本プロファイルは、患者に対する医療的な処置に関する情報の登録や検索、取得のためにJP_Procedureリソースを使用するにあたり、本プロファイルに準拠する場合に必須となる要素や、サポートすべき拡張、用語、検索パラメータを定義する。

スコープ

対象とする処置は以下を想定する。

• 外科手術（歯科手術を含む）
• 医科処置・歯科処置
• 放射線治療
• 精神療法
• リハビリテーション
• 各種指導管理
• 看護実施

想定シナリオ

本プロファイルは、以下のようなユースケースを想定している。

• 患者に実施された処置行為の検索
• 患者に行われた処置の記録または更新
• 他の記述仕様書からの参照
  （例：退院時サマリ、診療情報提供書における、処置実施項目の参照）

JP_Procedureリソースは、患者に対して実施されたもしくは実施が予定されていた処置の詳細を記録するために使用される。処置とは、ケアの一環として、患者に対して、患者とともに、または患者のために行われる活動のことである。例えば、外科的処置、診断処置、内視鏡的処置、生検、カウンセリング、理学療法、パーソナルサポートサービス、成人のデイケアサービス、緊急ではない交通手段、住宅改修、運動などがある。手続きは、医療従事者、サービス提供者、友人や親戚、場合によっては患者自身が行うこともある。

JP_Procedureリソースは、処置の発生に関する要約情報を提供するものであり、処置行為が進行する際のリアルタイムのスナップショットを提供することを意図したものではないが、心理療法のような長期にわたる治療の場合は、全体的な進捗状況に関する要約レベルの情報を表すことができる。詳細なリアルタイムの処置情報をサポートするリソースの作成は、そのような情報を共有するための具体的な実装のユースケースの特定後に行うことになる。

プロファイル定義

• Differential Table
• Key Elements Table
• Snapshot Table
• Terminology Bindings
• Constraints
• Statistics/References
• All

