Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: FujitsuImmunization - Detailed Descriptions

Draft as of 2025-07-09

Definitions for the fujitsu-immunization resource profile.

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

0. Immunization
Alternate Names予防接種, Immunization
2. Immunization.id
ShortLogical id of this artifact (自動採番される論理ID)
Alternate Names論理ID, Logical id, 論理ID, Logical id
4. Immunization.meta
ShortMetadata about the resource (リソースのメタデータ)
Alternate Namesメタデータ, Meta data, メタデータ, Meta data
6. Immunization.implicitRules
Control0..0
8. Immunization.language
Control0..0
10. Immunization.text
ShortText summary of the resource, for human interpretation (リソースの概要)
Alternate Names概要, Summary, 概要, Summary
12. Immunization.contained
ShortContained, inline Resources (リソース内リソース)
Alternate Names内包リソース, CContained, contained resources
14. Immunization.extension
ShortAdditional content defined by implementations (要素の拡張)
Alternate Names拡張, Extension, 拡張, Extension
16. Immunization.extension:dueDateOfNextDose
Slice NamedueDateOfNextDose
Control0..0
18. Immunization.extension:manufacturedDate
Slice NamemanufacturedDate
Control0..0
20. Immunization.extension:certificatedDate
Slice NamecertificatedDate
Control0..0
22. Immunization.modifierExtension
Control0..0
24. Immunization.identifier
ShortBusiness identifier (識別子)
NoteThis is a business identifier, not a resource identifier (see discussion)
Alternate Names識別子, Identifier, 識別子, Identifier
SlicingThis element introduces a set of slices on Immunization.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 26. Immunization.identifier:emr
    Slice Nameemr
    ShortExternal ids for this request (電子カルテの識別子)
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    28. Immunization.identifier:emr.id
    Control0..0
    30. Immunization.identifier:emr.extension
    Control0..0
    32. Immunization.identifier:emr.use
    Control0..0
    34. Immunization.identifier:emr.type
    ShortDescription of identifier (識別子の種類)
    Alternate Names種類, Type
    36. Immunization.identifier:emr.type.id
    Control0..0
    38. Immunization.identifier:emr.type.extension
    Control0..0
    40. Immunization.identifier:emr.type.coding
    ShortCode defined by a terminology system (識別子のコード)
    Alternate Namesコード, Coding
    42. Immunization.identifier:emr.type.text
    ShortPlain text representation of the concept (識別子のテキスト)
    Alternate Namesテキスト, Text
    44. Immunization.identifier:emr.system
    ShortThe namespace for the identifier value (識別子のネームスペース)
    Control1..?
    BindingThe codes SHALL be taken from Fujitsu Internal Identifier URI
    (required to http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri)
    Alternate Namesネームスペース, System
    46. Immunization.identifier:emr.value
    ShortThe value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
    Control1..?
    Alternate Names値, Value
    48. Immunization.identifier:emr.period
    Control0..0
    50. Immunization.identifier:emr.assigner
    Control0..0
    52. Immunization.status
    Shortcompleted | entered-in-error | not-done (予防接種の現在の状態を表すコード)
    Alternate Names状態, Status
    54. Immunization.vaccineCode
    ShortVaccine product administered (接種されたワクチン製剤)
    Alternate Namesワクチンコード, Vaccine Code
    56. Immunization.vaccineCode.id
    Control0..0
    58. Immunization.vaccineCode.extension
    Control0..0
    60. Immunization.vaccineCode.coding
    ShortCode defined by a terminology system (ワクチンのコード)
    Alternate Namesコード, Coding
    SlicingThis element introduces a set of slices on Immunization.vaccineCode.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 62. Immunization.vaccineCode.coding:YJ
      Slice NameYJ
      ShortCode defined by a terminology system (ワクチンを表すコード)
      Control0..*
      BindingThe codes SHALL be taken from JP Core Medication YJ ValueSet
      (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS)
      Alternate NamesYJコード定義, YJ code definition
      64. Immunization.vaccineCode.coding:YJ.id
      Control0..0
      66. Immunization.vaccineCode.coding:YJ.extension
      Control0..0
      68. Immunization.vaccineCode.coding:YJ.system
      ShortIdentity of the terminology system (ワクチンを定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valueurn:oid:1.2.392.100495.20.1.73
      70. Immunization.vaccineCode.coding:YJ.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      72. Immunization.vaccineCode.coding:YJ.code
      ShortSymbol in syntax defined by the system (ワクチンを表すコード値)
      Control1..?
      Alternate Namesコード, Code
      74. Immunization.vaccineCode.coding:YJ.display
      ShortRepresentation defined by the system (ワクチンの表示名)
      Control1..?
      Alternate Names表示名, Display
      76. Immunization.vaccineCode.coding:YJ.userSelected
      Control0..0
      78. Immunization.vaccineCode.coding:HOT9
      Slice NameHOT9
      ShortCode defined by a terminology system (ワクチンを表すコード)
      Control0..*
      BindingThe codes SHALL be taken from JP Core MedicationCode HOT9 ValueSet
      (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)
      Alternate NamesHOT9コード定義, HOT9 code definition
      80. Immunization.vaccineCode.coding:HOT9.id
      Control0..0
      82. Immunization.vaccineCode.coding:HOT9.extension
      Control0..0
      84. Immunization.vaccineCode.coding:HOT9.system
      ShortIdentity of the terminology system (ワクチンを定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valueurn:oid:1.2.392.200119.4.403.1
      86. Immunization.vaccineCode.coding:HOT9.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      88. Immunization.vaccineCode.coding:HOT9.code
      ShortSymbol in syntax defined by the system (ワクチンを表すコード値)
      Control1..?
      Alternate Namesコード, Code
      90. Immunization.vaccineCode.coding:HOT9.display
      ShortRepresentation defined by the system (ワクチンの表示名)
      Control1..?
      Alternate Names表示名, Display
      92. Immunization.vaccineCode.coding:HOT9.userSelected
      Control0..0
      94. Immunization.vaccineCode.coding:vaccineGPSCode
      Slice NamevaccineGPSCode
      ShortCode defined by a terminology system (ワクチンを表すコード)
      Control0..1
      BindingThe codes SHALL be taken from Vaccines - IPS
      (required to http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips)
      Alternate NamesSNOMED International GPSコード定義, SNOMED International GPS code definition
      96. Immunization.vaccineCode.coding:vaccineGPSCode.id
      Control0..0
      98. Immunization.vaccineCode.coding:vaccineGPSCode.extension
      Control0..0
      100. Immunization.vaccineCode.coding:vaccineGPSCode.system
      ShortIdentity of the terminology system (ワクチン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
      102. Immunization.vaccineCode.coding:vaccineGPSCode.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      104. Immunization.vaccineCode.coding:vaccineGPSCode.code
      ShortSymbol in syntax defined by the system (ワクチンを表すコード値)
      Control1..?
      Alternate Namesコード, Code
      106. Immunization.vaccineCode.coding:vaccineGPSCode.display
      ShortRepresentation defined by the system (ワクチンの表示名)
      Control1..?
      Alternate Names表示名, Display
      108. Immunization.vaccineCode.coding:vaccineGPSCode.userSelected
      Control0..0
      110. Immunization.vaccineCode.coding:atcClass
      Slice NameatcClass
      ShortCode defined by a terminology system (ワクチンを表すコード)
      Control0..1
      BindingThe codes SHALL be taken from WHO ATC - IPS
      (required to http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips)
      Alternate NamesWHO ATCコード定義, WHO ATC code definition
      112. Immunization.vaccineCode.coding:atcClass.id
      Control0..0
      114. Immunization.vaccineCode.coding:atcClass.extension
      Control0..0
      116. Immunization.vaccineCode.coding:atcClass.system
      ShortIdentity of the terminology system (ワクチンを定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://www.whocc.no/atc
      118. Immunization.vaccineCode.coding:atcClass.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      120. Immunization.vaccineCode.coding:atcClass.code
      ShortSymbol in syntax defined by the system (ワクチンを表すコード値)
      Control1..?
      Alternate Namesコード, Code
      122. Immunization.vaccineCode.coding:atcClass.display
      ShortRepresentation defined by the system (ワクチンの表示名)
      Control1..?
      Alternate Names表示名, Display
      124. Immunization.vaccineCode.coding:atcClass.userSelected
      Control0..0
      126. Immunization.vaccineCode.coding:absentOrUnknownImmunization
      Slice NameabsentOrUnknownImmunization
      ShortCode defined by a terminology system (コードなしまたは不明を表すコード)
      Control0..1
      BindingThe codes SHALL be taken from WHO ATC - IPS
      (required to http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips)
      128. Immunization.vaccineCode.coding:absentOrUnknownImmunization.id
      Control0..0
      130. Immunization.vaccineCode.coding:absentOrUnknownImmunization.extension
      Control0..0
      132. Immunization.vaccineCode.coding:absentOrUnknownImmunization.system
      ShortIdentity of the terminology system (コードなしまたは不明を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
      134. Immunization.vaccineCode.coding:absentOrUnknownImmunization.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      136. Immunization.vaccineCode.coding:absentOrUnknownImmunization.code
      ShortSymbol in syntax defined by the system (コードなしまたは不明を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      138. Immunization.vaccineCode.coding:absentOrUnknownImmunization.display
      ShortRepresentation defined by the system (コードなしまたは不明の表示名)
      Control1..?
      Alternate Names表示名, Display
      140. Immunization.vaccineCode.coding:absentOrUnknownImmunization.userSelected
      Control0..0
      142. Immunization.vaccineCode.coding:Absent
      Slice NameAbsent
      ShortCode defined by a terminology system (欠損を表すコード)
      Control0..*
      BindingThe codes SHALL be taken from DataAbsentReason
      (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
      144. Immunization.vaccineCode.coding:Absent.id
      Control0..0
      146. Immunization.vaccineCode.coding:Absent.extension
      Control0..0
      148. Immunization.vaccineCode.coding:Absent.system
      ShortIdentity of the terminology system (欠損を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
      150. Immunization.vaccineCode.coding:Absent.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      152. Immunization.vaccineCode.coding:Absent.code
      ShortSymbol in syntax defined by the system (欠損を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      154. Immunization.vaccineCode.coding:Absent.display
      ShortRepresentation defined by the system (欠損の表示名)
      Control1..?
      Alternate Names表示名, Display
      156. Immunization.vaccineCode.coding:Absent.userSelected
      Control0..0
      158. Immunization.vaccineCode.text
      ShortPlain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
      Control1..?
      Alternate Namesテキスト, Text
      160. Immunization.patient
      ShortWho was immunized (予防接種を受けた人)
      TypeReference(Fujitsu Patient Profile)
      Alternate Names患者, Patient
      162. Immunization.patient.id
      Control0..0
      164. Immunization.patient.extension
      Control0..0
      166. Immunization.patient.reference
      ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
      Control1..?
      Alternate Names参照患者, Patient reference
      168. Immunization.patient.type
      Control0..0
      170. Immunization.patient.identifier
      ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Alternate Names患者識別子, Patient identifier
      172. Immunization.patient.display
      Control0..0
      174. Immunization.encounter
      ShortEncounter immunization was part of (予防接種を受けた診察)
      Control1..?
      TypeReference(Fujitsu Encounter Profile)
      Alternate Names入外区分, Encounter
      176. Immunization.encounter.id
      Control0..0
      178. Immunization.encounter.extension
      Control0..0
      180. Immunization.encounter.reference
      ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
      Control1..?
      Alternate Names入外区分の参照, Encounter reference
      182. Immunization.encounter.type
      Control0..0
      184. Immunization.encounter.identifier
      ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Alternate Names入外区分の識別子, Encounter identifier
      186. Immunization.encounter.display
      Control0..0
      188. Immunization.occurrence[x]
      ShortVaccine administration date (ワクチンを接種した日時)
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Alternate Names接種日, Vaccine administration date
      190. Immunization.occurrence[x].id
      Control0..0
      192. Immunization.occurrence[x].extension:data-absent-reason
      Slice Namedata-absent-reason
      Shortunknown | asked | temp | notasked | masked | unsupported | astext | error (データが存在しない理由)
      Control0..1
      TypeExtension(Data Absent Reason) (Extension Type: code)
      194. Immunization.recorded
      ShortWhen the immunization was first captured in the subject's record (予防接種を受けた対象者の記録として最初に記載された日)
      Alternate Names記録日, Recorded date
      196. Immunization.primarySource
      Control0..0
      198. Immunization.reportOrigin
      Control0..0
      200. Immunization.location
      Control0..0
      202. Immunization.manufacturer
      ShortVaccine manufacturer (ワクチンメーカー)
      Alternate Namesワクチンメーカー, Vaccine manufacturer
      204. Immunization.lotNumber
      ShortVaccine lot number (ワクチンのロット番号)
      Alternate Namesロット番号, Vaccine lot number
      206. Immunization.expirationDate
      Control0..0
      208. Immunization.site
      Control0..0
      210. Immunization.route
      Control0..0
      212. Immunization.doseQuantity
      Control0..0
      214. Immunization.performer
      ShortWho performed event (ワクチン接種を実施した人)
      Alternate Names実施者, Performer
      216. Immunization.performer.id
      Control0..0
      218. Immunization.performer.extension
      Control0..0
      220. Immunization.performer.modifierExtension
      Control0..0
      222. Immunization.performer.function
      ShortWhat type of performance was done (実施した人の役割)
      Alternate Names実施者の役割, Performer type
      224. Immunization.performer.actor
      ShortIndividual or organization who was performing (ワクチン接種を実施した人)
      TypeReference(Fujitsu Practitioner Profile, Fujitsu PractitionerRole Profile, Fujitsu Organization Profile)
      Alternate Names実施者, Performer
      226. Immunization.note
      ShortAdditional immunization notes (予防接種についての補足的記録)
      Alternate Names補足, Note
      228. Immunization.reasonCode
      Control0..0
      230. Immunization.reasonReference
      Control0..0
      232. Immunization.isSubpotent
      Control0..0
      234. Immunization.subpotentReason
      Control0..0
      236. Immunization.education
      Control0..0
      238. Immunization.programEligibility
      Control0..0
      240. Immunization.fundingSource
      Control0..0
      242. Immunization.reaction
      Control0..0
      244. Immunization.protocolApplied
      Control0..0

