# EPath Bundle Message EP12 - ePath R4 Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **EPath Bundle Message EP12**

## Resource Profile: EPath Bundle Message EP12 

| | |
| :--- | :--- |
| *Official URL*:http://e-path.jp/fhir/ePath/StructureDefinition/EPathBundleMessageEP12 | *Version*:1.0.1 |
| Active as of 2026-02-19 | *Computable Name*:EPathBundleMessageEP12 |
| **Copyright/Legal**: 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 | |

 
ePathデータ構造 適用後パスデータ 

**Usages:**

* Examples for this Profile: [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md)
* CapabilityStatements using this Profile: [EPath Repository ClientCapabilityStatement](CapabilityStatement-EPathRepositoryClientCapabilityStatement.md) and [EPath Repository Server CapabilityStatement](CapabilityStatement-EPathRepositoryServerCapabilityStatement.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/r4ig|current/StructureDefinition/EPathBundleMessageEP12)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-EPathBundleMessageEP12.csv), [Excel](StructureDefinition-EPathBundleMessageEP12.xlsx), [Schematron](StructureDefinition-EPathBundleMessageEP12.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "EPathBundleMessageEP12",
  "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPathBundleMessageEP12",
  "version" : "1.0.1",
  "name" : "EPathBundleMessageEP12",
  "title" : "EPath Bundle Message EP12",
  "status" : "active",
  "date" : "2026-02-19T12:27:55+09:00",
  "contact" : [
    {
      "name" : "ePath Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://e-path.jp"
        }
      ]
    }
  ],
  "description" : "ePathデータ構造 適用後パスデータ",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166-2",
          "code" : "JP"
        }
      ]
    }
  ],
  "copyright" : "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",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Bundle",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Bundle",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Bundle",
        "path" : "Bundle"
      },
      {
        "id" : "Bundle.meta",
        "path" : "Bundle.meta",
        "min" : 1
      },
      {
        "id" : "Bundle.meta.lastUpdated",
        "path" : "Bundle.meta.lastUpdated",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.meta.profile",
        "path" : "Bundle.meta.profile",
        "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/EPathBundleMessageEP12|x.y.z を設定する。",
        "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/EPathBundleMessageEP12|x.y.z を設定する。",
        "comment" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPathBundleMessageEP12 を設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.meta.tag",
        "path" : "Bundle.meta.tag",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Bundle.meta.tag:UsesType",
        "path" : "Bundle.meta.tag",
        "sliceName" : "UsesType",
        "short" : "用途種別",
        "definition" : "パスの代替用途の種別\r\nePathメッセージをワークシートとして用いる等、通常のクリニカルパスと区別する必要がある場合に代替体用途である識別としての種別を設定する。設定値は利用施設・運用主体等で定めたルールに則る。通常のクリニカルパスの場合はePathを設定する。",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathUsesTypeVS"
        }
      },
      {
        "id" : "Bundle.meta.tag:UsesType.system",
        "path" : "Bundle.meta.tag.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathUsesTypeCS"
      },
      {
        "id" : "Bundle.meta.tag:UsesType.code",
        "path" : "Bundle.meta.tag.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.identifier",
        "path" : "Bundle.identifier",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.identifier.system",
        "path" : "Bundle.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/ep12-bundle-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/ep12-bundle-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/ep12-bundle-id"
      },
      {
        "id" : "Bundle.identifier.value",
        "path" : "Bundle.identifier.value",
        "short" : "医療機関コード、適用時パス識別子を半角ピリオド\".\"で連結したものを設定する。",
        "definition" : "医療機関コード、適用時パス識別子を半角ピリオド\".\"で連結したものを設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.identifier.assigner",
        "path" : "Bundle.identifier.assigner",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.identifier.assigner.identifier",
        "path" : "Bundle.identifier.assigner.identifier",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.identifier.assigner.identifier.system",
        "path" : "Bundle.identifier.assigner.identifier.system",
        "min" : 1,
        "fixedUri" : "http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no"
      },
      {
        "id" : "Bundle.identifier.assigner.identifier.value",
        "path" : "Bundle.identifier.assigner.identifier.value",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.type",
        "path" : "Bundle.type",
        "fixedCode" : "collection",
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry",
        "path" : "Bundle.entry",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "resource"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 3,
        "mustSupport" : false
      },
      {
        "id" : "Bundle.entry:organization",
        "path" : "Bundle.entry",
        "sliceName" : "organization",
        "short" : "医療機関情報",
        "definition" : "医療機関の情報",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:organization.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:organization.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Organization",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathOrganization"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:patient",
        "path" : "Bundle.entry",
        "sliceName" : "patient",
        "short" : "患者基本情報",
        "definition" : "患者の基本情報",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:patient.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:patient.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Patient",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPatient"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:encounterAdmission",
        "path" : "Bundle.entry",
        "sliceName" : "encounterAdmission",
        "short" : "入院情報",
        "definition" : "パスを適用する際の入院情報。入院患者を前提としたクリニカルパスの場合は設定を必須とする。",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:encounterAdmission.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:encounterAdmission.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Encounter",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathEncounterAdmission"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:condition",
        "path" : "Bundle.entry",
        "sliceName" : "condition",
        "short" : "病名",
        "definition" : "病名を識別するコード・名称",
        "min" : 0,
        "max" : "*",
        "mustSupport" : false
      },
      {
        "id" : "Bundle.entry:condition.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1
      },
      {
        "id" : "Bundle.entry:condition.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Condition",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathConditionCarePlanAddresses"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:procedureMajorEvent",
