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

## ガイダンス

このセクションでは、本Implementation Guideで使用されるすべてに共通する重要な定義、解釈、および要件の概要を説明する。

### SHALL,SHOULD/SHOULD NOT,MAY定義

要求レベル | 定義
--- | ---
SHALL | 実装する際に必ず満たさなければならない。
SHALL NOT | 実装する際に満たしてはならない。
SHOULD | 実装に考慮すべきベストプラクティスまたは推奨事項であり、それを選択しない場合にはその意味をよく理解し、慎重に検討してからである必要がある。
SHOULD NOT | 実装に考慮すべきでない事項であり、それを選択する場合にはその意味をよく理解し、慎重に検討してからである必要がある。
MAY | 実装のためのオプションで、含めることも省略することもできる。

### 実装ガイド定義

#### 利用しているFHIRバージョン情報 (Cross Version Analysis)

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (r4ig.r4) and R4B (r4ig.r4b) are available.

#### 依存関係 (Dependency Table)

IG | Package | FHIR | Comment
--- | --- | --- | ---
ePath R4 Implementation Guide | r4ig#1.0.1 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
jp-core.r4 | jp-core.r4#1.1.2 | R4 |
jpfhir-terminology | jpfhir-terminology#1.5.0 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#0.8.0 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package jp-core.r4#1.1.2 JP-CORE V1.1.2 snapshot package for release

Package jpfhir-terminology#1.5.0 jpfhir-terminology 1.5.0 Version

Package hl7.fhir.uv.tools.r4#0.8.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Aug 5, 2025 20:09+1000+10:00)

#### グローバル公開している定義 (Globals Table)

There are no Global profiles defined

#### 知的財産権に関する記述（IP Statements）

This publication includes IP covered under the following statements.

