A person who is directly or indirectly involved in the provisioning of healthcare.

医療の提供に直接または間接的に関与する者をいう。

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

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

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.

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.

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.

The base language in which the resource is written.

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).

A human language.

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.

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.

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.

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.

An Extension

An Extension

An identifier that applies to this person in this role.

ある役割の人に適用される識別子。

【JP Core仕様】IDの名前空間を表す Practitioner.identifier.systemと ID値そのものを表す Practitioner.identifier.value の組み合わせとして表現する。
Practitioner.identifier.systemは以下の割り当てる。

• 医師の場合 : urn:oid:1.2.392.100495.20.3.41.医療機関識別OID番号
• 歯科医師の場合、urn:oid:1.2.392.100495.20.3.42.医療機関識別OID番号

​医療機関識別OID番号は患者IDの発行者である施設を識別するものであり、医療機関コード（１０桁）の先頭に１をつけた11桁とする。医療機関コード（１０桁）の詳細についてはこちらのリンクを参照すること。
例：医療機関コード「1312345670」での医師の場合「urn:oid:1.2.392.100495.20.3.41.11312345670」

なお、rn:oid:1.2.392.100495.20.3.41 の部分は、「処方情報 HL7FHIR 記述仕様」表19 識別子名前空間一覧において処方医 IDに割り当てられたOIDのURL型である。

地域医療連携ネットワークの地域医療従事者IDを指定する場合も同様に、地域医療従事者IDを識別する名前空間（IHE ITI PIX等で使用されるOID等）を system に使用することができる。
医師、歯科医師以外の医療者のIDの名前空間を表す system 値はまだ未定のため、空白もしくは「ドメイン名/PractitionerのSystem発行キー」などの識別コードを入れること。
例：http://www.abd-hospital.co.jp/practitioner-system

Often, specific identities are assigned for the agent.

多くの場合、エージェントには特定の識別子が割り当てられている。

An identifier that applies to this person in this role.

ある役割の人に適用される識別子。

【JP Core仕様】IDの名前空間を表す Practitioner.identifier.systemと ID値そのものを表す Practitioner.identifier.value の組み合わせとして表現する。
Practitioner.identifier.systemは以下の割り当てる。

• 医師の場合 : urn:oid:1.2.392.100495.20.3.41.医療機関識別OID番号
• 歯科医師の場合、urn:oid:1.2.392.100495.20.3.42.医療機関識別OID番号

​医療機関識別OID番号は患者IDの発行者である施設を識別するものであり、医療機関コード（１０桁）の先頭に１をつけた11桁とする。医療機関コード（１０桁）の詳細についてはこちらのリンクを参照すること。
例：医療機関コード「1312345670」での医師の場合「urn:oid:1.2.392.100495.20.3.41.11312345670」

なお、rn:oid:1.2.392.100495.20.3.41 の部分は、「処方情報 HL7FHIR 記述仕様」表19 識別子名前空間一覧において処方医 IDに割り当てられたOIDのURL型である。

地域医療連携ネットワークの地域医療従事者IDを指定する場合も同様に、地域医療従事者IDを識別する名前空間（IHE ITI PIX等で使用されるOID等）を system に使用することができる。
医師、歯科医師以外の医療者のIDの名前空間を表す system 値はまだ未定のため、空白もしくは「ドメイン名/PractitionerのSystem発行キー」などの識別コードを入れること。
例：http://www.abd-hospital.co.jp/practitioner-system

Often, specific identities are assigned for the agent.

多くの場合、エージェントには特定の識別子が割り当てられている。

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

An Extension

The purpose of this identifier.

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

Identifies the purpose for this identifier, if known .

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

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

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.

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

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

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

An Extension

A reference to a code defined by a terminology system.

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.

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

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.

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

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.

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

Identifier.system is always case sensitive.

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.

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

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.

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

Organization that issued/manages the identifier.

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.

Whether this practitioner's record is in active use.

この医療従事者の記録がアクティブに使用されているかどうかを示す。

If the practitioner is not in use by one organization, then it should mark the period on the PractitionerRole with an end date (even if they are active) as they may be active in another role.

