HL7 FHIR JP Core ImplementationGuide
2.0.0-dev - ci-build
HL7 FHIR JP Core ImplementationGuide - Local Development build (v2.0.0-dev) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Active as of 2023-10-31 |
Definitions for the jp-diagnosticreport-microbiology resource profile.
Guidance on how to interpret the contents of this table can be found here
0. DiagnosticReport | |
Definition | 患者、患者のグループ、デバイス、場所、これらから派生した検体に対して実行された診断的検査の結果と解釈。レポートには、依頼情報や依頼者情報などの臨床コンテキスト(文脈)、および1項目単位の結果、画像、テキストとコード化された解釈、および診断レポートのフォーマットされた表現のいくつかの組み合わせが含まれる。 The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. |
Short | 診断レポート-依頼情報、1項目単位の結果、画像、解釈、およびフォーマットされたレポートの組み合わせ。【詳細参照】A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports |
Comments | これは単一のレポートをキャプチャすることを目的としており、複数のレポートをカバーする要約情報の表示に使用するのには適していない。たとえば、このリソースは、検査結果の累積レポート形式やシーケンスの詳細な構造化レポート用に作られていない。 This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing. |
Control | 0..* |
Is Modifier | false |
Must Support | false |
Summary | false |
Alternate Names | Report, Test, Result, Results, Labs, Laboratory |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) |
2. DiagnosticReport.implicitRules | |
Definition | 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. |
Short | A set of rules under which this content was created |
Comments | 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. |
Control | 0..1 |
Type | uri |
Is Modifier | true because 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 |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. DiagnosticReport.modifierExtension | |
Definition | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Must Support | false |
Summary | false |
Requirements | 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. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. DiagnosticReport.identifier | |
Definition | 実行者/実施者または他のシステムによってこのレポートに割り当てられた識別子 Identifiers assigned to this report by the performer or other systems. |
Short | 実行者/実施者または他のシステムによってこのレポートに割り当てられた識別子Business identifier for report |
Comments | 通常、診断サービスプロバイダの情報システム(フィラーID)によって割り当てられる。 Usually assigned by the Information System of the diagnostic service provider (filler id). |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Is Modifier | false |
Must Support | false |
Summary | true |
Requirements | 発生源の検査室からこのレポートについてクエリを作成するとき、およびFHIRコンテキスト外のレポートにリンクするときに使用する識別子を知る必要がある。 Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context. |
Alternate Names | ReportID, Filler ID, Placer ID |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
8. DiagnosticReport.basedOn | |
Definition | 依頼されたサービス(検査や診断など)に関する詳細情報 Details concerning a service requested. |
Short | 依頼されたサービス(検査や診断など)に関する詳細情報What was requested |
Comments | 通常、1結果ごとに1つの検査依頼があるが、状況によっては、複数の検査要求に対して1レポートがある場合がある。また 1つの検査依頼に対して複数のレポートが作成される場合もあることに注意。 Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports. |
Control | 0..* |
Type | Reference(CarePlan, ImmunizationRecommendation, JP Core MedicationRequest Profile, JP Core MedicationRequest Injection Profile, NutritionOrder, ServiceRequest, MedicationRequest) |
Is Modifier | false |
Must Support | false |
Summary | false |
Requirements | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon. |
Alternate Names | Request |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
10. DiagnosticReport.status | |
Definition | 診断レポートのステータス The status of the diagnostic report. |
Short | 診断レポートのステータスregistered | partial | preliminary | final + |
Control | 1..1 |
Binding | The codes SHALL be taken from DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.3.0 (required to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.3.0 )The status of the diagnostic report. |
Type | code |
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Requirements | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