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

      0. Immunization
      Definition

      ワクチンを接種したときの記録,あるいは予防接種について患者や医療従事者などが報告した記録。


      Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.

      Short予防接種Immunization event information
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate Names予防接種, Immunization
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Immunization.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact (自動採番される論理ID)
      Comments

      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Control0..1
      Typeidstring
      Is Modifierfalse
      Summarytrue
      Alternate Names論理ID, Logical id
      4. Immunization.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      ShortMetadata about the resource (リソースのメタデータ)
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Alternate Namesメタデータ, Meta data
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Immunization.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..01
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      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()))
      8. Immunization.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Control0..01
      BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      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()))
      10. Immunization.text
      Definition

      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortText summary of the resource, for human interpretation (リソースの概要)
      Comments

      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display, 概要, Summary
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Immunization.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      ShortContained, inline Resources (リソース内リソース)
      Comments

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources, 内包リソース, CContained
      14. Immunization.extension
      Definition

      An Extension


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

      ShortAdditional content defined by implementations (要素の拡張)
      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 Names拡張, Extension, extensions, 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 Immunization.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. Immunization.extension:dueDateOfNextDose
        Slice NamedueDateOfNextDose
        Definition

        次回接種を予定している日、期限

        Short次回接種予定日
        Control0..0
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date)
        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())
        18. Immunization.extension:manufacturedDate
        Slice NamemanufacturedDate
        Definition

        ワクチンが製造された年月日

        Short製造年月日
        Control0..0
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date)
        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())
        20. Immunization.extension:certificatedDate
        Slice NamecertificatedDate
        Definition

        ワクチンが検定された年月日

        Short検定年月日
        Control0..0
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Immunization CertificatedDate Extension) (Extension Type: date)
        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())
        22. Immunization.modifierExtension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensionExtensions that cannot be ignored
        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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        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())
        24. Immunization.identifier
        Definition

        A unique identifier assigned to this immunization record.

