber.display
Control | 1..?
Must Support | true
42. Condition.code.coding:ICD10-2013-full
Slice Name | ICD10-2013-full
Definition | MHLW 厚生労働省ICD102013版
Short | MHLW 厚生労働省ICD102013版
Control | 0..*
Binding | The codes SHOULD be taken from MHLW 厚生労働省ICD102013版 (preferred to `http://jpfhir.jp/fhir/core/mhlw/ValueSet/ICD10-2013-full` )
44. Condition.code.coding:ICD10-2013-full.system
Control | 1..?
Fixed Value | `http://jpfhir.jp/fhir/core/mhlw/CodeSystem/ICD10-2013-full`
46. Condition.code.coding:ICD10-2013-full.code
Control | 1..?
Must Support | true
48. Condition.code.coding:ICD10-2013-full.display
Control | 1..?
Must Support | true
50. Condition.code.text
Must Support | true
52. Condition.subject
Definition | パスを適用する患者リソース（Patient）への参照
Short | パスを適用する患者リソース（Patient）への参照
Must Support | true

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. 健康上の懸念となるレベルに達した、身体的、精神的、社会的な負の状態(condition)や問題（problem／issue）、医療者による診断(diagnosis)、生じたイベント(event)、置かれている状況(situation)、臨床的概念(clinical concept)。
Short | Detailed information about conditions, problems or diagnoses. 患者の臨床状態、問題、または診断に関する詳細な情報
Control | 0..*
Is Modifier | false
Summary | false
Invariants | con-3: verificationStatus」が「entered-in-error」でなく、「category」が「problem-list-item」である場合、「condition.clinicalStatus」が存在している必要があります。 (`clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`) con-4: もし状態が軽減された場合、臨床状態は不活動、解決、または寛解でなければなりません。 (`abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`) con-5: verificationStatusがentered-in-errorである場合、condition.clinicalStatusは存在してはなりません。 (`verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`) dom-2: もしリソースが他のリソースに含まれている場合、そのリソースにはネストされたリソースを含めてはなりません (moshi risōsu ga hoka no risōsu ni fukumarete iru baai, sono risōsu ni wa nesuto sareta risōsu o fukumete wa narimasen). (`contained.contained.empty()`) dom-3: もしリソースが他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、含まれるリソースに参照されるべきです。 (`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: もしリソースが別のリソースの中に含まれる場合、meta.versionIdまたはmeta.lastUpdatedを持つべきではありません。 (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: もしリソースが他のリソースに含まれている場合、セキュリティラベルを持つべきではありません。 (`contained.meta.security.empty()`) dom-6: 資源は堅牢な管理のために物語を持つべきである。 (`text.`div`.exists()`)
2. Condition.id
Definition | リソースのURLで使用される論理ID。一度割り当てられたら、この値は変更されません。
Short | このアーティファクトの論理ID
Comments | リソースにIDがないのは、作成操作を使用してサーバーに送信されているときだけです。
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Condition.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、リソースのバージョン変更と常に関連しているわけではありません。
Short | リソースに関するメタデータ
Control | 1..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
6. Condition.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
8. Condition.meta.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.meta.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Condition.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Short | Version specific identifier
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Control | 0..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Condition.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource version last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Condition.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Short | Identifies where the resource comes from
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Condition.meta.profile
Definition | 本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses|x.y.z を設定する。
Short | 本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses|x.y.z を設定する。
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 1..*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. Condition.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Short | Security Labels applied to this resource
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Condition.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | For example codes, see CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Condition.implicitRules
Definition | リソース構築時に遵守された一連のルールを指すものであり、コンテンツを処理する際に理解する必要があります。しばしば、特別なルールを定義する実装ガイドとその他のプロファイルなどを含むものです。
Short | このコンテンツが作成されたルールセット