12. DiagnosticReport.category | |
Definition | 診断レポートを作成した臨床分野、部門、または診断サービスを分類するコード。微生物検査では、LoincコードのLP7819-8 微生物検査/MICRO を使用する。 A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. |
Short | 診断レポートを作成した臨床分野、部門、または診断サービスを分類するコード。微生物検査では、LoincコードのLP7819-8 微生物検査/MICRO を使用する。Service category |
Comments | これは、検索、並べ替え、および表示の目的で使用される。 Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. |
Control | 10..* |
Binding | For example codes, see DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections )HL7 V2 table 0074 |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | true |
Alternate Names | Department, Sub-department, Service, Discipline |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on DiagnosticReport.category . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
14. DiagnosticReport.category:microbiology | |
Slice Name | microbiology |
Definition | 診断レポートを作成した臨床分野、部門、または診断サービス(心臓病学、生化学、血液学、放射線医学など)を分類するコード A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. |
Short | 診断レポートを作成した臨床分野、部門、または診断サービス(心臓病学、生化学、血液学、放射線医学など)を分類するコードService category |
Comments | 【JP Core仕様】レポートカテゴリーとして、LoincコードのLP7819-8 (微生物検査/MICRO)を使用する。 Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. |
Control | 10..1* |
Binding | The codes SHALL be taken from For example codes, see JP Core Diagnostic Report Category ValueSethttp://hl7.org/fhir/ValueSet/diagnostic-service-sections (required to http://jpfhir.jp/fhir/core/ValueSet/JP_DiagnosticReportCategory_VS ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | true |
Alternate Names | Department, Sub-department, Service, Discipline |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
16. DiagnosticReport.code | |
Definition | 診断レポート種別「微生物学的検査報告書」を表す文書コード A code or name that describes this diagnostic report. |
Short | 診断レポート種別「微生物学的検査報告書」を表す文書コードName/Code for this diagnostic report |
Control | 1..1 |
Binding | The codes SHOULD be taken from JP Core Document Codes DiagnosticReport ValueSethttp://hl7.org/fhir/ValueSet/report-codes (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_DocumentCodes_DiagnosticReport_VS ) |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | true |
Alternate Names | Type |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. DiagnosticReport.encounter | |
Definition | 直近の細菌検査に直結するEncounterリソースを参照 The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about. |
Short | 直近の細菌検査に直結するEncounterリソースを参照Health care event when test ordered |
Comments | 受診、入院、診察など。通常、イベントが発生したEncounterであるが、一部のイベントは、Encounterの正式な完了の前または後に開始される場合があり、その場合でもEncounterのコンテキストに関連付けられている(例:入院前の臨床検査)。 This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests). |
Control | 0..1 |
Type | Reference(JP Core Encounter Profile, Encounter) |
Is Modifier | false |
Must Support | false |
Summary | true |
Requirements | Links the request to the Encounter context. |
Alternate Names | Context |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. DiagnosticReport.effective[x] | |
Definition | 検体採取日時(effectivePeriod は未使用) The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself. |
Short | 検体採取日時(effectivePeriod は未使用)Clinically relevant time/time-period for report |
Comments | 診断手順が患者に対して実行された場合、これは実施された時間である。対象が検体である場合は、検体採取時間から診断関連時刻を導き出すことができるが、検体情報が常に入手できるとは限らず、検体と診断関連時刻の正確な関係は必ずしも自明ではない。 If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic. |
Control | 0..1 |
Type | dateTime, Period |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Requirements | Need to know where in the patient history to file/present this report. |
Alternate Names | Observation time, Effective Time, Occurrence |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. DiagnosticReport.issued | |
Definition | このバージョンの診断レポートが医療者に提供/確定された日時。 The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified. |
Short | 最新のレポート確定日DateTime this version was made |