        ShortBusiness identifier (識別子)
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        Is Modifierfalse
        Summaryfalse
        Alternate Names識別子, Identifier
        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 Immunization.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 26. Immunization.identifier:emr
          Slice Nameemr
          Definition

          A unique identifier assigned to this immunization record.

          ShortExternal ids for this request (電子カルテの識別子)Business identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Immunization.identifier:emr.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
          30. Immunization.identifier:emr.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 Immunization.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 32. Immunization.identifier:emr.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..01
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. Immunization.identifier:emr.type
            Definition

            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

            ShortDescription of identifier (識別子の種類)
            Comments

            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

            Control0..1
            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows users to make use of identifiers when the identifier system is not known.

            Alternate Names種類, Type
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. Immunization.identifier:emr.type.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
            38. Immunization.identifier:emr.type.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 Immunization.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 40. Immunization.identifier:emr.type.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system (識別子のコード)
              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..*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

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

              Alternate Namesコード, Coding
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Immunization.identifier:emr.type.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 (識別子のテキスト)
              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.

              Alternate Namesテキスト, Text
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Immunization.identifier:emr.system
              Definition

              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

              ShortThe namespace for the identifier value (識別子のネームスペース)
              Comments

              Identifier.system is always case sensitive.

              Control10..1
              BindingThe codes SHALL be taken from For codes, see Fujitsu Internal Identifier URI
              (required to http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri)
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Alternate Namesネームスペース, System
              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. Immunization.identifier:emr.value
              Definition

              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

              ShortThe value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
              Comments

              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate Names値, Value
              Example<br/><b>General</b>:123456
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. Immunization.identifier:emr.period
              Definition

              Time period during which identifier is/was valid for use.

              ShortTime period when id is/was valid for use
              Control0..01
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              50. Immunization.identifier:emr.assigner
              Definition

              Organization that issued/manages the identifier.

              ShortOrganization that issued id (may be just text)
              Comments

              The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

              Control0..01
              TypeReference(Organization)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              52. Immunization.status
              Definition

              予防接種記録の現在の状態を示すコード


              Indicates the current status of the immunization event.

              Shortcompleted | entered-in-error | not-done (予防接種の現在の状態を表すコード)
              Comments

              Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

              Control1..1
              BindingThe codes SHALL be taken from ImmunizationStatusCodeshttp://hl7.org/fhir/ValueSet/immunization-status|4.0.1
              (required to http://hl7.org/fhir/ValueSet/immunization-status|4.0.1)

              予防接種の現在の状態を表すコード


              A set of codes indicating the current status of an Immunization.

              Typecode
              Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate Names状態, Status
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. Immunization.vaccineCode
              Definition

              接種されたあるいは接種予定のワクチン。


              Vaccine that was administered or was to be administered.

              ShortVaccine product administered (接種されたワクチン製剤)
              Comments

              全てのターミノロジがこのパターンに当てはまるわけではない。モデルによってはCodeableConceptではなく,独自構造でCodingを直接指定して文書やコーディング,その解釈や事前条件や事後条件との関連について示される。

              Control1..1
              BindingThe codes SHOULD be taken from For example codes, see JP Core MedicationCode Immunization ValueSethttp://hl7.org/fhir/ValueSet/vaccine-code
              (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Alternate Namesワクチンコード, Vaccine Code
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. Immunization.vaccineCode.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
              58. Immunization.vaccineCode.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 Immunization.vaccineCode.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 60. Immunization.vaccineCode.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system (ワクチンのコード)
                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..*
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

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

                Alternate Namesコード, Coding
                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 Immunization.vaccineCode.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 62. Immunization.vaccineCode.coding:YJ
                  Slice NameYJ
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system (ワクチンを表すコード)
                  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..*
                  BindingThe codes SHALL be taken from For codes, see JP Core Medication YJ ValueSet
                  (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS)
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

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

                  Alternate NamesYJコード定義, YJ code definition
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  64. Immunization.vaccineCode.coding:YJ.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
                  66. Immunization.vaccineCode.coding:YJ.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 68. Immunization.vaccineCode.coding:YJ.system
                    Definition

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

                    ShortIdentity of the terminology system (ワクチン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 Valueurn:oid:1.2.392.100495.20.1.73
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. Immunization.vaccineCode.coding:YJ.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()))
                    72. Immunization.vaccineCode.coding:YJ.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 (ワクチンを表すコード値)
                    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()))
                    74. Immunization.vaccineCode.coding:YJ.display
                    Definition

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

                    ShortRepresentation defined by the system (ワクチンの表示名)
                    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()))
                    76. Immunization.vaccineCode.coding:YJ.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()))
                    78. Immunization.vaccineCode.coding:HOT9
                    Slice NameHOT9
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode defined by a terminology system (ワクチンを表すコード)
                    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..*
                    BindingThe codes SHALL be taken from For codes, see JP Core MedicationCode HOT9 ValueSet
                    (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

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

                    Alternate NamesHOT9コード定義, HOT9 code definition
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    80. Immunization.vaccineCode.coding:HOT9.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
                    82. Immunization.vaccineCode.coding:HOT9.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 84. Immunization.vaccineCode.coding:HOT9.system
                      Definition

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

                      ShortIdentity of the terminology system (ワクチン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 Valueurn:oid:1.2.392.200119.4.403.1
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. Immunization.vaccineCode.coding:HOT9.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()))
                      88. Immunization.vaccineCode.coding:HOT9.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 (ワクチンを表すコード値)
                      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()))
                      90. Immunization.vaccineCode.coding:HOT9.display
                      Definition

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

                      ShortRepresentation defined by the system (ワクチンの表示名)
                      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()))
                      92. Immunization.vaccineCode.coding:HOT9.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()))
                      94. Immunization.vaccineCode.coding:vaccineGPSCode
                      Slice NamevaccineGPSCode
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system (ワクチンを表すコード)
                      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 Vaccines - IPS
                      (required to http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips)
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

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

                      Alternate NamesSNOMED International GPSコード定義, SNOMED International GPS code definition
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      96. Immunization.vaccineCode.coding:vaccineGPSCode.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
                      98. Immunization.vaccineCode.coding:vaccineGPSCode.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 100. Immunization.vaccineCode.coding:vaccineGPSCode.system
                        Definition

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

                        ShortIdentity of the terminology system (ワクチン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()))
                        102. Immunization.vaccineCode.coding:vaccineGPSCode.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()))
                        104. Immunization.vaccineCode.coding:vaccineGPSCode.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 (ワクチンを表すコード値)
                        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()))
                        106. Immunization.vaccineCode.coding:vaccineGPSCode.display
                        Definition

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

                        ShortRepresentation defined by the system (ワクチンの表示名)
                        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()))
                        108. Immunization.vaccineCode.coding:vaccineGPSCode.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()))
                        110. Immunization.vaccineCode.coding:atcClass
                        Slice NameatcClass
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system (ワクチンを表すコード)
                        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 WHO ATC - IPS
                        (required to http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips)
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

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

                        Alternate NamesWHO ATCコード定義, WHO ATC code definition
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        112. Immunization.vaccineCode.coding:atcClass.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
                        114. Immunization.vaccineCode.coding:atcClass.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 116. Immunization.vaccineCode.coding:atcClass.system
                          Definition

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

                          ShortIdentity of the terminology system (ワクチン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://www.whocc.no/atc
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          118. Immunization.vaccineCode.coding:atcClass.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()))
                          120. Immunization.vaccineCode.coding:atcClass.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 (ワクチンを表すコード値)
                          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()))
                          122. Immunization.vaccineCode.coding:atcClass.display
                          Definition

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

                          ShortRepresentation defined by the system (ワクチンの表示名)
                          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()))
                          124. Immunization.vaccineCode.coding:atcClass.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()))
                          126. Immunization.vaccineCode.coding:absentOrUnknownImmunization
                          Slice NameabsentOrUnknownImmunization
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system (コードなしまたは不明を表すコード)
                          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 WHO ATC - IPS
                          (required to http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips)
                          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()))
                          128. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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
                          130. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 132. Immunization.vaccineCode.coding:absentOrUnknownImmunization.system
                            Definition

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

                            ShortIdentity of the terminology system (コードなしまたは不明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://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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()))
                            136. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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 (コードなしまたは不明を表すコード値)
                            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()))
                            138. Immunization.vaccineCode.coding:absentOrUnknownImmunization.display
                            Definition