Comments | このルールセットを主張することで、取引先の限られた集団にしか内容を理解させることができず、長期的にはデータの有用性が制限されます。しかしながら、現存するヘルスエコシステムは高度に分断化しており、一般的に計算可能な形式でデータを定義、収集、交換する準備が整っていません。できる限り、実装者および/または仕様ライターはこの要素の使用を避けるべきです。使用する場合、URLは、そのナラティブとともに他のプロファイル、値セットなどを含む実装ガイドを定義する参照となります。
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
24. Condition.language
Definition | リソースが書かれている基本言語。
Short | 「リソースコンテンツの言語」
Comments | 言語はインデックス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、テキスト読み上げなどのサービスは言語タグを使用します）。物語のHTML言語タグは、物語に適用されます。リソース上の言語タグは、リソース内のデータから生成される他のプレゼンテーションの言語を指定するために使用できます。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。Resource.languageは自動的に物語に適用されたと想定してはいけません。言語が指定されている場合、HTMLのdiv要素にも指定する必要があります（xml：langとhtml lang属性の関係に関する情報はHTML5の規則を参照）。
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 「人間の言語。」
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
26. Condition.text
Definition | リソースの要約を含む人が読めるナビゲーションであり、リソースの内容を人に表現するために使用できます。ナビゲーション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、人間がナビゲーションを読むだけで「臨床的に安全」であるために十分な詳細を含む必要があります。リソース定義には、臨床的な安全性を確保するためにナビゲーションで表現する必要があるコンテンツが定義される場合があります。
Short | Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約
Comments | 含まれるリソースには説明がありません。含まれないリソースには説明が必要です。場合によっては、リソースが少量のデータしか含まず、テキストだけで表現されることがあります（minOccurs = 1要素がすべて満たされている限り）。これは、情報が「テキストの塊」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や、テキストが生またはナレーションされて符号化された情報が後で追加される場合に必要な場合があります。
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
28. Condition.contained
Definition | これらのリソースは、それらを含むリソースから独立した存在を持ちません。それらは独立して識別することはできず、独自の独立したトランザクション範囲を持つこともできません。
Short | 「含まれている、インラインのリソース」
Comments | コンテンツが適切に識別できる場合には、これを行うべきではありません。識別が失われると、再び復元することは非常に困難であり（文脈に依存します）、メタ要素にプロファイルとタグを持つことができますが、セキュリティのラベルを持っていてはいけません。
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
30. Condition.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することができます。拡張機能の使用を安全かつ管理可能にするために、定義と使用の一定のガバナンスが適用されます。実装者はどんな拡張機能でも定義できますが、拡張機能の定義の一部として満たす必要がある要件があります
Short | 実装によって定義される追加コンテンツ
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`)
32. Condition.modifierExtension
Definition | リソースの基本的な定義に含まれない、要素の理解や、それを含む要素の子孫の理解を修正する追加情報を表すためにも使用されることがあります。通常、修飾要素は否定や修飾を提供します。拡張機能の使用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対して厳格な統治が適用されます。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す必要がある要件があります。リソースを処理するアプリケーションは、修飾子拡張をチェックする必要があります。修飾子拡張は、リソースまたはドメインリソースの任意の要素の意味を変更してはなりません（修飾子拡張自体の意味も変更できません）。
Short | 無視できない拡張機能 (Mushi dekinai kakuchou kinou)
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | 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
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`)
34. Condition.identifier
Definition | サーバーからサーバーへ伝搬するにつれて更新され、パフォーマーまたは他のシステムによって割り当てられたビジネス識別子が、この状態に対して一定の値を保持します。
Short | この状態の外部ID。
Comments | これはビジネス識別子であり、リソース識別子ではありません（[discussion]（resource.html＃identifiers）を参照）。 識別子が単一のリソースインスタンスにのみ表示されることが最善の方法ですが、ビジネス上の実践によっては、同じ識別子を持つ複数のリソースインスタンスが存在する場合があります。 たとえば、複数の患者と個人リソースインスタンスが同じ社会保険番号を共有する場合があります。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Condition.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ system
36. Condition.identifier:resourceInstanceIdentifier
Slice Name | resourceInstanceIdentifier
Definition | サーバーからサーバーへ伝搬するにつれて更新され、パフォーマーまたは他のシステムによって割り当てられたビジネス識別子が、この状態に対して一定の値を保持します。
Short | この状態の外部ID。
Comments | これはビジネス識別子であり、リソース識別子ではありません（[discussion]（resource.html＃identifiers）を参照）。 識別子が単一のリソースインスタンスにのみ表示されることが最善の方法ですが、ビジネス上の実践によっては、同じ識別子を持つ複数のリソースインスタンスが存在する場合があります。 たとえば、複数の患者と個人リソースインスタンスが同じ社会保険番号を共有する場合があります。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
38. Condition.identifier:resourceInstanceIdentifier.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
40. Condition.identifier:resourceInstanceIdentifier.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
42. Condition.identifier:resourceInstanceIdentifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Condition.identifier:resourceInstanceIdentifier.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
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.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Condition.identifier:resourceInstanceIdentifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 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.