Comments | 通常、レポートがレビューおよび検証・確定された後となる。リソース自体の更新時刻とは異なる場合がある。これは、レポートの実際の提供時刻ではなく、リソース自体の更新時刻はレコード(場合によってはセカンダリコピー)のステータスの更新時刻となるため。 May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report. |
Control | 0..1 |
Type | instant |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | true |
Requirements | Clinicians need to be able to check the date that the report was released. |
Alternate Names | Date published, Date Issued, Date Verified |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. DiagnosticReport.performer | |
Definition | 診断レポートの作成発行に責任をもつ診断サービス/担当者に関する情報、原則未使用とする The diagnostic service that is responsible for issuing the report. |
Short | 診断レポートの作成発行に責任をもつ診断サービス/担当者に関する情報、原則未使用とするResponsible Diagnostic Service |
Comments | 必ずしも1項目データ単位のデータソースまたは結果を解釈した主体でなない。臨床レポートに責任をもつ主体のこと。 This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report. |
Control | 0..* |
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam, Practitioner, PractitionerRole, Organization) |
Is Modifier | false |
Must Support | false |
Summary | true |
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. |
Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
26. DiagnosticReport.resultsInterpreter | |
Definition | 検査責任者(外部検査会社への委託の場合には組織名を指定することもある) The practitioner or organization that is responsible for the report's conclusions and interpretations. |
Short | 検査責任者(外部検査会社への委託の場合には組織名を指定することもある)Primary result interpreter |
Comments | 診断レポートに責任を持つもの(performer)とは異なる場合がある。 Might not be the same entity that takes responsibility for the clinical report. |
Control | 0..* |
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam, Practitioner, PractitionerRole, Organization) |
Is Modifier | false |
Must Support | false |
Summary | true |
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. |
Alternate Names | Analyzed by, Reported by |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. DiagnosticReport.result | |
Definition | 該当するObservationを設定する Observations that are part of this diagnostic report. |
Short | 該当するObservationを設定するObservations |
Comments | Observationsは階層構造を持てる。 Observations can contain observations. |
Control | 0..* |
Type | Reference(JP Core Observation Microbiology Profile, Observation) |
Is Modifier | false |
Must Support | false |
Summary | false |
Requirements | 個々の結果または結果のグループをサポートする必要がある。結果のグループ化は任意だが、意味がある場合にグループ化される。 Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful. |
Alternate Names | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. DiagnosticReport.imagingStudy | |
Definition | 診断レポートに関連づけれられたDICOM検査画像に関する情報、原則未使用 One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. |
Short | 診断レポートに関連づけれられたDICOM検査画像に関する情報、原則未使用Reference to full details of imaging associated with the diagnostic report |
Comments | 診断的精査中に実施された画像検査の詳細情報へのひとつ/複数のリンク。通常は、DICOM対応のモダリティーによって実施される画像検査だが、必須ではない。完全対応のPACSビューワはこの情報を使用して原画像の一覧を提供できる。 ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided. |
Control | 0..* |
Type | Reference(ImagingStudy) |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. DiagnosticReport.conclusion | |
Definition | 簡潔かつ臨床的な文脈で表現した診断レポートの要約結論(解釈、インプレッション)、 原則未使用であるがコメントを記載してもよい Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report. |
Short | 簡潔かつ臨床的な文脈で表現した診断レポートの要約結論(解釈、インプレッション)、 原則未使用であるがコメントを記載してもよいClinical conclusion (interpretation) of test results |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | false |
Summary | false |
Requirements | Need to be able to provide a conclusion that is not lost among the basic result data. |
Alternate Names | Report |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. DiagnosticReport.conclusionCode | |
Definition | 診断レポートの要約結論(解釈、インプレッション)を表すコード、原則未使用 One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report. |
Short | 診断レポートの要約結論(解釈、インプレッション)を表すコード、原則未使用Codes for the clinical conclusion of test results |