- Copyright © MEDIS-DC and MHLW and JAMI. All Rights Reserved.
  Show Usage
  - 2025-06-01 : MEDIS病名管理番号: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 4 more, Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathConditionCarePlanAddresses, EPathPlanDefinitionEP01 and EPathPlanDefinitionEP02
- Copyright © WHO and MHLW Japan. All Rights Reserved.
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  - MHLW 厚労省ICD102013版: EPathConditionCarePlanAddresses, EPathPlanDefinitionEP01 and EPathPlanDefinitionEP02
- Copyright Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会
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  - JP Core Department SS-MIX CodeSystem: Bundle/Bundle.EP02.4311234567.CN05I00511-0L, Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathDepartmentCodeVS, EPathEncounterClinicalDepartment and EPathPlanDefinitionClinicalDepartment
- Copyright Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会 https://www.jami.jp/jamistd/
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  - JP Core MedicalLicenseCertificate CodeSystem: EPathPractitioner
- Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0
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  - EPath AllowableElapsedDaysConditionType CS: EPathAllowableElapsedDaysConditionTypeVS and EPathCarePlanAllowableElapsedDaysConditionType
  - EPath AssessmentCodeEmpty CS: Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathAssessmentCodeVS... Show 5 more, EPathCarePlanAssessment, EPathGoalAssessmentExecution, EPathObservationExecution, EPathPlanDefinitionEvent and EPathQuestionnaire
  - EPath CarePlanAdaptiveCriteriaConfirmation CS: EPathCarePlanAdaptiveCriteriaConfirmation and EPathCarePlanAdaptiveCriteriaConfirmationVS
  - EPath EvaluationItem CS: Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathEvaluationItemVS and EPathObservationEvaluation
  - EPath PathClosingType CS: Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathGoalStatusReason and EPathPathClosingTypeVS
  - EPath PathStatusType CS: EPathCarePlanStatusTypeWhenOccured and EPathPathStatusTypeVS
  - EPath RoundingType CS: EPathQuestionnaireItemExtensions and EPathRoundingTypeVS
  - EPath StateOfAchievement CS: Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathGoalAssessmentExecution, EPathGoalOutcome, EPathObservationEvaluation and EPathStateOfAchievementVS
  - EPath StateOfExecution CS: EPathStateOfExecutionVS
  - EPath StructureVersion CS: EPathStructureVersionVS
  - EPath TaskCategory Lv1 CS: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 5 more, Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathPlanDefinitionTaskExtensions, EPathProcedureTask, EPathTaskCategoryLv1VS and EPathTaskCategoryVS
  - EPath TaskCategory Lv2 CS: EPathPlanDefinitionTaskExtensions, EPathProcedureTask, EPathTaskCategoryLv2VS and EPathTaskCategoryVS
  - EPath UnitCategory CS: EPathPlanDefinitionAssessmentActionExtensions, EPathPlanDefinitionEventActionExtensions, EPathPlanDefinitionOATUnitActionExtensions and EPathUnitCategoryVS
  - EPath UsesType CS: Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathBundleMessageEP01... Show 6 more, EPathBundleMessageEP02, EPathBundleMessageEP12, EPathBundleMessageEP22, EPathListEPathRepository, EPathUsesTypeVS and List/List.Repository.Sample
  - EPath YNIdentification CS: Bundle/Bundle.EP22.Sample, EPathCarePlanCriticalIndicator... Show 6 more, EPathCarePlanUnplannedKind, EPathEncounterPatientDeathIndicator, EPathQuestionnaireItemExtensions, EPathYNIdentificationVS, Questionnaire/QUIS.4311234567.phr.1 and QuestionnaireResponse/QUIS-RES.4311234567.phr.Sample
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  - LOINC: EPathObservationExecution
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  - Condition Category Codes: Bundle/Bundle.EP12.4311234567.CN05I00511-0L
  - Condition Clinical Status Codes: Bundle/Bundle.EP12.4311234567.CN05I00511-0L
  - ConditionVerificationStatus: Bundle/Bundle.EP12.4311234567.CN05I00511-0L
  - Organization type: Bundle/Bundle.EP02.4311234567.CN05I00511-0L, Bundle/Bundle.EP12.4311234567.CN05I00511-0L and Bundle/Bundle.EP22.Sample
  - PlanDefinitionType: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L and Bundle/Bundle.EP12.4311234567.CN05I00511-0L
  - ActCode: Bundle/Bundle.EP12.4311234567.CN05I00511-0L
- 一般社団法人 日本クリニカルパス学会
  Show Usage
  - EPath BOMAssessmentCategory CS: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 7 more, Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathAssessmentCategoryVS, EPathCarePlanAssessment, EPathGoalAssessmentExecution, EPathObservationExecution, EPathPlanDefinitionEvent and EPathQuestionnaire
  - EPath BOMAssessmentCode CS: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 6 more, EPathAssessmentCodeVS, EPathCarePlanAssessment, EPathGoalAssessmentExecution, EPathObservationExecution, EPathPlanDefinitionEvent and EPathQuestionnaire
  - EPath BOMOutcomeCategory CS: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 6 more, Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathCarePlanOATUnit, EPathOutcomeCategoryVS, EPathPlanDefinitionEvent, EPathQuestionnaire and Questionnaire/QUIS.4311234567.phr.1
  - EPath BOMOutcomeCode CS: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 4 more, EPathCarePlanOATUnit, EPathOutcomeCodeVS, EPathPlanDefinitionEvent and EPathQuestionnaire
  - EPath BOMOutcomeSubCategory CS: Bundle/Bundle.EP01.CN05I00511-0, Bundle/Bundle.EP02.4311234567.CN05I00511-0L... Show 5 more, Bundle/Bundle.EP12.4311234567.CN05I00511-0L, EPathCarePlanOATUnit, EPathOutcomeSubCategoryVS, EPathPlanDefinitionEvent and EPathQuestionnaire

IP Statementsに関する注意事項 本IP StatementはIG Publisherにて機械的に出力されたものである。SNOMEDについては本実装ガイドとしては利用しておらず、FHIR BASEの定義による影響を受けていることに注意すること。 Note that this IP Statement is mechanically output by IG Publisher, and that SNOMED is not used as this Implementation Guide, but is affected by the definition of FHIR BASE.

### 機械翻訳文章

リソースの項目説明文には、FHIR Baseの説明を機械による自動翻訳したものが含まれている。そのため意味が分かりにくい翻訳や丁寧語の文体の文章が混ざっている。

### 質問先

- 準備中

### 主体

- 準備中

Presented by ePath Project