# ガイダンス - ePath R4 Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* **ガイダンス**

## 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

| | |
| :--- | :--- |
| 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)](package.r4.tgz) and [R4B (r4ig.r4b)](package.r4b.tgz) are available.

#### 依存関係 (Dependency Table)





#### 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.

* [2025-06-01 : MEDIS病名管理番号](https://simplifier.net/resolve?scope=jpfhir-terminology@1.5.0&canonical=http://medis.or.jp/CodeSystem/master-disease-keyNumber): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 4 more,[Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md),[EPathConditionCarePlanAddresses](StructureDefinition-EPathConditionCarePlanAddresses.md),[EPathPlanDefinitionEP01](StructureDefinition-EPathPlanDefinitionEP01.md)and[EPathPlanDefinitionEP02](StructureDefinition-EPathPlanDefinitionEP02.md)


* Copyright © WHO and MHLW Japan. All Rights Reserved.

* [MHLW 厚労省ICD102013版](https://simplifier.net/resolve?scope=jpfhir-terminology@1.5.0&canonical=http://jpfhir.jp/fhir/core/mhlw/CodeSystem/ICD10-2013-full): [EPathConditionCarePlanAddresses](StructureDefinition-EPathConditionCarePlanAddresses.md), [EPathPlanDefinitionEP01](StructureDefinition-EPathPlanDefinitionEP01.md) and [EPathPlanDefinitionEP02](StructureDefinition-EPathPlanDefinitionEP02.md)


* Copyright Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会

* [JP Core Department SS-MIX CodeSystem](https://simplifier.net/resolve?scope=jpfhir-terminology@1.5.0&canonical=http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment): [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md), [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md), [EPathDepartmentCodeVS](ValueSet-EPathDepartmentCodeVS.md), [EPathEncounterClinicalDepartment](StructureDefinition-EPathEncounterClinicalDepartment.md) and [EPathPlanDefinitionClinicalDepartment](StructureDefinition-EPathPlanDefinitionClinicalDepartment.md)


* 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/](https://www.jami.jp/jamistd/)

* [JP Core MedicalLicenseCertificate CodeSystem](https://simplifier.net/resolve?scope=jpfhir-terminology@1.5.0&canonical=http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicalLicenseCertificate_CS): [EPathPractitioner](StructureDefinition-EPathPractitioner.md)