Comments | すべてのターミノロジの使用がこの一般的なパターンに適合するわけではない。場合によっては、独自の構造を提供する必要がある。 |
Control | 0..* |
Binding | For example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings (example to http://hl7.org/fhir/ValueSet/clinical-findings )SNOMED CT Clinical Findings |
Type | CodeableConcept |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. DiagnosticReport.presentedForm | |
Definition | 診断サービス/担当者によって発行された診断レポート全体のコンテンツ(例えばPDFファイルなど)、原則未使用 Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent. |
Short | 診断サービス/担当者によって発行された診断レポート全体のコンテンツ(例えばPDFファイルなど)、原則未使用Entire report as issued |
Comments | 複数のフォーマットが許可されるが、それらは意味的に同等である必要がある。「application / pdf」がこのコンテキストで最も信頼でき相互運用可能なものとして推奨される。 "application/pdf" is recommended as the most reliable and interoperable in this context. |
Control | 0..* |
Type | Attachment |
Is Modifier | false |
Must Support | false |
Summary | false |
Requirements | Gives laboratory the ability to provide its own fully formatted report for clinical fidelity. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. DiagnosticReport | |
Short | 診断レポート-依頼情報、1項目単位の結果、画像、解釈、およびフォーマットされたレポートの組み合わせ。【詳細参照】 |
2. DiagnosticReport.identifier | |
Definition | 実行者/実施者または他のシステムによってこのレポートに割り当てられた識別子 |
Short | 実行者/実施者または他のシステムによってこのレポートに割り当てられた識別子 |
Note | This is a business identifier, not a resource identifier (see discussion) |
4. DiagnosticReport.basedOn | |
Definition | 依頼されたサービス(検査や診断など)に関する詳細情報 |
Short | 依頼されたサービス(検査や診断など)に関する詳細情報 |
Comments | 通常、1結果ごとに1つの検査依頼があるが、状況によっては、複数の検査要求に対して1レポートがある場合がある。また 1つの検査依頼に対して複数のレポートが作成される場合もあることに注意。 |
6. DiagnosticReport.category | |
Definition | 診断レポートを作成した臨床分野、部門、または診断サービスを分類するコード。微生物検査では、LoincコードのLP7819-8 微生物検査/MICRO を使用する。 |
Short | 診断レポートを作成した臨床分野、部門、または診断サービスを分類するコード。微生物検査では、LoincコードのLP7819-8 微生物検査/MICRO を使用する。 |
Control | 1..? |
Slicing | This element introduces a set of slices on DiagnosticReport.category . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
8. DiagnosticReport.category:microbiology | |
Slice Name | microbiology |
Comments | 【JP Core仕様】レポートカテゴリーとして、LoincコードのLP7819-8 (微生物検査/MICRO)を使用する。 |
Control | 1..1 |
Binding | The codes SHALL be taken from JP Core Diagnostic Report Category ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_DiagnosticReportCategory_VS ) |
10. DiagnosticReport.category:microbiology.coding | |
12. DiagnosticReport.category:microbiology.coding.system | |
Fixed Value | http://loinc.org |
14. DiagnosticReport.category:microbiology.coding.code | |
Control | 1..? |
Fixed Value | LP7819-8 |
16. DiagnosticReport.code | |
Definition | 診断レポート種別「微生物学的検査報告書」を表す文書コード |
Short | 診断レポート種別「微生物学的検査報告書」を表す文書コード |
Pattern Value | { |
18. DiagnosticReport.encounter | |
Definition | 直近の細菌検査に直結するEncounterリソースを参照 |
Short | 直近の細菌検査に直結するEncounterリソースを参照 |
20. DiagnosticReport.effective[x] | |
Definition | 検体採取日時(effectivePeriod は未使用) |
Short | 検体採取日時(effectivePeriod は未使用) |
Type | dateTime, Period |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
22. DiagnosticReport.issued | |
Definition | このバージョンの診断レポートが医療者に提供/確定された日時。 |
Short | 最新のレポート確定日 |
24. DiagnosticReport.performer | |
Definition | 診断レポートの作成発行に責任をもつ診断サービス/担当者に関する情報、原則未使用とする |
Short | 診断レポートの作成発行に責任をもつ診断サービス/担当者に関する情報、原則未使用とする |
26. DiagnosticReport.resultsInterpreter | |
Definition | 検査責任者(外部検査会社への委託の場合には組織名を指定することもある) |
Short | 検査責任者(外部検査会社への委託の場合には組織名を指定することもある) |
28. DiagnosticReport.result | |
Definition | 該当するObservationを設定する |
Short | 該当するObservationを設定する |
Type | Reference(JP Core Observation Microbiology Profile) |
30. DiagnosticReport.imagingStudy | |
Definition | 診断レポートに関連づけれられたDICOM検査画像に関する情報、原則未使用 |
Short | 診断レポートに関連づけれられたDICOM検査画像に関する情報、原則未使用 |
32. DiagnosticReport.conclusion | |
Definition | 簡潔かつ臨床的な文脈で表現した診断レポートの要約結論(解釈、インプレッション)、 原則未使用であるがコメントを記載してもよい |