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedureリソース
text		0..1	Narrative	このリソースを人間が解釈するためのテキスト要約
identifier		0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
basedOn		0..*	Reference(CarePlan | ServiceRequest)	このプロシージャの依頼情報
partOf		0..*	Reference(JP Core Procedure Profile | JP Core Observation Common Profile | JP Core MedicationAdministration Profile)	このプロシジャーが構成要素やステップとなるより大きな医療行為
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
statusReason		0..1	CodeableConcept	このプロシジャーの進捗の理由（未完了であったり中止されたことの理由） Binding: JP Core Procedure Not Performed Reason ValueSet (example)
category		0..1	CodeableConcept	このプロシジャーの分類カテゴリ Binding: JP Core Procedure Category ValueSet (example)
code		0..1	CodeableConcept	このプロシジャーの識別子 Binding: JP Core Procedure Codes Medical ValueSet (example)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medical		0..1	Coding	医科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Medical ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterS-medicalProcedure
coding:stem7		0..1	Coding	STEM7 外保連手術基幹コード ValueSet Binding: JP Core Procedure Codes STEM7 ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ProcedureCodesSTEM7_CS
coding:dental		0..1	Coding	歯科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Dental ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterH-dentalProcedure
coding:nurse		0..1	Coding	看護行為マスタ ValueSet Binding: JP Core Procedure Codes Nurse ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200119.4.701
coding:ichi		0..1	Coding	WHO ICHI (International Classification of Health Interventions) ValueSet Binding: JP Core Procedure Codes ICHI ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_Undefined_CS
subject		1..1	Reference(JP Core Patient Profile)	誰にこのプロシジャーが実施されたか
encounter		0..1	Reference(JP Core Encounter Profile)	このプロシジャーの記録が作成された受療の状況
performed[x]		0..1	dateTime, Period, string, Age, Range	いつこのプロシジャーが実施されたか
recorder		0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーを記録した人
asserter		0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーの実施の記録者
performer		0..*	BackboneElement	このプロシジャーの実施者
function		0..1	CodeableConcept	実施者の役割（ロール） Binding: JP Core Procedure Performer Role ValueSet (example)
actor		1..1	Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device)	医療従事者への参照
onBehalfOf		0..1	Reference(JP Core Organization Profile)	従事した組織
location		0..1	Reference(JP Core Location Profile)	このプロシジャーが実施された場所
reasonCode		0..*	CodeableConcept	このプロシジャーが実施された理由コード Binding: JP Core Procedure Reason ValueSet (example)
reasonReference		0..*	Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core Procedure Profile | JP Core DiagnosticReport Common Profile | DocumentReference)	このプロシジャーが実施された正当性
bodySite		0..*	CodeableConcept	このプロシジャーの対象となった人体部位 Binding: JP Core Procedure BodySite ValueSet (example)
outcome		0..1	CodeableConcept	このプロシジャーのアウトカム Binding: JP Core Procedure Outcome ValueSet (example)
report		0..*	Reference(JP Core DiagnosticReport Common Profile | DocumentReference | Composition)	このプロシジャーの結果報告
complication		0..*	CodeableConcept	このプロシジャーによる合併症 Binding: JP Core Procedure Condition ValueSet (example)
complicationDetail		0..*	Reference(JP Core Condition Profile)	このプロシジャーの合併症の結果生じた患者状態
followUp		0..*	CodeableConcept	今後の処置が特別なフォローアップを必要とする場合（例：抜糸）、フォローアップはシンプルなnote として表現してもよいが、より複雑になる可能性もあり、その場合はケアプランリソースを使用することができる。 Binding: JP Core Procedure Follow Up ValueSet (example)
note		0..*	Annotation	このプロシジャーの関する追加情報
focalDevice		0..*	BackboneElement	このプロシジャーの際に操作、埋め込み、または削除されたデバイス
action		0..1	CodeableConcept	Kind of change to device Binding: JP Core Procedure Device Action ValueSet (preferred)
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | JP Core Medication Profile | Substance)	プロシジャー中に使用されるアイテム
usedCode		0..*	CodeableConcept	プロシジャー中に使用したアイテムのコード Binding: JP Core Procedure Device Kind ValueSet (example)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedureリソース dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	このリソースを人間が解釈するためのテキスト要約 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	External Identifiers for this procedure ele-1: All FHIR elements must have a @value or children
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	このプロシージャの依頼情報 ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(JP Core Procedure Profile | JP Core Observation Common Profile | JP Core MedicationAdministration Profile)	このプロシジャーが構成要素やステップとなるより大きな医療行為 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children
