HL7 FHIR JP Core ImplementationGuide
2.0.0-dev - ci-build Japan flag

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

Resource Profile: JP_DiagnosticReport_Microbiology - Detailed Descriptions

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。
【JP Core仕様】DiagnosticReportリソースの共通プロフィール


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.

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesReport, Test, Result, Results, Labs, Laboratory
Invariantsdom-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.

ShortA 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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summaryfalse
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 Namesextensions, user content
Invariantsele-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).

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supportfalse
Summarytrue
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 NamesReportID, Filler ID, Placer ID
Invariantsele-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.

Control0..*
TypeReference(CarePlan, ImmunizationRecommendation, JP Core MedicationRequest Profile, JP Core MedicationRequest Injection Profile, NutritionOrder, ServiceRequest, MedicationRequest)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Requirements

This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

Alternate NamesRequest
Invariantsele-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 +
Control1..1
BindingThe 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.

Typecode
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

Invariantsele-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.

Control10..*
BindingFor 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

TypeCodeableConcept
Is Modifierfalse
Must Supportfalse
Summarytrue
Alternate NamesDepartment, Sub-department, Service, Discipline
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on DiagnosticReport.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ $this
  • 14. DiagnosticReport.category:microbiology
    Slice Namemicrobiology
    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.

    Control10..1*
    BindingThe 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)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Alternate NamesDepartment, Sub-department, Service, Discipline
    Invariantsele-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
    Control1..1
    BindingThe 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)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Alternate NamesType
    Pattern Value{
      "coding" : [{
        "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS",
        "code" : "18725-2",
        "display" : "微生物学的検査報告書"
      }]
    }
    Invariantsele-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).

    Control0..1
    TypeReference(JP Core Encounter Profile, Encounter)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Links the request to the Encounter context.

    Alternate NamesContext
    Invariantsele-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.

    Control0..1
    TypedateTime, Period
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Need to know where in the patient history to file/present this report.

    Alternate NamesObservation time, Effective Time, Occurrence
    Invariantsele-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.

    Control0..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Clinicians need to be able to check the date that the report was released.

    Alternate NamesDate published, Date Issued, Date Verified
    Invariantsele-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.

    Control0..*
    TypeReference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam, Practitioner, PractitionerRole, Organization)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    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 NamesLaboratory, Service, Practitioner, Department, Company, Authorized by, Director
    Invariantsele-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.

    Control0..*
    TypeReference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam, Practitioner, PractitionerRole, Organization)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    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 NamesAnalyzed by, Reported by
    Invariantsele-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.

    Control0..*
    TypeReference(JP Core Observation Microbiology Profile, Observation)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    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 NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
    Invariantsele-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.

    Control0..*
    TypeReference(ImagingStudy)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Requirements

    Need to be able to provide a conclusion that is not lost among the basic result data.

    Alternate NamesReport
    Invariantsele-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。

    Control0..*
    BindingFor example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings
    (example to http://hl7.org/fhir/ValueSet/clinical-findings)

    SNOMED CT Clinical Findings

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-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.

    Control0..*
    TypeAttachment
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Requirements

    Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

    Invariantsele-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
    NoteThis 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。
    Control1..?
    SlicingThis element introduces a set of slices on DiagnosticReport.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ $this
    • 8. DiagnosticReport.category:microbiology
      Slice Namemicrobiology
      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。

      Control1..1
      BindingThe 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 Valuehttp://loinc.org
      14. DiagnosticReport.category:microbiology.coding.code
      Control1..?
      Fixed ValueLP7819-8
      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{
        "coding" : [{
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS",
          "code" : "18725-2",
          "display" : "微生物学的検査報告書"
        }]
      }
      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)
      TypedateTime, Period
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis 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
      TypeReference(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。
      【JP Core仕様】DiagnosticReportリソースの共通プロフィール

      Control0..*
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate NamesReport, Test, Result, Results, Labs, Laboratory
      Invariantsdom-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.

      ShortLogical 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.

      Control0..1
      Typeid
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      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.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-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.

      ShortA 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.

      Control0..1
      Typeuri
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-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.

      ShortLanguage 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).

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      IETF language tag

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-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.

      ShortText 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.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-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.

      ShortContained, 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.

      Control0..*
      TypeResource
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      Invariantsdom-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.

      ShortAdditional 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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Must Supportfalse
      Summaryfalse
      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 Namesextensions, user content
      Invariantsele-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。

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      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 NamesReportID, Filler ID, Placer ID
      Invariantsele-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。

      Control0..*
      TypeReference(CarePlan, ImmunizationRecommendation, JP Core MedicationRequest Profile, JP Core MedicationRequest Injection Profile, NutritionOrder, ServiceRequest)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

      Alternate NamesRequest
      Invariantsele-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
      Control1..1
      BindingThe 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.

      Typecode
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

      Invariantsele-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。

      Control1..*
      BindingFor example codes, see DiagnosticServiceSectionCodes
      (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections)

      HL7 V2 table 0074

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Alternate NamesDepartment, Sub-department, Service, Discipline
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on DiagnosticReport.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ $this
      • 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.