Short | 簡潔かつ臨床的な文脈で表現した診断レポートの要約結論(解釈、インプレッション)、 原則未使用であるがコメントを記載してもよい |
34. DiagnosticReport.conclusionCode | |
Definition | 診断レポートの要約結論(解釈、インプレッション)を表すコード、原則未使用 |
Short | 診断レポートの要約結論(解釈、インプレッション)を表すコード、原則未使用 |
36. DiagnosticReport.presentedForm | |
Definition | 診断サービス/担当者によって発行された診断レポート全体のコンテンツ(例えばPDFファイルなど)、原則未使用 |
Short | 診断サービス/担当者によって発行された診断レポート全体のコンテンツ(例えばPDFファイルなど)、原則未使用 |
Guidance on how to interpret the contents of this table can be found here
0. DiagnosticReport | |||||
Definition | 患者、患者のグループ、デバイス、場所、これらから派生した検体に対して実行された診断的検査の結果と解釈。レポートには、依頼情報や依頼者情報などの臨床コンテキスト(文脈)、および1項目単位の結果、画像、テキストとコード化された解釈、および診断レポートのフォーマットされた表現のいくつかの組み合わせが含まれる。 | ||||
Short | 診断レポート-依頼情報、1項目単位の結果、画像、解釈、およびフォーマットされたレポートの組み合わせ。【詳細参照】 | ||||
Comments | これは単一のレポートをキャプチャすることを目的としており、複数のレポートをカバーする要約情報の表示に使用するのには適していない。たとえば、このリソースは、検査結果の累積レポート形式やシーケンスの詳細な構造化レポート用に作られていない。 | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Alternate Names | Report, Test, Result, Results, Labs, Laboratory | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. DiagnosticReport.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
4. DiagnosticReport.meta | |||||
Definition | 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. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. DiagnosticReport.implicitRules | |||||
Definition | 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. | ||||
Short | A set of rules under which this content was created | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. DiagnosticReport.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )IETF language tag
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. DiagnosticReport.text | |||||
Definition | 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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | 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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. DiagnosticReport.contained | |||||
Definition | 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. | ||||
Short | Contained, inline Resources | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
Invariants | dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic) ) | ||||
14. DiagnosticReport.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. DiagnosticReport.modifierExtension | |||||
Definition | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. DiagnosticReport.identifier | |||||
Definition | 実行者/実施者または他のシステムによってこのレポートに割り当てられた識別子 | ||||
Short | 実行者/実施者または他のシステムによってこのレポートに割り当てられた識別子 | ||||
Comments | 通常、診断サービスプロバイダの情報システム(フィラーID)によって割り当てられる。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | 発生源の検査室からこのレポートについてクエリを作成するとき、およびFHIRコンテキスト外のレポートにリンクするときに使用する識別子を知る必要がある。 | ||||
Alternate Names | ReportID, Filler ID, Placer ID | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. DiagnosticReport.basedOn | |||||
Definition | 依頼されたサービス(検査や診断など)に関する詳細情報 | ||||
Short | 依頼されたサービス(検査や診断など)に関する詳細情報 | ||||
Comments | 通常、1結果ごとに1つの検査依頼があるが、状況によっては、複数の検査要求に対して1レポートがある場合がある。また 1つの検査依頼に対して複数のレポートが作成される場合もあることに注意。 | ||||
Control | 0..* | ||||
Type | Reference(CarePlan, ImmunizationRecommendation, JP Core MedicationRequest Profile, JP Core MedicationRequest Injection Profile, NutritionOrder, ServiceRequest) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon. | ||||
Alternate Names | Request | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. DiagnosticReport.status | |||||
Definition | 診断レポートのステータス | ||||
Short | 診断レポートのステータス | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from DiagnosticReportStatus (required to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.3.0 )The status of the diagnostic report. | ||||
Type | code | ||||
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. DiagnosticReport.category | |||||
Definition | 診断レポートを作成した臨床分野、部門、または診断サービスを分類するコード。微生物検査では、LoincコードのLP7819-8 微生物検査/MICRO を使用する。 | ||||
