<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole" />
  <version value="1.0.0" />
  <name value="JP_PractitionerRole" />
  <title value="JP_PractitionerRole" />
  <status value="active" />
  <date value="2020-09-01T06:50:16.8677402+00:00" />
  <description value="このプロファイルはPractitionerRoleリソースに対して、医療従事者役割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。" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="servd" />
    <uri value="http://www.omg.org/spec/ServD/1.0/" />
    <name value="ServD" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="PractitionerRole" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
  <derivation value="constraint" />
  <snapshot>
    <element id="PractitionerRole">
      <path value="PractitionerRole" />
      <short value="医療従事者が関連付けられている役割/組織" />
      <definition value="A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;医療従事者が一定期間、組織で行うことができる役割／場所／専門性／サービスの特定のセット。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole" />
        <min value="0" />
        <max value="*" />
      </base>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="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" />
        <expression value="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()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRD (as one example)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Role" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="ServiceSiteProvider" />
      </mapping>
    </element>
    <element id="PractitionerRole.id">
      <path value="PractitionerRole.id" />
      <short value="Logical id of this artifact" />
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="PractitionerRole.meta">
      <path value="PractitionerRole.meta" />
      <short value="Metadata about the resource" />
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.meta" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Meta" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.implicitRules">
      <path value="PractitionerRole.implicitRules" />
      <short value="A set of rules under which this content was created" />
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.implicitRules" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PractitionerRole.language">
      <path value="PractitionerRole.language" />
      <short value="Language of the resource content" />
      <definition value="The base language in which the resource is written." />
      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.language" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language" />
        </extension>
        <strength value="preferred" />
        <description value="A human language." />
        <valueSet value="http://hl7.org/fhir/ValueSet/languages" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PractitionerRole.text">
      <path value="PractitionerRole.text" />
      <short value="Text summary of the resource, for human interpretation" />
      <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later." />
      <alias value="narrative" />
      <alias value="html" />
      <alias value="xhtml" />
      <alias value="display" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Narrative" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act.text?" />
      </mapping>
    </element>
    <element id="PractitionerRole.contained">
      <path value="PractitionerRole.contained" />
      <short value="Contained, inline Resources" />
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." />
      <alias value="inline resources" />
      <alias value="anonymous resources" />
      <alias value="contained resources" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.contained" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Resource" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.extension">
      <path value="PractitionerRole.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.modifierExtension">
      <path value="PractitionerRole.modifierExtension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.identifier">
      <path value="PractitionerRole.identifier" />
      <short value="Business Identifiers that are specific to a role/location　役割/場所に固有のビジネス識別子" />
      <definition value="Business Identifiers that are specific to a role/location.&#xD;&#xA;&#xD;&#xA;役割/場所に固有のビジネス識別子。" />
      <requirements value="Often, specific identities are assigned for the agent.&#xD;&#xA;&#xD;&#xA;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ます。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.identifier" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Identifier" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="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]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="Identifier" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.identifier" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRD-7 (or XCN.1)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".id" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Identifiers" />