statusReason	Σ	0..1	CodeableConcept	このプロシジャーの進捗の理由（未完了であったり中止されたことの理由） Binding: JP Core Procedure Not Performed Reason ValueSet (example) ele-1: All FHIR elements must have a @value or children
category	Σ	0..1	CodeableConcept	このプロシジャーの分類カテゴリ Binding: JP Core Procedure Category ValueSet (example) ele-1: All FHIR elements must have a @value or children
code	Σ	0..1	CodeableConcept	このプロシジャーの識別子 Binding: JP Core Procedure Codes Medical ValueSet (example) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:medical	Σ	0..1	Coding	医科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Medical ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterS-medicalProcedure
coding:stem7	Σ	0..1	Coding	STEM7 外保連手術基幹コード ValueSet Binding: JP Core Procedure Codes STEM7 ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ProcedureCodesSTEM7_CS
coding:dental	Σ	0..1	Coding	歯科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Dental ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterH-dentalProcedure
coding:nurse	Σ	0..1	Coding	看護行為マスタ ValueSet Binding: JP Core Procedure Codes Nurse ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:1.2.392.200119.4.701
coding:ichi	Σ	0..1	Coding	WHO ICHI (International Classification of Health Interventions) ValueSet Binding: JP Core Procedure Codes ICHI ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_Undefined_CS
subject	Σ	1..1	Reference(JP Core Patient Profile)	誰にこのプロシジャーが実施されたか ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(JP Core Encounter Profile)	このプロシジャーの記録が作成された受療の状況 ele-1: All FHIR elements must have a @value or children
performed[x]	Σ	0..1		いつこのプロシジャーが実施されたか ele-1: All FHIR elements must have a @value or children
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーを記録した人 ele-1: All FHIR elements must have a @value or children
asserter	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーの実施の記録者 ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	BackboneElement	このプロシジャーの実施者 ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	実施者の役割（ロール） Binding: JP Core Procedure Performer Role ValueSet (example) ele-1: All FHIR elements must have a @value or children
actor	Σ	1..1	Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device)	医療従事者への参照 ele-1: All FHIR elements must have a @value or children
onBehalfOf		0..1	Reference(JP Core Organization Profile)	従事した組織 ele-1: All FHIR elements must have a @value or children
location	Σ	0..1	Reference(JP Core Location Profile)	このプロシジャーが実施された場所 ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	このプロシジャーが実施された理由コード Binding: JP Core Procedure Reason ValueSet (example) ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core Procedure Profile | JP Core DiagnosticReport Common Profile | DocumentReference)	このプロシジャーが実施された正当性 ele-1: All FHIR elements must have a @value or children
bodySite	Σ	0..*	CodeableConcept	このプロシジャーの対象となった人体部位 Binding: JP Core Procedure BodySite ValueSet (example) ele-1: All FHIR elements must have a @value or children
outcome	Σ	0..1	CodeableConcept	このプロシジャーのアウトカム Binding: JP Core Procedure Outcome ValueSet (example) ele-1: All FHIR elements must have a @value or children
report		0..*	Reference(JP Core DiagnosticReport Common Profile | DocumentReference | Composition)	このプロシジャーの結果報告 ele-1: All FHIR elements must have a @value or children
complication		0..*	CodeableConcept	このプロシジャーによる合併症 Binding: JP Core Procedure Condition ValueSet (example) ele-1: All FHIR elements must have a @value or children
complicationDetail		0..*	Reference(JP Core Condition Profile)	このプロシジャーの合併症の結果生じた患者状態 ele-1: All FHIR elements must have a @value or children
followUp		0..*	CodeableConcept	今後の処置が特別なフォローアップを必要とする場合（例：抜糸）、フォローアップはシンプルなnote として表現してもよいが、より複雑になる可能性もあり、その場合はケアプランリソースを使用することができる。 Binding: JP Core Procedure Follow Up ValueSet (example) ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	このプロシジャーの関する追加情報 ele-1: All FHIR elements must have a @value or children
focalDevice		0..*	BackboneElement	このプロシジャーの際に操作、埋め込み、または削除されたデバイス ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
action		0..1	CodeableConcept	Kind of change to device Binding: JP Core Procedure Device Action ValueSet (preferred) ele-1: All FHIR elements must have a @value or children