        "path" : "Bundle.entry",
        "sliceName" : "procedureMajorEvent",
        "short" : "主要イベント情報",
        "definition" : "手術・治療/処置/主要検査などの主要となるイベントの情報\r\n例)手術、内視鏡治療、放射線治療、内視鏡検査、心臓カテーテル検査、等",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:procedureMajorEvent.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:procedureMajorEvent.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Procedure",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathProcedureMajorEvent"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:standardPathDefinition",
        "path" : "Bundle.entry",
        "sliceName" : "standardPathDefinition",
        "short" : "ひな型パス定義",
        "definition" : "ひな型パス定義、関連する病日イベント定義はエントリしなくてよい。また、PlanDefinition.action は設定しなくてよい。",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Bundle.entry:standardPathDefinition.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:standardPathDefinition.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "PlanDefinition",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPlanDefinitionEP01"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:facilityPathDefinition",
        "path" : "Bundle.entry",
        "sliceName" : "facilityPathDefinition",
        "short" : "施設パス定義",
        "definition" : "施設パス定義",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "Bundle.entry:facilityPathDefinition.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:facilityPathDefinition.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "PlanDefinition",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPlanDefinitionEP02"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanApply",
        "path" : "Bundle.entry",
        "sliceName" : "carePlanApply",
        "short" : "パス適用情報",
        "definition" : "パス適用情報",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanApply.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanApply.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "CarePlan",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanEPathApply"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalApply",
        "path" : "Bundle.entry",
        "sliceName" : "goalApply",
        "short" : "パス適用 目標・評価情報",
        "definition" : "パス適用 目標・評価情報",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:goalApply.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalApply.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Goal",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalEPathApply"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanEvent",
        "path" : "Bundle.entry",
        "sliceName" : "carePlanEvent",
        "short" : "病日・イベント情報",
        "definition" : "病日・イベント情報",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:carePlanEvent.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanEvent.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "CarePlan",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanEvent"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalEvent",
        "path" : "Bundle.entry",
        "sliceName" : "goalEvent",
        "short" : "病日・イベント 目標・評価情報",
        "definition" : "病日・イベント 目標・評価情報",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:goalEvent.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalEvent.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Goal",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalEvent"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanOATUnit",
        "path" : "Bundle.entry",
        "sliceName" : "carePlanOATUnit",
        "short" : "OATユニット・アウトカム",
        "definition" : "OATユニット・アウトカム",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:carePlanOATUnit.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanOATUnit.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "CarePlan",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanOATUnit"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalOutcome",
        "path" : "Bundle.entry",
        "sliceName" : "goalOutcome",
        "short" : "アウトカム 目標・評価情報",
        "definition" : "アウトカム 目標・評価情報",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:goalOutcome.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalOutcome.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Goal",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalOutcome"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanAssessment",
        "path" : "Bundle.entry",
        "sliceName" : "carePlanAssessment",
        "short" : "観察項目",
        "definition" : "観察項目",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:carePlanAssessment.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:carePlanAssessment.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "CarePlan",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAssessment"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalAssessment",
        "path" : "Bundle.entry",
        "sliceName" : "goalAssessment",
        "short" : "観察項目実施 目標・評価情報",
        "definition" : "観察項目実施 目標・評価情報",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:goalAssessment.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:goalAssessment.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Goal",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:procedureTask",
        "path" : "Bundle.entry",
        "sliceName" : "procedureTask",
        "short" : "タスク",
        "definition" : "タスク",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:procedureTask.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:procedureTask.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Procedure",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathProcedureTask"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:questionnaire",
        "path" : "Bundle.entry",
        "sliceName" : "questionnaire",
        "short" : "入力フォーム",
        "definition" : "入力フォーム",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:questionnaire.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:questionnaire.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "Questionnaire",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaire"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:questionnaireResponse",
        "path" : "Bundle.entry",
        "sliceName" : "questionnaireResponse",
        "short" : "入力フォーム回答",
        "definition" : "入力フォーム回答",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Bundle.entry:questionnaireResponse.fullUrl",
        "path" : "Bundle.entry.fullUrl",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Bundle.entry:questionnaireResponse.resource",
        "path" : "Bundle.entry.resource",
        "min" : 1,
        "type" : [
          {
            "code" : "QuestionnaireResponse",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathQuestionnaireResponse"
            ]
          }
        ],
        "mustSupport" : true
      }
    ]
  }
}

```
