HL7 FHIR JP Core ImplementationGuide
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Resource Profile: JP_AllergyIntolerance - JSON Profile

Active as of 2022-10-24

JSON representation of the jp-allergyintolerance resource profile.

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{
  "resourceType" : "StructureDefinition",
  "id" : "jp-allergyintolerance",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance\" title=\"Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.\r\n\r\nこのリソースは患者のアレルギー不耐症を表現する。具体的には、特定の物質または物質群への暴露によって生じる有害反応の傾向や、潜在的なリスクを表現する。\">AllergyIntolerance</a><a name=\"AllergyIntolerance\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/allergyintolerance.html\">AllergyIntolerance</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Allergy or Intolerance (generally: Risk of adverse reaction to a substance). アレルギー不耐症 (特定の物質への暴露で生じた有害反応)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.text\">text</a><a name=\"AllergyIntolerance.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Narrative\">Narrative</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.clinicalStatus\" title=\"The clinical status of the allergy or intolerance.\r\n\r\nこのアレルギー不耐症のステータス。\">clinicalStatus</a><a name=\"AllergyIntolerance.clinicalStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">active | inactive | resolved (アクティブ | 非アクティブ | 解決済み)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.verificationStatus\" title=\"Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).\r\n\r\n特定された物質(医薬品を含む)が有害反応を誘発する確実性の度合い。\">verificationStatus</a><a name=\"AllergyIntolerance.verificationStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">unconfirmed | confirmed | refuted | entered-in-error (未確認 | 確認済み | 否定された | 入力エラー)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.type\" title=\"Identification of the underlying physiological mechanism for the reaction risk.\r\n\r\n有害反応を誘発する生理的なメカニズムが特定できる場合にアレルギーか不耐性かを区別する。\">type</a><a name=\"AllergyIntolerance.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">allergy | intolerance - Underlying mechanism (if known) (アレルギー | 不耐症)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.category\" title=\"Category of the identified substance.\r\n\r\n同定された物質のカテゴリー。\">category</a><a name=\"AllergyIntolerance.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">food | medication | environment | biologic (食品 | 薬品 | 環境 | 生体)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.criticality\" title=\"Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.\r\n\r\n同定された物質が誘発する有害反応の臨床的な重要度。\">criticality</a><a name=\"AllergyIntolerance.criticality\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">low | high | unable-to-assess (低い | 高い | 評価できない)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.code\" title=\"Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., &quot;Latex&quot;), an allergy or intolerance condition (e.g., &quot;Latex allergy&quot;), or a negated/excluded code for a specific substance or class (e.g., &quot;No latex allergy&quot;) or a general or categorical negated statement (e.g., &quot;No known allergy&quot;, &quot;No known drug allergies&quot;). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \r\n\r\nアレルギー不耐症を識別するためのコード(肯定または否定・除外の両者を含む)。このコードは、アレルゲンとなる物資(例:Latex)、状態としてのアレルギー不耐性(例:Latex allergy)、特定の物質やクラスに対する否定・除外コード(例: No latex allergy)、物質やクラス全般に対する否定・除外コード(例: No known allergy, No known drug allergies)などが考えられる。\r\n\r\n注: 特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質(ブランド薬など)や、特定された物質を含む複合製品の場合がある。\r\nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。\r\n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に(前者が後者の意味的な下位概念にあること)を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。\">code</a><a name=\"AllergyIntolerance.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code that identifies the allergy or intolerance. このアレルギー不耐症の識別コード<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-jp-allergyintolerance-vs.html\">JP Core AllergyIntolerance ValueSet</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set.  The value set merely provides examples of the types of concepts intended to be included.\">example</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.patient\" title=\"The patient who has the allergy or intolerance.\r\n\r\nこのアレルギー不耐症を有する患者。\">patient</a><a name=\"AllergyIntolerance.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-patient.html\">JP Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Who the sensitivity is for. このアレルギー不耐症を有する患者</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.encounter\" title=\"The encounter when the allergy or intolerance was asserted.\r\n\r\nこのアレルギー不耐症が判明した受療の状況(外来、入院、救急、在宅など)\">encounter</a><a name=\"AllergyIntolerance.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-encounter.html\">JP Core Encounter Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Encounter when the allergy or intolerance was asserted. このアレルギー不耐症が判明した受療の状況(外来、入院、救急、在宅など)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.onset[x]\" title=\"Estimated or actual date, date-time, or age when allergy or intolerance was identified.