Short | 診断レポートを作成した臨床分野、部門、または診断サービスを分類するコード。微生物検査では、LoincコードのLP7819-8 微生物検査/MICRO を使用する。 | ||||
Comments | これは、検索、並べ替え、および表示の目的で使用される。 | ||||
Control | 1..* | ||||
Binding | For example codes, see DiagnosticServiceSectionCodes (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections )HL7 V2 table 0074 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Alternate Names | Department, Sub-department, Service, Discipline | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on DiagnosticReport.category . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
26. DiagnosticReport.category.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
28. DiagnosticReport.category.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on DiagnosticReport.category.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
30. DiagnosticReport.category.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. DiagnosticReport.category.coding.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
34. DiagnosticReport.category.coding.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on DiagnosticReport.category.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
36. DiagnosticReport.category.coding.system | |||||
Definition | カテゴリーコードシステムの識別URL | ||||
Short | カテゴリーコードシステムの識別URL | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. DiagnosticReport.category.coding.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. DiagnosticReport.category.coding.code | |||||
Definition | カテゴリーコード | ||||
Short | カテゴリーコード | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. DiagnosticReport.category.coding.display | |||||
Definition | カテゴリー表示名 | ||||
Short | カテゴリー表示名 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. DiagnosticReport.category.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. DiagnosticReport.category.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. DiagnosticReport.category:microbiology | |||||
Slice Name | microbiology | ||||
Definition | 診断レポートを作成した臨床分野、部門、または診断サービス(心臓病学、生化学、血液学、放射線医学など)を分類するコード | ||||
Short | 診断レポートを作成した臨床分野、部門、または診断サービス(心臓病学、生化学、血液学、放射線医学など)を分類するコード | ||||
Comments | 【JP Core仕様】レポートカテゴリーとして、LoincコードのLP7819-8 (微生物検査/MICRO)を使用する。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from JP Core Diagnostic Report Category ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_DiagnosticReportCategory_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Alternate Names | Department, Sub-department, Service, Discipline | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. DiagnosticReport.category:microbiology.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
52. DiagnosticReport.category:microbiology.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on DiagnosticReport.category.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
54. DiagnosticReport.category:microbiology.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. DiagnosticReport.category:microbiology.coding.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
58. DiagnosticReport.category:microbiology.coding.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on DiagnosticReport.category.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
60. DiagnosticReport.category:microbiology.coding.system | |||||
Definition | カテゴリーコードシステムの識別URL | ||||
Short | カテゴリーコードシステムの識別URL | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Fixed Value | http://loinc.org | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. DiagnosticReport.category:microbiology.coding.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. DiagnosticReport.category:microbiology.coding.code | |||||
Definition | カテゴリーコード | ||||
Short | カテゴリーコード | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Fixed Value | LP7819-8 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. DiagnosticReport.category:microbiology.coding.display | |||||