manipulated		1..1	Reference(Device)	Device that was changed ele-1: All FHIR elements must have a @value or children
usedReference		0..*	Reference(Device | JP Core Medication Profile | Substance)	プロシジャー中に使用されるアイテム ele-1: All FHIR elements must have a @value or children
usedCode		0..*	CodeableConcept	プロシジャー中に使用したアイテムのコード Binding: JP Core Procedure Device Kind ValueSet (example) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedureリソース
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	このリソースを人間が解釈するためのテキスト要約
contained		0..*	Resource	Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	このプロシージャの依頼情報
partOf	Σ	0..*	Reference(JP Core Procedure Profile | JP Core Observation Common Profile | JP Core MedicationAdministration Profile)	このプロシジャーが構成要素やステップとなるより大きな医療行為
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	このプロシジャーの進捗の理由（未完了であったり中止されたことの理由） Binding: JP Core Procedure Not Performed Reason ValueSet (example)
category	Σ	0..1	CodeableConcept	このプロシジャーの分類カテゴリ Binding: JP Core Procedure Category ValueSet (example)
code	Σ	0..1	CodeableConcept	このプロシジャーの識別子 Binding: JP Core Procedure Codes Medical ValueSet (example)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medical	Σ	0..1	Coding	医科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Medical ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterS-medicalProcedure
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:stem7	Σ	0..1	Coding	STEM7 外保連手術基幹コード ValueSet Binding: JP Core Procedure Codes STEM7 ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ProcedureCodesSTEM7_CS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:dental	Σ	0..1	Coding	歯科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Dental ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterH-dentalProcedure
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:nurse	Σ	0..1	Coding	看護行為マスタ ValueSet Binding: JP Core Procedure Codes Nurse ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200119.4.701
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ichi	Σ	0..1	Coding	WHO ICHI (International Classification of Health Interventions) ValueSet Binding: JP Core Procedure Codes ICHI ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_Undefined_CS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(JP Core Patient Profile)	誰にこのプロシジャーが実施されたか
encounter	Σ	0..1	Reference(JP Core Encounter Profile)	このプロシジャーの記録が作成された受療の状況
performed[x]	Σ	0..1		いつこのプロシジャーが実施されたか
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーを記録した人
asserter	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーの実施の記録者
performer	Σ	0..*	BackboneElement	このプロシジャーの実施者
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	実施者の役割（ロール） Binding: JP Core Procedure Performer Role ValueSet (example)
actor	Σ	1..1	Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device)	医療従事者への参照
onBehalfOf		0..1	Reference(JP Core Organization Profile)	従事した組織
location	Σ	0..1	Reference(JP Core Location Profile)	このプロシジャーが実施された場所
reasonCode	Σ	0..*	CodeableConcept	このプロシジャーが実施された理由コード Binding: JP Core Procedure Reason ValueSet (example)
reasonReference	Σ	0..*	Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core Procedure Profile | JP Core DiagnosticReport Common Profile | DocumentReference)	このプロシジャーが実施された正当性
bodySite	Σ	0..*	CodeableConcept	このプロシジャーの対象となった人体部位 Binding: JP Core Procedure BodySite ValueSet (example)
outcome	Σ	0..1	CodeableConcept	このプロシジャーのアウトカム Binding: JP Core Procedure Outcome ValueSet (example)
report		0..*	Reference(JP Core DiagnosticReport Common Profile | DocumentReference | Composition)	このプロシジャーの結果報告
complication		0..*	CodeableConcept	このプロシジャーによる合併症 Binding: JP Core Procedure Condition ValueSet (example)
complicationDetail		0..*	Reference(JP Core Condition Profile)	このプロシジャーの合併症の結果生じた患者状態
followUp		0..*	CodeableConcept	今後の処置が特別なフォローアップを必要とする場合（例：抜糸）、フォローアップはシンプルなnote として表現してもよいが、より複雑になる可能性もあり、その場合はケアプランリソースを使用することができる。 Binding: JP Core Procedure Follow Up ValueSet (example)
note		0..*	Annotation	このプロシジャーの関する追加情報
focalDevice		0..*	BackboneElement	このプロシジャーの際に操作、埋め込み、または削除されたデバイス
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: JP Core Procedure Device Action ValueSet (preferred)
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | JP Core Medication Profile | Substance)	プロシジャー中に使用されるアイテム
usedCode		0..*	CodeableConcept	プロシジャー中に使用したアイテムのコード Binding: JP Core Procedure Device Kind ValueSet (example)
Documentation for this format

