2.1.1.6. JP Core Practitioner(医療従事者) プロファイル

2.1.1.6.1. 概略

項目	内容
定義URL	http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner
バージョン	1.0.0
名前	JPCorePratitionerProfile
タイトル	JP Core Practitioner Profile
ステータス	アクティブ（2021-11-02）
定義	このプロファイルはPractitionerリソースに対して、医療従事者のデータを送受信するための基礎となる制約と拡張を定めたものである。
公開者	FHIR® Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)
Copyright	FHIR® Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)
ソースリソース	https://simplifier.net/jp-core-draftv1/jppractitioner

本プロファイルは、医療従事者に関する情報の登録や検索、取得のために、FHIR Practitioner リソースを使用するにあたっての、最低限の制約を記述したものである。Practitioner リソースに対して本プロファイルに準拠する場合に必須となる要素や、サポートすべき拡張、用語、検索パラメータを定義する。

2.1.1.6.1.1. 背景および想定シナリオ

本プロファイルは、以下のようなユースケースを想定している。

氏名または医籍登録番号による医療従事者の検索
他のリソースからの医療従事者情報の参照（例：Patientリソースの generalPractitionerで参照される患者の主治医や、Encounterリソースのparticipantで参照される診察の担当医）

2.1.1.6.1.2. スコープ

医療（ヘルスケア）の提供、及び、ヘルスケア関連サービスに、直接的、または、間接的に係わる全ての人を表す。本リソースに含まれる医療従事者の例を示す（ただし、この一覧に限定されない）。

医師、歯科医師、薬剤師
看護師、保健師、医療クラーク
助産師、栄養士、心理士
臨床検査技師、放射線技師
臨床工学技士、義肢装具士
医療事務者（受付担当者）

本リソースは、友人や親戚、隣人のケアをする個人のように、正式な責任を持たずに医療に関与する個人を表現するために使用してはならない。それらの情報は、患者の関係者として RelatedPerson リソースを使用して表現されるべきである。

Practitioner リソースは、ヘルスケアサービスの提供組織を代表し、複数の患者のために行動する個人に対して使用される。一方で、RelatedPerson リソースは、特定の組織に関連づけられておらず、特定の患者に関係する個人を表現するために使用される。

PractitionerRole リソースは、医療従事者が、特定の組織において与えられている役割の詳細を表す。特定の施設に関係しない資格や識別子（例：医籍番号や麻薬施用者免許証番号）は、Practitioner リソースに記録することが望ましい。一方で、特定の施設における医療従事者の識別子や役割（例：特定の医療機関における医療従事者ID）は、施設を表すOrganizationリソースとあわせて PractitionerRole リソースに記録することが望ましい。

2.1.1.6.2. 関連するプロファイル

JP Practitioner リソースは、以下のリソースから直接参照される。

Annotation
Signature
Account
AdverseEvent
AllergyIntolerance
Appointment
AppointmentResponse
AuditEvent
Basic
BiologicallyDerivedProduct
CarePlan
CareTeam
CatalogEntry
ChargeItem
Claim
ClaimResponse
ClinicalImpression
Communication
CommunicationRequest
Composition
Condition
Consent
Contract
CoverageEligibilityRequest
CoverageEligibilityResponse
DetectedIssue
DeviceRequest
DeviceUseStatement
DiagnosticReport
DocumentManifest
DocumentReference
Encounter
EnrollmentRequest
EnrollmentResponse
EpisodeOfCare
ExplanationOfBenefit
Flag
Goal
Group
ImagingStudy
Immunization
Invoice
Linkage
List
MeasureReport
Media
MedicationAdministration
MedicationDispense
MedicationRequest
MedicationStatement
MessageHeader
NutritionOrder
Observation
Patient
PaymentNotice
PaymentReconciliation
Person
PractitionerRole
Procedure
Provenance
QuestionnaireResponse
RequestGroup
ResearchStudy
RiskAssessment
Schedule
ServiceRequest
Specimen
SupplyDelivery
SupplyRequest
Task
VerificationResult
VisionPrescription

