Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Extension: FujitsuContributingFactor - Detailed Descriptions

Active as of 2025-07-09

Definitions for the fujitsu-extension-contributing-factor extension.

Guidance on how to interpret the contents of this table can be found here

0. Extension
Definition

The contributing factors suspected to have increased the probability or severity of the adverse event.
有害事象の発生確率または重症度を高めたと疑われる要因。

ShortContributing Factor (寄与要因)
2. Extension.extension
Control1..?
4. Extension.extension:item
Slice Nameitem
ShortItem suspected to have increased the probability or severity of the adverse event (寄与要因)
Control1..1
6. Extension.extension:item.extension
Control0..0
8. Extension.extension:item.url
Fixed Valueitem
10. Extension.extension:item.value[x]
[x] NoteSee Choice of Data Types for further information about how to use [x]
SlicingThis element introduces a set of slices on Extension.extension.value[x]. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 12. Extension.extension:item.value[x]:valueReference
    Slice NamevalueReference
    Control0..1
    TypeReference(Fujitsu Condition Profile, Fujitsu AllergyIntolerance Profile, FamilyMemberHistory, Fujitsu Immunization Profile, Fujitsu Procedure Profile, Fujitsu Device Profile, Fujitsu DocumentReference Profile, Fujitsu MedicationAdministration Profile, Fujitsu MedicationStatement Profile, Fujitsu Observation Common Profile, Fujitsu Observation LabResult Profile, Fujitsu Observation Vital Signs Profile, Fujitsu Observation BloodPressure Profile, Fujitsu Observation BMI Profile, Fujitsu Observation BodyHeight Profile, Fujitsu Observation BodyTemperature Profile, Fujitsu Observation BodyWeight Profile, Fujitsu Observation HeadCircum Profile, Fujitsu Observation HeartRate Profile, Fujitsu Observation OxygenSaturation Profile, Fujitsu Observation RespiratoryRate Profile)
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    14. Extension.extension:item.value[x]:valueCodeableConcept
    Slice NamevalueCodeableConcept
    Control0..1
    BindingFor example codes, see AdverseEvent Contributing Factor
    (example to http://hl7.org/fhir/uv/ae-research-backport-ig/ValueSet/adverse-event-contributing-factor-vs)

    Codes describing the contributing factors suspected to have increased the probability or severity of the adverse event.

    TypeCodeableConcept
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    16. Extension.extension:item.value[x]:valueCodeableConcept.coding
    SlicingThis element introduces a set of slices on Extension.extension.value[x].coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 18. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed
      Slice Namesnomed
      ShortCode defined by a terminology system (寄与要因を表すコード)
      Control0..1
      BindingThe codes SHALL be taken from AdverseEvent Contributing Factor
      (required to http://hl7.org/fhir/uv/ae-research-backport-ig/ValueSet/adverse-event-contributing-factor-vs)
      20. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.id
      Control0..0
      22. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.extension
      Control0..0
      24. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.system
      ShortIdentity of the terminology system (寄与要因を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://snomed.info/sct
      26. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      28. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.code
      ShortSymbol in syntax defined by the system (寄与要因を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      30. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.display
      ShortRepresentation defined by the system (寄与要因の表示名)
      Control1..?
      Alternate Names表示名, Display
      32. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.userSelected
      Control0..0
      34. Extension.url
      Fixed Valuehttp://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-contributing-factor
      36. Extension.value[x]
      Control0..0

      Guidance on how to interpret the contents of this table can be found here

      0. Extension
      Definition

      The contributing factors suspected to have increased the probability or severity of the adverse event.
      有害事象の発生確率または重症度を高めたと疑われる要因。


      Optional Extension Element - found in all resources.

      ShortContributing Factor (寄与要因)Optional Extensions Element
      Control0..*
      This element is affected by the following invariants: ele-1
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      2. Extension.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control10..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 4. Extension.extension:item
        Slice Nameitem
        Definition

        An Extension

        ShortItem suspected to have increased the probability or severity of the adverse event (寄与要因)Additional content defined by implementations
        Control10..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        6. Extension.extension:item.extension
        Definition

        An Extension


        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.

        ShortExtensionAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..0*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 8. Extension.extension:item.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valueitem
          10. Extension.extension:item.value[x]
          Definition

          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

          ShortValue of extension
          Control0..1
          TypeChoice of: CodeableConcept, Reference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
          • type @ $this
          • 12. Extension.extension:item.value[x]:valueReference
            Slice NamevalueReference
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control0..1
            TypeReference(Fujitsu Condition Profile, Fujitsu AllergyIntolerance Profile, FamilyMemberHistory, Fujitsu Immunization Profile, Fujitsu Procedure Profile, Fujitsu Device Profile, Fujitsu DocumentReference Profile, Fujitsu MedicationAdministration Profile, Fujitsu MedicationStatement Profile, Fujitsu Observation Common Profile, Fujitsu Observation LabResult Profile, Fujitsu Observation Vital Signs Profile, Fujitsu Observation BloodPressure Profile, Fujitsu Observation BMI Profile, Fujitsu Observation BodyHeight Profile, Fujitsu Observation BodyTemperature Profile, Fujitsu Observation BodyWeight Profile, Fujitsu Observation HeadCircum Profile, Fujitsu Observation HeartRate Profile, Fujitsu Observation OxygenSaturation Profile, Fujitsu Observation RespiratoryRate Profile), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            14. Extension.extension:item.value[x]:valueCodeableConcept
            Slice NamevalueCodeableConcept
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control0..1
            BindingFor example codes, see For codes, see AdverseEvent Contributing Factor
            (example to http://hl7.org/fhir/uv/ae-research-backport-ig/ValueSet/adverse-event-contributing-factor-vs)

            Codes describing the contributing factors suspected to have increased the probability or severity of the adverse event.

            TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. Extension.extension:item.value[x]:valueCodeableConcept.coding
            Definition

            A reference to a code defined by a terminology system.

            ShortCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..*
            TypeCoding
            Is Modifierfalse
            Summarytrue
            Requirements

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

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Extension.extension.value[x].coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ system
            • 18. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed
              Slice Namesnomed
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system (寄与要因を表すコード)
              Comments

              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

              Control0..1*
              BindingThe codes SHALL be taken from For codes, see AdverseEvent Contributing Factor
              (required to http://hl7.org/fhir/uv/ae-research-backport-ig/ValueSet/adverse-event-contributing-factor-vs)
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

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

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..01
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              22. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.extension
              Definition

              An Extension


              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.

              ShortExtensionAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..0*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Extension.extension.value[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 24. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system (寄与要因を定義するコード体系)
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Alternate Namesコードシステム, System
                Fixed Valuehttp://snomed.info/sct
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.version
                Definition

                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                ShortVersion of the system - if relevant
                Comments

                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                NoteThis is a business versionId, not a resource version id (see discussion)
                Control0..01
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                28. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system (寄与要因を表すコード値)
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Alternate Namesコード, Code
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                30. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system (寄与要因の表示名)
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Alternate Names表示名, Display
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                32. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.userSelected
                Definition

                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                ShortIf this coding was chosen directly by the user
                Comments

                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                Control0..01
                Typeboolean
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                34. Extension.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valuehttp://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-contributing-factor
                36. Extension.value[x]
                Definition

                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                ShortValue of extension
                Control0..01
                TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                Guidance on how to interpret the contents of this table can be found here

                0. Extension
                Definition

                The contributing factors suspected to have increased the probability or severity of the adverse event.
                有害事象の発生確率または重症度を高めたと疑われる要因。

                ShortContributing Factor (寄与要因)
                Control0..*
                This element is affected by the following invariants: ele-1
                Is Modifierfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                2. Extension.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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

                An Extension

                ShortExtension
                Control1..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 6. Extension.extension:item
                  Slice Nameitem
                  Definition

                  An Extension

                  ShortItem suspected to have increased the probability or severity of the adverse event (寄与要因)
                  Control1..1
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  8. Extension.extension:item.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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

                  An Extension

                  ShortExtension
                  Control0..0
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 12. Extension.extension:item.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valueitem
                    14. Extension.extension:item.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control0..1
                    TypeChoice of: CodeableConcept, Reference
                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                    • type @ $this
                    • 16. Extension.extension:item.value[x]:valueReference
                      Slice NamevalueReference
                      Definition