        ShortUnique id for inter-element referencing
        Control0..1
        Typeid
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on DiagnosticReport.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 30. DiagnosticReport.category.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode 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.

          Control0..*
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-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.

          ShortUnique id for inter-element referencing
          Control0..1
          Typeid
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          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.

          ShortAdditional 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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis element introduces a set of slices on DiagnosticReport.category.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 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.

            Control0..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to be unambiguous about the source of the definition of the symbol.

            Invariantsele-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.

            ShortVersion 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.

            NoteThis is a business version Id, not a resource version Id (see discussion)
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-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
            Control0..1
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to refer to a particular code in the system.

            Invariantsele-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
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

            Invariantsele-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).

            ShortIf 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.

            Control0..1
            Typeboolean
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            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.

            Invariantsele-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.

            ShortPlain text representation of the concept
            Comments

            Very often the text is the same as a displayName of one of the codings.

            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            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.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. DiagnosticReport.category:microbiology
            Slice Namemicrobiology
            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。

            Control1..1
            BindingThe codes SHALL be taken from JP Core Diagnostic Report Category ValueSet
            (required to http://jpfhir.jp/fhir/core/ValueSet/JP_DiagnosticReportCategory_VS)
            TypeCodeableConcept
            Is Modifierfalse
            Must Supportfalse
            Summarytrue
            Alternate NamesDepartment, Sub-department, Service, Discipline
            Invariantsele-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.

            ShortUnique id for inter-element referencing
            Control0..1
            Typeid
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            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.

            ShortAdditional 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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis element introduces a set of slices on DiagnosticReport.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 54. DiagnosticReport.category:microbiology.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode 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.

              Control0..*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-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.

              ShortUnique id for inter-element referencing
              Control0..1
              Typeid
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              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.

              ShortAdditional 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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis element introduces a set of slices on DiagnosticReport.category.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 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.

                Control0..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Fixed Valuehttp://loinc.org
                Invariantsele-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.

                ShortVersion 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.

                NoteThis is a business version Id, not a resource version Id (see discussion)
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-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
                Control1..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Fixed ValueLP7819-8
                Invariantsele-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
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-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).

                ShortIf 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.

                Control0..1
                Typeboolean
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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.

                Invariantsele-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.

                ShortPlain text representation of the concept
                Comments

                Very often the text is the same as a displayName of one of the codings.

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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.

                Invariantsele-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
                Control1..1
                BindingThe codes SHOULD be taken from JP Core Document Codes DiagnosticReport ValueSet
                (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_DocumentCodes_DiagnosticReport_VS)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                Alternate NamesType
                Pattern Value{
                  "coding" : [{
                    "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS",
                    "code" : "18725-2",
                    "display" : "微生物学的検査報告書"
                  }]
                }
                Invariantsele-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。

                Control0..1
                TypeReference(JP Core Patient Profile, Group, Device, JP Core Location Profile)
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                Requirements

                SHALL know the subject context.

                Alternate NamesPatient
                Invariantsele-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)。

                Control0..1
                TypeReference(JP Core Encounter Profile)
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                Requirements

                Links the request to the Encounter context.

                Alternate NamesContext
                Invariantsele-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。

                Control0..1
                TypedateTime
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summarytrue
                Requirements

                Need to know where in the patient history to file/present this report.

                Alternate NamesObservation time, Effective Time, Occurrence
                Invariantsele-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。

                Control0..1
                Typeinstant
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summarytrue
                Requirements

                Clinicians need to be able to check the date that the report was released.

                Alternate NamesDate published, Date Issued, Date Verified
                Invariantsele-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。

                Control0..*
                TypeReference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam)
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                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 NamesLaboratory, Service, Practitioner, Department, Company, Authorized by, Director
                Invariantsele-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。

                Control0..*
                TypeReference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, CareTeam)
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                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 NamesAnalyzed by, Reported by
                Invariantsele-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。

                Control0..*
                TypeReference(Specimen)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Need to be able to report information about the collected specimens on which the report is based.

                Invariantsele-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。

                Control0..*
                TypeReference(JP Core Observation Microbiology Profile)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                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 NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
                Invariantsele-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。

                Control0..*
                TypeReference(ImagingStudy)
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-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。

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                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 NamesDICOM, Slides, Scans
                Invariantsele-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.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                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.

                ShortAdditional 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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-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).

                ShortExtensions 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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                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 Namesextensions, user content, modifiers
                Invariantsele-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.

                ShortComment 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.

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

                The provider of the report should make a comment about each image included in the report.

                Invariantsele-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.

                ShortReference to the image source
                Control1..1
                TypeReference(Media)
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                Invariantsele-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
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Requirements

                Need to be able to provide a conclusion that is not lost among the basic result data.

                Alternate NamesReport
                Invariantsele-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。

                Control0..*
                BindingFor example codes, see SNOMEDCTClinicalFindings
                (example to http://hl7.org/fhir/ValueSet/clinical-findings)

                SNOMED CT Clinical Findings

                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-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。

                Control0..*
                TypeAttachment
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Requirements

                Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                本実装ガイドへのご質問・ご指摘については、GitHub IssueおよびGitHub PullRequestにて受け付けております。