JP Practitioner リソースは、以下のリソースを直接参照する。

Organization

2.1.1.6.3. リソース定義

リソース定義ページの参照

リソース定義のダウンロード

Practitioner	I		Practitioner	Element Id Practitioner Short description ヘルスケアまたは関連サービスの提供に正式な責任を負う人 Definition A person who is directly or indirectly involved in the provisioning of healthcare. 医療の提供に直接または間接的に関与する者をいう。 Data Type Practitioner Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:PRD (as one example) rim:Role servd:Provider
identifier	Σ	0..*	Identifier	Element Id Practitioner.identifier Short description An identifier for the person as this agent Definition An identifier that applies to this person in this role. ある役割の人に適用される識別子。 Requirements Often, specific identities are assigned for the agent. 多くの場合、エージェントには特定の識別子が割り当てられている。 Comments 【JP_CORE】 IDの名前空間を表す Practitioner.identifier.systemと ID値そのものを表す Practitioner.identifier.value の組み合わせとして表現する。 Practitioner.identifier.systemには、医師の場合、　urn:oid:1.2.392.100495.20.3.41.医療機関識別OID番号歯科医師の場合、urn:oid:1.2.392.100495.20.3.42.医療機関識別OID番号を使用する。医療機関識別OID番号は、医師IDの発行者である医療機関を識別するもので、保険医療機関の場合、都道府県番号２桁から始まる10桁の医療機関番号（都道府県2桁、保険点数表コード1桁、保険医療機関番号７桁を連結したもの）または、特定健診・特定保健指導機関の医療機関番号10桁の先頭に１をつけた11桁とする。医療機関コードを持たない場合、「[9]＋当該施設の電話番号下 9 桁」を医療機関コードとして、その先頭に１をつけた11桁とする。例：医療機関コード「1312345670」での医師の場合「urn:oid:1.2.392.100495.20.3.41.11312345670」なお、rn:oid:1.2.392.100495.20.3.41　の部分は、厚生労働省電子処方箋CDA 記述仕様第1版（平成30年7月）付表2 OID一覧において医師番号に割り当てられたOIDのURL型である。地域医療連携ネットワークの地域医療従事者IDを指定する場合も同様に、地域医療従事者IDを識別する名前空間（IHE ITI PIX等で使用されるOID等）を system に使用することができる。医師、歯科医師以外の医療者のIDの名前空間を表す system 値は今後検討する。 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:PRD-7 (or XCN.1) rim:./id servd:./Identifiers
active	Σ	0..1	boolean	Element Id Practitioner.active Short description Whether this practitioner's record is in active use Definition Whether this practitioner's record is in active use. この医療従事者の記録がアクティブに使用されているかどうかを示す。 Requirements Need to be able to mark a practitioner record as not to be used because it was created in error. 医療従事者のレコードを誤って作成してしまったとき、使用しないようにマークできるようにする必要がある。 Comments If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role. 医療従事者がある組織で使用されていない場合、別のロールでアクティブになっている可能性があるので、(例えそれらがアクティブであっても)PractitonerRoleに有効期間を終了日でマークしておく必要がある。 Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:./statusCode
name	Σ	0..*	JP_HumanName	Element Id Practitioner.name Short description Name of a human - parts and usage　人の名前情報、その一部分と使い方 Definition The name(s) associated with the practitioner. 医療従事者の氏名（複数の場合もある） Requirements The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. 医療従事者が知られている名前。複数ある場合は、従事者が通常知られている名前を表示に使用します。 Comments The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: There is more than 1 name Use = usual Period is current to the date of the usage Use = official Other order as decided by internal business rules. useプロパティの選択は、指定された単一の通常の名前があることを保証しなければならず、他の値はニックネーム（別名）、旧名、または他の値を適切に使用します。一般的には、以下を基準にResourceReference.displayで使用する値を選択する。 There is more than 1 name（最低限1つ以上の名前があること） Use = usual（useプロパティが「usual」であること） Period is current to the date of the usage（有効期限は利用開始日から現在まであること） Use = official（useプロパティが「official」であること Other order as decided by internal business rules.（その他、内部ルールで決められた順番）医療従事者のNameの漢字カナ表記については、JP_Patient.nameで採用した方法を踏襲する。そのほか、要素の説明は、JP_Patient.nameを参照。 Data Type JP_HumanName Sliced: Unordered, Open, by extension.value[x](Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:XCN Components rim:./name servd:./PreferredName (GivenNames, FamilyName, TitleCode)
telecom	Σ I	0..*	ContactPoint	Element Id Practitioner.telecom Short description A contact detail for the practitioner (that apply to all roles)　電話番号やメールアドレスなど、従事者への詳細な連絡先。 Definition A contact detail for the practitioner, e.g. a telephone number or an email address. 電話番号やメールアドレスなど、従事者への詳細な連絡先。 Requirements Need to know how to reach a practitioner independent to any roles the practitioner may have. 医療従事者が持っているかもしれない任意の役割ごとに独立した連絡方法を知る必要がある。 Comments Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific. 人は、異なる用途や適用される期間に応じて複数の連絡方法を持っている可能性がある。本人に緊急に連絡を取るためのオプションが必要な場合があり、また本人の身元確認に役立つ場合がある。これらは通常、自宅の電話番号、または役割が特定されていない携帯電話番号を持つことになる。要素の説明は、JP_Patient.telecomを参照。 Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:PRT-15, STF-10, ROL-12 rim:./telecom servd:./ContactPoints
system	Σ I	0..1	codeBinding	There are no (further) constraints on this element Element Id Practitioner.telecom.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.3 rim:./scheme servd:./ContactPointType
