{
"description": "このプロファイルはConditionリソースに対して、患者の健康状態に関するデータを送受信するための共通の制約と拡張を定めたものである。",
"_filename": "StructureDefinition-jp-condition.json",
"package_name": "jp-core.r4",
"date": "2022-10-24",
"derivation": "constraint",
"publisher": null,
"fhirVersion": "4.0.1",
"name": "JP_Condition",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding",
"identity": "sct-concept"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding",
"identity": "sct-attr"
} ],
"abstract": false,
"type": "Condition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "JP Core Condition Profile",
"package_version": "1.1.1-draft1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString": "Clinical.Summary"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode": "patient"
} ],
"status": "active",
"id": "0e64c42f-aa90-4191-98b8-fc3ff5745ecd",
"kind": "resource",
"url": "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Condition",
"version": "1.1.0",
"differential": {
"element": [ {
"id": "Condition",
"path": "Condition",
"short": "Detailed information about conditions, problems or diagnoses. 患者の臨床状態、問題、または診断に関する詳細な情報",
"definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.\r\n\r\n健康上の懸念となるレベルに達した、身体的、精神的、社会的な負の状態(condition)や問題（problem／issue）、医療者による診断(diagnosis)、生じたイベント(event)、置かれている状況(situation)、臨床的概念(clinical concept)。"
}, {
"id": "Condition.text",
"path": "Condition.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": "Condition.clinicalStatus",
"path": "Condition.clinicalStatus",
"short": "active | recurrence | relapse | inactive | remission | resolved （アクティブ | 再発 | 再燃 | インアクティブ | 寛解 | 完治）",
"definition": "The clinical status of the condition.\r\n\r\nこの患者状態の臨床的ステータス（アクティブか否かなど）"
}, {
"id": "Condition.verificationStatus",
"path": "Condition.verificationStatus",
"short": "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error（十分に確認されていない | 暫定的 | 鑑別的 | 十分な根拠で存在 | 十分な根拠で否定 | 誤記載）",
"definition": "The verification status to support the clinical status of the condition.\r\n\r\n この患者状態が存在するかどうかの検証状況。"
}, {
"id": "Condition.category",
"path": "Condition.category",
"short": "problem-list-item | encounter-diagnosis（プロブレムリスト | 一時的な診断）"
}, {
"id": "Condition.severity",
"path": "Condition.severity",
"short": "Subjective severity of condition. この患者状態の重症度。このプロファイルは、HL70421 Severity of Illness Codeで表現",
"binding": {
"strength": "preferred",
"valueSet": "http://jpfhir.jp/fhir/core/ValueSet/JP_ConditionSeverity_VS"
},
"comment": "Coding of the severity with a terminology is preferred, where possible.\r\n可能な限り、ターミノロジを用いて重症度をコーディングすることが好ましい。\r\n\r\n このプロファイルではHL70421 Severity of Illness Code（MI 軽度, MO 中度, SE 重度）を採用。",
"definition": "A subjective assessment of the severity of the condition as evaluated by the clinician.\r\n\r\n医療者によって評価されたこの患者状態の重症度。"
}, {
"id": "Condition.code",
"path": "Condition.code",
"short": "Identification of the condition, problem or diagnosis. この患者状態の識別コード"
}, {
"id": "Condition.bodySite",
"path": "Condition.bodySite",
"short": "Anatomical location, if relevant. もし関連するのであれば、その人体部位"
}, {
"id": "Condition.subject",
"path": "Condition.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient" ]
} ],
"short": "Who has the condition? 誰がこの状態を有するか"
}, {
"id": "Condition.encounter",
"path": "Condition.encounter",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter" ]
} ],
"short": "Encounter created as part of. この患者状態の記録が作成された受療の状況（外来、入院、救急、在宅など）",
"definition": "The Encounter during which this Condition was created or to which the creation of this record is tightly associated.\r\n\r\nこの患者状態の記録やレコード作成に関連する受療の状況（外来、入院、救急、在宅など）"
}, {
"id": "Condition.onset[x]",
"path": "Condition.onset[x]",
"short": "Estimated or actual date, date-time, or age. この患者状態のオンセット。推定もしくは実際の日付、日時、年齢",
"comment": "Age is generally used when the patient reports an age at which the Condition began to occur.\r\n\r\n年齢は一般的に、患者が症状が発生し始めた年齢を報告したケースで使用される。",
"definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.\r\n\r\n臨床医の判断における、本状態が始まったと推定される、または実際に始まった日または日時。"
}, {
"id": "Condition.abatement[x]",
"path": "Condition.abatement[x]",
"short": "When in resolution/remission. この状態はいつ治癒／寛解／軽快したか"
}, {
"id": "Condition.recordedDate",
"path": "Condition.recordedDate",
"short": "Date record was first recorded. この患者状態が初めて記録された日時",
"definition": "The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.\r\n\r\nこの患者状態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": "Condition.recorder",
"path": "Condition.recorder",
"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" ]
} ],
"short": "Who recorded the condition. 誰がこの患者状態を記録したか",
"definition": "Individual who recorded the record and takes responsibility for its content.\r\n\r\nこの患者状態を記録しその内容に責任を持つ個人。"
}, {
"id": "Condition.asserter",
"path": "Condition.asserter",
"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" ]
} ],
"short": "Person who asserts this condition. この患者状態の情報源",
"definition": "Individual who is making the condition statement.\r\n\r\nこの患者状態に関する情報の発生源または取得元。"
}, {
"id": "Condition.stage",
"path": "Condition.stage",
"short": "Stage/grade, usually assessed formally. この患者状態のステージやグレード。通常は正式に評価されたもの",
"definition": "Clinical stage or grade of a condition. May include formal severity assessments.\r\n\r\n病状の臨床病期またはグレード。正式な重症度評価を含む場合がある。"
}, {
"id": "Condition.stage.assessment",
"path": "Condition.stage.assessment",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_Common", "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Common" ]
} ]
}, {
"id": "Condition.evidence",
"path": "Condition.evidence",
"short": "Supporting evidence. 患者状態の存在に関する根拠",
"definition": "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.\r\n\r\n患者状態を確認または否定した証拠など、状態の検証ステータスの裏付けとなる症状や兆候。"
}, {
"id": "Condition.note",
"path": "Condition.note",
"short": "Additional information about the Condition. この患者状態に関する追加情報",
"definition": "Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.\r\nこの患者状態に関する追加情報。これは、状態の説明、診断、予後に関するメモやコメントである。"
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}