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

                            ShortRepresentation defined by the system (コードなしまたは不明の表示名)
                            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()))
                            140. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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()))
                            142. Immunization.vaccineCode.coding:Absent
                            Slice NameAbsent
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortCode defined by a terminology system (欠損を表すコード)
                            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..*
                            BindingThe codes SHALL be taken from For codes, see DataAbsentReason
                            (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                            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()))
                            144. Immunization.vaccineCode.coding:Absent.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
                            146. Immunization.vaccineCode.coding:Absent.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 148. Immunization.vaccineCode.coding:Absent.system
                              Definition

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

                              ShortIdentity of the terminology system (欠損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://terminology.hl7.org/CodeSystem/data-absent-reason
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              150. Immunization.vaccineCode.coding:Absent.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()))
                              152. Immunization.vaccineCode.coding:Absent.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 (欠損を表すコード値)
                              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()))
                              154. Immunization.vaccineCode.coding:Absent.display
                              Definition

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

                              ShortRepresentation defined by the system (欠損の表示名)
                              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()))
                              156. Immunization.vaccineCode.coding:Absent.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()))
                              158. Immunization.vaccineCode.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 (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
                              Comments

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

                              Control10..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.

                              Alternate Namesテキスト, Text
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              160. Immunization.patient
                              Definition

                              予防接種を受けた,あるいは受けなかった患者。


                              The patient who either received or did not receive the immunization.

                              ShortWho was immunized (予防接種を受けた人)
                              Control1..1
                              TypeReference(Fujitsu Patient Profile, Patient)
                              Is Modifierfalse
                              Summarytrue
                              Alternate Names患者, Patient
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              162. Immunization.patient.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
                              164. Immunization.patient.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 Immunization.patient.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 166. Immunization.patient.reference
                                Definition

                                A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
                                Comments

                                Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                Control10..1
                                This element is affected by the following invariants: ref-1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Alternate Names参照患者, Patient reference
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                168. Immunization.patient.type
                                Definition

                                The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                ShortType the reference refers to (e.g. "Patient")
                                Comments

                                This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                Control0..01
                                BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
                                (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                Aa resource (or, for logical models, the URI of the logical model).

                                Typeuri
                                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()))
                                170. Immunization.patient.identifier
                                Definition

                                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
                                Comments

                                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier
                                Is Modifierfalse
                                Summarytrue
                                Alternate Names患者識別子, Patient identifier
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                172. Immunization.patient.display
                                Definition

                                Plain text narrative that identifies the resource in addition to the resource reference.

                                ShortText alternative for the resource
                                Comments

                                This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                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()))
                                174. Immunization.encounter
                                Definition

                                患者が医療従事者から予防接種を受けた外来,入院あるいは他の対面の状態を表す。


                                The visit or admission or other contact between patient and health care provider the immunization was performed as part of.

                                ShortEncounter immunization was part of (予防接種を受けた診察)
                                Control10..1
                                TypeReference(Fujitsu Encounter Profile, Encounter)
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Names入外区分, Encounter
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                176. Immunization.encounter.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
                                178. Immunization.encounter.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 Immunization.encounter.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 180. Immunization.encounter.reference
                                  Definition

                                  A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                  ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
                                  Comments

                                  Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                  Control10..1
                                  This element is affected by the following invariants: ref-1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Alternate Names入外区分の参照, Encounter reference
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  182. Immunization.encounter.type
                                  Definition

                                  The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                  The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                  ShortType the reference refers to (e.g. "Patient")
                                  Comments

                                  This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                  Control0..01
                                  BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
                                  (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                  Aa resource (or, for logical models, the URI of the logical model).

                                  Typeuri
                                  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()))
                                  184. Immunization.encounter.identifier
                                  Definition

                                  An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                  ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
                                  Comments

                                  When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                  When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                  Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control0..1
                                  TypeIdentifier
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Names入外区分の識別子, Encounter identifier
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  186. Immunization.encounter.display
                                  Definition

                                  Plain text narrative that identifies the resource in addition to the resource reference.

                                  ShortText alternative for the resource
                                  Comments

                                  This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                  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()))
                                  188. Immunization.occurrence[x]
                                  Definition

                                  ワクチンを接種した日あるいは接種予定だった日。


                                  Date vaccine administered or was to be administered.

                                  ShortVaccine administration date (ワクチンを接種した日時)
                                  Comments

                                  When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.

                                  Control1..1
                                  TypeChoice of: dateTime, string
                                  [x] NoteSee Choice of Data Types for further information about how to use [x]
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Alternate Names接種日, Vaccine administration date
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  190. Immunization.occurrence[x].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
                                  192. Immunization.occurrence[x].extension:data-absent-reason
                                  Slice Namedata-absent-reason
                                  Definition

                                  Provides a reason why the expected value or elements in the element that is extended are missing.

                                  Shortunknown | asked | temp | notasked | masked | unsupported | astext | error (データが存在しない理由)
                                  Control0..1
                                  TypeExtension(Data Absent Reason) (Extension Type: code)
                                  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())
                                  194. Immunization.recorded
                                  Definition

                                  The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.

                                  ShortWhen the immunization was first captured in the subject's record (予防接種を受けた対象者の記録として最初に記載された日)
                                  Control0..1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Alternate Names記録日, Recorded date
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  196. Immunization.primarySource
                                  Definition

                                  An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.

                                  ShortIndicates context the data was recorded in
                                  Comments

                                  Reflects the “reliability” of the content.

                                  Control0..01
                                  Typeboolean
                                  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()))
                                  198. Immunization.reportOrigin
                                  Definition

                                  予防接種を実施した時に,ワクチンを接種した人以外からの報告からの情報である場合のデータの発生源。


                                  The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.

                                  Short二次的に報告された記録の発生源を示すIndicates the source of a secondarily reported record
                                  Comments

                                  Should not be populated if primarySource = True, not required even if primarySource = False.

                                  Control0..01
                                  BindingFor example codes, see ImmunizationOriginCodeshttp://hl7.org/fhir/ValueSet/immunization-origin
                                  (example to http://hl7.org/fhir/ValueSet/immunization-origin)

                                  The source of the data for a record which is not from a primary source.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  200. Immunization.location
                                  Definition

                                  接種医療機関。ワクチン接種がどこで実施されたかを表す。サービスが提供された場所。摂取された身体部位ではない。


                                  The service delivery location where the vaccine administration occurred.

                                  Shortワクチンを接種した場所Where immunization occurred
                                  Control0..01
                                  TypeReference(JP Core Location Profile, Location)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  202. Immunization.manufacturer
                                  Definition

                                  ワクチメーカーの名前。


                                  Name of vaccine manufacturer.

                                  ShortVaccine manufacturer (ワクチンメーカー)
                                  Control0..1
                                  TypeReference(JP Core Organization Profile, Organization)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesワクチンメーカー, Vaccine manufacturer
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  204. Immunization.lotNumber
                                  Definition

                                  ワクチン製剤のロット番号。


                                  Lot number of the vaccine product.

                                  ShortVaccine lot number (ワクチンのロット番号)
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Alternate Namesロット番号, Vaccine lot number
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  206. Immunization.expirationDate
                                  Definition

                                  ワクチンの消費期限を表す日。


                                  Date vaccine batch expires.

                                  Shortワクチンの使用期限Vaccine expiration date
                                  Control0..01
                                  Typedate
                                  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()))
                                  208. Immunization.site
                                  Definition

                                  ワクチンが接種された身体部位


                                  Body site where vaccine was administered.

                                  Shortワクチンが接種された身体部位Body site vaccine was administered
                                  Control0..01
                                  BindingFor example codes, see CodesForImmunizationSiteOfAdministrationhttp://hl7.org/fhir/ValueSet/immunization-site
                                  (example to http://hl7.org/fhir/ValueSet/immunization-site)

                                  The site at which the vaccine was administered.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  210. Immunization.route
                                  Definition

                                  ワクチンが体内へと接種された経路。


                                  The path by which the vaccine product is taken into the body.