      </mapping>
    </element>
    <element id="PractitionerRole.active">
      <path value="PractitionerRole.active" />
      <short value="Whether this practitioner role record is in active use　このPractitionerRoleレコードがアクティブに使用されているかどうか" />
      <definition value="Whether this practitioner role record is in active use.&#xD;&#xA;&#xD;&#xA;このPractitionerRoleレコードがアクティブに使用されているかどうか。" />
      <comment value="If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.&#xD;&#xA;&#xD;&#xA;この値がfalseの場合、ロールがいつアクティブに使用されていたかを期間を参照して確認することができます。期間が指定されていない場合、それがいつアクティブになったかを推論することはできません。" />
      <requirements value="Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.&#xD;&#xA;&#xD;&#xA;PractitionerRoleレコードがエラーで作成されたために使用されないことをマークできるようにする必要があります。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.active" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;このactiveエレメントに値が提供されていない場合、このリソースは一般的にアクティブであると見なされます。" />
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.status" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="STF-7" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".statusCode" />
      </mapping>
    </element>
    <element id="PractitionerRole.period">
      <path value="PractitionerRole.period" />
      <short value="The period during which the practitioner is authorized to perform in these role(s)　その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間。" />
      <definition value="The period during which the person is authorized to act as a practitioner in these role(s) for the organization.&#xD;&#xA;&#xD;&#xA;その人が、組織のためにこれらの役割（複数可）の医療従事者として行動することを許可されている期間。" />
      <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. &quot;the patient was an inpatient of the hospital for this time range&quot;) or one value from the range applies (e.g. &quot;give to the patient between these two times&quot;).&#xA;Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).&#xD;&#xA;&#xD;&#xA;期間は時間の範囲を指定する。使用状況はその期間全体に適用されるか、範囲から1つの値が適用される。&#xD;&#xA;期間は、時間間隔（経過時間の測定値）には使用されない" />
      <requirements value="Even after the agencies is revoked, the fact that it existed must still be recorded.&#xD;&#xA;&#xD;&#xA;機関が取り消された後も、存在していた事実を記録しなければなりません。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.period" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="per-1" />
        <severity value="error" />
        <human value="If present, start SHALL have a lower value than end" />
        <expression value="start.hasValue().not() or end.hasValue().not() or (start &lt;= end)" />
        <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) &lt;= xs:dateTime(f:end/@value))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Period" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="DR" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="IVL&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;] or URG&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.done[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRD-8/9 / PRA-5.4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".performance[@typeCode &lt;= 'PPRF'].ActDefinitionOrEvent.effectiveTime" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)" />
      </mapping>
    </element>
    <element id="PractitionerRole.practitioner">
      <path value="PractitionerRole.practitioner" />
      <short value="Practitioner that is able to provide the defined services for the organization　組織に定義されたサービスを提供できる医療従事者" />
      <definition value="Practitioner that is able to provide the defined services for the organization.&#xD;&#xA;&#xD;&#xA;組織に定義されたサービスを提供できる医療従事者。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.practitioner" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".player" />
      </mapping>
    </element>
    <element id="PractitionerRole.organization">
      <path value="PractitionerRole.organization" />
      <short value="Organization where the roles are available　役割が可能な組織" />
      <definition value="The organization where the Practitioner performs the roles associated.&#xD;&#xA;&#xD;&#xA;医療従事者が関連する役割を実行する組織。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.organization" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".scoper" />
      </mapping>
    </element>
    <element id="PractitionerRole.code">
      <path value="PractitionerRole.code" />
      <short value="Roles which this practitioner may perform　この医療従事者が果たす役割" />
      <definition value="Roles which this practitioner is authorized to perform for the organization.&#xD;&#xA;&#xD;&#xA;この医療従事者が組織のために実行することを許可されている役割。" />