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedureリソース
text		0..1	Narrative	このリソースを人間が解釈するためのテキスト要約
identifier		0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
basedOn		0..*	Reference(CarePlan | ServiceRequest)	このプロシージャの依頼情報
partOf		0..*	Reference(JP Core Procedure Profile | JP Core Observation Common Profile | JP Core MedicationAdministration Profile)	このプロシジャーが構成要素やステップとなるより大きな医療行為
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
statusReason		0..1	CodeableConcept	このプロシジャーの進捗の理由（未完了であったり中止されたことの理由） Binding: JP Core Procedure Not Performed Reason ValueSet (example)
category		0..1	CodeableConcept	このプロシジャーの分類カテゴリ Binding: JP Core Procedure Category ValueSet (example)
code		0..1	CodeableConcept	このプロシジャーの識別子 Binding: JP Core Procedure Codes Medical ValueSet (example)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medical		0..1	Coding	医科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Medical ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterS-medicalProcedure
coding:stem7		0..1	Coding	STEM7 外保連手術基幹コード ValueSet Binding: JP Core Procedure Codes STEM7 ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ProcedureCodesSTEM7_CS
coding:dental		0..1	Coding	歯科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Dental ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterH-dentalProcedure
coding:nurse		0..1	Coding	看護行為マスタ ValueSet Binding: JP Core Procedure Codes Nurse ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200119.4.701
coding:ichi		0..1	Coding	WHO ICHI (International Classification of Health Interventions) ValueSet Binding: JP Core Procedure Codes ICHI ValueSet (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_Undefined_CS
subject		1..1	Reference(JP Core Patient Profile)	誰にこのプロシジャーが実施されたか
encounter		0..1	Reference(JP Core Encounter Profile)	このプロシジャーの記録が作成された受療の状況
performed[x]		0..1	dateTime, Period, string, Age, Range	いつこのプロシジャーが実施されたか
recorder		0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーを記録した人
asserter		0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーの実施の記録者
performer		0..*	BackboneElement	このプロシジャーの実施者
function		0..1	CodeableConcept	実施者の役割（ロール） Binding: JP Core Procedure Performer Role ValueSet (example)
actor		1..1	Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device)	医療従事者への参照
onBehalfOf		0..1	Reference(JP Core Organization Profile)	従事した組織
location		0..1	Reference(JP Core Location Profile)	このプロシジャーが実施された場所
reasonCode		0..*	CodeableConcept	このプロシジャーが実施された理由コード Binding: JP Core Procedure Reason ValueSet (example)
reasonReference		0..*	Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core Procedure Profile | JP Core DiagnosticReport Common Profile | DocumentReference)	このプロシジャーが実施された正当性
bodySite		0..*	CodeableConcept	このプロシジャーの対象となった人体部位 Binding: JP Core Procedure BodySite ValueSet (example)
outcome		0..1	CodeableConcept	このプロシジャーのアウトカム Binding: JP Core Procedure Outcome ValueSet (example)
report		0..*	Reference(JP Core DiagnosticReport Common Profile | DocumentReference | Composition)	このプロシジャーの結果報告
complication		0..*	CodeableConcept	このプロシジャーによる合併症 Binding: JP Core Procedure Condition ValueSet (example)
complicationDetail		0..*	Reference(JP Core Condition Profile)	このプロシジャーの合併症の結果生じた患者状態
followUp		0..*	CodeableConcept	今後の処置が特別なフォローアップを必要とする場合（例：抜糸）、フォローアップはシンプルなnote として表現してもよいが、より複雑になる可能性もあり、その場合はケアプランリソースを使用することができる。 Binding: JP Core Procedure Follow Up ValueSet (example)
note		0..*	Annotation	このプロシジャーの関する追加情報
focalDevice		0..*	BackboneElement	このプロシジャーの際に操作、埋め込み、または削除されたデバイス
action		0..1	CodeableConcept	Kind of change to device Binding: JP Core Procedure Device Action ValueSet (preferred)
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | JP Core Medication Profile | Substance)	プロシジャー中に使用されるアイテム
usedCode		0..*	CodeableConcept	プロシジャー中に使用したアイテムのコード Binding: JP Core Procedure Device Kind ValueSet (example)
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedureリソース dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	このリソースを人間が解釈するためのテキスト要約 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	External Identifiers for this procedure ele-1: All FHIR elements must have a @value or children
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	このプロシージャの依頼情報 ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(JP Core Procedure Profile | JP Core Observation Common Profile | JP Core MedicationAdministration Profile)	このプロシジャーが構成要素やステップとなるより大きな医療行為 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children
statusReason	Σ	0..1	CodeableConcept	このプロシジャーの進捗の理由（未完了であったり中止されたことの理由） Binding: JP Core Procedure Not Performed Reason ValueSet (example) ele-1: All FHIR elements must have a @value or children
category	Σ	0..1	CodeableConcept	このプロシジャーの分類カテゴリ Binding: JP Core Procedure Category ValueSet (example) ele-1: All FHIR elements must have a @value or children
code	Σ	0..1	CodeableConcept	このプロシジャーの識別子 Binding: JP Core Procedure Codes Medical ValueSet (example) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:medical	Σ	0..1	Coding	医科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Medical ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterS-medicalProcedure
coding:stem7	Σ	0..1	Coding	STEM7 外保連手術基幹コード ValueSet Binding: JP Core Procedure Codes STEM7 ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ProcedureCodesSTEM7_CS
