HL7 FHIR JP Core ImplementationGuide
1.1.0a - ci-build Japan flag

HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.0a). See the Directory of published versions

Resource Profile: JP Core Organization Profile

項目内容
定義URL http://jpfhir.jp/fhir/core/StructureDefinition/JP_Organization
Version 1.1.0a
Name

JP_Organization

Title

JP Core Organization Profile

Status Active ( 2022-09-26 )
Copyright

FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)

このプロファイルはOrganizationリソースに対して、組織情報のデータを送受信するための基礎となる制約と拡張を定めたものである。


何らかの形で集団行動をとることを目的に結成された、公式または非公式に認められた人や組織の集まり。企業、機関、法人、部署、コミュニティグループ、医療行為グループ、支払者/保険者などを含む。

背景および想定シナリオ

本プロファイルは、以下のようなユースケースを想定している。

  • 組織名またはNPIによる検索

スコープ

本プロファイルは、様々な組織の連絡先やその他の情報を共有するレジストリとして使用することができる。 また参照される組織に必要とするサポート、ドキュメント、メッセージ、またはcontained resourceとして使用することもできる。レジストリを使用する場合、複数のレジストリが存在し、それぞれが異なるタイプやレベルの組織に対応することは十分可能である。


プロファイル定義

Usage:

プロファイル詳細

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Organization

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Organization.identifier is sliced based on the value of value:system
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization 0..*OrganizationA grouping of people or organizations with a common purpose/共通の目的を持った人や組織の集まり【詳細参照】
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... prefectureNo 0..1Coding都道府県番号2桁を表現するExtension
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_PrefectureNo
Binding: JP Core PrefectureNumber ValueSet (extensible)
... organizationCategory 0..1Coding点数表コード1桁(医科1、非保険検診施設2、歯科3、調剤4、訪問看護ステーション6)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationCategory
Binding: JP Core MedicalFeeScoreType ValueSet (extensible)
... organizationNo 0..1Identifier医療機関コード(7桁)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationNo
... Slices for identifier 0..*IdentifierIdentifies this organization across multiple systems/複数のシステムでこの組織を識別【詳細参照】
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... assigner 0..1Reference(JP Core Organization Profile)Organization that issued id (may be just text)
.... identifier:medicalInstitutionCode 0..*Identifier施設が福祉医療関連機関である場合に利用する識別子【詳細参照】
..... system 1..1uriThe namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no
.... identifier:insurerNumber 0..*IdentifierIdentifies this organization across multiple systems
..... system 1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.61
... active 0..1booleanWhether the organization's record is still in active use / 組織の記録がまだ有効に使われているかどうか【詳細参照】
... type 0..*CodeableConceptKind of organization / 組織の種類【詳細参照】
... name 0..1stringName used for the organization / 組織に使用されている名称【詳細参照】
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past / 組織が知られている、または過去に知られていた別名のリスト【詳細参照】
... telecom 0..*ContactPointA contact detail for the organization / 組織の連絡先詳細【詳細参照】
... address 0..*AddressAn address for the organization / 組織の住所【詳細参照】
... partOf 0..1Reference(JP Core Organization Profile)The organization of which this organization forms a part【詳細参照】
... contact 0..*BackboneElementContact for the organization for a certain purpose 特定の目的のための組織の連絡先【詳細参照】
.... name 0..1JP_HumanNameName of a human - parts and usage 人の名前情報、その一部分と使い方
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization  組織のために運営されているサービスへのアクセスを提供する技術的エンドポイント【詳細参照】

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C0..*OrganizationA grouping of people or organizations with a common purpose/共通の目的を持った人や組織の集まり【詳細参照】
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... prefectureNo 0..1Coding都道府県番号2桁を表現するExtension
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_PrefectureNo
Binding: JP Core PrefectureNumber ValueSet (extensible)
... organizationCategory 0..1Coding点数表コード1桁(医科1、非保険検診施設2、歯科3、調剤4、訪問看護ステーション6)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationCategory
Binding: JP Core MedicalFeeScoreType ValueSet (extensible)
... organizationNo 0..1Identifier医療機関コード(7桁)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationNo
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier ΣC0..*IdentifierIdentifies this organization across multiple systems/複数のシステムでこの組織を識別【詳細参照】
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(JP Core Organization Profile)Organization that issued id (may be just text)
.... identifier:medicalInstitutionCode ΣC0..*Identifier施設が福祉医療関連機関である場合に利用する識別子【詳細参照】
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:insurerNumber ΣC0..*IdentifierIdentifies this organization across multiple systems
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.61
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether the organization's record is still in active use / 組織の記録がまだ有効に使われているかどうか【詳細参照】
... type Σ0..*CodeableConceptKind of organization / 組織の種類【詳細参照】
Binding: OrganizationType (example): Used to categorize the organization.