      <comment value="A person may have more than one role.&#xD;&#xA;&#xD;&#xA;人は複数の役割を持つ場合があります。&#xD;&#xA;&#xD;&#xA;【JP-CORE】&#xD;&#xA;医師、看護職員、薬剤師、放射線技師、情報職員といった職種を格納する。&#xD;&#xA;以下のコード表を作成する。&#xD;&#xA;http://jpfhir.jp/fhir/Common/CodeSystem/JP_PractionerRole_RoleCode&#xD;&#xA;&#xD;&#xA;SS-MIX2ではJHSR004 医療従事者の職種コードを採用&#xD;&#xA;コード 名称&#xD;&#xA;DR-01 依頼医師&#xD;&#xA;DR-02 実施医師&#xD;&#xA;DR-03 麻酔医師&#xD;&#xA;TC-01 実施技師&#xD;&#xA;NS-01 看護師&#xD;&#xA;NS-02 付添看護師&#xD;&#xA;NS-03 助産師" />
      <requirements value="Need to know what authority the practitioner has - what can they do?&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;プラクティショナーがどのような権限を持っているのかを知る必要がある - 何ができるのか？" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.code" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PractitionerRole" />
        </extension>
        <strength value="example" />
        <description value="The role a person plays representing an organization." />
        <valueSet value="http://hl7.org/fhir/ValueSet/practitioner-role" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRD-1 / STF-18  / PRA-3  / PRT-4  / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".code" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)" />
      </mapping>
    </element>
    <element id="PractitionerRole.specialty">
      <path value="PractitionerRole.specialty" />
      <short value="Specific specialty of the practitioner" />
      <definition value="Specific specialty of the practitioner.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;医療従事者の特定の専門性" />
      <comment value="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.&#xD;&#xA;&#xD;&#xA;【JP-CORE】&#xD;&#xA;PractitionerRole.codeに格納した職種の専門領域を格納する。&#xD;&#xA;以下のコード表を作成する。&#xD;&#xA;http://jpfhir.jp/fhir/Common/CodeSystem/JP_PractionerRole_practicecodes" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.specialty" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PractitionerSpecialty" />
        </extension>
        <strength value="preferred" />
        <description value="Specific specialty associated with the agency." />
        <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRA-5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".player.HealthCareProvider[@classCode = 'PROV'].code" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Specialty" />
      </mapping>
    </element>
    <element id="PractitionerRole.location">
      <path value="PractitionerRole.location" />
      <short value="The location(s) at which this practitioner provides care　この医療従事者がケアを提供している場所" />
      <definition value="The location(s) at which this practitioner provides care.&#xD;&#xA;&#xD;&#xA;この医療従事者がケアを提供している場所（複数可）。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.location" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.where[x]" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not available)&lt;br/&gt; However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)" />
      </mapping>
    </element>
    <element id="PractitionerRole.healthcareService">
      <path value="PractitionerRole.healthcareService" />
      <short value="The list of healthcare services that this worker provides for this role's Organization/Location(s)　この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト" />
      <definition value="The list of healthcare services that this worker provides for this role's Organization/Location(s).&#xD;&#xA;&#xD;&#xA;この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.healthcareService" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="EDU-2 / AFF-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".player.QualifiedEntity[@classCode = 'QUAL'].code" />
      </mapping>
    </element>
    <element id="PractitionerRole.telecom">
      <path value="PractitionerRole.telecom" />
      <short value="Contact details that are specific to the role/location/service　役割/場所/サービスに固有の連絡先の詳細" />
      <definition value="Contact details that are specific to the role/location/service.&#xD;&#xA;&#xD;&#xA;役割/場所/サービスに固有の連絡先の詳細。" />
      <comment value="各要素の説明は、JP_Patient　の説明を参照。" />
      <requirements value="Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.&#xD;&#xA;&#xD;&#xA;多くの場合、医療従事者は、勤務する場所（またはサービス）ごとに専用の回線を持っており、それぞれに別々の連絡先を定義する必要がある。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.telecom" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="ContactPoint" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="cpt-2" />
        <severity value="error" />
        <human value="A system is required if a value is provided." />
        <expression value="value.empty() or system.exists()" />
        <xpath value="not(exists(f:value)) or exists(f:system)" />