coding:dental	Σ	0..1	Coding	歯科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Dental ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterH-dentalProcedure
coding:nurse	Σ	0..1	Coding	看護行為マスタ ValueSet Binding: JP Core Procedure Codes Nurse ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:1.2.392.200119.4.701
coding:ichi	Σ	0..1	Coding	WHO ICHI (International Classification of Health Interventions) ValueSet Binding: JP Core Procedure Codes ICHI ValueSet (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_Undefined_CS
subject	Σ	1..1	Reference(JP Core Patient Profile)	誰にこのプロシジャーが実施されたか ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(JP Core Encounter Profile)	このプロシジャーの記録が作成された受療の状況 ele-1: All FHIR elements must have a @value or children
performed[x]	Σ	0..1		いつこのプロシジャーが実施されたか ele-1: All FHIR elements must have a @value or children
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーを記録した人 ele-1: All FHIR elements must have a @value or children
asserter	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーの実施の記録者 ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	BackboneElement	このプロシジャーの実施者 ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	実施者の役割（ロール） Binding: JP Core Procedure Performer Role ValueSet (example) ele-1: All FHIR elements must have a @value or children
actor	Σ	1..1	Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device)	医療従事者への参照 ele-1: All FHIR elements must have a @value or children
onBehalfOf		0..1	Reference(JP Core Organization Profile)	従事した組織 ele-1: All FHIR elements must have a @value or children
location	Σ	0..1	Reference(JP Core Location Profile)	このプロシジャーが実施された場所 ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	このプロシジャーが実施された理由コード Binding: JP Core Procedure Reason ValueSet (example) ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core Procedure Profile | JP Core DiagnosticReport Common Profile | DocumentReference)	このプロシジャーが実施された正当性 ele-1: All FHIR elements must have a @value or children
bodySite	Σ	0..*	CodeableConcept	このプロシジャーの対象となった人体部位 Binding: JP Core Procedure BodySite ValueSet (example) ele-1: All FHIR elements must have a @value or children
outcome	Σ	0..1	CodeableConcept	このプロシジャーのアウトカム Binding: JP Core Procedure Outcome ValueSet (example) ele-1: All FHIR elements must have a @value or children
report		0..*	Reference(JP Core DiagnosticReport Common Profile | DocumentReference | Composition)	このプロシジャーの結果報告 ele-1: All FHIR elements must have a @value or children
complication		0..*	CodeableConcept	このプロシジャーによる合併症 Binding: JP Core Procedure Condition ValueSet (example) ele-1: All FHIR elements must have a @value or children
complicationDetail		0..*	Reference(JP Core Condition Profile)	このプロシジャーの合併症の結果生じた患者状態 ele-1: All FHIR elements must have a @value or children
followUp		0..*	CodeableConcept	今後の処置が特別なフォローアップを必要とする場合（例：抜糸）、フォローアップはシンプルなnote として表現してもよいが、より複雑になる可能性もあり、その場合はケアプランリソースを使用することができる。 Binding: JP Core Procedure Follow Up ValueSet (example) ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	このプロシジャーの関する追加情報 ele-1: All FHIR elements must have a @value or children
focalDevice		0..*	BackboneElement	このプロシジャーの際に操作、埋め込み、または削除されたデバイス ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
action		0..1	CodeableConcept	Kind of change to device Binding: JP Core Procedure Device Action ValueSet (preferred) ele-1: All FHIR elements must have a @value or children
manipulated		1..1	Reference(Device)	Device that was changed ele-1: All FHIR elements must have a @value or children
usedReference		0..*	Reference(Device | JP Core Medication Profile | Substance)	プロシジャー中に使用されるアイテム ele-1: All FHIR elements must have a @value or children
usedCode		0..*	CodeableConcept	プロシジャー中に使用したアイテムのコード Binding: JP Core Procedure Device Kind ValueSet (example) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedureリソース
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	このリソースを人間が解釈するためのテキスト要約
contained		0..*	Resource	Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	このプロシージャの依頼情報
partOf	Σ	0..*	Reference(JP Core Procedure Profile | JP Core Observation Common Profile | JP Core MedicationAdministration Profile)	このプロシジャーが構成要素やステップとなるより大きな医療行為
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	このプロシジャーの進捗の理由（未完了であったり中止されたことの理由） Binding: JP Core Procedure Not Performed Reason ValueSet (example)
category	Σ	0..1	CodeableConcept	このプロシジャーの分類カテゴリ Binding: JP Core Procedure Category ValueSet (example)
code	Σ	0..1	CodeableConcept	このプロシジャーの識別子 Binding: JP Core Procedure Codes Medical ValueSet (example)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medical	Σ	0..1	Coding	医科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Medical ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterS-medicalProcedure
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:stem7	Σ	0..1	Coding	STEM7 外保連手術基幹コード ValueSet Binding: JP Core Procedure Codes STEM7 ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_ProcedureCodesSTEM7_CS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:dental	Σ	0..1	Coding	歯科診療行為マスタ ValueSet Binding: JP Core Procedure Codes Dental ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/mhlw/CodeSystem/masterH-dentalProcedure
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:nurse	Σ	0..1	Coding	看護行為マスタ ValueSet Binding: JP Core Procedure Codes Nurse ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200119.4.701
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ichi	Σ	0..1	Coding	WHO ICHI (International Classification of Health Interventions) ValueSet Binding: JP Core Procedure Codes ICHI ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/JP_Undefined_CS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(JP Core Patient Profile)	誰にこのプロシジャーが実施されたか
encounter	Σ	0..1	Reference(JP Core Encounter Profile)	このプロシジャーの記録が作成された受療の状況
performed[x]	Σ	0..1		いつこのプロシジャーが実施されたか
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーを記録した人
asserter	Σ	0..1	Reference(JP Core Patient Profile | RelatedPerson | JP Core Practitioner Profile | JP Core PractitionerRole Profile)	このプロシジャーの実施の記録者
performer	Σ	0..*	BackboneElement	このプロシジャーの実施者
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	実施者の役割（ロール） Binding: JP Core Procedure Performer Role ValueSet (example)
actor	Σ	1..1	Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device)	医療従事者への参照
onBehalfOf		0..1	Reference(JP Core Organization Profile)	従事した組織
location	Σ	0..1	Reference(JP Core Location Profile)	このプロシジャーが実施された場所
reasonCode	Σ	0..*	CodeableConcept	このプロシジャーが実施された理由コード Binding: JP Core Procedure Reason ValueSet (example)
reasonReference	Σ	0..*	Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core Procedure Profile | JP Core DiagnosticReport Common Profile | DocumentReference)	このプロシジャーが実施された正当性
bodySite	Σ	0..*	CodeableConcept	このプロシジャーの対象となった人体部位 Binding: JP Core Procedure BodySite ValueSet (example)
outcome	Σ	0..1	CodeableConcept	このプロシジャーのアウトカム Binding: JP Core Procedure Outcome ValueSet (example)
report		0..*	Reference(JP Core DiagnosticReport Common Profile | DocumentReference | Composition)	このプロシジャーの結果報告
complication		0..*	CodeableConcept	このプロシジャーによる合併症 Binding: JP Core Procedure Condition ValueSet (example)
complicationDetail		0..*	Reference(JP Core Condition Profile)	このプロシジャーの合併症の結果生じた患者状態
followUp		0..*	CodeableConcept	今後の処置が特別なフォローアップを必要とする場合（例：抜糸）、フォローアップはシンプルなnote として表現してもよいが、より複雑になる可能性もあり、その場合はケアプランリソースを使用することができる。 Binding: JP Core Procedure Follow Up ValueSet (example)
note		0..*	Annotation	このプロシジャーの関する追加情報
focalDevice		0..*	BackboneElement	このプロシジャーの際に操作、埋め込み、または削除されたデバイス
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: JP Core Procedure Device Action ValueSet (preferred)
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | JP Core Medication Profile | Substance)	プロシジャー中に使用されるアイテム
usedCode		0..*	CodeableConcept	プロシジャー中に使用したアイテムのコード Binding: JP Core Procedure Device Kind ValueSet (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.3.0 from the FHIR Standard
Procedure.statusReason	example	JP_ProcedureNotPerformedReason_VS (a valid code from JP Core Procedure Not Performed Reason CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureNotPerformedReason_VS from this IG
Procedure.category	example	JP_ProcedureCategory_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCategory_VS
Procedure.code	example	JP_ProcedureCodesMedical_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesMedical_VS
Procedure.code.coding:medical	required	JP_ProcedureCodesMedical_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesMedical_VS
Procedure.code.coding:stem7	required	JP_ProcedureCodesSTEM7_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesSTEM7_VS
Procedure.code.coding:dental	required	JP_ProcedureCodesDental_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesDental_VS
Procedure.code.coding:nurse	required	JP_ProcedureCodesNurse_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesNurse_VS
Procedure.code.coding:ichi	required	JP_ProcedureCodesICHI_VS (a valid code from JP Core Undefined CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesICHI_VS from this IG
Procedure.performer.function	example	JP_ProcedurePerformerRole_VS http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedurePerformerRole_VS from this IG
Procedure.reasonCode	example	JP_ProcedureReason_VS (a valid code from JP Core Undefined CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureReason_VS from this IG
Procedure.bodySite	example	JP_ProcedureBodySite_VS (a valid code from JP Core Procedure BodySite CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureBodySite_VS from this IG
Procedure.outcome	example	JP_ProcedureOutcome_VS (a valid code from JP Core Procedure Outcome CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureOutcome_VS from this IG
Procedure.complication	example	JP_ProcedureCondition_VS (a valid code from JP Core Undefined CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCondition_VS from this IG
Procedure.followUp	example	JP_ProcedureFollowUp_VS (a valid code from JP Core Undefined CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureFollowUp_VS from this IG
Procedure.focalDevice.action	preferred	JP_ProcedureDeviceAction_VS (a valid code from JP Core Undefined CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureDeviceAction_VS from this IG
Procedure.usedCode	example	JP_ProcedureDeviceKind_VS (a valid code from JP Core Undefined CodeSystem) http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureDeviceKind_VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	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	error	Procedure	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	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
dom-r4b	warning	Procedure.contained	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)
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Procedure

Summary

Mandatory: 0 element(5 nested mandatory elements)
Fixed: 5 elements

Structures

This structure refers to these other structures:

• JP Core Procedure Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Procedure)
• JP Core Observation Common Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common)
• JP Core MedicationAdministration Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationAdministration)
• JP Core Patient Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient)
• JP Core Encounter Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter)
• JP Core Practitioner Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner)
• JP Core PractitionerRole Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole)
• JP Core Organization Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization)
• JP Core Location Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Location)
• JP Core Condition Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition)
• JP Core DiagnosticReport Common Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_Common)
• JP Core Medication Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Procedure.code.coding

必須要素

本プロファイルに準拠するためには、次の項目の値が存在しなければならない。

• status : 処置のステータス
• subject : 処置が実施された対象の人

Extensions定義

本プロファイルで追加定義された拡張はない。

利用方法

OperationおよびSearch Parameter 一覧

Search Parameter一覧

必須検索パラメータ

本プロファイルに準拠するためには、以下の検索パラメータをサポートしなければならない（SHALL）

1. 検索パラメータidentifierを指定し、レコードIDなどの識別子によりProcedureを検索

   GET [base]/Procedure?identifier={system|}[token]
   

   例：

   GET [base]/Procedure?identifier=http://myhospital.com/fhir/procedure|123
   

   指定された識別子に一致するProcedureリソースを含むBundleを検索する。

推奨検索パラメータ

本プロファイルに準拠するためには、以下の検索パラメータをサポートすることが推奨される（SHOULD）

1. 検索パラメータpatientとdateを指定し、該当するすべてのProcedureを検索

   • dateに対する次の比較演算子のサポートを含む: gt,lt,ge,le
   • AND検索のオプションのサポートを含む (例えば.date=[date]&date=[date]]&…)

      GET [base]/Procedure?patient={reference}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
   

   例：

      GET [base]/Procedure?patient=Patient/123&date=ge2021-08-24
   

   指定された患者および日付のすべてのProcedureを含むBundleを検索する。

追加検索パラメータ

オプションとして次の検索パラメータをサポートすることができる（MAY）

1. 検索パラメータpatientとstatusを指定し、該当するすべてのProcedureを検索

   • OR検索のサポートを含む(例えば status=[token],[token],…)

      GET [base]/Procedure?patient={reference}&status=[token]{,[token],...}
   

   例：

      GET [base]/Procedure?patient=Patient/123&status=completed
   

   指定された患者およびステータスのすべてのProcedureを含むBundleを検索する。

2. 検索パラメータpatientとcodeとdateを指定し、該当するすべてのProcedureを検索

   • OR検索のオプションのサポートを含む (例えば code={system|}[token],{system|}[token],…)
   • dateに対する次の比較演算子のサポートを含む:gt,lt,ge,le
   • AND検索のオプションのサポートを含む (例えばdate=[date]&date=[date]]&…)

      GET [base]/Procedure?patient={reference}&code={system|}[token]{,{system|}[token],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
   

   例：

      GET [base]/Procedure?patient=Patient/123&date=ge2019-01-14T00:00:00Z&code=http://jpfhir.jp/fhir/core/ValueSet/JP_ProcedureCodesMedical_VS|140000610
   

   指定された患者および日付およびプロシージャコードのすべてのProcedureを含むBundleを検索する。

オプション検索パラメータ

本プロファイルで追加定義されたオプション検索パラメータはない。

サンプル

• 処置（抜糸）

その他、参考文献・リンク等

1. ICHI(International Classification of Health Interventions) https://icd.who.int/dev11/l-ichi/en