                                  Shortワクチンを接種した経路How vaccine entered body
                                  Control0..01
                                  BindingFor example codes, see ImmunizationRouteCodeshttp://hl7.org/fhir/ValueSet/immunization-route
                                  (example to http://hl7.org/fhir/ValueSet/immunization-route)

                                  The route by which the vaccine was administered.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  212. Immunization.doseQuantity
                                  Definition

                                  ワクチン製剤が接種された量


                                  The quantity of vaccine product that was administered.

                                  Shortワクチンの投与量Amount of vaccine administered
                                  Comments

                                  薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD)

                                  Control0..01
                                  This element is affected by the following invariants: ele-1
                                  TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity)
                                  Is Modifierfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists())
                                  sqty-1: The comparator is not used on a SimpleQuantity (comparator.empty())
                                  214. Immunization.performer
                                  Definition

                                  誰が予防接種を実施したかを表す。


                                  Indicates who performed the immunization event.

                                  ShortWho performed event (ワクチン接種を実施した人)
                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Names実施者, Performer
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  216. Immunization.performer.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
                                  218. Immunization.performer.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())
                                  220. Immunization.performer.modifierExtension
                                  Definition

                                  An Extension


                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensionExtensions that cannot be ignored even if unrecognized
                                  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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  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())
                                  222. Immunization.performer.function
                                  Definition

                                  Describes the type of performance (e.g. ordering provider, administering provider, etc.).

                                  ShortWhat type of performance was done (実施した人の役割)
                                  Control0..1
                                  BindingUnless not suitable, these codes SHALL be taken from ImmunizationFunctionCodeshttp://hl7.org/fhir/ValueSet/immunization-function
                                  (extensible to http://hl7.org/fhir/ValueSet/immunization-function)

                                  The role a practitioner or organization plays in the immunization event.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Names実施者の役割, Performer type
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  224. Immunization.performer.actor
                                  Definition

                                  The practitioner or organization who performed the action.

                                  ShortIndividual or organization who was performing (ワクチン接種を実施した人)
                                  Comments

                                  When the individual practitioner who performed the action is known, it is best to send.

                                  Control1..1
                                  TypeReference(Fujitsu Practitioner Profile, Fujitsu PractitionerRole Profile, Fujitsu Organization Profile, Practitioner, PractitionerRole, Organization)
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Names実施者, Performer
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  226. Immunization.note
                                  Definition

                                  他の属性で伝達することができない予防接種に関する他の記録。


                                  Extra information about the immunization that is not conveyed by the other attributes.

                                  ShortAdditional immunization notes (予防接種についての補足的記録)
                                  Control0..*
                                  TypeAnnotation
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Names補足, Note
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  228. Immunization.reasonCode
                                  Definition

                                  予防接種が行われた理由


                                  Reasons why the vaccine was administered.

                                  Short予防接種を接種した理由Why immunization occurred
                                  Control0..0*
                                  BindingFor example codes, see ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reason
                                  (example to http://hl7.org/fhir/ValueSet/immunization-reason)

                                  The reason why a vaccine was administered.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  230. Immunization.reasonReference
                                  Definition

                                  予防接種が実施された理由を表すCondition,ObservationあるいはDiagnosticReportリソースを参照する。


                                  Condition, Observation or DiagnosticReport that supports why the immunization was administered.

                                  Short予防接種を実施した理由Why immunization occurred
                                  Control0..0*
                                  TypeReference(Condition, Observation, DiagnosticReport)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  232. Immunization.isSubpotent
                                  Definition

                                  量が通常の効力より弱いと考えられているかどうかを示す。デフォルトでは示されている量と同等の効力をもつと考えられている。


                                  Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.

                                  Short効力量Dose potency
                                  Comments

                                  Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.

                                  Control0..01
                                  Typeboolean
                                  Is Modifiertrue because This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Meaning if MissingBy default, a dose should be considered to be potent.
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  234. Immunization.subpotentReason
                                  Definition

                                  効力が減弱すると考えられている理由。


                                  Reason why a dose is considered to be subpotent.

                                  Short効力が減弱する理由Reason for being subpotent
                                  Control0..0*
                                  BindingFor example codes, see ImmunizationSubpotentReasonhttp://hl7.org/fhir/ValueSet/immunization-subpotent-reason
                                  (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason)

                                  The reason why a dose is considered to be subpotent.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  236. Immunization.education
                                  Definition

                                  ワクチンを接種するときに患者(あるいは保護者)に提示された教材。


                                  Educational material presented to the patient (or guardian) at the time of vaccine administration.

                                  Short患者に提示された教材Educational material presented to patient
                                  Control0..0*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists())
                                  imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists())
                                  239. Immunization.programEligibility
                                  Definition

                                  ワクチン接種計画での患者適格性を示す


                                  Indicates a patient's eligibility for a funding program.

                                  Shortワクチン接種計画での患者適格性Patient eligibility for a vaccination program
                                  Control0..0*
                                  BindingFor example codes, see ImmunizationProgramEligibilityhttp://hl7.org/fhir/ValueSet/immunization-program-eligibility
                                  (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility)

                                  The patient's eligibility for a vaccation program.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  241. Immunization.fundingSource
                                  Definition

                                  ワクチンが実際に接種されるときの資金源を示す。これは患者適格性(たとえば,公的に購入されたワクチンには適格性があるが,在庫の問題で私的資金で購入されたワクチンを投与するような場合)とは異なることがある。


                                  Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).

                                  Shortワクチン接種計画のの資金源Funding source for the vaccine
                                  Control0..01
                                  BindingFor example codes, see ImmunizationFundingSourcehttp://hl7.org/fhir/ValueSet/immunization-funding-source
                                  (example to http://hl7.org/fhir/ValueSet/immunization-funding-source)

                                  The source of funding used to purchase the vaccine administered.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  243. Immunization.reaction
                                  Definition

                                  予防接種に関連する時期に発生した副反応を示す分類されたデータ。


                                  Categorical data indicating that an adverse event is associated in time to an immunization.

                                  Short予防接種後に起こった反応についての詳細な記録Details of a reaction that follows immunization
                                  Comments

                                  A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.

                                  Control0..0*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  246. Immunization.protocolApplied
                                  Definition

                                  ワクチンを接種した提供者が実施したプロトコール(推奨される手順の集合)。


                                  The protocol (set of recommendations) being followed by the provider who administered the dose.

                                  Short提供者が実施したプロトコールProtocol followed by the provider
                                  Control0..0*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  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. Immunization
                                  Definition

                                  ワクチンを接種したときの記録,あるいは予防接種について患者や医療従事者などが報告した記録。

                                  Short予防接種
                                  Control0..*
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Names予防接種, Immunization
                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                  dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                  dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                  2. Immunization.id
                                  Definition

                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                  ShortLogical id of this artifact (自動採番される論理ID)
                                  Comments

                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                  Control0..1
                                  Typeid
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Names論理ID, Logical id
                                  4. Immunization.meta
                                  Definition

                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                  ShortMetadata about the resource (リソースのメタデータ)
                                  Control0..1
                                  TypeMeta
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Namesメタデータ, Meta data
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  6. Immunization.implicitRules
                                  Definition

                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                  ShortA set of rules under which this content was created
                                  Comments

                                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                  Control0..0
                                  Typeuri
                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                  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()))
                                  8. Immunization.language
                                  Definition

                                  The base language in which the resource is written.

                                  ShortLanguage of the resource content
                                  Comments

                                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                  Control0..0
                                  BindingThe codes SHOULD be taken from CommonLanguages
                                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                                  A human language.