        <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XTN" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="TEL" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="ContactPoint" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".telecom" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime">
      <path value="PractitionerRole.availableTime" />
      <short value="Times the Service Site is available" />
      <definition value="A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.&#xD;&#xA;&#xD;&#xA;医療従事者が利用可能な時間、またはその場所および/またはヘルスケアサービスでこの役割を実行している時間のコレクション。" />
      <comment value="More detailed availability information may be provided in associated Schedule/Slot resources.&#xD;&#xA;&#xD;&#xA;より詳細な利用可能な情報は、関連するSchedule/Slotのリソースで提供される場合があります。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.availableTime" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.id">
      <path value="PractitionerRole.availableTime.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.extension">
      <path value="PractitionerRole.availableTime.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.modifierExtension">
      <path value="PractitionerRole.availableTime.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.daysOfWeek">
      <path value="PractitionerRole.availableTime.daysOfWeek" />
      <short value="mon | tue | wed | thu | fri | sat | sun" />
      <definition value="Indicates which days of the week are available between the start and end Times.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;開始時刻と終了時刻の間に利用可能な曜日を示します。" />
      <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.availableTime.daysOfWeek" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DaysOfWeek" />
        </extension>
        <strength value="required" />
        <description value="The days of the week." />
        <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.0.1" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.allDay">
      <path value="PractitionerRole.availableTime.allDay" />
      <short value="Always available? e.g. 24 hour service" />
      <definition value="Is this always available? (hence times are irrelevant) e.g. 24 hour service.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;これはいつでも利用できますか？(そのため時間は関係ありません) 例：24時間サービス。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.availableTime.allDay" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.availableStartTime">
      <path value="PractitionerRole.availableTime.availableStartTime" />
      <short value="Opening time of day (ignored if allDay = true)" />
      <definition value="The opening time of day. Note: If the AllDay flag is set, then this time is ignored.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;一日の開始時間。注意：AllDayフラグが設定されている場合、この時間は無視されます。" />
      <comment value="The timezone is expected to be for where this HealthcareService is provided at.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;タイムゾーンは、このHealthcareServiceが提供されている場所のために期待されています。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.availableTime.availableStartTime" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="time" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.availableTime.availableEndTime">
      <path value="PractitionerRole.availableTime.availableEndTime" />
      <short value="Closing time of day (ignored if allDay = true)" />
      <definition value="The closing time of day. Note: If the AllDay flag is set, then this time is ignored.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;一日の終了時刻。注意：AllDayフラグが設定されている場合、この時間は無視されます。" />
      <comment value="The timezone is expected to be for where this HealthcareService is provided at.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;タイムゾーンは、このHealthcareServiceが提供されている場所のために期待されています。" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.availableTime.availableEndTime" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="time" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.notAvailable">
      <path value="PractitionerRole.notAvailable" />
      <short value="Not available during this time due to provided reason　この期間中は利用できない理由と期間" />
      <definition value="The practitioner is not available or performing this role during this period of time due to the provided reason.&#xD;&#xA;&#xD;&#xA;医療従事者は、提供された理由により、この期間中にこの役割を果たすことができないか、またはこの役割を果たすことができない。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.notAvailable" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.notAvailable.id">
      <path value="PractitionerRole.notAvailable.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PractitionerRole.notAvailable.extension">
      <path value="PractitionerRole.notAvailable.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.notAvailable.modifierExtension">