* 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 AllowableElapsedDaysConditionType CS](CodeSystem-EPathAllowableElapsedDaysConditionTypeCS.md): [EPathAllowableElapsedDaysConditionTypeVS](ValueSet-EPathAllowableElapsedDaysConditionTypeVS.md) and [EPathCarePlanAllowableElapsedDaysConditionType](StructureDefinition-EPathCarePlanAllowableElapsedDaysConditionType.md)
* [EPath AssessmentCodeEmpty CS](CodeSystem-EPathAssessmentCodeEmptyCS.md): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md), [EPathAssessmentCodeVS](ValueSet-EPathAssessmentCodeVS.md)...Show 5 more,[EPathCarePlanAssessment](StructureDefinition-EPathCarePlanAssessment.md),[EPathGoalAssessmentExecution](StructureDefinition-EPathGoalAssessmentExecution.md),[EPathObservationExecution](StructureDefinition-EPathObservationExecution.md),[EPathPlanDefinitionEvent](StructureDefinition-EPathPlanDefinitionEvent.md)and[EPathQuestionnaire](StructureDefinition-EPathQuestionnaire.md)
* [EPath CarePlanAdaptiveCriteriaConfirmation CS](CodeSystem-EPathCarePlanAdaptiveCriteriaConfirmationCS.md): [EPathCarePlanAdaptiveCriteriaConfirmation](StructureDefinition-EPathCarePlanAdaptiveCriteriaConfirmation.md) and [EPathCarePlanAdaptiveCriteriaConfirmationVS](ValueSet-EPathCarePlanAdaptiveCriteriaConfirmationVS.md)
* [EPath EvaluationItem CS](CodeSystem-EPathEvaluationItemCS.md): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md), [EPathEvaluationItemVS](ValueSet-EPathEvaluationItemVS.md) and [EPathObservationEvaluation](StructureDefinition-EPathObservationEvaluation.md)
* [EPath PathClosingType CS](CodeSystem-EPathPathClosingTypeCS.md): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md), [EPathGoalStatusReason](StructureDefinition-EPathGoalStatusReason.md) and [EPathPathClosingTypeVS](ValueSet-EPathPathClosingTypeVS.md)
* [EPath PathStatusType CS](CodeSystem-EPathPathStatusTypeCS.md): [EPathCarePlanStatusTypeWhenOccured](StructureDefinition-EPathCarePlanStatusTypeWhenOccured.md) and [EPathPathStatusTypeVS](ValueSet-EPathPathStatusTypeVS.md)
* [EPath RoundingType CS](CodeSystem-EPathRoundingTypeCS.md): [EPathQuestionnaireItemExtensions](StructureDefinition-EPathQuestionnaireItemExtensions.md) and [EPathRoundingTypeVS](ValueSet-EPathRoundingTypeVS.md)
* [EPath StateOfAchievement CS](CodeSystem-EPathStateOfAchievementCS.md): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md), [EPathGoalAssessmentExecution](StructureDefinition-EPathGoalAssessmentExecution.md), [EPathGoalOutcome](StructureDefinition-EPathGoalOutcome.md), [EPathObservationEvaluation](StructureDefinition-EPathObservationEvaluation.md) and [EPathStateOfAchievementVS](ValueSet-EPathStateOfAchievementVS.md)
* [EPath StateOfExecution CS](CodeSystem-EPathStateOfExecutionCS.md): [EPathStateOfExecutionVS](ValueSet-EPathStateOfExecutionVS.md)
* [EPath StructureVersion CS](CodeSystem-EPathStructureVersionCS.md): [EPathStructureVersionVS](ValueSet-EPathStructureVersionVS.md)
* [EPath TaskCategory Lv1 CS](CodeSystem-EPathTaskCategoryLv1CS.md): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 5 more,[Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md),[EPathPlanDefinitionTaskExtensions](StructureDefinition-EPathPlanDefinitionTaskExtensions.md),[EPathProcedureTask](StructureDefinition-EPathProcedureTask.md),[EPathTaskCategoryLv1VS](ValueSet-EPathTaskCategoryLv1VS.md)and[EPathTaskCategoryVS](ValueSet-EPathTaskCategoryVS.md)
* [EPath TaskCategory Lv2 CS](CodeSystem-EPathTaskCategoryLv2CS.md): [EPathPlanDefinitionTaskExtensions](StructureDefinition-EPathPlanDefinitionTaskExtensions.md), [EPathProcedureTask](StructureDefinition-EPathProcedureTask.md), [EPathTaskCategoryLv2VS](ValueSet-EPathTaskCategoryLv2VS.md) and [EPathTaskCategoryVS](ValueSet-EPathTaskCategoryVS.md)
* [EPath UnitCategory CS](CodeSystem-EPathUnitCategoryCS.md): [EPathPlanDefinitionAssessmentActionExtensions](StructureDefinition-EPathPlanDefinitionAssessmentActionExtensions.md), [EPathPlanDefinitionEventActionExtensions](StructureDefinition-EPathPlanDefinitionEventActionExtensions.md), [EPathPlanDefinitionOATUnitActionExtensions](StructureDefinition-EPathPlanDefinitionOATUnitActionExtensions.md) and [EPathUnitCategoryVS](ValueSet-EPathUnitCategoryVS.md)
* [EPath UsesType CS](CodeSystem-EPathUsesTypeCS.md): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md), [EPathBundleMessageEP01](StructureDefinition-EPathBundleMessageEP01.md)...Show 6 more,[EPathBundleMessageEP02](StructureDefinition-EPathBundleMessageEP02.md),[EPathBundleMessageEP12](StructureDefinition-EPathBundleMessageEP12.md),[EPathBundleMessageEP22](StructureDefinition-EPathBundleMessageEP22.md),[EPathListEPathRepository](StructureDefinition-EPathListEPathRepository.md),[EPathUsesTypeVS](ValueSet-EPathUsesTypeVS.md)and[List/List.Repository.Sample](List-List.Repository.Sample.md)
* [EPath YNIdentification CS](CodeSystem-EPathYNIdentificationCS.md): [Bundle/Bundle.EP22.Sample](Bundle-Bundle.EP22.Sample.md), [EPathCarePlanCriticalIndicator](StructureDefinition-EPathCarePlanCriticalIndicator.md)...Show 6 more,[EPathCarePlanUnplannedKind](StructureDefinition-EPathCarePlanUnplannedKind.md),[EPathEncounterPatientDeathIndicator](StructureDefinition-EPathEncounterPatientDeathIndicator.md),[EPathQuestionnaireItemExtensions](StructureDefinition-EPathQuestionnaireItemExtensions.md),[EPathYNIdentificationVS](ValueSet-EPathYNIdentificationVS.md),[Questionnaire/QUIS.4311234567.phr.1](Questionnaire-QUIS.4311234567.phr.1.md)and[QuestionnaireResponse/QUIS-RES.4311234567.phr.Sample](QuestionnaireResponse-QUIS-RES.4311234567.phr.Sample.md)


* This material contains content from [LOINC](http://loinc.org). 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](http://loinc.org/license). LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