                                  Additional BindingsPurpose
                                  AllLanguagesMax Binding
                                  Typecode
                                  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()))
                                  10. Immunization.text
                                  Definition

                                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                  ShortText summary of the resource, for human interpretation (リソースの概要)
                                  Comments

                                  Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                  Control0..1
                                  TypeNarrative
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesnarrative, html, xhtml, display, 概要, Summary
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  12. Immunization.contained
                                  Definition

                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                  ShortContained, inline Resources (リソース内リソース)
                                  Comments

                                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                  Control0..*
                                  TypeResource
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesinline resources, anonymous resources, contained resources, 内包リソース, CContained
                                  14. Immunization.extension
                                  Definition

                                  An Extension

                                  ShortAdditional content defined by implementations (要素の拡張)
                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Names拡張, Extension
                                  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 Immunization.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 16. Immunization.extension:dueDateOfNextDose
                                    Slice NamedueDateOfNextDose
                                    Definition

                                    次回接種を予定している日、期限

                                    Short次回接種予定日
                                    Control0..0
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(JP Core Immunization DueDateOfNextDose Extension) (Extension Type: date)
                                    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())
                                    18. Immunization.extension:manufacturedDate
                                    Slice NamemanufacturedDate
                                    Definition

                                    ワクチンが製造された年月日

                                    Short製造年月日
                                    Control0..0
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(JP Core Immunization ManufacturedDate Extension) (Extension Type: date)
                                    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())
                                    20. Immunization.extension:certificatedDate
                                    Slice NamecertificatedDate
                                    Definition

                                    ワクチンが検定された年月日

                                    Short検定年月日
                                    Control0..0
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(JP Core Immunization CertificatedDate Extension) (Extension Type: date)
                                    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())
                                    22. Immunization.modifierExtension
                                    Definition

                                    An Extension

                                    ShortExtension
                                    Control0..0
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                    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())
                                    24. Immunization.identifier
                                    Definition

                                    A unique identifier assigned to this immunization record.

                                    ShortBusiness identifier (識別子)
                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control0..*
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Names識別子, Identifier
                                    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 Immunization.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                    • value @ system
                                    • 26. Immunization.identifier:emr
                                      Slice Nameemr
                                      Definition

                                      A unique identifier assigned to this immunization record.

                                      ShortExternal ids for this request (電子カルテの識別子)
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..*
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      28. Immunization.identifier:emr.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. Immunization.identifier:emr.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 Immunization.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 32. Immunization.identifier:emr.use
                                        Definition

                                        The purpose of this identifier.

                                        Shortusual | official | temp | secondary | old (If known)
                                        Comments

                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                        Control0..0
                                        BindingThe codes SHALL be taken from IdentifierUse
                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                        Identifies the purpose for this identifier, if known .

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        34. Immunization.identifier:emr.type
                                        Definition

                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                        ShortDescription of identifier (識別子の種類)
                                        Comments

                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                        Control0..1
                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows users to make use of identifiers when the identifier system is not known.

                                        Alternate Names種類, Type
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        36. Immunization.identifier:emr.type.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
                                        38. Immunization.identifier:emr.type.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 Immunization.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 40. Immunization.identifier:emr.type.coding
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode defined by a terminology system (識別子のコード)
                                          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..*
                                          TypeCoding
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

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

                                          Alternate Namesコード, Coding
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          42. Immunization.identifier:emr.type.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 (識別子のテキスト)
                                          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.

                                          Alternate Namesテキスト, Text
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          44. Immunization.identifier:emr.system
                                          Definition

                                          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                          ShortThe namespace for the identifier value (識別子のネームスペース)
                                          Comments

                                          Identifier.system is always case sensitive.

                                          Control1..1
                                          BindingThe codes SHALL be taken from Fujitsu Internal Identifier URI
                                          (required to http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri)
                                          Typeuri
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                          Alternate Namesネームスペース, System
                                          Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          46. Immunization.identifier:emr.value
                                          Definition

                                          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                          ShortThe value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - -
                                          Comments

                                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                          Control1..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Alternate Names値, Value
                                          Example<br/><b>General</b>:123456
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          48. Immunization.identifier:emr.period
                                          Definition

                                          Time period during which identifier is/was valid for use.

                                          ShortTime period when id is/was valid for use
                                          Control0..0
                                          TypePeriod
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          50. Immunization.identifier:emr.assigner
                                          Definition

                                          Organization that issued/manages the identifier.

                                          ShortOrganization that issued id (may be just text)
                                          Comments

                                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                          Control0..0
                                          TypeReference(Organization)
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          52. Immunization.status
                                          Definition

                                          予防接種記録の現在の状態を示すコード

                                          Shortcompleted | entered-in-error | not-done (予防接種の現在の状態を表すコード)
                                          Comments

                                          Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                                          Control1..1
                                          BindingThe codes SHALL be taken from ImmunizationStatusCodes
                                          (required to http://hl7.org/fhir/ValueSet/immunization-status|4.0.1)

                                          予防接種の現在の状態を表すコード

                                          Typecode
                                          Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Alternate Names状態, Status
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          54. Immunization.statusReason
                                          Definition

                                          Indicates the reason the immunization event was not performed.

                                          Short実施しなかった理由
                                          Comments

                                          This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here.

                                          Control0..1
                                          BindingFor example codes, see ImmunizationStatusReasonCodes
                                          (example to http://hl7.org/fhir/ValueSet/immunization-status-reason)

                                          The reason why a vaccine was not administered.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          56. Immunization.vaccineCode
                                          Definition

                                          接種されたあるいは接種予定のワクチン。

                                          ShortVaccine product administered (接種されたワクチン製剤)
                                          Comments

                                          全てのターミノロジがこのパターンに当てはまるわけではない。モデルによってはCodeableConceptではなく,独自構造でCodingを直接指定して文書やコーディング,その解釈や事前条件や事後条件との関連について示される。

                                          Control1..1
                                          BindingThe codes SHOULD be taken from JP Core MedicationCode Immunization ValueSet
                                          (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_Immunization_VS)
                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summarytrue
                                          Alternate Namesワクチンコード, Vaccine Code
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          58. Immunization.vaccineCode.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
                                          60. Immunization.vaccineCode.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 Immunization.vaccineCode.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 62. Immunization.vaccineCode.coding
                                            Definition

                                            A reference to a code defined by a terminology system.

                                            ShortCode defined by a terminology system (ワクチンのコード)
                                            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..*
                                            TypeCoding
                                            Is Modifierfalse
                                            Summarytrue
                                            Requirements

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

                                            Alternate Namesコード, Coding
                                            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 Immunization.vaccineCode.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                            • value @ system
                                            • 64. Immunization.vaccineCode.coding:YJ
                                              Slice NameYJ
                                              Definition

                                              A reference to a code defined by a terminology system.

                                              ShortCode defined by a terminology system (ワクチンを表すコード)
                                              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..*
                                              BindingThe codes SHALL be taken from JP Core Medication YJ ValueSet
                                              (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS)
                                              TypeCoding
                                              Is Modifierfalse
                                              Summarytrue
                                              Requirements

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

                                              Alternate NamesYJコード定義, YJ code definition
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              66. Immunization.vaccineCode.coding:YJ.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
                                              68. Immunization.vaccineCode.coding:YJ.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 70. Immunization.vaccineCode.coding:YJ.system
                                                Definition

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

                                                ShortIdentity of the terminology system (ワクチン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 Valueurn:oid:1.2.392.100495.20.1.73
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                72. Immunization.vaccineCode.coding:YJ.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()))
                                                74. Immunization.vaccineCode.coding:YJ.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 (ワクチンを表すコード値)
                                                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()))
                                                76. Immunization.vaccineCode.coding:YJ.display
                                                Definition

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

                                                ShortRepresentation defined by the system (ワクチンの表示名)
                                                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()))
                                                78. Immunization.vaccineCode.coding:YJ.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()))
                                                80. Immunization.vaccineCode.coding:HOT9
                                                Slice NameHOT9
                                                Definition

                                                A reference to a code defined by a terminology system.

                                                ShortCode defined by a terminology system (ワクチンを表すコード)
                                                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..*
                                                BindingThe codes SHALL be taken from JP Core MedicationCode HOT9 ValueSet
                                                (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)
                                                TypeCoding
                                                Is Modifierfalse
                                                Summarytrue
                                                Requirements

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

                                                Alternate NamesHOT9コード定義, HOT9 code definition
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                82. Immunization.vaccineCode.coding:HOT9.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
                                                84. Immunization.vaccineCode.coding:HOT9.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 86. Immunization.vaccineCode.coding:HOT9.system
                                                  Definition

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

                                                  ShortIdentity of the terminology system (ワクチン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 Valueurn:oid:1.2.392.200119.4.403.1
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  88. Immunization.vaccineCode.coding:HOT9.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()))
                                                  90. Immunization.vaccineCode.coding:HOT9.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 (ワクチンを表すコード値)
                                                  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()))
                                                  92. Immunization.vaccineCode.coding:HOT9.display
                                                  Definition

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

                                                  ShortRepresentation defined by the system (ワクチンの表示名)
                                                  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()))
                                                  94. Immunization.vaccineCode.coding:HOT9.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()))
                                                  96. Immunization.vaccineCode.coding:vaccineGPSCode
                                                  Slice NamevaccineGPSCode
                                                  Definition

                                                  A reference to a code defined by a terminology system.