value	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.telecom.value Short description The actual contact point details Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.1 (or XTN.12) rim:./url servd:./Value
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Practitioner.telecom.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data Type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XTN.2 - but often indicated by field rim:unique(./use) servd:./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id Practitioner.telecom.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:n/a
period	Σ I	0..1	Period	Element Id Practitioner.telecom.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. 期間は時間の範囲を指定します。使用状況は、範囲全体が適用されるか（たとえば、「患者はこの時間範囲で入院していた」）、範囲から1つの値が適用されるか（たとえば、「この2回の間に患者に与える」）を指定する。期間は、時間間隔（経過時間の測定値）には使用されない。 [Duration]（datatypes.html＃Duration）を参照のこと。 Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:N/A rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
address	Σ	0..*	Address	Element Id Practitioner.address Short description Address(es) of the practitioner that are not role specific (typically home address)　役割が特定されていない従事者の住所（通常は自宅の住所） Definition Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. 役割が特定されていない従事者の住所（通常は自宅の住所）。勤務先の住所は通常、役割に依存するため、このプロパティには入力されない。 Requirements The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. 医療従事者の自宅/メールアドレスは、従業員管理のために必要とされることが多く、また、一部のロスタリングサービスでは、開始点（医療従事者の自宅）が計算に使用されることがある。 Comments The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address). PractitionerRoleにアドレス値が付いていないのは、この目的のためにロケーションプロパティを使用することが想定されているからである（アドレスが付いている）。要素の説明は、JP_Patient.address を参照。 Data Type Address Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:ORC-24, STF-11, ROL-11, PRT-14 rim:./addr servd:./Addresses
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Practitioner.address.use Short description home \| work \| temp \| old \| billing - purpose of this address Definition The purpose of this address. Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data Type code Binding The use of an address. AddressUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General home Mappings rim:n/a v2:XAD.7 rim:unique(./use) servd:./AddressPurpose
type	Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id Practitioner.address.type Short description postal \| physical \| both Definition Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type code Binding The type of an address (physical / postal). AddressType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General both Mappings rim:n/a v2:XAD.18 rim:unique(./use) vcard:address type parameter
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.address.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings rim:n/a v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim:./formatted vcard:address label parameter
line	Σ	0..*	string	There are no (further) constraints on this element Element Id Practitioner.address.line Short description Street name, number, direction & P.O. Box etc. Definition This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street Mappings rim:n/a v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim:AD.part[parttype = AL] vcard:street servd:./StreetAddress (newline delimitted)
city	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.address.city Short description Name of city, town etc. Alternate names Municpality Definition The name of the city, town, suburb, village or other community or delivery center. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Erewhon Mappings rim:n/a v2:XAD.3 rim:AD.part[parttype = CTY] vcard:locality servd:./Jurisdiction
district	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.address.district Short description District name (aka county) Alternate names County Definition The name of the administrative area (county). Comments District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings rim:n/a v2:XAD.9 rim:AD.part[parttype = CNT \| CPA]
state	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.address.state Short description Sub-unit of country (abbreviations ok) Alternate names Province, Territory Definition Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.4 rim:AD.part[parttype = STA] vcard:region servd:./Region