医療従事者がある組織で使用されていない場合、別のロールでアクティブになっている可能性があるので、(例えそれらがアクティブであっても)PractitionerRoleに有効期間を終了日でマークしておく必要がある。

Need to be able to mark a practitioner record as not to be used because it was created in error.

医療従事者のレコードを誤って作成してしまったとき、使用しないようにマークできるようにする必要がある。

The name(s) associated with the practitioner.

医療従事者の氏名（複数の場合もある）

The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

In general, select the value to be used in the ResourceReference.display based on this:

1. There is more than 1 name
2. Use = usual
3. Period is current to the date of the usage
4. Use = official
5. Other order as decided by internal business rules.

useプロパティの選択は、指定された単一の通常の名前があることを保証しなければならず、他の値はニックネーム（別名）、旧名、または他の値を適切に使用する。

一般的には、以下を基準にResourceReference.displayで使用する値を選択する。

1. There is more than 1 name（最低限1つ以上の名前があること）
2. Use = usual（useプロパティが「usual」であること）
3. Period is current to the date of the usage（有効期限は利用開始日から現在まであること）
4. Use = official（useプロパティが「official」であること
5. Other order as decided by internal business rules.（その他、内部ルールで決められた順番）

医療従事者のNameの漢字カナ表記については、JP_Patient.nameで採用した方法を踏襲する。 そのほか、要素の説明は、JP_Patient.nameを参照。

The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

医療従事者が知られている名前。複数ある場合は、従事者が通常知られている名前を表示に使用する。

A human's name with the ability to identify parts and usage.

識別のための人の名前情報

Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.

名前が変更されたり、違っていると指摘されたり、コンテキストによって使われる名前が異なる場合がある。名前は、コンテキストに応じて重要性が異なるさまざまなタイプの部分に分割される場合があり、部分への分割は必ずしも重要ではない。個人名の場合、さまざまな部分に暗黙の意味が含まれている場合と含まれていない場合がある。さまざまな文化が名前の部分にさまざまな重要性を関連付けており、システムが世界中の名前の部分を気にする必要がある程度は大きく異なる。

The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

医療従事者が知られている名前。複数ある場合は、従事者が通常知られている名前を表示に使用する。

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

An Extension

Name Representation.

The transcription of the name - how it is represented (for e.g. Japanese names).

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

An Extension

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

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

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

Identifies the purpose for this name.

この名前の使用目的

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

アプリケーションは、名前が明示的に一時的な名前（temp ）あるいは以前の名前だ（old ）と設定されていない場合には、現時点での名前だとみなしてよい。

The use of a human name.

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

一連の名前の中から、特定の使用状況に適した名前を選択できるようになる。

Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

アプリケーションUIなどで、表示する名前全体を指定する。名前の特定の部分の代わり、または特定の部分と同じとして使われることがある。姓と名をこの順番で半角空白1文字を区切り文字として格納する

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

テキスト要素の表現とその部分構成要素の両方を提供できる。名前を更新するアプリケーションは、テキストと部分構成要素の両方が存在する場合、部分構成要素にないコンテンツがテキスト要素に含まれないようにする必要がある。姓と名をこの順番で半角空白1文字を区切り文字として格納する

A renderable, unencoded form.

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

家系図にリンクする名前の部分。一部の文化では、息子の家系の名前は父親の名である。

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

ファミリ名は、拡張子（de、nl、es関連のカルチャ）を使用して特定の部分に分解できる。

Given name.

名前の名の部分。

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to practical limitations. This element is not called "first name" since given names do not always come first.

イニシャルのみが記録されている場合は、フルネームの部分の代わりに使用できる。イニシャルは複数の名前に分けることができるが、多くの場合、実用的な制限のためではない。名が常に最初に来るとは限らないため、この要素は「first name」とは呼ばない。

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

学問的、法的な、雇用または貴族の地位などのために称号として取得され、名前の先頭に表示される名前の一部。

Note that FHIR strings SHALL NOT exceed 1MB in size

FHIR文字列のサイズは1MBを超えてはならないことに注意。

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

学問的、法的な、雇用または貴族の地位などのために称号として取得され、名前の最後に表示される名前の一部。

Note that FHIR strings SHALL NOT exceed 1MB in size

FHIR文字列のサイズは1MBを超えてはならないことに注意。

Indicates the period of time when this name was valid for the named person.