                                                  ShortCode defined by a terminology system (ワクチンを表すコード)
                                                  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 Vaccines - IPS
                                                  (required to http://hl7.org/fhir/uv/ips/ValueSet/vaccines-uv-ips)
                                                  TypeCoding
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Requirements

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

                                                  Alternate NamesSNOMED International GPSコード定義, SNOMED International GPS code definition
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  98. Immunization.vaccineCode.coding:vaccineGPSCode.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
                                                  100. Immunization.vaccineCode.coding:vaccineGPSCode.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 102. Immunization.vaccineCode.coding:vaccineGPSCode.system
                                                    Definition

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

                                                    ShortIdentity of the terminology system (ワクチン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()))
                                                    104. Immunization.vaccineCode.coding:vaccineGPSCode.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()))
                                                    106. Immunization.vaccineCode.coding:vaccineGPSCode.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 (ワクチンを表すコード値)
                                                    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()))
                                                    108. Immunization.vaccineCode.coding:vaccineGPSCode.display
                                                    Definition

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

                                                    ShortRepresentation defined by the system (ワクチンの表示名)
                                                    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()))
                                                    110. Immunization.vaccineCode.coding:vaccineGPSCode.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()))
                                                    112. Immunization.vaccineCode.coding:atcClass
                                                    Slice NameatcClass
                                                    Definition

                                                    A reference to a code defined by a terminology system.

                                                    ShortCode defined by a terminology system (ワクチンを表すコード)
                                                    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 WHO ATC - IPS
                                                    (required to http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips)
                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

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

                                                    Alternate NamesWHO ATCコード定義, WHO ATC code definition
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    114. Immunization.vaccineCode.coding:atcClass.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
                                                    116. Immunization.vaccineCode.coding:atcClass.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 118. Immunization.vaccineCode.coding:atcClass.system
                                                      Definition

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

                                                      ShortIdentity of the terminology system (ワクチン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://www.whocc.no/atc
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      120. Immunization.vaccineCode.coding:atcClass.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()))
                                                      122. Immunization.vaccineCode.coding:atcClass.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 (ワクチンを表すコード値)
                                                      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()))
                                                      124. Immunization.vaccineCode.coding:atcClass.display
                                                      Definition

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

                                                      ShortRepresentation defined by the system (ワクチンの表示名)
                                                      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()))
                                                      126. Immunization.vaccineCode.coding:atcClass.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()))
                                                      128. Immunization.vaccineCode.coding:absentOrUnknownImmunization
                                                      Slice NameabsentOrUnknownImmunization
                                                      Definition

                                                      A reference to a code defined by a terminology system.

                                                      ShortCode defined by a terminology system (コードなしまたは不明を表すコード)
                                                      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 WHO ATC - IPS
                                                      (required to http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips)
                                                      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()))
                                                      130. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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
                                                      132. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 134. Immunization.vaccineCode.coding:absentOrUnknownImmunization.system
                                                        Definition

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

                                                        ShortIdentity of the terminology system (コードなしまたは不明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://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        136. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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()))
                                                        138. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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 (コードなしまたは不明を表すコード値)
                                                        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()))
                                                        140. Immunization.vaccineCode.coding:absentOrUnknownImmunization.display
                                                        Definition

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

                                                        ShortRepresentation defined by the system (コードなしまたは不明の表示名)
                                                        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()))
                                                        142. Immunization.vaccineCode.coding:absentOrUnknownImmunization.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()))
                                                        144. Immunization.vaccineCode.coding:Absent
                                                        Slice NameAbsent
                                                        Definition

                                                        A reference to a code defined by a terminology system.

                                                        ShortCode defined by a terminology system (欠損を表すコード)
                                                        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..*
                                                        BindingThe codes SHALL be taken from DataAbsentReason
                                                        (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                                                        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()))
                                                        146. Immunization.vaccineCode.coding:Absent.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
                                                        148. Immunization.vaccineCode.coding:Absent.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 Immunization.vaccineCode.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 150. Immunization.vaccineCode.coding:Absent.system
                                                          Definition

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

                                                          ShortIdentity of the terminology system (欠損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://terminology.hl7.org/CodeSystem/data-absent-reason
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          152. Immunization.vaccineCode.coding:Absent.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()))
                                                          154. Immunization.vaccineCode.coding:Absent.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 (欠損を表すコード値)
                                                          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()))
                                                          156. Immunization.vaccineCode.coding:Absent.display
                                                          Definition

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

                                                          ShortRepresentation defined by the system (欠損の表示名)
                                                          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()))
                                                          158. Immunization.vaccineCode.coding:Absent.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()))
                                                          160. Immunization.vaccineCode.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 (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
                                                          Comments

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

                                                          Control1..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.

                                                          Alternate Namesテキスト, Text
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          162. Immunization.patient
                                                          Definition

                                                          予防接種を受けた,あるいは受けなかった患者。

                                                          ShortWho was immunized (予防接種を受けた人)
                                                          Control1..1
                                                          TypeReference(Fujitsu Patient Profile)
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Alternate Names患者, Patient
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          164. Immunization.patient.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
                                                          166. Immunization.patient.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 Immunization.patient.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 168. Immunization.patient.reference
                                                            Definition

                                                            A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                            ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
                                                            Comments

                                                            Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                            Control1..1
                                                            This element is affected by the following invariants: ref-1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Alternate Names参照患者, Patient reference
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            170. Immunization.patient.type
                                                            Definition

                                                            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                            ShortType the reference refers to (e.g. "Patient")
                                                            Comments

                                                            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                            Control0..0
                                                            BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                            (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                            Aa resource (or, for logical models, the URI of the logical model).

                                                            Typeuri
                                                            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()))
                                                            172. Immunization.patient.identifier
                                                            Definition

                                                            An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                            ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
                                                            Comments

                                                            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                            Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                                            Control0..1
                                                            TypeIdentifier
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Alternate Names患者識別子, Patient identifier
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            174. Immunization.patient.display
                                                            Definition

                                                            Plain text narrative that identifies the resource in addition to the resource reference.

                                                            ShortText alternative for the resource
                                                            Comments

                                                            This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                            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()))
                                                            176. Immunization.encounter
                                                            Definition

                                                            患者が医療従事者から予防接種を受けた外来,入院あるいは他の対面の状態を表す。

                                                            ShortEncounter immunization was part of (予防接種を受けた診察)
                                                            Control1..1
                                                            TypeReference(Fujitsu Encounter Profile)
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Names入外区分, Encounter
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            178. Immunization.encounter.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
                                                            180. Immunization.encounter.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 Immunization.encounter.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 182. Immunization.encounter.reference
                                                              Definition

                                                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                              ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
                                                              Comments

                                                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                              Control1..1
                                                              This element is affected by the following invariants: ref-1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Alternate Names入外区分の参照, Encounter reference
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              184. Immunization.encounter.type
                                                              Definition

                                                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                              ShortType the reference refers to (e.g. "Patient")
                                                              Comments

                                                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                              Control0..0
                                                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                              Aa resource (or, for logical models, the URI of the logical model).

                                                              Typeuri
                                                              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()))
                                                              186. Immunization.encounter.identifier
                                                              Definition

                                                              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                              ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
                                                              Comments

                                                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                              Control0..1
                                                              TypeIdentifier
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Alternate Names入外区分の識別子, Encounter identifier
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              188. Immunization.encounter.display
                                                              Definition

                                                              Plain text narrative that identifies the resource in addition to the resource reference.

                                                              ShortText alternative for the resource
                                                              Comments

                                                              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                              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()))
                                                              190. Immunization.occurrence[x]
                                                              Definition

                                                              ワクチンを接種した日あるいは接種予定だった日。

                                                              ShortVaccine administration date (ワクチンを接種した日時)
                                                              Comments

                                                              When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.