postalCode	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.address.postalCode Short description Postal code for area Alternate names Zip Definition A postal code designating a region defined by the postal service. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 9132 Mappings rim:n/a v2:XAD.5 rim:AD.part[parttype = ZIP] vcard:code servd:./PostalIdentificationCode
country	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.address.country Short description Country (e.g. can be ISO 3166 2 or 3 letter code) Definition Country - a nation as commonly understood or generally accepted. Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.6 rim:AD.part[parttype = CNT] vcard:country servd:./Country
period	Σ I	0..1	Period	Element Id Practitioner.address.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. 期間は時間の範囲を指定します。使用状況は、範囲全体が適用されるか（たとえば、「患者はこの時間範囲で入院していた」）、範囲から1つの値が適用されるか（たとえば、「この2回の間に患者に与える」）を指定する。期間は、時間間隔（経過時間の測定値）には使用されない。 [Duration]（datatypes.html＃Duration）を参照のこと。 Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XAD.12 / XAD.13 + XAD.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
gender	Σ	0..1	codeBinding	Element Id Practitioner.gender Short description male \| female \| other \| unknown Definition Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. 管理や記録のためにその人が持っていると思われる性別。 Requirements Needed to address the person correctly. 正しく相手に対応する必要がある。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding The gender of a person used for administrative purposes. AdministrativeGender (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:STF-5 rim:./administrativeGender servd:./GenderCode
birthDate	Σ	0..1	date	Element Id Practitioner.birthDate Short description The date on which the practitioner was born　医療従事者の生年月日 Definition The date of birth for the practitioner. 医療従事者の生年月日 Requirements Needed for identification. 身分証明に必要。 Data Type date Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:STF-6 rim:./birthTime servd:(not represented in ServD)
photo	I	0..*	Attachment	Element Id Practitioner.photo Short description Image of the person Definition Image of the person. 医療従事者の写真。 Requirements Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. 多くのEHRシステムは、患者や職員の画像をキャプチャする機能を持っています。新しいソーシャルメディアの利用にも対応しています。 Comments When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". サマリービューを提供する場合（例えば、Observation.value[x]で）、添付ファイルは "Signed Procedure Consent "のような簡単な表示テキストで表現されなければなりません。 Data Type Attachment Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1:If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim:n/a v2:ED/RP rim:ED rim:./subjectOf/ObservationEvent[code="photo"]/value servd:./ImageURI (only supports the URI reference)
qualification		0..*	BackboneElement	Element Id Practitioner.qualification Short description Certification, licenses, or training pertaining to the provision of care　ケアの提供に関連する認定、ライセンス、またはトレーニング Definition The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality. 医療従事者によるケアの提供を認可する、あるいは関連する、公式の証明書、トレーニング、免許証等。例えば、医療委員会が発行した医師免許証は、認定された地域内で医療を行うことを開業医に許可するものである。 Comments 【JP_CORE】 identifierには資格番号を入力する。 Codeは、v2 table 0360が例としてのっている。0360は、USER-DEFINED TABLES であるため、適切なCodeがなければ追加できる。 Periodにはその資格の開始日・終了日を入力する。（例：麻薬資格者の有効期限等の格納）医籍登録番号　Practitioner.qualification.identifier　urn:oid:1.2.392.100495.20.3.31 麻薬施用者番号　Practitioner.qualification.identifier　urn:oid:1.2.392.100495.20.3.32.都道府県OID番号　　（都道府県OID番号は、都道府県番号2桁の先頭に１をつけた3桁の番号） Data Type BackboneElement Sliced: Unordered, Open, by identifier.system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
(All Slices)				There are no (further) constraints on this element
identifier		0..*	Identifier	There are no (further) constraints on this element Element Id Practitioner.qualification.identifier Short description An identifier for this qualification for the practitioner Definition An identifier that applies to this person's qualification in this role. Requirements Often, specific identities are assigned for the qualification. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
code		1..1	CodeableConcept	There are no (further) constraints on this element Element Id Practitioner.qualification.code Short description Coded representation of the qualification Definition Coded representation of the qualification. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Specific qualification the practitioner has to provide a service. v2.0360.2.7 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