Definition | カテゴリー表示名 | ||||
Short | カテゴリー表示名 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. DiagnosticReport.category:microbiology.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. DiagnosticReport.category:microbiology.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. DiagnosticReport.code | |||||
Definition | 診断レポート種別「微生物学的検査報告書」を表す文書コード | ||||
Short | 診断レポート種別「微生物学的検査報告書」を表す文書コード | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from JP Core Document Codes DiagnosticReport ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_DocumentCodes_DiagnosticReport_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Alternate Names | Type | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. DiagnosticReport.subject | |||||
Definition | 診断レポートの対象患者に関する情報 | ||||
Short | 診断レポートの対象患者に関する情報 | ||||
Comments | レポートの対象、通常、Patientリソースへの参照。ただし、他のさまざまなソースから収集された検体を対象とすることもある。参照は内容に辿り着ける(解決できる)必要がある(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。 | ||||
Control | 0..1 | ||||
Type | Reference(JP Core Patient Profile, Group, Device, JP Core Location Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | SHALL know the subject context. | ||||
Alternate Names | Patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. DiagnosticReport.encounter | |||||
Definition | 直近の細菌検査に直結するEncounterリソースを参照 | ||||
Short | 直近の細菌検査に直結するEncounterリソースを参照 | ||||
Comments | 受診、入院、診察など。通常、イベントが発生したEncounterであるが、一部のイベントは、Encounterの正式な完了の前または後に開始される場合があり、その場合でもEncounterのコンテキストに関連付けられている(例:入院前の臨床検査)。 | ||||
Control | 0..1 | ||||
Type | Reference(JP Core Encounter Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | Links the request to the Encounter context. | ||||
Alternate Names | Context | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
78. DiagnosticReport.effective[x] | |||||
Definition | 検体採取日時(effectivePeriod は未使用) | ||||
Short | 検体採取日時(effectivePeriod は未使用) | ||||
Comments | 診断手順が患者に対して実行された場合、これは実施された時間である。対象が検体である場合は、検体採取時間から診断関連時刻を導き出すことができるが、検体情報が常に入手できるとは限らず、検体と診断関連時刻の正確な関係は必ずしも自明ではない。 | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | Need to know where in the patient history to file/present this report. | ||||
Alternate Names | Observation time, Effective Time, Occurrence | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. DiagnosticReport.issued | |||||
Definition | このバージョンの診断レポートが医療者に提供/確定された日時。 | ||||
Short | 最新のレポート確定日 | ||||
Comments | 通常、レポートがレビューおよび検証・確定された後となる。リソース自体の更新時刻とは異なる場合がある。これは、レポートの実際の提供時刻ではなく、リソース自体の更新時刻はレコード(場合によってはセカンダリコピー)のステータスの更新時刻となるため。 | ||||
Control | 0..1 | ||||
Type | instant | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | Clinicians need to be able to check the date that the report was released. | ||||
Alternate Names | Date published, Date Issued, Date Verified | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. DiagnosticReport.performer | |||||
Definition | 診断レポートの作成発行に責任をもつ診断サービス/担当者に関する情報、原則未使用とする | ||||
Short | 診断レポートの作成発行に責任をもつ診断サービス/担当者に関する情報、原則未使用とする | ||||
Comments | 必ずしも1項目データ単位のデータソースまたは結果を解釈した主体でなない。臨床レポートに責任をもつ主体のこと。 | ||||
Control | 0..* | ||||
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | ||||
Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. DiagnosticReport.resultsInterpreter | |||||
Definition | 検査責任者(外部検査会社への委託の場合には組織名を指定することもある) | ||||
Short | 検査責任者(外部検査会社への委託の場合には組織名を指定することもある) | ||||
Comments | 診断レポートに責任を持つもの(performer)とは異なる場合がある。 | ||||
Control | 0..* | ||||
Type | Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | ||||
Alternate Names | Analyzed by, Reported by | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. DiagnosticReport.specimen | |||||
Definition | 診断レポートのもとになった検体に関する情報 | ||||
Short | 診断レポートのもとになった検体に関する情報 | ||||
Comments | 検査結果名称のコードを見れば検体情報が十分に判明するような場合には、この検体情報は冗長になる。複数の検体が関与する場合には、検査や検査グループごとに検体情報が記述されることがある。 | ||||