この名前が指名された人に対して有効であった期間。

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Period（期間）は時間の範囲を指定する。使用状況は、範囲全体が適用されるか（たとえば、「患者はこの時間範囲で入院していた」）、範囲から1つの値が適用されるか（たとえば、「この2回の間に患者に投与する」）を指定する。 Period（期間）は、Duration（時間区間＝経過時間の測定値）には使用されない。 [Duration]（datatypes.html＃Duration）を参照のこと。

Allows names to be placed in historical context.

A human's name with the ability to identify parts and usage.

識別のための人の名前情報

Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.

名前が変更されたり、違っていると指摘されたり、コンテキストによって使われる名前が異なる場合がある。名前は、コンテキストに応じて重要性が異なるさまざまなタイプの部分に分割される場合があり、部分への分割は必ずしも重要ではない。個人名の場合、さまざまな部分に暗黙の意味が含まれている場合と含まれていない場合がある。さまざまな文化が名前の部分にさまざまな重要性を関連付けており、システムが世界中の名前の部分を気にする必要がある程度は大きく異なる。

The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

医療従事者が知られている名前。複数ある場合は、従事者が通常知られている名前を表示に使用する。

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

An Extension

Name Representation.

The transcription of the name - how it is represented (for e.g. Japanese names).

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

An Extension

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

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

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

Identifies the purpose for this name.

この名前の使用目的

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

アプリケーションは、名前が明示的に一時的な名前（temp ）あるいは以前の名前だ（old ）と設定されていない場合には、現時点での名前だとみなしてよい。

The use of a human name.

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

一連の名前の中から、特定の使用状況に適した名前を選択できるようになる。

Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

アプリケーションUIなどで、表示する名前全体を指定する。名前の特定の部分の代わり、または特定の部分と同じとして使われることがある。姓と名をこの順番で半角空白1文字を区切り文字として格納する

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

テキスト要素の表現とその部分構成要素の両方を提供できる。名前を更新するアプリケーションは、テキストと部分構成要素の両方が存在する場合、部分構成要素にないコンテンツがテキスト要素に含まれないようにする必要がある。姓と名をこの順番で半角空白1文字を区切り文字として格納する

A renderable, unencoded form.

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

家系図にリンクする名前の部分。一部の文化では、息子の家系の名前は父親の名である。

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

ファミリ名は、拡張子（de、nl、es関連のカルチャ）を使用して特定の部分に分解できる。

Given name.

名前の名の部分。

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to practical limitations. This element is not called "first name" since given names do not always come first.

イニシャルのみが記録されている場合は、フルネームの部分の代わりに使用できる。イニシャルは複数の名前に分けることができるが、多くの場合、実用的な制限のためではない。名が常に最初に来るとは限らないため、この要素は「first name」とは呼ばない。

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

学問的、法的な、雇用または貴族の地位などのために称号として取得され、名前の先頭に表示される名前の一部。

Note that FHIR strings SHALL NOT exceed 1MB in size

FHIR文字列のサイズは1MBを超えてはならないことに注意。

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

学問的、法的な、雇用または貴族の地位などのために称号として取得され、名前の最後に表示される名前の一部。

Note that FHIR strings SHALL NOT exceed 1MB in size

FHIR文字列のサイズは1MBを超えてはならないことに注意。

Indicates the period of time when this name was valid for the named person.

この名前が指名された人に対して有効であった期間。

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Period（期間）は時間の範囲を指定する。使用状況は、範囲全体が適用されるか（たとえば、「患者はこの時間範囲で入院していた」）、範囲から1つの値が適用されるか（たとえば、「この2回の間に患者に投与する」）を指定する。 Period（期間）は、Duration（時間区間＝経過時間の測定値）には使用されない。 [Duration]（datatypes.html＃Duration）を参照のこと。

Allows names to be placed in historical context.

A contact detail for the practitioner, e.g. a telephone number or an email address.

電話番号やメールアドレスなど、従事者への詳細な連絡先。

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

人は、異なる用途や適用される期間に応じて複数の連絡方法を持っている可能性がある。本人に緊急に連絡を取るためのオプションが必要な場合があり、また本人の身元確認に役立つ場合がある。これらは通常、自宅の電話番号、または役割が特定されていない携帯電話番号を持つことになる。

要素の説明は、JP_Patient.telecomを参照。

Need to know how to reach a practitioner independent to any roles the practitioner may have.