... name ΣC0..1stringName used for the organization / 組織に使用されている名称【詳細参照】
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past / 組織が知られている、または過去に知られていた別名のリスト【詳細参照】
... telecom C0..*ContactPointA contact detail for the organization / 組織の連絡先詳細【詳細参照】
... address C0..*AddressAn address for the organization / 組織の住所【詳細参照】
... partOf Σ0..1Reference(JP Core Organization Profile)The organization of which this organization forms a part【詳細参照】
... contact 0..*BackboneElementContact for the organization for a certain purpose 特定の目的のための組織の連絡先【詳細参照】
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

.... name 0..1JP_HumanNameName of a human - parts and usage 人の名前情報、その一部分と使い方
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization  組織のために運営されているサービスへのアクセスを提供する技術的エンドポイント【詳細参照】

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Organization.languagepreferredCommonLanguages
Max Binding: AllLanguages
Organization.identifier.userequiredIdentifierUse
Organization.identifier.typeextensibleIdentifier Type Codes
Organization.identifier:medicalInstitutionCode.userequiredIdentifierUse
Organization.identifier:medicalInstitutionCode.typeextensibleIdentifier Type Codes
Organization.identifier:insurerNumber.userequiredIdentifierUse
Organization.identifier:insurerNumber.typeextensibleIdentifier Type Codes
Organization.typeexampleOrganizationType
Organization.contact.purposeextensibleContactEntityType

Constraints

IdGradePathDetailsRequirements
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id 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()
dom-4errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeOrganizationA resource should have narrative for robust management
: text.`div`.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
ele-1errorOrganization.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.extension:prefectureNoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extension:prefectureNoMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.extension:organizationCategoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extension:organizationCategoryMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.extension:organizationNoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extension:organizationNoMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.identifier:medicalInstitutionCode.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifier:medicalInstitutionCode.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.identifier:insurerNumber.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifier:insurerNumber.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.activeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.aliasAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
org-3errorOrganization.telecomThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()
ele-1errorOrganization.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
ele-1errorOrganization.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.contact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.contact.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.contact.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.contact.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.endpointAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from Organization

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Organization.identifier is sliced based on the value of value:system

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization 0..*OrganizationA grouping of people or organizations with a common purpose/共通の目的を持った人や組織の集まり【詳細参照】
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... prefectureNo 0..1Coding都道府県番号2桁を表現するExtension
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_PrefectureNo
Binding: JP Core PrefectureNumber ValueSet (extensible)
... organizationCategory 0..1Coding点数表コード1桁(医科1、非保険検診施設2、歯科3、調剤4、訪問看護ステーション6)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationCategory
Binding: JP Core MedicalFeeScoreType ValueSet (extensible)
... organizationNo 0..1Identifier医療機関コード(7桁)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationNo
... Slices for identifier 0..*IdentifierIdentifies this organization across multiple systems/複数のシステムでこの組織を識別【詳細参照】
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... assigner 0..1Reference(JP Core Organization Profile)Organization that issued id (may be just text)
.... identifier:medicalInstitutionCode 0..*Identifier施設が福祉医療関連機関である場合に利用する識別子【詳細参照】
..... system 1..1uriThe namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no
.... identifier:insurerNumber 0..*IdentifierIdentifies this organization across multiple systems
..... system 1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.61
... active 0..1booleanWhether the organization's record is still in active use / 組織の記録がまだ有効に使われているかどうか【詳細参照】
... type 0..*CodeableConceptKind of organization / 組織の種類【詳細参照】
... name 0..1stringName used for the organization / 組織に使用されている名称【詳細参照】
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past / 組織が知られている、または過去に知られていた別名のリスト【詳細参照】
... telecom 0..*ContactPointA contact detail for the organization / 組織の連絡先詳細【詳細参照】
... address 0..*AddressAn address for the organization / 組織の住所【詳細参照】
... partOf 0..1Reference(JP Core Organization Profile)The organization of which this organization forms a part【詳細参照】
... contact 0..*BackboneElementContact for the organization for a certain purpose 特定の目的のための組織の連絡先【詳細参照】
.... name 0..1JP_HumanNameName of a human - parts and usage 人の名前情報、その一部分と使い方
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization  組織のために運営されているサービスへのアクセスを提供する技術的エンドポイント【詳細参照】

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organization C0..*OrganizationA grouping of people or organizations with a common purpose/共通の目的を持った人や組織の集まり【詳細参照】
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... prefectureNo 0..1Coding都道府県番号2桁を表現するExtension
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_PrefectureNo
Binding: JP Core PrefectureNumber ValueSet (extensible)
... organizationCategory 0..1Coding点数表コード1桁(医科1、非保険検診施設2、歯科3、調剤4、訪問看護ステーション6)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationCategory
Binding: JP Core MedicalFeeScoreType ValueSet (extensible)
... organizationNo 0..1Identifier医療機関コード(7桁)を表現するExtension【詳細参照】
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationNo
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier ΣC0..*IdentifierIdentifies this organization across multiple systems/複数のシステムでこの組織を識別【詳細参照】
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(JP Core Organization Profile)Organization that issued id (may be just text)
.... identifier:medicalInstitutionCode ΣC0..*Identifier施設が福祉医療関連機関である場合に利用する識別子【詳細参照】
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:insurerNumber ΣC0..*IdentifierIdentifies this organization across multiple systems
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.61
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether the organization's record is still in active use / 組織の記録がまだ有効に使われているかどうか【詳細参照】
... type Σ0..*CodeableConceptKind of organization / 組織の種類【詳細参照】
Binding: OrganizationType (example): Used to categorize the organization.


... name ΣC0..1stringName used for the organization / 組織に使用されている名称【詳細参照】
... alias 0..*stringA list of alternate names that the organization is known as, or was known as in the past / 組織が知られている、または過去に知られていた別名のリスト【詳細参照】
... telecom C0..*ContactPointA contact detail for the organization / 組織の連絡先詳細【詳細参照】
... address C0..*AddressAn address for the organization / 組織の住所【詳細参照】
... partOf Σ0..1Reference(JP Core Organization Profile)The organization of which this organization forms a part【詳細参照】
... contact 0..*BackboneElementContact for the organization for a certain purpose 特定の目的のための組織の連絡先【詳細参照】
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

.... name 0..1JP_HumanNameName of a human - parts and usage 人の名前情報、その一部分と使い方
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the organization  組織のために運営されているサービスへのアクセスを提供する技術的エンドポイント【詳細参照】

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Organization.languagepreferredCommonLanguages
Max Binding: AllLanguages
Organization.identifier.userequiredIdentifierUse
Organization.identifier.typeextensibleIdentifier Type Codes
Organization.identifier:medicalInstitutionCode.userequiredIdentifierUse
Organization.identifier:medicalInstitutionCode.typeextensibleIdentifier Type Codes
Organization.identifier:insurerNumber.userequiredIdentifierUse
Organization.identifier:insurerNumber.typeextensibleIdentifier Type Codes
Organization.typeexampleOrganizationType
Organization.contact.purposeextensibleContactEntityType

Constraints

IdGradePathDetailsRequirements
dom-2errorOrganizationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorOrganizationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id 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()
dom-4errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorOrganizationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeOrganizationA resource should have narrative for robust management
: text.`div`.exists()
org-1errorOrganizationThe organization SHALL at least have a name or an identifier, and possibly more than one
: (identifier.count() + name.count()) > 0
ele-1errorOrganization.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.extension:prefectureNoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extension:prefectureNoMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.extension:organizationCategoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extension:organizationCategoryMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.extension:organizationNoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.extension:organizationNoMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.identifier:medicalInstitutionCode.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifier:medicalInstitutionCode.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:medicalInstitutionCode.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.identifier:insurerNumber.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.identifier:insurerNumber.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.identifier:insurerNumber.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.activeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.aliasAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
org-3errorOrganization.telecomThe telecom of an organization can never be of use 'home'
: where(use = 'home').empty()
ele-1errorOrganization.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
org-2errorOrganization.addressAn address of an organization can never be of use 'home'
: where(use = 'home').empty()
ele-1errorOrganization.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.contact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.contact.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorOrganization.contact.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorOrganization.contact.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.contact.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorOrganization.endpointAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

 

Other representations of profile: CSV, Excel, Schematron

必須要素

本プロファイルで定義された必須項目はない。

Extensions定義

本プロファイルで使用される拡張は次の通りである。

その他

Organization.identifierには、以下のOrganization(組織)に関連したidentifier(ID情報)を格納できるようスライシングによる定義が追加されている。

スライシング定義名 目的 指定方法
medicalInstitutionCode 医療機関コードを格納する identifier.system = “http://jpfhir.jp/fhir/core/CodeSystem/insurance-medical-institution-no” を指定し、医療機関コード(10桁)を同valueに格納する。*医療機関コード(7桁)は異なるURIとなるので注意すること。
insurerNumber 健康保険組合などの保険者の保険者番号を表現する identifier.system = “urn:oid:1.2.392.100495.20.3.61” を指定し、保険者番号を同valueに格納する。