Fixed Value | `http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Condition.identifier:resourceInstanceIdentifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
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 processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Condition.identifier:resourceInstanceIdentifier.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Condition.identifier:resourceInstanceIdentifier.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
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.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Condition.clinicalStatus
Definition | The clinical status of the condition. この患者状態の臨床的ステータス（アクティブか否かなど）
Short | active | recurrence | relapse | inactive | remission | resolved （アクティブ | 再発 | 再燃 | インアクティブ | 寛解 | 完治）
Comments | データ型はCodeableConceptです。なぜなら、clinicalStatusには一定の臨床判断が含まれるため、必要なFHIR値セットが許容するよりもさらに特定性が必要になる場合があるためです。例えば、SNOMEDコーディングは追加の特定性を許容する場合があります。
Control | 1..1 This element is affected by the following invariants: con-3, con-4, con-5
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` ) 病態や診断の臨床状態。
Type | CodeableConcept
Is Modifier | true because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Must Support | true
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
56. Condition.clinicalStatus.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
58. Condition.clinicalStatus.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.clinicalStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
60. Condition.clinicalStatus.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Condition.clinicalStatus.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
64. Condition.clinicalStatus.coding.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.clinicalStatus.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
66. Condition.clinicalStatus.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://terminology.hl7.org/CodeSystem/condition-clinical`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Condition.clinicalStatus.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Condition.clinicalStatus.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Fixed Value | `active`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Condition.clinicalStatus.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Condition.clinicalStatus.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Condition.clinicalStatus.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. Condition.verificationStatus
Definition | The verification status to support the clinical status of the condition. この患者状態が存在するかどうかの検証状況。
Short | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error（十分に確認されていない | 暫定的 | 鑑別的 | 十分な根拠で存在 | 十分な根拠で否定 | 誤記載）
Comments | 検証状態は必須ではありません。例えば、救急治療室で患者が腹痛を訴えた場合、一般的には検証状態が必要ないでしょう。 データ型はCodeableConceptであり、検証状態には臨床的な判断が必要なため、必要なFHIR値のセットよりも詳細な仕様が必要になる場合があります。例えば、SNOMEDのコーディングではさらに詳細な情報を含むことができます。
Control | 1..1 This element is affected by the following invariants: con-3, con-5
Binding | The codes SHALL be taken from ConditionVerificationStatus (required to `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` ) 状態や診断の臨床状況を支持または拒否するための検証状況
Type | CodeableConcept
Is Modifier | true because This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Must Support | true
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
80. Condition.verificationStatus.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
82. Condition.verificationStatus.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.verificationStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. Condition.verificationStatus.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Condition.verificationStatus.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
88. Condition.verificationStatus.coding.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.verificationStatus.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
90. Condition.verificationStatus.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://terminology.hl7.org/CodeSystem/condition-ver-status`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Condition.verificationStatus.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Condition.verificationStatus.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Fixed Value | `confirmed`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Condition.verificationStatus.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Condition.verificationStatus.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Condition.verificationStatus.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Condition.category
Definition | 状態に割り当てられたカテゴリー。
Short | problem-list-item | encounter-diagnosis（プロブレムリスト | 一時的な診断）
Comments | 分類はしばしば文脈に強く依存しており、他の文脈では区別が不十分であるか、あまり役に立たないように見えることがあります。
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes (extensible to `http://hl7.org/fhir/ValueSet/condition-category` ) 状態に割り当てられたカテゴリー。
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
104. Condition.severity
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician. 医療者によって評価されたこの患者状態の重症度。
Short | Subjective severity of condition. この患者状態の重症度。このプロファイルは、HL70421 Severity of Illness Codeで表現
Comments | Coding of the severity with a terminology is preferred, where possible. 可能な限り、ターミノロジを用いて重症度をコーディングすることが好ましい。 このプロファイルではHL70421 Severity of Illness Code（MI 軽度, MO 中度, SE 重度）を採用。
Control | 0..1
Binding | The codes SHOULD be taken from JP Core Condition Severity ValueSet (preferred to `http://jpfhir.jp/fhir/core/ValueSet/JP_ConditionSeverity_VS` )
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
106. Condition.code
Definition | 病名を識別するコード・名称 MEDIS-DC標準病名、ICD10の病名コード・名称は、下記の付録1コード一覧の項目より要素繰り返しで設定する。 MEDIS-DC 標準病名マスタ管理番号 ICD10 標準病名コード 要素繰り返しの順序もこれに沿って記述すること。 施設等のローカル内で定めたコードを追加で設定してもよい。但し、その場合、上記の標準病名コードは必ず１つは設定し、ローカルコードの記述順は繰り返しの最後になること。
Short | 病名を識別するコード・名称
Control | 1..1
Binding | For example codes, see Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code` ) 状態や診断の特定
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 0..1 to account for primarily narrative only resources.