period	I	0..1	Period	There are no (further) constraints on this element Element Id Practitioner.qualification.period Short description Period during which the qualification is valid Definition Period during which the qualification is valid. Requirements Qualifications are often for a limited period of time, and can be revoked. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Practitioner.qualification.issuer Short description Organization that regulates and issues the qualification Definition Organization that regulates and issues the qualification. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
@default		0..*	BackboneElement	There are no (further) constraints on this element Element Id Practitioner.qualification:@default Short description Certification, licenses, or training pertaining to the provision of care Definition The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
identifier		0..*	Identifier	Element Id Practitioner.qualification:@default.identifier Short description An identifier for this qualification for the practitioner Definition An identifier that applies to this person's qualification in this role. この人物のこの役割における資格に適用される識別子。 Requirements Often, specific identities are assigned for the qualification. 多くの場合、資格には特定の識別子が割り当てられる。 Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
code		1..1	CodeableConcept	Element Id Practitioner.qualification:@default.code Short description Coded representation of the qualification Definition Coded representation of the qualification. 資格のコード化された表現。 Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. すべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。 Data Type CodeableConcept Binding Specific qualification the practitioner has to provide a service. v2.0360.2.7 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
period	I	0..1	Period	Element Id Practitioner.qualification:@default.period Short description Period during which the qualification is valid Definition Period during which the qualification is valid. 資格が有効な期間。 Requirements Qualifications are often for a limited period of time, and can be revoked. 資格は期間限定のものが多く、取り消されることもあります。 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. 使用のコンテキストは、範囲全体が適用されるか（例：「患者はこの時間範囲で病院の入院患者であった」）、範囲内の1つの値が適用されるか（例：「この2つの時間の間に患者に与える」）を指定します。期間は、期間(経過時間の尺度)には使用されません。Durationを参照のこと。 Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(Organization)	Element Id Practitioner.qualification:@default.issuer Short description Organization that regulates and issues the qualification Definition Organization that regulates and issues the qualification. 資格を規制し、発行する機関 Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は実際のFHIRリソースへの参照でなければならず、解決可能でなければなりません。解決は URL からの検索、またはリソースタイプによって、絶対参照を正規の URL として扱い、ローカルのレジストリ/リポジトリで検索することで行うことができます。 Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
narcoticPrescriptionLicenseNumber		0..*	BackboneElement	Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber Short description Certification, licenses, or training pertaining to the provision of care Definition The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality. Comments 【JP-CORE】麻薬施用者免許番号に関する情報を格納するためのQualification/Slicing定義。 systemはFixed Valueの urn:oid:1.2.392.100495.20.3.32.1[都道府県番号] を使用する。 ( 頭に1をつけて末尾3桁で表現する。これは北海道などの場合、都道府県番号は01になるが、OID では先頭が0は許可されていないため、頭に1をつけて3桁で表現する) つまり麻薬施用者免許番号を発行した都道府県ごとにsystemも異なる値となる。このプロファイルのidentifier.systemには例として北海道の番号「urn:oid:1.2.392.100495.20.3.32.101」を設定している Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
identifier		0..*	Identifier	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier Short description An identifier for this qualification for the practitioner Definition An identifier that applies to this person's qualification in this role. Requirements Often, specific identities are assigned for the qualification. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. 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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value urn:oid:1.2.392.100495.20.3.32.101 Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
code		1..1	CodeableConcept	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.code Short description Coded representation of the qualification Definition Coded representation of the qualification. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Specific qualification the practitioner has to provide a service. v2.0360.2.7 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