      <path value="PractitionerRole.notAvailable.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="PractitionerRole.notAvailable.description">
      <path value="PractitionerRole.notAvailable.description" />
      <short value="Reason presented to the user explaining why time not available" />
      <definition value="The reason that can be presented to the user as to why this time is not available.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;この時間が利用できない理由をユーザーに提示することができます。" />
      <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.notAvailable.description" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="PractitionerRole.notAvailable.during">
      <path value="PractitionerRole.notAvailable.during" />
      <short value="Service not available from this date" />
      <definition value="Service is not available (seasonally or for a public holiday) from this date.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;この日からサービスのご利用（季節・祝日）はできません。" />
      <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. &quot;the patient was an inpatient of the hospital for this time range&quot;) or one value from the range applies (e.g. &quot;give to the patient between these two times&quot;).&#xA;&#xA;Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.notAvailable.during" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="per-1" />
        <severity value="error" />
        <human value="If present, start SHALL have a lower value than end" />
        <expression value="start.hasValue().not() or end.hasValue().not() or (start &lt;= end)" />
        <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) &lt;= xs:dateTime(f:end/@value))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Period" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="DR" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="IVL&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;] or URG&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;]" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.availabilityExceptions">
      <path value="PractitionerRole.availabilityExceptions" />
      <short value="Description of availability exceptions" />
      <definition value="A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;祝祭日の利用可能性など、サイトの利用可能性の例外についての説明。通常のサイトの利用可能性に対するすべての可能性のある例外を、利用可能なTimesと利用できないTimesの詳細として簡潔に記述する。" />
      <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="PractitionerRole.availabilityExceptions" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="PractitionerRole.endpoint">
      <path value="PractitionerRole.endpoint" />
      <short value="Technical endpoints providing access to services operated for the practitioner with this role" />
      <definition value="Technical endpoints providing access to services operated for the practitioner with this role.&#xD;&#xA;&#xD;&#xA;この役割を持つ医療従事者のために運営されているサービスへのアクセスを提供する技術的なエンドポイント。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
      <requirements value="Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.&#xD;So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.&#xD;&#xA;&#xD;&#xA;組織には、様々なサービスを提供するための複数のシステムがあり、また、医療従事者にとっても様々である。&#xD;&#xA;したがって、エンドポイントは、それらにどのように接続するか、また、どのような目的で接続するかにての技術的な接続の詳細を定義することができるという必要性を満たす。" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="PractitionerRole.endpoint" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="PractitionerRole">
      <path value="PractitionerRole" />
      <short value="医療従事者が関連付けられている役割/組織" />
      <definition value="A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;医療従事者が一定期間、組織で行うことができる役割／場所／専門性／サービスの特定のセット。" />
    </element>
    <element id="PractitionerRole.identifier">
      <path value="PractitionerRole.identifier" />
      <short value="Business Identifiers that are specific to a role/location　役割/場所に固有のビジネス識別子" />
      <definition value="Business Identifiers that are specific to a role/location.&#xD;&#xA;&#xD;&#xA;役割/場所に固有のビジネス識別子。" />
      <requirements value="Often, specific identities are assigned for the agent.&#xD;&#xA;&#xD;&#xA;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ます。" />
    </element>
    <element id="PractitionerRole.active">
      <path value="PractitionerRole.active" />
      <short value="Whether this practitioner role record is in active use　このPractitionerRoleレコードがアクティブに使用されているかどうか" />
      <definition value="Whether this practitioner role record is in active use.&#xD;&#xA;&#xD;&#xA;このPractitionerRoleレコードがアクティブに使用されているかどうか。" />
      <comment value="If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.&#xD;&#xA;&#xD;&#xA;この値がfalseの場合、ロールがいつアクティブに使用されていたかを期間を参照して確認することができます。期間が指定されていない場合、それがいつアクティブになったかを推論することはできません。" />
      <requirements value="Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.&#xD;&#xA;&#xD;&#xA;PractitionerRoleレコードがエラーで作成されたために使用されないことをマークできるようにする必要があります。" />