                                                              Control1..1
                                                              TypeChoice of: dateTime, string
                                                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Alternate Names接種日, Vaccine administration date
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              192. Immunization.occurrence[x].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
                                                              194. Immunization.occurrence[x].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 Immunization.occurrence[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 196. Immunization.occurrence[x].extension:data-absent-reason
                                                                Slice Namedata-absent-reason
                                                                Definition

                                                                Provides a reason why the expected value or elements in the element that is extended are missing.

                                                                Shortunknown | asked | temp | notasked | masked | unsupported | astext | error (データが存在しない理由)
                                                                Control0..1
                                                                TypeExtension(Data Absent Reason) (Extension Type: code)
                                                                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())
                                                                198. Immunization.recorded
                                                                Definition

                                                                The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.

                                                                ShortWhen the immunization was first captured in the subject's record (予防接種を受けた対象者の記録として最初に記載された日)
                                                                Control0..1
                                                                TypedateTime
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Alternate Names記録日, Recorded date
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                200. Immunization.primarySource
                                                                Definition

                                                                An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.

                                                                ShortIndicates context the data was recorded in
                                                                Comments

                                                                Reflects the “reliability” of the content.

                                                                Control0..0
                                                                Typeboolean
                                                                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()))
                                                                202. Immunization.reportOrigin
                                                                Definition

                                                                予防接種を実施した時に,ワクチンを接種した人以外からの報告からの情報である場合のデータの発生源。

                                                                Short二次的に報告された記録の発生源を示す
                                                                Comments

                                                                Should not be populated if primarySource = True, not required even if primarySource = False.

                                                                Control0..0
                                                                BindingFor example codes, see ImmunizationOriginCodes
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-origin)

                                                                The source of the data for a record which is not from a primary source.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                204. Immunization.location
                                                                Definition

                                                                接種医療機関。ワクチン接種がどこで実施されたかを表す。サービスが提供された場所。摂取された身体部位ではない。

                                                                Shortワクチンを接種した場所
                                                                Control0..0
                                                                TypeReference(JP Core Location Profile)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                206. Immunization.manufacturer
                                                                Definition

                                                                ワクチメーカーの名前。

                                                                ShortVaccine manufacturer (ワクチンメーカー)
                                                                Control0..1
                                                                TypeReference(JP Core Organization Profile)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesワクチンメーカー, Vaccine manufacturer
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                208. Immunization.lotNumber
                                                                Definition

                                                                ワクチン製剤のロット番号。

                                                                ShortVaccine lot number (ワクチンのロット番号)
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Alternate Namesロット番号, Vaccine lot number
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                210. Immunization.expirationDate
                                                                Definition

                                                                ワクチンの消費期限を表す日。

                                                                Shortワクチンの使用期限
                                                                Control0..0
                                                                Typedate
                                                                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()))
                                                                212. Immunization.site
                                                                Definition

                                                                ワクチンが接種された身体部位

                                                                Shortワクチンが接種された身体部位
                                                                Control0..0
                                                                BindingFor example codes, see CodesForImmunizationSiteOfAdministration
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-site)

                                                                The site at which the vaccine was administered.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                214. Immunization.route
                                                                Definition

                                                                ワクチンが体内へと接種された経路。

                                                                Shortワクチンを接種した経路
                                                                Control0..0
                                                                BindingFor example codes, see ImmunizationRouteCodes
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-route)

                                                                The route by which the vaccine was administered.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                216. Immunization.doseQuantity
                                                                Definition

                                                                ワクチン製剤が接種された量

                                                                Shortワクチンの投与量
                                                                Comments

                                                                薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD)

                                                                Control0..0
                                                                This element is affected by the following invariants: ele-1
                                                                TypeQuantity(JP Core Medication Quantity DataType)
                                                                Is Modifierfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists())
                                                                sqty-1: The comparator is not used on a SimpleQuantity (comparator.empty())
                                                                218. Immunization.performer
                                                                Definition

                                                                誰が予防接種を実施したかを表す。

                                                                ShortWho performed event (ワクチン接種を実施した人)
                                                                Control0..*
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Alternate Names実施者, Performer
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                220. Immunization.performer.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
                                                                222. Immunization.performer.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())
                                                                224. Immunization.performer.modifierExtension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control0..0
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                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())
                                                                226. Immunization.performer.function
                                                                Definition

                                                                Describes the type of performance (e.g. ordering provider, administering provider, etc.).

                                                                ShortWhat type of performance was done (実施した人の役割)
                                                                Control0..1
                                                                BindingUnless not suitable, these codes SHALL be taken from ImmunizationFunctionCodes
                                                                (extensible to http://hl7.org/fhir/ValueSet/immunization-function)

                                                                The role a practitioner or organization plays in the immunization event.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Alternate Names実施者の役割, Performer type
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                228. Immunization.performer.actor
                                                                Definition

                                                                The practitioner or organization who performed the action.

                                                                ShortIndividual or organization who was performing (ワクチン接種を実施した人)
                                                                Comments

                                                                When the individual practitioner who performed the action is known, it is best to send.

                                                                Control1..1
                                                                TypeReference(Fujitsu Practitioner Profile, Fujitsu PractitionerRole Profile, Fujitsu Organization Profile)
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Alternate Names実施者, Performer
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                230. Immunization.note
                                                                Definition

                                                                他の属性で伝達することができない予防接種に関する他の記録。

                                                                ShortAdditional immunization notes (予防接種についての補足的記録)
                                                                Control0..*
                                                                TypeAnnotation
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Alternate Names補足, Note
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                232. Immunization.reasonCode
                                                                Definition

                                                                予防接種が行われた理由

                                                                Short予防接種を接種した理由
                                                                Control0..0
                                                                BindingFor example codes, see ImmunizationReasonCodes
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-reason)

                                                                The reason why a vaccine was administered.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                234. Immunization.reasonReference
                                                                Definition

                                                                予防接種が実施された理由を表すCondition,ObservationあるいはDiagnosticReportリソースを参照する。

                                                                Short予防接種を実施した理由
                                                                Control0..0
                                                                TypeReference(Condition, Observation, DiagnosticReport)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                236. Immunization.isSubpotent
                                                                Definition

                                                                量が通常の効力より弱いと考えられているかどうかを示す。デフォルトでは示されている量と同等の効力をもつと考えられている。

                                                                Short効力量
                                                                Comments

                                                                Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.

                                                                Control0..0
                                                                Typeboolean
                                                                Is Modifiertrue because This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Meaning if MissingBy default, a dose should be considered to be potent.
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                238. Immunization.subpotentReason
                                                                Definition

                                                                効力が減弱すると考えられている理由。

                                                                Short効力が減弱する理由
                                                                Control0..0
                                                                BindingFor example codes, see ImmunizationSubpotentReason
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason)

                                                                The reason why a dose is considered to be subpotent.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                240. Immunization.education
                                                                Definition

                                                                ワクチンを接種するときに患者(あるいは保護者)に提示された教材。

                                                                Short患者に提示された教材
                                                                Control0..0
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists())
                                                                249. Immunization.programEligibility
                                                                Definition

                                                                ワクチン接種計画での患者適格性を示す

                                                                Shortワクチン接種計画での患者適格性
                                                                Control0..0
                                                                BindingFor example codes, see ImmunizationProgramEligibility
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility)

                                                                The patient's eligibility for a vaccation program.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                251. Immunization.fundingSource
                                                                Definition

                                                                ワクチンが実際に接種されるときの資金源を示す。これは患者適格性(たとえば,公的に購入されたワクチンには適格性があるが,在庫の問題で私的資金で購入されたワクチンを投与するような場合)とは異なることがある。

                                                                Shortワクチン接種計画のの資金源
                                                                Control0..0
                                                                BindingFor example codes, see ImmunizationFundingSource
                                                                (example to http://hl7.org/fhir/ValueSet/immunization-funding-source)

                                                                The source of funding used to purchase the vaccine administered.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                253. Immunization.reaction
                                                                Definition

                                                                予防接種に関連する時期に発生した副反応を示す分類されたデータ。

                                                                Short予防接種後に起こった反応についての詳細な記録
                                                                Comments

                                                                A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.

                                                                Control0..0
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                261. Immunization.protocolApplied
                                                                Definition

                                                                ワクチンを接種した提供者が実施したプロトコール(推奨される手順の集合)。

                                                                Short提供者が実施したプロトコール
                                                                Control0..0
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))