period	I	0..1	Period	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.period Short description Period during which the qualification is valid Definition Period during which the qualification is valid. Requirements Qualifications are often for a limited period of time, and can be revoked. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Practitioner.qualification:narcoticPrescriptionLicenseNumber.issuer Short description Organization that regulates and issues the qualification Definition Organization that regulates and issues the qualification. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
medicalRegistrationNumber		0..*	BackboneElement	Element Id Practitioner.qualification:medicalRegistrationNumber Short description Certification, licenses, or training pertaining to the provision of care Definition The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality. Comments 【JP-CORE】医籍登録番号を格納するためのIdentifer/Slicing定義。 systemはFixed Valueの urn:oid:1.2.392.100495.20.3.31 を使用する。 Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CER? rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications
identifier		0..*	Identifier	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.identifier Short description An identifier for this qualification for the practitioner Definition An identifier that applies to this person's qualification in this role. Requirements Often, specific identities are assigned for the qualification. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.playingEntity.playingRole[classCode=QUAL].id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. 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. Data Type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Practitioner.qualification:medicalRegistrationNumber.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. 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. Comments Identifier.system is always case sensitive. --------SWG3 コメント----------- 医籍登録番号を格納するためのqualification/IdentiferのSlicing定義。 systemはFixed Valueの urn:oid:1.2.392.100495.20.3.31を使用する。 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value urn:oid:1.2.392.100495.20.3.31 Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.identifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
code		1..1	CodeableConcept	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.code Short description Coded representation of the qualification Definition Coded representation of the qualification. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Specific qualification the practitioner has to provide a service. v2.0360.2.7 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.playingEntity.playingRole[classCode=QUAL].code servd:./Qualifications.Value
period	I	0..1	Period	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.period Short description Period during which the qualification is valid Definition Period during which the qualification is valid. Requirements Qualifications are often for a limited period of time, and can be revoked. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime servd:./Qualifications.StartDate and ./Qualifications.EndDate
issuer	I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Practitioner.qualification:medicalRegistrationNumber.issuer Short description Organization that regulates and issues the qualification Definition Organization that regulates and issues the qualification. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.playingEntity.playingRole[classCode=QUAL].scoper
communication		0..*	CodeableConceptBinding	Element Id Practitioner.communication Short description A language the practitioner can use in patient communication　医療従事者が患者とのコミュニケーションで使用できる言語。 Definition A language the practitioner can use in patient communication. 医療従事者が患者とのコミュニケーションで使用できる言語。 Requirements Knowing which language a practitioner speaks can help in facilitating communication with patients. 医療従事者がどの言語を話すかを知ることは、患者とのコミュニケーションを円滑にするのに役立る。 Comments The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. このように正確なケーシングを持つ構造体 aa-BB は、ロケールのために最も広く使われている表記法の一つ。しかし、すべてのシステムがこれをコード化しているわけではなく、代わりにフリーテキストとしている。そのため、データ型としてはコードの代わりに CodeableConcept を使用している。 Data Type CodeableConcept Binding A human language. CommonLanguages (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:PID-15, NK1-20, LAN-2 rim:./languageCommunication servd:./Languages.LanguageSpokenCode