Alternate Names | type
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
108. Condition.code.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
110. Condition.code.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
112. Condition.code.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Binding | For example codes, see JP Core Condition Disease Code MEDIS RecordNo ValueSet (example to `http://medis.or.jp/ValueSet/master-disease-keyNumber` )
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Condition.code.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ system
114. Condition.code.coding:masterDiseaseKeyNumber
Slice Name | masterDiseaseKeyNumber
Definition | MEDIS ICD10対応標準病名マスター(管理番号)
Short | MEDIS ICD10対応標準病名マスター(管理番号)
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Binding | The codes SHOULD be taken from JP Core Condition Disease Code MEDIS RecordNo ValueSet (preferred to `http://medis.or.jp/ValueSet/master-disease-keyNumber` )
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Condition.code.coding:masterDiseaseKeyNumber.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
118. Condition.code.coding:masterDiseaseKeyNumber.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.code.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
120. Condition.code.coding:masterDiseaseKeyNumber.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://medis.or.jp/CodeSystem/master-disease-keyNumber`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Condition.code.coding:masterDiseaseKeyNumber.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Condition.code.coding:masterDiseaseKeyNumber.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Condition.code.coding:masterDiseaseKeyNumber.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Condition.code.coding:masterDiseaseKeyNumber.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Condition.code.coding:ICD10-2013-full
Slice Name | ICD10-2013-full
Definition | MHLW 厚生労働省ICD102013版
Short | MHLW 厚生労働省ICD102013版
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Binding | The codes SHOULD be taken from MHLW 厚生労働省ICD102013版 (preferred to `http://jpfhir.jp/fhir/core/mhlw/ValueSet/ICD10-2013-full` )
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Condition.code.coding:ICD10-2013-full.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
134. Condition.code.coding:ICD10-2013-full.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.
Short | Additional content defined by implementations
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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 `Condition.code.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
136. Condition.code.coding:ICD10-2013-full.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Fixed Value | `http://jpfhir.jp/fhir/core/mhlw/CodeSystem/ICD10-2013-full`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Condition.code.coding:ICD10-2013-full.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. Condition.code.coding:ICD10-2013-full.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Condition.code.coding:ICD10-2013-full.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Condition.code.coding:ICD10-2013-full.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Condition.code.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Condition.bodySite
Definition | この症状が現れる解剖学的位置。
Short | Anatomical location, if relevant. もし関連するのであれば、その人体部位
Comments | Condition.code」で暗黙的に表現されない場合にのみ使用します。ユースケースがBodySiteリソースから属性を必要とする場合（例えば、別々に識別して追跡するために）、標準の拡張機能[bodySite]（extension-bodysite.html）を使用してください。概要コードであることも、位置の非常に正確な定義への参照であることもあります。
Control | 0..*
Binding | For example codes, see SNOMEDCTBodyStructures (example to `http://hl7.org/fhir/ValueSet/body-site` ) 解剖学的位置を記述するコード。左右対称性を含む場合があります。
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
150. Condition.subject
Definition | パスを適用する患者リソース（Patient）への参照
Short | パスを適用する患者リソース（Patient）への参照
Control | 1..1
Type | Reference(JP Core Patient Profile)
Is Modifier | false
Must Support | true
Summary | true
Requirements | Group is typically used for veterinary or public health use cases.