      <meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;このactiveエレメントに値が提供されていない場合、このリソースは一般的にアクティブであると見なされます。" />
    </element>
    <element id="PractitionerRole.period">
      <path value="PractitionerRole.period" />
      <short value="The period during which the practitioner is authorized to perform in these role(s)　その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間。" />
      <definition value="The period during which the person is authorized to act as a practitioner in these role(s) for the organization.&#xD;&#xA;&#xD;&#xA;その人が、組織のためにこれらの役割（複数可）の医療従事者として行動することを許可されている期間。" />
      <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. &quot;the patient was an inpatient of the hospital for this time range&quot;) or one value from the range applies (e.g. &quot;give to the patient between these two times&quot;).&#xA;Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).&#xD;&#xA;&#xD;&#xA;期間は時間の範囲を指定する。使用状況はその期間全体に適用されるか、範囲から1つの値が適用される。&#xD;&#xA;期間は、時間間隔（経過時間の測定値）には使用されない" />
      <requirements value="Even after the agencies is revoked, the fact that it existed must still be recorded.&#xD;&#xA;&#xD;&#xA;機関が取り消された後も、存在していた事実を記録しなければなりません。" />
    </element>
    <element id="PractitionerRole.practitioner">
      <path value="PractitionerRole.practitioner" />
      <short value="Practitioner that is able to provide the defined services for the organization　組織に定義されたサービスを提供できる医療従事者" />
      <definition value="Practitioner that is able to provide the defined services for the organization.&#xD;&#xA;&#xD;&#xA;組織に定義されたサービスを提供できる医療従事者。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
    </element>
    <element id="PractitionerRole.organization">
      <path value="PractitionerRole.organization" />
      <short value="Organization where the roles are available　役割が可能な組織" />
      <definition value="The organization where the Practitioner performs the roles associated.&#xD;&#xA;&#xD;&#xA;医療従事者が関連する役割を実行する組織。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
    </element>
    <element id="PractitionerRole.code">
      <path value="PractitionerRole.code" />
      <short value="Roles which this practitioner may perform　この医療従事者が果たす役割" />
      <definition value="Roles which this practitioner is authorized to perform for the organization.&#xD;&#xA;&#xD;&#xA;この医療従事者が組織のために実行することを許可されている役割。" />
      <comment value="A person may have more than one role.&#xD;&#xA;&#xD;&#xA;人は複数の役割を持つ場合があります。&#xD;&#xA;&#xD;&#xA;【JP-CORE】&#xD;&#xA;医師、看護職員、薬剤師、放射線技師、情報職員といった職種を格納する。&#xD;&#xA;以下のコード表を作成する。&#xD;&#xA;http://jpfhir.jp/fhir/Common/CodeSystem/JP_PractionerRole_RoleCode&#xD;&#xA;&#xD;&#xA;SS-MIX2ではJHSR004 医療従事者の職種コードを採用&#xD;&#xA;コード 名称&#xD;&#xA;DR-01 依頼医師&#xD;&#xA;DR-02 実施医師&#xD;&#xA;DR-03 麻酔医師&#xD;&#xA;TC-01 実施技師&#xD;&#xA;NS-01 看護師&#xD;&#xA;NS-02 付添看護師&#xD;&#xA;NS-03 助産師" />
      <requirements value="Need to know what authority the practitioner has - what can they do?&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;プラクティショナーがどのような権限を持っているのかを知る必要がある - 何ができるのか？" />
    </element>
    <element id="PractitionerRole.specialty">
      <path value="PractitionerRole.specialty" />
      <definition value="Specific specialty of the practitioner.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;医療従事者の特定の専門性" />
      <comment value="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.&#xD;&#xA;&#xD;&#xA;【JP-CORE】&#xD;&#xA;PractitionerRole.codeに格納した職種の専門領域を格納する。&#xD;&#xA;以下のコード表を作成する。&#xD;&#xA;http://jpfhir.jp/fhir/Common/CodeSystem/JP_PractionerRole_practicecodes" />
    </element>
    <element id="PractitionerRole.location">
      <path value="PractitionerRole.location" />
      <short value="The location(s) at which this practitioner provides care　この医療従事者がケアを提供している場所" />
      <definition value="The location(s) at which this practitioner provides care.&#xD;&#xA;&#xD;&#xA;この医療従事者がケアを提供している場所（複数可）。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
    </element>
    <element id="PractitionerRole.healthcareService">
      <path value="PractitionerRole.healthcareService" />
      <short value="The list of healthcare services that this worker provides for this role's Organization/Location(s)　この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト" />
      <definition value="The list of healthcare services that this worker provides for this role's Organization/Location(s).&#xD;&#xA;&#xD;&#xA;この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
    </element>
    <element id="PractitionerRole.telecom">
      <path value="PractitionerRole.telecom" />
      <short value="Contact details that are specific to the role/location/service　役割/場所/サービスに固有の連絡先の詳細" />
      <definition value="Contact details that are specific to the role/location/service.&#xD;&#xA;&#xD;&#xA;役割/場所/サービスに固有の連絡先の詳細。" />