* [LOINC](https://simplifier.net/resolve?scope=jpfhir-terminology@1.5.0&canonical=http://loinc.org): [EPathObservationExecution](StructureDefinition-EPathObservationExecution.md)


* 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](https://terminology.hl7.org/license.html)

* [Condition Category Codes](http://terminology.hl7.org/7.0.1/CodeSystem-condition-category.html): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md)
* [Condition Clinical Status Codes](http://terminology.hl7.org/7.0.1/CodeSystem-condition-clinical.html): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md)
* [ConditionVerificationStatus](http://terminology.hl7.org/7.0.1/CodeSystem-condition-ver-status.html): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md)
* [Organization type](http://terminology.hl7.org/7.0.1/CodeSystem-organization-type.html): [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md), [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md) and [Bundle/Bundle.EP22.Sample](Bundle-Bundle.EP22.Sample.md)
* [PlanDefinitionType](http://terminology.hl7.org/7.0.1/CodeSystem-plan-definition-type.html): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md) and [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md)
* [ActCode](https://simplifier.net/resolve?scope=jpfhir-terminology@1.5.0&canonical=http://terminology.hl7.org/CodeSystem/v3-ActCode): [Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md)


* 一般社団法人 日本クリニカルパス学会

* [EPath BOMAssessmentCategory CS](CodeSystem-EPathBOMAssessmentCategoryCS.md): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 7 more,[Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md),[EPathAssessmentCategoryVS](ValueSet-EPathAssessmentCategoryVS.md),[EPathCarePlanAssessment](StructureDefinition-EPathCarePlanAssessment.md),[EPathGoalAssessmentExecution](StructureDefinition-EPathGoalAssessmentExecution.md),[EPathObservationExecution](StructureDefinition-EPathObservationExecution.md),[EPathPlanDefinitionEvent](StructureDefinition-EPathPlanDefinitionEvent.md)and[EPathQuestionnaire](StructureDefinition-EPathQuestionnaire.md)
* [EPath BOMAssessmentCode CS](CodeSystem-EPathBOMAssessmentCodeCS.md): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 6 more,[EPathAssessmentCodeVS](ValueSet-EPathAssessmentCodeVS.md),[EPathCarePlanAssessment](StructureDefinition-EPathCarePlanAssessment.md),[EPathGoalAssessmentExecution](StructureDefinition-EPathGoalAssessmentExecution.md),[EPathObservationExecution](StructureDefinition-EPathObservationExecution.md),[EPathPlanDefinitionEvent](StructureDefinition-EPathPlanDefinitionEvent.md)and[EPathQuestionnaire](StructureDefinition-EPathQuestionnaire.md)
* [EPath BOMOutcomeCategory CS](CodeSystem-EPathBOMOutcomeCategoryCS.md): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 6 more,[Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md),[EPathCarePlanOATUnit](StructureDefinition-EPathCarePlanOATUnit.md),[EPathOutcomeCategoryVS](ValueSet-EPathOutcomeCategoryVS.md),[EPathPlanDefinitionEvent](StructureDefinition-EPathPlanDefinitionEvent.md),[EPathQuestionnaire](StructureDefinition-EPathQuestionnaire.md)and[Questionnaire/QUIS.4311234567.phr.1](Questionnaire-QUIS.4311234567.phr.1.md)
* [EPath BOMOutcomeCode CS](CodeSystem-EPathBOMOutcomeCodeCS.md): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 4 more,[EPathCarePlanOATUnit](StructureDefinition-EPathCarePlanOATUnit.md),[EPathOutcomeCodeVS](ValueSet-EPathOutcomeCodeVS.md),[EPathPlanDefinitionEvent](StructureDefinition-EPathPlanDefinitionEvent.md)and[EPathQuestionnaire](StructureDefinition-EPathQuestionnaire.md)
* [EPath BOMOutcomeSubCategory CS](CodeSystem-EPathBOMOutcomeSubCategoryCS.md): [Bundle/Bundle.EP01.CN05I00511-0](Bundle-Bundle.EP01.CN05I00511-0.md), [Bundle/Bundle.EP02.4311234567.CN05I00511-0L](Bundle-Bundle.EP02.4311234567.CN05I00511-0L.md)...Show 5 more,[Bundle/Bundle.EP12.4311234567.CN05I00511-0L](Bundle-Bundle.EP12.4311234567.CN05I00511-0L.md),[EPathCarePlanOATUnit](StructureDefinition-EPathCarePlanOATUnit.md),[EPathOutcomeSubCategoryVS](ValueSet-EPathOutcomeSubCategoryVS.md),[EPathPlanDefinitionEvent](StructureDefinition-EPathPlanDefinitionEvent.md)and[EPathQuestionnaire](StructureDefinition-EPathQuestionnaire.md)


**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