医療従事者が持っているかもしれない任意の役割ごとに独立した連絡方法を知る必要がある。

Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

役割が特定されていない従事者の住所（通常は自宅の住所）。 勤務先の住所は通常、役割に依存するため、このプロパティには入力されない。

The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

PractitionerRoleにアドレス値が付いていないのは、この目的のためにロケーションプロパティを使用することが想定されているからである（アドレスが付いている）。

要素の説明は、JP_Patient.address を参照。

The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

医療従事者の自宅/メールアドレスは、従業員管理のために必要とされることが多く、また、一部のロスタリングサービスでは、開始点（医療従事者の自宅）が計算に使用されることがある。

Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

管理や記録のためにその人が持っていると思われる性別。

The gender of a person used for administrative purposes.

Needed to address the person correctly. 正しく相手に対応する必要がある。

The date of birth for the practitioner.

医療従事者の生年月日

Needed for identification.

身分証明に必要。

Image of the person.

医療従事者の写真。

When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

サマリービューを提供する場合（例えば、Observation.value[x]で）、添付ファイルは "Signed Procedure Consent "のような簡単な表示テキストで表現されなければならない。

Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

多くのEHRシステムは、患者や職員の画像をキャプチャする機能を持っている。新しいソーシャルメディアの利用にも対応している。

The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certain locality.

医療従事者によるケアの提供を認可する、あるいは関連する、公式の証明書、トレーニング、免許証等。 例えば、医療委員会が発行した医師免許証は、認定された地域内で医療を行うことを開業医に許可するものである。

麻薬施用者免許番号、または医籍登録番号を格納するためのQualification/Slicing定義。

麻薬施用者免許番号の場合のsystemはFixed Valueの urn:oid:1.2.392.100495.20.3.32.1[都道府県番号] を使用する。 ( 頭に1をつけて末尾3桁で表現する。これは北海道などの場合、都道府県番号は01になるが、OID では先頭が0は許可されていないため、頭に1をつけて3桁で表現する) つまり麻薬施用者免許番号を発行した都道府県ごとにsystemも異なる値となる。 医籍登録番号のsystemはFixed Valueの urn:oid:1.2.392.100495.20.3.31 を使用する。

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

An Extension

An Extension

An identifier that applies to this person's qualification in this role.

この人物のこの役割における資格に適用される識別子。

Often, specific identities are assigned for the qualification.

多くの場合、資格には特定の識別子が割り当てられる。

Coded representation of the qualification.

資格のコード化された表現。

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

すべての用語の使用がこの一般的なパターンに適合するわけではない。いくつかのケースでは、モデルはCodeableConceptを使用せず、Codingを直接使用し、テキスト、コーディング、翻訳、要素間の関係、および前後の調整を管理するための独自の構造を提供することが望ましい。

Specific qualification the practitioner has to provide a service.

Period during which the qualification is valid.

資格が有効な期間。

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

使用のコンテキストは、範囲全体が適用されるか（例：「患者はこの時間範囲で病院の入院患者であった」）、範囲内の1つの値が適用されるか（例：「この2つの時間の間に患者に与える」）を指定する。

期間は、期間(経過時間の尺度)には使用されない。Durationを参照のこと。

Qualifications are often for a limited period of time, and can be revoked.

資格は期間限定のものが多く、取り消されることもある。

Organization that regulates and issues the qualification.

資格を規制し、発行する機関

References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は実際のFHIRリソースへの参照でなければならず、解決可能でなければならない。解決は URL からの検索、またはリソースタイプによって、絶対参照を正規の URL として扱い、ローカルのレジストリ/リポジトリで検索することで行うことができる。

The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

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

An Extension

An Extension

An identifier that applies to this person's qualification in this role.

Often, specific identities are assigned for the qualification.

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

An Extension

The purpose of this identifier.

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

Identifies the purpose for this identifier, if known .

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

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

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.