Control | 0..* | ||||
Type | Reference(Specimen) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | Need to be able to report information about the collected specimens on which the report is based. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. DiagnosticReport.result | |||||
Definition | 該当するObservationを設定する | ||||
Short | 該当するObservationを設定する | ||||
Comments | Observationsは階層構造を持てる。 | ||||
Control | 0..* | ||||
Type | Reference(JP Core Observation Microbiology Profile) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | 個々の結果または結果のグループをサポートする必要がある。結果のグループ化は任意だが、意味がある場合にグループ化される。 | ||||
Alternate Names | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. DiagnosticReport.imagingStudy | |||||
Definition | 診断レポートに関連づけれられたDICOM検査画像に関する情報、原則未使用 | ||||
Short | 診断レポートに関連づけれられたDICOM検査画像に関する情報、原則未使用 | ||||
Comments | 診断的精査中に実施された画像検査の詳細情報へのひとつ/複数のリンク。通常は、DICOM対応のモダリティーによって実施される画像検査だが、必須ではない。完全対応のPACSビューワはこの情報を使用して原画像の一覧を提供できる。 | ||||
Control | 0..* | ||||
Type | Reference(ImagingStudy) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. DiagnosticReport.media | |||||
Definition | 診断レポートに関連づけられたメディアに関する情報 | ||||
Short | 診断レポートに関連づけられたメディアに関する情報 | ||||
Comments | 通常は画像。診断プロセス中に作成され、患者から直接取得されたもの、あるいは調製された検体標本(つまり、関心のあるスライド)のこともある。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Requirements | 多くの診断業務では提供情報の一部としてレポートに画像を含む。 | ||||
Alternate Names | DICOM, Slides, Scans | ||||
Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters ) | ||||
94. DiagnosticReport.media.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
96. DiagnosticReport.media.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
98. DiagnosticReport.media.modifierExtension | |||||
Definition | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
100. DiagnosticReport.media.comment | |||||
Definition | A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features. | ||||
Short | Comment about the image (e.g. explanation) | ||||
Comments | The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | The provider of the report should make a comment about each image included in the report. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
102. DiagnosticReport.media.link | |||||
Definition | Reference to the image source. | ||||
Short | Reference to the image source | ||||
Control | 1..1 | ||||
Type | Reference(Media) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
104. DiagnosticReport.conclusion | |||||
Definition | 簡潔かつ臨床的な文脈で表現した診断レポートの要約結論(解釈、インプレッション)、 原則未使用であるがコメントを記載してもよい | ||||
Short | 簡潔かつ臨床的な文脈で表現した診断レポートの要約結論(解釈、インプレッション)、 原則未使用であるがコメントを記載してもよい | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | Need to be able to provide a conclusion that is not lost among the basic result data. | ||||
Alternate Names | Report | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
106. DiagnosticReport.conclusionCode | |||||
Definition | 診断レポートの要約結論(解釈、インプレッション)を表すコード、原則未使用 | ||||
Short | 診断レポートの要約結論(解釈、インプレッション)を表すコード、原則未使用 | ||||
Comments | すべてのターミノロジの使用がこの一般的なパターンに適合するわけではない。場合によっては、独自の構造を提供する必要がある。 | ||||
Control | 0..* | ||||
Binding | For example codes, see SNOMEDCTClinicalFindings (example to http://hl7.org/fhir/ValueSet/clinical-findings )SNOMED CT Clinical Findings | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
108. DiagnosticReport.presentedForm | |||||
Definition | 診断サービス/担当者によって発行された診断レポート全体のコンテンツ(例えばPDFファイルなど)、原則未使用 | ||||
Short | 診断サービス/担当者によって発行された診断レポート全体のコンテンツ(例えばPDFファイルなど)、原則未使用 | ||||
Comments | 複数のフォーマットが許可されるが、それらは意味的に同等である必要がある。「application / pdf」がこのコンテキストで最も信頼でき相互運用可能なものとして推奨される。 | ||||
Control | 0..* | ||||
Type | Attachment | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Requirements | Gives laboratory the ability to provide its own fully formatted report for clinical fidelity. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |