Implementation Guide for eDischarge Summary

EC:緊急連絡先(Emergency Contact)がFHIRにない。Extensionで対応できるが、そこまでする価値はあるか？　ECがあったら、とりあえずmobileにマッピングしてもいいのでは。 This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

CDAではF/M/UNだが、FHIRの分類に準拠させる。 The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a "hard" error.

home：自宅 work：職場

市町村以下の住所（CDAのstreetAddressLine相当）は、ここに記載する。

市町村、東京23区

都道府県

患者が会話に利用する言語 The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.