Alternate Names | patient
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
152. Condition.encounter
Definition | The Encounter during which this Condition was created or to which the creation of this record is tightly associated. この患者状態の記録やレコード作成に関連する受療の状況（外来、入院、救急、在宅など）
Short | Encounter created as part of. この患者状態の記録が作成された受療の状況（外来、入院、救急、在宅など）
Comments | 通常、イベントが発生したEncounter（診察、受診、入退院など）の中で行われることが多いですが、公式的にEncounter（診察、受診、入退院など）が完了する前または後に開始される場合がありますが、それでもEncounter（診察、受診、入退院など）の文脈に関連する活動があります。この記録は、この特定の記録が関連付けられた出来事を示します。 「新しい」診断が、継続的に修正された情報を反映する場合、これは最初に患者が変化に気づいた最初のEncounter（診察、受診、入退院など）とは異なる場合があります。
Control | 0..1
Type | Reference(JP Core Encounter Profile)
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
154. Condition.onset[x]
Definition | Estimated or actual date or date-time the condition began, in the opinion of the clinician. 臨床医の判断における、本状態が始まったと推定される、または実際に始まった日または日時。
Short | Estimated or actual date, date-time, or age. この患者状態のオンセット。推定もしくは実際の日付、日時、年齢
Comments | Age is generally used when the patient reports an age at which the Condition began to occur. 年齢は一般的に、患者が症状が発生し始めた年齢を報告したケースで使用される。
Control | 0..1
Type | Choice of: dateTime, Age, Period, Range, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
156. Condition.abatement[x]
Definition | その状態が解消された日付または予想日。これは、「寛解」と呼ばれます。「寛解」または「解決」と関連付けられた多くの意味のオーバーロードのため、「寛解」と呼ばれます。状態は実際には解決されることはありませんが、緩和することができます。
Short | When in resolution/remission. この状態はいつ治癒／寛解／軽快したか
Comments | 解決」と「寛解」の間に明確な区別はないため、多くの場合、区別が明確ではありません。患者が症状が収まった年齢を報告した場合、年齢が一般的に使用されます。解消要素がない場合、状態が解決したのか、寛解に入ったのかはわかりません。アプリケーションやユーザーは、一般的に条件が有効であると仮定する必要があります。解消文字列が存在する場合、条件が収束したことを意味します。
Control | 0..1 This element is affected by the following invariants: con-4
Type | Choice of: dateTime, Age, Period, Range, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
158. Condition.recordedDate
Definition | The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date. この患者状態の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。
Short | Date record was first recorded. この患者状態が初めて記録された日時
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
160. Condition.recorder
Definition | Individual who recorded the record and takes responsibility for its content. この患者状態を記録しその内容に責任を持つ個人。
Short | Who recorded the condition. 誰がこの患者状態を記録したか
Control | 0..1
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Patient Profile, RelatedPerson)
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
162. Condition.asserter
Definition | Individual who is making the condition statement. この患者状態に関する情報の発生源または取得元。
Short | Person who asserts this condition. この患者状態の情報源
Control | 0..1
Type | Reference(JP Core Patient Profile, RelatedPerson, JP Core Practitioner Profile, JP Core PractitionerRole Profile)
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
164. Condition.stage
Definition | Clinical stage or grade of a condition. May include formal severity assessments. 病状の臨床病期またはグレード。正式な重症度評価を含む場合がある。
Short | Stage/grade, usually assessed formally. この患者状態のステージやグレード。通常は正式に評価されたもの
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | con-1: ステージには要約または評価が必要です。 (`summary.exists() or assessment.exists()`) ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
166. Condition.stage.id
Definition | リソース内の要素の固有ID（内部参照用）。これは、スペースを含まない任意の文字列値である可能性があります。
Short | エレメント相互参照のためのユニークID
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
168. Condition.stage.extension
Definition | 要素の基本的な定義に含まれない追加情報を表すために使用されることがあります。拡張機能の使用を安全かつ管理しやすくするために、定義および使用に適用される厳格なガバナンスのセットがあります。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す必要のある要件のセットがあります。
Short | 実装によって定義される追加コンテンツ
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`)
170. Condition.stage.modifierExtension
Definition | 基本的な要素の定義に含まれない追加情報を表すために使用されることがあり、それによって、その要素自体または取り込んでいる要素の子孫の理解を修正する。修飾子要素は通常、否定または修飾を提供します。拡張機能の安全で管理しやすい使用を実現するために、定義および使用に厳しいガバナンスセットが適用されています。どの実装者でも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す必要がある要件があります。リソースを処理するアプリケーションは、修飾子拡張子をチェックする必要があります。 修飾子拡張機能は、リソースまたはドメインリソースの任意の要素の意味を変更してはなりません（修飾子拡張自体の意味を変更することもできません）。