                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                      ShortValue of extension
                      Control0..1
                      TypeReference(Fujitsu Condition Profile, Fujitsu AllergyIntolerance Profile, FamilyMemberHistory, Fujitsu Immunization Profile, Fujitsu Procedure Profile, Fujitsu Device Profile, Fujitsu DocumentReference Profile, Fujitsu MedicationAdministration Profile, Fujitsu MedicationStatement Profile, Fujitsu Observation Common Profile, Fujitsu Observation LabResult Profile, Fujitsu Observation Vital Signs Profile, Fujitsu Observation BloodPressure Profile, Fujitsu Observation BMI Profile, Fujitsu Observation BodyHeight Profile, Fujitsu Observation BodyTemperature Profile, Fujitsu Observation BodyWeight Profile, Fujitsu Observation HeadCircum Profile, Fujitsu Observation HeartRate Profile, Fujitsu Observation OxygenSaturation Profile, Fujitsu Observation RespiratoryRate Profile)
                      [x] NoteSee Choice of Data Types for further information about how to use [x]
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      18. Extension.extension:item.value[x]:valueCodeableConcept
                      Slice NamevalueCodeableConcept
                      Definition

                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                      ShortValue of extension
                      Control0..1
                      BindingFor example codes, see AdverseEvent Contributing Factor
                      (example to http://hl7.org/fhir/uv/ae-research-backport-ig/ValueSet/adverse-event-contributing-factor-vs)

                      Codes describing the contributing factors suspected to have increased the probability or severity of the adverse event.

                      TypeCodeableConcept
                      [x] NoteSee Choice of Data Types for further information about how to use [x]
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      20. Extension.extension:item.value[x]:valueCodeableConcept.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      22. Extension.extension:item.value[x]:valueCodeableConcept.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Extension.extension.value[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 24. Extension.extension:item.value[x]:valueCodeableConcept.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Control0..*
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

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

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Extension.extension.value[x].coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
                        • value @ system
                        • 26. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed
                          Slice Namesnomed
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system (寄与要因を表すコード)
                          Comments

                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                          Control0..1
                          BindingThe codes SHALL be taken from AdverseEvent Contributing Factor
                          (required to http://hl7.org/fhir/uv/ae-research-backport-ig/ValueSet/adverse-event-contributing-factor-vs)
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

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

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          28. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..0
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          30. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..0
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Extension.extension.value[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 32. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.system
                            Definition

                            The identification of the code system that defines the meaning of the symbol in the code.

                            ShortIdentity of the terminology system (寄与要因を定義するコード体系)
                            Comments

                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                            Control1..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

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

                            Alternate Namesコードシステム, System
                            Fixed Valuehttp://snomed.info/sct
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            34. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.version
                            Definition

                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                            ShortVersion of the system - if relevant
                            Comments

                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                            NoteThis is a business versionId, not a resource version id (see discussion)
                            Control0..0
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            36. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.code
                            Definition

                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                            ShortSymbol in syntax defined by the system (寄与要因を表すコード値)
                            Control1..1
                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Need to refer to a particular code in the system.

                            Alternate Namesコード, Code
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            38. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.display
                            Definition

                            A representation of the meaning of the code in the system, following the rules of the system.

                            ShortRepresentation defined by the system (寄与要因の表示名)
                            Control1..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

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

                            Alternate Names表示名, Display
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            40. Extension.extension:item.value[x]:valueCodeableConcept.coding:snomed.userSelected
                            Definition

                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                            ShortIf this coding was chosen directly by the user
                            Comments

                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                            Control0..0
                            Typeboolean
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            42. Extension.extension:item.value[x]:valueCodeableConcept.text
                            Definition

                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                            ShortPlain text representation of the concept
                            Comments

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

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

                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            44. Extension.url
                            Definition

                            Source of the definition for the extension code - a logical name or a URL.

                            Shortidentifies the meaning of the extension
                            Comments

                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                            Control1..1
                            Typeuri
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            Fixed Valuehttp://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-contributing-factor
                            46. Extension.value[x]
                            Definition

                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                            ShortValue of extension
                            Control0..0
                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))