      <comment value="各要素の説明は、JP_Patient　の説明を参照。" />
      <requirements value="Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.&#xD;&#xA;&#xD;&#xA;多くの場合、医療従事者は、勤務する場所（またはサービス）ごとに専用の回線を持っており、それぞれに別々の連絡先を定義する必要がある。" />
    </element>
    <element id="PractitionerRole.availableTime">
      <path value="PractitionerRole.availableTime" />
      <definition value="A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.&#xD;&#xA;&#xD;&#xA;医療従事者が利用可能な時間、またはその場所および/またはヘルスケアサービスでこの役割を実行している時間のコレクション。" />
      <comment value="More detailed availability information may be provided in associated Schedule/Slot resources.&#xD;&#xA;&#xD;&#xA;より詳細な利用可能な情報は、関連するSchedule/Slotのリソースで提供される場合があります。" />
    </element>
    <element id="PractitionerRole.availableTime.daysOfWeek">
      <path value="PractitionerRole.availableTime.daysOfWeek" />
      <definition value="Indicates which days of the week are available between the start and end Times.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;開始時刻と終了時刻の間に利用可能な曜日を示します。" />
    </element>
    <element id="PractitionerRole.availableTime.allDay">
      <path value="PractitionerRole.availableTime.allDay" />
      <definition value="Is this always available? (hence times are irrelevant) e.g. 24 hour service.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;これはいつでも利用できますか？(そのため時間は関係ありません) 例：24時間サービス。" />
    </element>
    <element id="PractitionerRole.availableTime.availableStartTime">
      <path value="PractitionerRole.availableTime.availableStartTime" />
      <definition value="The opening time of day. Note: If the AllDay flag is set, then this time is ignored.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;一日の開始時間。注意：AllDayフラグが設定されている場合、この時間は無視されます。" />
      <comment value="The timezone is expected to be for where this HealthcareService is provided at.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;タイムゾーンは、このHealthcareServiceが提供されている場所のために期待されています。" />
    </element>
    <element id="PractitionerRole.availableTime.availableEndTime">
      <path value="PractitionerRole.availableTime.availableEndTime" />
      <definition value="The closing time of day. Note: If the AllDay flag is set, then this time is ignored.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;一日の終了時刻。注意：AllDayフラグが設定されている場合、この時間は無視されます。" />
      <comment value="The timezone is expected to be for where this HealthcareService is provided at.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;タイムゾーンは、このHealthcareServiceが提供されている場所のために期待されています。" />
    </element>
    <element id="PractitionerRole.notAvailable">
      <path value="PractitionerRole.notAvailable" />
      <short value="Not available during this time due to provided reason　この期間中は利用できない理由と期間" />
      <definition value="The practitioner is not available or performing this role during this period of time due to the provided reason.&#xD;&#xA;&#xD;&#xA;医療従事者は、提供された理由により、この期間中にこの役割を果たすことができないか、またはこの役割を果たすことができない。" />
    </element>
    <element id="PractitionerRole.notAvailable.description">
      <path value="PractitionerRole.notAvailable.description" />
      <definition value="The reason that can be presented to the user as to why this time is not available.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;この時間が利用できない理由をユーザーに提示することができます。" />
    </element>
    <element id="PractitionerRole.notAvailable.during">
      <path value="PractitionerRole.notAvailable.during" />
      <definition value="Service is not available (seasonally or for a public holiday) from this date.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;この日からサービスのご利用（季節・祝日）はできません。" />
    </element>
    <element id="PractitionerRole.availabilityExceptions">
      <path value="PractitionerRole.availabilityExceptions" />
      <definition value="A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;祝祭日の利用可能性など、サイトの利用可能性の例外についての説明。通常のサイトの利用可能性に対するすべての可能性のある例外を、利用可能なTimesと利用できないTimesの詳細として簡潔に記述する。" />
    </element>
    <element id="PractitionerRole.endpoint">
      <path value="PractitionerRole.endpoint" />
      <definition value="Technical endpoints providing access to services operated for the practitioner with this role.&#xD;&#xA;&#xD;&#xA;この役割を持つ医療従事者のために運営されているサービスへのアクセスを提供する技術的なエンドポイント。" />
      <comment value="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.&#xD;&#xA;参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。" />
      <requirements value="Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.&#xD;So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.&#xD;&#xA;&#xD;&#xA;組織には、様々なサービスを提供するための複数のシステムがあり、また、医療従事者にとっても様々である。&#xD;&#xA;したがって、エンドポイントは、それらにどのように接続するか、また、どのような目的で接続するかにての技術的な接続の詳細を定義することができるという必要性を満たす。" />
    </element>
  </differential>
</StructureDefinition>