Short | 認識されなくても無視できない拡張機能
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | 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
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`)
172. Condition.stage.summary
Definition | ステージ3」といった、単純なステージの概要。ステージの決定は病気によって異なります。
Short | 簡単な要約（病気特有のもの）
Control | 0..1 This element is affected by the following invariants: con-1
Binding | For example codes, see ConditionStage (example to `http://hl7.org/fhir/ValueSet/condition-stage` ) 状態段階を説明するコード（例：がんの段階）
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
174. Condition.stage.assessment
Definition | ステージング評価の根拠となる正式な証拠記録への参照。
Short | 「評価の公式記録」
Control | 0..* This element is affected by the following invariants: con-1
Type | Reference(ClinicalImpression, JP Core DiagnosticReport Common Profile, JP Core Observation Common Profile)
Is Modifier | false
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
176. Condition.stage.type
Definition | 病理的ステージングや臨床ステージングといった種類のステージング
Short | "演出の種類" (Enshutsu no shurui)
Control | 0..1
Binding | For example codes, see ConditionStageType (example to `http://hl7.org/fhir/ValueSet/condition-stage-type` ) 状態分類を表すコード（例：臨床的または病理学的）。
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
178. Condition.evidence
Definition | Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. 患者状態を確認または否定した証拠など、状態の検証ステータスの裏付けとなる症状や兆候。
Short | Supporting evidence. 患者状態の存在に関する根拠
Comments | 証拠は、コード化された症状/症状の簡単なリスト、または観察や正式な評価への言及、またはその両方である可能性があります。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | con-2: 証拠にはコードまたは詳細が必要です。 (`code.exists() or detail.exists()`) ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
180. Condition.evidence.id
Definition | リソース内の要素の固有ID（内部参照用）。これは、スペースを含まない任意の文字列値である可能性があります。
Short | エレメント相互参照のためのユニークID
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
182. Condition.evidence.extension
Definition | 要素の基本的な定義に含まれない追加情報を表すために使用されることがあります。拡張機能の使用を安全かつ管理しやすくするために、定義および使用に適用される厳格なガバナンスのセットがあります。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す必要のある要件のセットがあります。
Short | 実装によって定義される追加コンテンツ
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`)
184. Condition.evidence.modifierExtension
Definition | 基本的な要素の定義に含まれない追加情報を表すために使用されることがあり、それによって、その要素自体または取り込んでいる要素の子孫の理解を修正する。修飾子要素は通常、否定または修飾を提供します。拡張機能の安全で管理しやすい使用を実現するために、定義および使用に厳しいガバナンスセットが適用されています。どの実装者でも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す必要がある要件があります。リソースを処理するアプリケーションは、修飾子拡張子をチェックする必要があります。 修飾子拡張機能は、リソースまたはドメインリソースの任意の要素の意味を変更してはなりません（修飾子拡張自体の意味を変更することもできません）。
Short | 認識されなくても無視できない拡張機能
Comments | どのようなアプリケーション、プロジェクト、または標準が拡張機能を使用しているかに関わらず、拡張機能の使用には決して汚名が付くわけではありません - それらを使用または定義する機関または管轄区域に関係なく。拡張機能の使用こそが、FHIR仕様を誰にとっても簡単なコアレベルで維持することを可能にします。
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | 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
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`) ext-1: 拡張機能または値[x]のいずれかが必要です。両方ではありません。 (`extension.exists() != value.exists()`)
186. Condition.evidence.code
Definition | この状態の記録に至った兆候や症状。
Short | 表れ/症状
Control | 0..* This element is affected by the following invariants: con-2
Binding | For example codes, see ManifestationAndSymptomCodes (example to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` ) 症状や現れ方を記述するコード。
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
188. Condition.evidence.detail
Definition | その他関連情報、病理検査報告書などのリンク。
Short | 別の場所で見つかったサポート情報
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(Resource)
Is Modifier | false
Summary | true
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)
190. Condition.note
Definition | Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. この患者状態に関する追加情報。これは、状態の説明、診断、予後に関するメモやコメントである。
Short | Additional information about the Condition. この患者状態に関する追加情報
Control | 0..*
Type | Annotation
Is Modifier | false
Summary | false
Invariants | ele-1: すべてのFHIR要素は、@valueまたはchildrenを持っている必要があります。 (`hasValue() or (children().count() > id.count())`)