2.1.1.6.3.1. 必須要素

次のデータ項目は必須（データが存在しなければならない）、あるいは、データが送信システムに存在する場合はサポートされなければならないことを意味する。（Must Support）。

JP Practitioner リソースには、必須要素はありません。

2.1.1.6.3.2. Extensions定義

JP Practitioner リソースで使用される拡張は次の通りである。

2.1.1.6.3.2.1. 既存のExtensionの利用

NameRepresentationUse
- 医療従事者氏名(Practitioner.name)の漢字表記・カナ表記識別のために使用する。

2.1.1.6.3.3. 用語定義

Path	定義	バインディング強度	バリューセット
Practitioner.gender.code	医療従事者の性別	required	AdministrativeGender
Practitioner.communication	医療従事者の使用できる言語	Preferred, but limited to ALLLanguage	CommonLanguages

2.1.1.6.3.4. 制約一覧

制約はありません。

2.1.1.6.3.5. その他

Practitioner.qualificationには、以下の医療従事者のqualification(資格)を格納できるようスライシングによる定義が追加されている。

スライシング定義名	目的	指定方法
DrugUserQualification	麻薬施用者免許番号を表現する	qualification.identifier.system = "urn:oid:1.2.392.100495.20.3.32.[都道府県番号]" を指定し、麻薬取扱免許番号を同valueに格納する。都道府県番号
MedicalRegistrationNumber	医籍登録者番号を表現する	qualification.identifier.system = "urn:oid:1.2.392.100495.20.3.31" を指定し、医籍登録者番号を同valueに格納する。

2.1.1.6.4. 利用方法

2.1.1.6.4.1. インタラクション一覧

コンフォーマンス	インタラクション
SHALL（必須）	search-type、read
SHOULD（推奨）	vread、history-instance
MAY（利用可能）	create、update、patch、delete、history-type

2.1.1.6.4.2. OperationおよびSearch Parameter 一覧

2.1.1.6.4.2.1. Search Parameter一覧

コンフォーマンス	パラメータ	型	例
SHALL	identifier	token	GET [base]/Practitioner?identifier=http://myhospital.com/fhir/drid\|789
SHALL	name	string	GET [base]/Practitioner?name=山田

2.1.1.6.4.2.1.1. 必須検索パラメータ

次の検索パラメータは必須でサポートされなければならない。

identifier 検索パラメータを使用して、医療従事者番号などの識別子によるPractitionerの検索をサポートしなければならない（SHALL）。
```
GET [base]/Practitioner?identifier={system|}[code]
```
例：
```
GET [base]/Practitioner?identifier=http://myhospital.com/fhir/drid|123456
```
指定された識別子(identifier)に一致するPractitionerリソースを含むBundleを検索する。
name 検索パラメータを使用して、任意の名前パートによる文字列検索をサポートしなければならない（SHALL）。
```
GET [base]/Practitioner?name=[string]
```
例：
```
GET [base]/Practitioner?name=山田
```
名前（姓:family、名:given、またはテキスト:text）が一致するPractitionerリソースを含むBundleを検索する。

2.1.1.6.4.2.1.2. 推奨検索パラメータ

推奨検索パラメータ(SHOULD)はありません。

2.1.1.6.4.2.1.3. オプション検索パラメータ

オプション検索パラメータ(MAY)はありません。

2.1.1.6.4.2.2. Operation一覧

Operationはありません。

2.1.1.6.4.3. サンプル

{
  "resourceType": "Practitioner",
  "id": "example",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>神奈川　花子</li><li>カナガワ　ハナコ</li><li>麻薬施用者免許番号：4-321</li></ul></div>"
  },
  "name": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
          "valueCode": "IDE"
        }
      ],
      "text": "神奈川花子",
      "family": "神奈川",
      "given": [
        "花子"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
          "valueCode": "SYL"
        }
      ],
      "text": "カナガワハナコ",
      "family": "カナガワ",
      "given": [
        "ハナコ"
      ]
    }
  ],
  "qualification": [
    {
      "identifier": [
        {
          "system": "urn:oid:1.2.392.100495.20.3.32.13",
          "value": "4-321"
        }
      ],
      "code": {
        "Coding": [
          {
            "system": "http://hl7.jp/fhir/ePrescription/certificate",
            "code": "NarcoticsPractitioner"
          }
        ]
      }
    }
  ]
}

2.1.1.6.5. 注意事項

注意事項はありません。

2.1.1.6.6. その他、参考文献・リンク等

・退院時サマリー規約 http://www.hl7.jp/library/item/HL7J-CDA-007.pdf

・診療情報提供書規格 http://www.hl7.jp/intro/std/HL7J-CDA-005.pdf

・特定健診情報ファイル仕様 https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000165280.html

・SS-MIX2 標準化ストレージ仕様書 Ver.1.2f http://www.jami.jp/jamistd/docs/SS-MIX2/f/SS-MIX2_StndrdStrgSpecVer.1.2f.pdf

・ICSR E2B(R3) https://www.pmda.go.jp/int-activities/int-harmony/ich/0093.html