\r\n\r\nこのアレルギー不耐症が同定された事実もしくは推定された時期(日付、日時、年齢)。\">onset[x]</a><a name=\"AllergyIntolerance.onset_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Age\">Age</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Range\">Range</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When allergy or intolerance was identified. このアレルギー不耐症のオンセット</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.recordedDate\" title=\"The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. このアレルギー不耐症の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。\">recordedDate</a><a name=\"AllergyIntolerance.recordedDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date first version of the resource instance was recorded. このアレルギー不耐症が初めて記録された日時</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.recorder\" title=\"Individual who recorded the record and takes responsibility for its content.\r\n\r\nこのアレルギー不耐症を記録しその内容に責任を持つ個人。\">recorder</a><a name=\"AllergyIntolerance.recorder\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-practitioner.html\">JP Core Practitioner Profile</a> | <a href=\"StructureDefinition-jp-practitionerrole.html\">JP Core PractitionerRole Profile</a> | <a href=\"StructureDefinition-jp-patient.html\">JP Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.asserter\" title=\"The source of the information about the allergy that is recorded.\r\n\r\nこのアレルギー不耐症に関する情報の発生源または取得元。\">asserter</a><a name=\"AllergyIntolerance.asserter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-jp-patient.html\">JP Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a href=\"StructureDefinition-jp-practitioner.html\">JP Core Practitioner Profile</a> | <a href=\"StructureDefinition-jp-practitionerrole.html\">JP Core PractitionerRole Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Source of the information about the allergy. このアレルギー不耐症の情報源</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.lastOccurrence\" title=\"Represents the date and/or time of the last known occurrence of a reaction event.\r\n\r\n最も直近に発生した日時を表す。\">lastOccurrence</a><a name=\"AllergyIntolerance.lastOccurrence\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date(/time) of last known occurrence of a reaction. このアレルギー不耐症が最も直近に発生した日時</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.note\" title=\"Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.\r\n\r\n他のフィールド要素では表現できない、このアレルギー不耐症に関する追加的な記述。\">note</a><a name=\"AllergyIntolerance.note\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Annotation\">Annotation</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Additional text not captured in other fields. 他のフィールド要素では記述できない追加テキスト</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction\" title=\"Details about each adverse reaction event linked to exposure to the identified substance.\r\n\r\n同定された物質への暴露に関連する個々の有害反応に関する詳細情報。\">reaction</a><a name=\"AllergyIntolerance.reaction\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Adverse Reaction Events linked to exposure to substance. このアレルゲンへの暴露に関連する有害反応</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.substance\" title=\"Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.\r\n\r\n有害反応の原因と考えられる物質(または医薬品)。\r\n\r\n注:特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質(ブランド薬など)や、特定された物質を含む複合製品の場合がある。\r\nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。\r\n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に(前者が後者の意味的な下位概念にあること)を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。\">substance</a><a name=\"AllergyIntolerance.reaction.substance\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Specific substance or pharmaceutical product considered to be responsible for event. 有害反応の原因と考えられる特定の物質または医薬品</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.manifestation\" title=\"Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.\r\n\r\nこの有害反応に関連する症状や兆候。\">manifestation</a><a name=\"AllergyIntolerance.reaction.manifestation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.description\" title=\"Text description about the reaction as a whole, including details of the manifestation if required.\r\n\r\n必要であれば症状兆候の詳細も含めた、有害反応全体に関するテキストによる記述。\">description</a><a name=\"AllergyIntolerance.reaction.description\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Description of the event as a whole. この有害反応に関する全般的な記述</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.onset\" title=\"Record of the date and/or time of the onset of the Reaction.\r\n\r\nこの有害反応の開始の日付もしくは日時の記録。\">onset</a><a name=\"AllergyIntolerance.reaction.onset\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date(/time) when manifestations showed. この有害反応がみられた日時</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.severity\" title=\"Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.\r\n\r\n有害反応の重症度の全体としての臨床的な評価で、潜在的には複数の異なる症状兆候を考慮して決める。\">severity</a><a name=\"AllergyIntolerance.reaction.severity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">mild | moderate | severe (of event as a whole) (軽度 | 中度 | 重度)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.exposureRoute\" title=\"Identification of the route by which the subject was exposed to the substance.\r\n\r\n患者がどのような経路でこの物質に暴露したかの同定。\">exposureRoute</a><a name=\"AllergyIntolerance.reaction.exposureRoute\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How the subject was exposed to the substance. 患者がこの物質にどのように暴露したか</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-jp-allergyintolerance-definitions.html#AllergyIntolerance.reaction.note\" title=\"Additional text about the adverse reaction event not captured in other fields.\r\n\r\n他のフィールド要素では記述できない、有害反応に関する追加テキスト。\">note</a><a name=\"AllergyIntolerance.reaction.note\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Annotation\">Annotation</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Text about event not captured in other fields. 他のフィールド要素では記述できない追加テキスト</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
      "valueString" : "Clinical.Summary"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
      "valueCode" : "patient"
    }
  ],
  "url" : "http://jpfhir.jp/fhir/core/StructureDefinition/JP_AllergyIntolerance",
  "version" : "1.1.1",
  "name" : "JP_AllergyIntolerance",
  "title" : "JP Core AllergyIntolerance Profile",
  "status" : "active",
  "date" : "2022-10-24",
  "publisher" : "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
  "contact" : [
    {
      "name" : "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://jpfhir.jp"
        },
        {
          "system" : "email",
          "value" : "office@hlfhir.jp"
        }
      ]
    }
  ],
  "description" : "このプロファイルはAllergyIntoleranceリソースに対して、患者のアレルギー不耐症に関するデータを送受信するための制約と拡張を定めるものである。",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "JP"
        }
      ]
    }
  ],
  "copyright" : "Copyright FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会NeXEHRS課題研究会FHIR日本実装検討WG",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "AllergyIntolerance",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "AllergyIntolerance",
        "path" : "AllergyIntolerance",
        "short" : "Allergy or Intolerance (generally: Risk of adverse reaction to a substance). アレルギー不耐症 (特定の物質への暴露で生じた有害反応)",
        "definition" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.\r\n\r\nこのリソースは患者のアレルギー不耐症を表現する。具体的には、特定の物質または物質群への暴露によって生じる有害反応の傾向や、潜在的なリスクを表現する。",
        "comment" : "Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.",
        "alias" : [
          "Allergy",
          "Intolerance",
          "Adverse Reaction"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "ait-1",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.",
            "expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()",
            "xpath" : "f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)",
            "source" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
          },
          {
            "key" : "ait-2",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()",
            "xpath" : "not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))",
            "source" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
          },
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.`div`.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.id",
        "path" : "AllergyIntolerance.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "id"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.meta",
        "path" : "AllergyIntolerance.meta",
        "short" : "Metadata about the resource",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.implicitRules",
        "path" : "AllergyIntolerance.implicitRules",
        "short" : "A set of rules under which this content was created",
        "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.",
        "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.language",
        "path" : "AllergyIntolerance.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "AllergyIntolerance.text",
        "path" : "AllergyIntolerance.text",
        "short" : "Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約",
        "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.",
        "comment" : "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.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.contained",
        "path" : "AllergyIntolerance.contained",
        "short" : "Contained, inline Resources",
        "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.",
        "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.extension",
        "path" : "AllergyIntolerance.extension",
        "short" : "Additional content defined by implementations",
        "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.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.modifierExtension",
        "path" : "AllergyIntolerance.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.identifier",
        "path" : "AllergyIntolerance.identifier",
        "short" : "External ids for this item",
        "definition" : "Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
        "comment" : "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
        "requirements" : "Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.clinicalStatus",
        "path" : "AllergyIntolerance.clinicalStatus",
        "short" : "active | inactive | resolved (アクティブ | 非アクティブ | 解決済み)",
        "definition" : "The clinical status of the allergy or intolerance.\r\n\r\nこのアレルギー不耐症のステータス。",
        "comment" : "Refer to [discussion](http://hl7.org/fhir/R4/extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.clinicalStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "ait-1",
          "ait-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceClinicalStatus"
            }
          ],
          "strength" : "required",
          "description" : "The clinical status of the allergy or intolerance.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.verificationStatus",
        "path" : "AllergyIntolerance.verificationStatus",
        "short" : "unconfirmed | confirmed | refuted | entered-in-error (未確認 | 確認済み | 否定された | 入力エラー)",
        "definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).\r\n\r\n特定された物質(医薬品を含む)が有害反応を誘発する確実性の度合い。",
        "comment" : "The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.verificationStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "ait-1",
          "ait-2"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceVerificationStatus"
            }
          ],
          "strength" : "required",
          "description" : "Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.type",
        "path" : "AllergyIntolerance.type",
        "short" : "allergy | intolerance - Underlying mechanism (if known) (アレルギー | 不耐症)",
        "definition" : "Identification of the underlying physiological mechanism for the reaction risk.\r\n\r\n有害反応を誘発する生理的なメカニズムが特定できる場合にアレルギーか不耐性かを区別する。",
        "comment" : "Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.",
        "alias" : [
          "Category",
          "Class"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceType"
            }
          ],
          "strength" : "required",
          "description" : "Identification of the underlying physiological mechanism for a Reaction Risk.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IAM-9"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.category",
        "path" : "AllergyIntolerance.category",
        "short" : "food | medication | environment | biologic (食品 | 薬品 | 環境 | 生体)",
        "definition" : "Category of the identified substance.\r\n\r\n同定された物質のカテゴリー。",
        "comment" : "This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation.  When searching on category, consider the implications of AllergyIntolerance resources without a category.  For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned.  Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category.  Additionally, category should be used with caution because category can be subjective based on the sender.",
        "alias" : [
          "Category",
          "Type",
          "Reaction Type",
          "Class"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.category",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCategory"
            }
          ],
          "strength" : "required",
          "description" : "Category of an identified substance associated with allergies or intolerances.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2"
          },
          {
            "identity" : "rim",
            "map" : "value < IntoleranceValue (Agent)"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.criticality",
        "path" : "AllergyIntolerance.criticality",
        "short" : "low | high | unable-to-assess (低い | 高い | 評価できない)",
        "definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.\r\n\r\n同定された物質が誘発する有害反応の臨床的な重要度。",
        "comment" : "The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere).  Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity.  Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both.  Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.",
        "alias" : [
          "Severity",
          "Seriousness",
          "Contra-indication",
          "Risk"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.criticality",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCriticality"
            }
          ],
          "strength" : "required",
          "description" : "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code",
        "path" : "AllergyIntolerance.code",
        "short" : "Code that identifies the allergy or intolerance. このアレルギー不耐症の識別コード",
        "definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g., \"No known allergy\", \"No known drug allergies\"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \r\n\r\nアレルギー不耐症を識別するためのコード(肯定または否定・除外の両者を含む)。このコードは、アレルゲンとなる物資(例:Latex)、状態としてのアレルギー不耐性(例:Latex allergy)、特定の物質やクラスに対する否定・除外コード(例: No latex allergy)、物質やクラス全般に対する否定・除外コード(例: No known allergy, No known drug allergies)などが考えられる。\r\n\r\n注: 特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質(ブランド薬など)や、特定された物質を含む複合製品の場合がある。\r\nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。\r\n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に(前者が後者の意味的な下位概念にあること)を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。",
        "comment" : "このプロファイルを利用するにあたっては注意事項も参照のこと。[JP Core Allergyintoleranceプロファイル 注意事項](StructureDefinition-jp-allergyintolerance.html#%E6%B3%A8%E6%84%8F%E4%BA%8B%E9%A0%85)",
        "alias" : [
          "Code"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "AL1-3 / IAM-3"
          },
          {
            "identity" : "rim",
            "map" : "substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.patient",
        "path" : "AllergyIntolerance.patient",
        "short" : "Who the sensitivity is for. このアレルギー不耐症を有する患者",
        "definition" : "The patient who has the allergy or intolerance.\r\n\r\nこのアレルギー不耐症を有する患者。",
        "alias" : [
          "Patient"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.patient",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "(PID-3)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.encounter",
        "path" : "AllergyIntolerance.encounter",
        "short" : "Encounter when the allergy or intolerance was asserted. このアレルギー不耐症が判明した受療の状況(外来、入院、救急、在宅など)",
        "definition" : "The encounter when the allergy or intolerance was asserted.\r\n\r\nこのアレルギー不耐症が判明した受療の状況(外来、入院、救急、在宅など)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.encounter",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.onset[x]",
        "path" : "AllergyIntolerance.onset[x]",
        "short" : "When allergy or intolerance was identified. このアレルギー不耐症のオンセット",
        "definition" : "Estimated or actual date, date-time, or age when allergy or intolerance was identified.\r\n\r\nこのアレルギー不耐症が同定された事実もしくは推定された時期(日付、日時、年齢)。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.onset[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime.low"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.recordedDate",
        "path" : "AllergyIntolerance.recordedDate",
        "short" : "Date first version of the resource instance was recorded. このアレルギー不耐症が初めて記録された日時",
        "definition" : "The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. このアレルギー不耐症の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.recordedDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "IAM-13"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.recorder",
        "path" : "AllergyIntolerance.recorder",
        "short" : "Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか",
        "definition" : "Individual who recorded the record and takes responsibility for its content.\r\n\r\nこのアレルギー不耐症を記録しその内容に責任を持つ個人。",
        "alias" : [
          "Author"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.recorder",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.asserter",
        "path" : "AllergyIntolerance.asserter",
        "short" : "Source of the information about the allergy. このアレルギー不耐症の情報源",
        "definition" : "The source of the information about the allergy that is recorded.\r\n\r\nこのアレルギー不耐症に関する情報の発生源または取得元。",
        "comment" : "The recorder takes responsibility for the content, but can reference the source from where they got it.",
        "alias" : [
          "Source",
          "Informant"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.asserter",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"
            ]
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "IAM-14 (if patient) / IAM-18 (if practitioner)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.lastOccurrence",
        "path" : "AllergyIntolerance.lastOccurrence",
        "short" : "Date(/time) of last known occurrence of a reaction. このアレルギー不耐症が最も直近に発生した日時",
        "definition" : "Represents the date and/or time of the last known occurrence of a reaction event.\r\n\r\n最も直近に発生した日時を表す。",
        "comment" : "This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.lastOccurrence",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.note",
        "path" : "AllergyIntolerance.note",
        "short" : "Additional text not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
        "definition" : "Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.\r\n\r\n他のフィールド要素では表現できない、このアレルギー不耐症に関する追加的な記述。",
        "comment" : "For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and  AllergyIntolerance.event.notes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.note",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Annotation"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction",
        "path" : "AllergyIntolerance.reaction",
        "short" : "Adverse Reaction Events linked to exposure to substance. このアレルゲンへの暴露に関連する有害反応",
        "definition" : "Details about each adverse reaction event linked to exposure to the identified substance.\r\n\r\n同定された物質への暴露に関連する個々の有害反応に関する詳細情報。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.reaction",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.id",
        "path" : "AllergyIntolerance.reaction.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.extension",
        "path" : "AllergyIntolerance.reaction.extension",
        "short" : "Additional content defined by implementations",
        "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.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.modifierExtension",
        "path" : "AllergyIntolerance.reaction.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.substance",
        "path" : "AllergyIntolerance.reaction.substance",
        "short" : "Specific substance or pharmaceutical product considered to be responsible for event. 有害反応の原因と考えられる特定の物質または医薬品",
        "definition" : "Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.\r\n\r\n有害反応の原因と考えられる物質(または医薬品)。\r\n\r\n注:特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質(ブランド薬など)や、特定された物質を含む複合製品の場合がある。\r\nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。\r\n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に(前者が後者の意味的な下位概念にあること)を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。",
        "comment" : "Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible.  The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, \"penicillins\"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, \"amoxycillin\"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.reaction.substance",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCode"
            }
          ],
          "strength" : "example",
          "description" : "Codes defining the type of the substance (including pharmaceutical products).",
          "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation",
        "path" : "AllergyIntolerance.reaction.manifestation",
        "short" : "Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候",
        "definition" : "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.\r\n\r\nこの有害反応に関連する症状や兆候。",
        "comment" : "Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines.  Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.",
        "alias" : [
          "Symptoms",
          "Signs"
        ],
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.reaction.manifestation",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Manifestation"
            }
          ],
          "strength" : "example",
          "description" : "Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "AL1-5"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.description",
        "path" : "AllergyIntolerance.reaction.description",
        "short" : "Description of the event as a whole. この有害反応に関する全般的な記述",
        "definition" : "Text description about the reaction as a whole, including details of the manifestation if required.\r\n\r\n必要であれば症状兆候の詳細も含めた、有害反応全体に関するテキストによる記述。",
        "comment" : "Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.",
        "alias" : [
          "Narrative",
          "Text"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.reaction.description",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "text"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.onset",
        "path" : "AllergyIntolerance.reaction.onset",
        "short" : "Date(/time) when manifestations showed. この有害反応がみられた日時",
        "definition" : "Record of the date and/or time of the onset of the Reaction.\r\n\r\nこの有害反応の開始の日付もしくは日時の記録。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.reaction.onset",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "AL1-6"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime.low"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.severity",
        "path" : "AllergyIntolerance.reaction.severity",
        "short" : "mild | moderate | severe (of event as a whole) (軽度 | 中度 | 重度)",
        "definition" : "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.\r\n\r\n有害反応の重症度の全体としての臨床的な評価で、潜在的には複数の異なる症状兆候を考慮して決める。",
        "comment" : "It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.reaction.severity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceSeverity"
            }
          ],
          "strength" : "required",
          "description" : "Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.exposureRoute",
        "path" : "AllergyIntolerance.reaction.exposureRoute",
        "short" : "How the subject was exposed to the substance. 患者がこの物質にどのように暴露したか",
        "definition" : "Identification of the route by which the subject was exposed to the substance.\r\n\r\n患者がどのような経路でこの物質に暴露したかの同定。",
        "comment" : "Coding of the route of exposure with a terminology should be used wherever possible.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.reaction.exposureRoute",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RouteOfAdministration"
            }
          ],
          "strength" : "example",
          "description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.note",
        "path" : "AllergyIntolerance.reaction.note",
        "short" : "Text about event not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
        "definition" : "Additional text about the adverse reaction event not captured in other fields.\r\n\r\n他のフィールド要素では記述できない、有害反応に関する追加テキスト。",
        "comment" : "Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.reaction.note",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Annotation"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "AllergyIntolerance",
        "path" : "AllergyIntolerance",
        "short" : "Allergy or Intolerance (generally: Risk of adverse reaction to a substance). アレルギー不耐症 (特定の物質への暴露で生じた有害反応)",
        "definition" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.\r\n\r\nこのリソースは患者のアレルギー不耐症を表現する。具体的には、特定の物質または物質群への暴露によって生じる有害反応の傾向や、潜在的なリスクを表現する。"
      },
      {
        "id" : "AllergyIntolerance.text",
        "path" : "AllergyIntolerance.text",
        "short" : "Text summary of the resource, for human interpretation. このリソースを人間が解釈するためのテキスト要約"
      },
      {
        "id" : "AllergyIntolerance.clinicalStatus",
        "path" : "AllergyIntolerance.clinicalStatus",
        "short" : "active | inactive | resolved (アクティブ | 非アクティブ | 解決済み)",
        "definition" : "The clinical status of the allergy or intolerance.\r\n\r\nこのアレルギー不耐症のステータス。"
      },
      {
        "id" : "AllergyIntolerance.verificationStatus",
        "path" : "AllergyIntolerance.verificationStatus",
        "short" : "unconfirmed | confirmed | refuted | entered-in-error (未確認 | 確認済み | 否定された | 入力エラー)",
        "definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).\r\n\r\n特定された物質(医薬品を含む)が有害反応を誘発する確実性の度合い。"
      },
      {
        "id" : "AllergyIntolerance.type",
        "path" : "AllergyIntolerance.type",
        "short" : "allergy | intolerance - Underlying mechanism (if known) (アレルギー | 不耐症)",
        "definition" : "Identification of the underlying physiological mechanism for the reaction risk.\r\n\r\n有害反応を誘発する生理的なメカニズムが特定できる場合にアレルギーか不耐性かを区別する。"
      },
      {
        "id" : "AllergyIntolerance.category",
        "path" : "AllergyIntolerance.category",
        "short" : "food | medication | environment | biologic (食品 | 薬品 | 環境 | 生体)",
        "definition" : "Category of the identified substance.\r\n\r\n同定された物質のカテゴリー。"
      },
      {
        "id" : "AllergyIntolerance.criticality",
        "path" : "AllergyIntolerance.criticality",
        "short" : "low | high | unable-to-assess (低い | 高い | 評価できない)",
        "definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.\r\n\r\n同定された物質が誘発する有害反応の臨床的な重要度。"
      },
      {
        "id" : "AllergyIntolerance.code",
        "path" : "AllergyIntolerance.code",
        "short" : "Code that identifies the allergy or intolerance. このアレルギー不耐症の識別コード",
        "definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement). This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g., \"No known allergy\", \"No known drug allergies\"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. \r\n\r\nアレルギー不耐症を識別するためのコード(肯定または否定・除外の両者を含む)。このコードは、アレルゲンとなる物資(例:Latex)、状態としてのアレルギー不耐性(例:Latex allergy)、特定の物質やクラスに対する否定・除外コード(例: No latex allergy)、物質やクラス全般に対する否定・除外コード(例: No known allergy, No known drug allergies)などが考えられる。\r\n\r\n注: 特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質(ブランド薬など)や、特定された物質を含む複合製品の場合がある。\r\nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。\r\n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に(前者が後者の意味的な下位概念にあること)を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。",
        "comment" : "このプロファイルを利用するにあたっては注意事項も参照のこと。[JP Core Allergyintoleranceプロファイル 注意事項](StructureDefinition-jp-allergyintolerance.html#%E6%B3%A8%E6%84%8F%E4%BA%8B%E9%A0%85)",
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://jpfhir.jp/fhir/core/ValueSet/JP_AllergyIntolerance_VS"
        }
      },
      {
        "id" : "AllergyIntolerance.patient",
        "path" : "AllergyIntolerance.patient",
        "short" : "Who the sensitivity is for. このアレルギー不耐症を有する患者",
        "definition" : "The patient who has the allergy or intolerance.\r\n\r\nこのアレルギー不耐症を有する患者。",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.encounter",
        "path" : "AllergyIntolerance.encounter",
        "short" : "Encounter when the allergy or intolerance was asserted. このアレルギー不耐症が判明した受療の状況(外来、入院、救急、在宅など)",
        "definition" : "The encounter when the allergy or intolerance was asserted.\r\n\r\nこのアレルギー不耐症が判明した受療の状況(外来、入院、救急、在宅など)",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.onset[x]",
        "path" : "AllergyIntolerance.onset[x]",
        "short" : "When allergy or intolerance was identified. このアレルギー不耐症のオンセット",
        "definition" : "Estimated or actual date, date-time, or age when allergy or intolerance was identified.\r\n\r\nこのアレルギー不耐症が同定された事実もしくは推定された時期(日付、日時、年齢)。"
      },
      {
        "id" : "AllergyIntolerance.recordedDate",
        "path" : "AllergyIntolerance.recordedDate",
        "short" : "Date first version of the resource instance was recorded. このアレルギー不耐症が初めて記録された日時",
        "definition" : "The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. このアレルギー不耐症の記録がシステムで作成された日時を表し、多くの場合、システムが生成した日付である。"
      },
      {
        "id" : "AllergyIntolerance.recorder",
        "path" : "AllergyIntolerance.recorder",
        "short" : "Who recorded the sensitivity. 誰がこのアレルギー不耐症を記録したか",
        "definition" : "Individual who recorded the record and takes responsibility for its content.\r\n\r\nこのアレルギー不耐症を記録しその内容に責任を持つ個人。",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.asserter",
        "path" : "AllergyIntolerance.asserter",
        "short" : "Source of the information about the allergy. このアレルギー不耐症の情報源",
        "definition" : "The source of the information about the allergy that is recorded.\r\n\r\nこのアレルギー不耐症に関する情報の発生源または取得元。",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner",
              "http://jpfhir.jp/fhir/core/StructureDefinition/JP_PractitionerRole"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.lastOccurrence",
        "path" : "AllergyIntolerance.lastOccurrence",
        "short" : "Date(/time) of last known occurrence of a reaction. このアレルギー不耐症が最も直近に発生した日時",
        "definition" : "Represents the date and/or time of the last known occurrence of a reaction event.\r\n\r\n最も直近に発生した日時を表す。"
      },
      {
        "id" : "AllergyIntolerance.note",
        "path" : "AllergyIntolerance.note",
        "short" : "Additional text not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
        "definition" : "Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.\r\n\r\n他のフィールド要素では表現できない、このアレルギー不耐症に関する追加的な記述。"
      },
      {
        "id" : "AllergyIntolerance.reaction",
        "path" : "AllergyIntolerance.reaction",
        "short" : "Adverse Reaction Events linked to exposure to substance. このアレルゲンへの暴露に関連する有害反応",
        "definition" : "Details about each adverse reaction event linked to exposure to the identified substance.\r\n\r\n同定された物質への暴露に関連する個々の有害反応に関する詳細情報。"
      },
      {
        "id" : "AllergyIntolerance.reaction.substance",
        "path" : "AllergyIntolerance.reaction.substance",
        "short" : "Specific substance or pharmaceutical product considered to be responsible for event. 有害反応の原因と考えられる特定の物質または医薬品",
        "definition" : "Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.\r\n\r\n有害反応の原因と考えられる物質(または医薬品)。\r\n\r\n注:特定の有害反応を誘発する物質は、原因として特定された物質と異なっていてもよいが、整合がとれていなければならない。たとえば、より具体的な物質(ブランド薬など)や、特定された物質を含む複合製品の場合がある。\r\nAllergyIntolerance.codeのみを処理し、AllergyIntolerance.reaction.substanceを無視しても、臨床的に安全でなければならない。\r\n受信システムがAllergyIntolerance.reaction.substanceがAllergyIntolerance.codeのセマンティックスコープ内に(前者が後者の意味的な下位概念にあること)を確認できない場合、受信システムはAllergyIntolerance.reaction.substanceを無視する必要がある。"
      },
      {
        "id" : "AllergyIntolerance.reaction.manifestation",
        "path" : "AllergyIntolerance.reaction.manifestation",
        "short" : "Clinical symptoms/signs associated with the Event. この有害反応に関連する症状や兆候",
        "definition" : "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.\r\n\r\nこの有害反応に関連する症状や兆候。"
      },
      {
        "id" : "AllergyIntolerance.reaction.description",
        "path" : "AllergyIntolerance.reaction.description",
        "short" : "Description of the event as a whole. この有害反応に関する全般的な記述",
        "definition" : "Text description about the reaction as a whole, including details of the manifestation if required.\r\n\r\n必要であれば症状兆候の詳細も含めた、有害反応全体に関するテキストによる記述。"
      },
      {
        "id" : "AllergyIntolerance.reaction.onset",
        "path" : "AllergyIntolerance.reaction.onset",
        "short" : "Date(/time) when manifestations showed. この有害反応がみられた日時",
        "definition" : "Record of the date and/or time of the onset of the Reaction.\r\n\r\nこの有害反応の開始の日付もしくは日時の記録。"
      },
      {
        "id" : "AllergyIntolerance.reaction.severity",
        "path" : "AllergyIntolerance.reaction.severity",
        "short" : "mild | moderate | severe (of event as a whole) (軽度 | 中度 | 重度)",
        "definition" : "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.\r\n\r\n有害反応の重症度の全体としての臨床的な評価で、潜在的には複数の異なる症状兆候を考慮して決める。"
      },
      {
        "id" : "AllergyIntolerance.reaction.exposureRoute",
        "path" : "AllergyIntolerance.reaction.exposureRoute",
        "short" : "How the subject was exposed to the substance. 患者がこの物質にどのように暴露したか",
        "definition" : "Identification of the route by which the subject was exposed to the substance.\r\n\r\n患者がどのような経路でこの物質に暴露したかの同定。"
      },
      {
        "id" : "AllergyIntolerance.reaction.note",
        "path" : "AllergyIntolerance.reaction.note",
        "short" : "Text about event not captured in other fields. 他のフィールド要素では記述できない追加テキスト",
        "definition" : "Additional text about the adverse reaction event not captured in other fields.\r\n\r\n他のフィールド要素では記述できない、有害反応に関する追加テキスト。"
      }
    ]
  }
}