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

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

麻薬施用者免許番号OIDを格納。OIDは右記のルールに従う。urn:oid:1.2.392.100495.20.3.32.[1(固定)+都道府県番号(２桁)]

麻薬施用者免許番号OIDを格納。OIDは右記のルールに従う。urn:oid:1.2.392.100495.20.3.32.[1(固定)+都道府県番号(２桁)]。
都道府県毎のOIDを以下に示す。

• urn:oid:1.2.392.100495.20.3.32.101(北海道)
• urn:oid:1.2.392.100495.20.3.32.102(青森県)
• urn:oid:1.2.392.100495.20.3.32.103(岩手県)
• urn:oid:1.2.392.100495.20.3.32.104(宮城県)
• urn:oid:1.2.392.100495.20.3.32.105(秋田県)
• urn:oid:1.2.392.100495.20.3.32.106(山形県)
• urn:oid:1.2.392.100495.20.3.32.107(福島県)
• urn:oid:1.2.392.100495.20.3.32.108(茨城県)
• urn:oid:1.2.392.100495.20.3.32.109(栃木県)
• urn:oid:1.2.392.100495.20.3.32.110(群馬県)
• urn:oid:1.2.392.100495.20.3.32.111(埼玉県)
• urn:oid:1.2.392.100495.20.3.32.112(千葉県)
• urn:oid:1.2.392.100495.20.3.32.113(東京都)
• urn:oid:1.2.392.100495.20.3.32.114(神奈川)
• urn:oid:1.2.392.100495.20.3.32.115(新潟県)
• urn:oid:1.2.392.100495.20.3.32.116(富山県)
• urn:oid:1.2.392.100495.20.3.32.117(石川県)
• urn:oid:1.2.392.100495.20.3.32.118(福井県)
• urn:oid:1.2.392.100495.20.3.32.119(山梨県)
• urn:oid:1.2.392.100495.20.3.32.120(長野県)
• urn:oid:1.2.392.100495.20.3.32.121(岐阜県)
• urn:oid:1.2.392.100495.20.3.32.122(静岡県)
• urn:oid:1.2.392.100495.20.3.32.123(愛知県)
• urn:oid:1.2.392.100495.20.3.32.124(三重県)
• urn:oid:1.2.392.100495.20.3.32.125(滋賀県)
• urn:oid:1.2.392.100495.20.3.32.126(京都府)
• urn:oid:1.2.392.100495.20.3.32.127(大阪府)
• urn:oid:1.2.392.100495.20.3.32.128(兵庫県)
• urn:oid:1.2.392.100495.20.3.32.129(奈良県)
• urn:oid:1.2.392.100495.20.3.32.130(和歌山県)
• urn:oid:1.2.392.100495.20.3.32.131(鳥取県)
• urn:oid:1.2.392.100495.20.3.32.132(島根県)
• urn:oid:1.2.392.100495.20.3.32.133(岡山県)
• urn:oid:1.2.392.100495.20.3.32.134(広島県)
• urn:oid:1.2.392.100495.20.3.32.135(山口県)
• urn:oid:1.2.392.100495.20.3.32.136(徳島県)
• urn:oid:1.2.392.100495.20.3.32.137(香川県)
• urn:oid:1.2.392.100495.20.3.32.138(愛媛県)
• urn:oid:1.2.392.100495.20.3.32.139(高知県)
• urn:oid:1.2.392.100495.20.3.32.140(福岡県)
• urn:oid:1.2.392.100495.20.3.32.141(佐賀県)
• urn:oid:1.2.392.100495.20.3.32.142(長崎県)
• urn:oid:1.2.392.100495.20.3.32.143(熊本県)
• urn:oid:1.2.392.100495.20.3.32.144(大分県)
• urn:oid:1.2.392.100495.20.3.32.145(宮崎県)
• urn:oid:1.2.392.100495.20.3.32.146(鹿児島県)
• urn:oid:1.2.392.100495.20.3.32.147(沖縄県)

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.

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

都道府県別　麻薬施用者免許番号

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

Organization that issued/manages the identifier.

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.

Coded representation of the qualification.

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

An Extension

A reference to a code defined by a terminology system.

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.

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

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

An Extension

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

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.

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

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.

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.

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).

Need to refer to a particular code in the system.

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

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

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

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.

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.

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.

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

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.

Period during which the qualification is valid.

Qualifications are often for a limited period of time, and can be revoked.

Organization that regulates and issues the qualification.

The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

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