医療機関コード(10桁)

保険医療機関・保険薬局の場合

医療機関コードは10桁の数値で表現され、以下の記載様式を取る。

 都道府県コード(2桁) + 点数表番号(1桁) + 医療機関コード(7桁)
  • 都道府県コード(ISO 3166-2:JP):2桁
    全国地方公共団体コードにより都道府県ごとに割り当てられた番号、左詰ゼロを含む2桁で記載される。

  • 点数表番号:1桁
    医科は「1」、歯科は「3」、調剤「4」、訪問看護ステーション「6」が割り当たる。
    同一の病院または診療所に医科と歯科が併存する場合など1施設にあたり2つ以上のコードが割り振られるケースが存在する。施設の主要な役割に応じて単一の点数表番号を割り当てることが望ましい(SHOULD)。派生する実装ガイドの利用用途(例えば診療報酬点数に関係するデータ収集など)によっては1施設に複数コードを扱わないといけないケースも存在する。1施設に対し複数の医療機関コードを扱う場合にはシステム上の考慮が多くなる点について注意が必要である。ストレージ上は1医療機関コードとしデータ出力時にコードを変換するなど、FHIRサーバが複雑にならないような検討を行なうこと。
  • 医療機関コード(7桁):7桁
    コードの内部構成は、都市区番号(2桁)+医療機関等番号(4桁)+検証番号(1桁) となっている。

    医療機関番号等は、「医科」、「歯科」は医療機関番号、「調剤薬局」は保険薬局コード、「訪問看護ステーション」はステーションコードが該当する。

保険医療機関を除く特定健診・特定保健指導機関の場合

健診等機関コード(10桁)を利用する。

都道府県コード(2桁) + 区分コード(1桁) + 機関コード(7桁)
  • 都道府県コード(ISO 3166-2:JP):2桁
    保険医療機関の説明に同じ。
  • 区分コード:1桁
    保険医療機関に該当しない特定健診・特定保健指導機関は「2」固定となる。ちなみに保険医療機関の場合は「1」であるが、該当しないため利用しない。
  • 機関コード(7桁):7桁
    特定健診・特定保健指導機関コードを割り当てる。

上記に該当しない施設の場合

「[9]+当該施設の電話番号下9桁」を医療機関コードとして代用する。

利用方法

OperationおよびSearch Parameter 一覧

Search Parameter一覧

コンフォーマンス パラメータ
SHOULD identifier token GET [base]/Organization?identifier=12345
SHOULD name string GET [base]/Organization?name=Health
SHOULD address string GET [base]/Organization?address=Arbor

必須検索パラメータ

必須検索パラメータ(SHALL)は特にない。

推奨検索パラメータ

次の検索パラメータをサポートすることが望ましい。

  1. identifier 検索パラメータを使用して、識別子によるOrganizationの検索をサポートすることが望ましい(SHOULD

    GET [base]/Organization?identifier={system|}[code]
    

    例:

    GET [base]/Organization?identifier=http://hl7.org/fhir/sid/jpsys|123456
    

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

  2. name 検索パラメータを使用して、言語コードによるOrganizationの検索をサポートすることが望ましい(SHOULD

    GET [base]/Organization?name={string}
    

    例:

    GET [base]/Organization?name=Health
    
  3. address 検索パラメータを使用して、addressによるOrganizationの検索をサポートすることが望ましい(SHOULD

    GET [base]/Organization?address=[string]
    

    例:

    GET [base]/Organization?address=Arbor
    

オプション検索パラメータ

本プロファイルで追加定義されたオプション検索パラメータはない。

サンプル

注意事項

連絡先情報は2箇所に記載がある。1つはOrganization自体にあり、一般的な公的組織の連絡先として使用される。もう1つはContactEntity構造を使用した場所であり、特定の目的のために連絡を受けるように組織が指定した人物や関係者に連絡を取るために使用される。

その他、参考文献、リンク等

  1. 退院時サマリー規約 http://www.hl7.jp/library/item/HL7J-CDA-007.pdf
  2. 診療情報提供書規格 http://www.hl7.jp/intro/std/HL7J-CDA-005.pdf
  3. 特定健診情報ファイル仕様 https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000165280.html
  4. SS-MIX2 標準化ストレージ 仕様書 Ver.1.2h https://www.jami.jp/jamistd/docs/SS-MIX2/h/SS-MIX2_StndrdStrgSpecVer.1.2h.pdf
  5. ICSR E2B(R3) https://www.pmda.go.jp/int-activities/int-harmony/ich/0093.html