Name Flags Card. Type Description & Constraints PractitionerRole 0..* PractitionerRole 医療従事者が関連付けられている役割/組織 identifier 0..* Identifier Business Identifiers that are specific to a role/location 役割/場所に固有のビジネス識別子 active 0..1 boolean Whether this practitioner role record is in active use このPractitionerRoleレコードがアクティブに使用されているかどうか period 0..1 Period The period during which the practitioner is authorized to perform in these role(s) その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間。 practitioner 0..1 Reference(Practitioner) Practitioner that is able to provide the defined services for the organization 組織に定義されたサービスを提供できる医療従事者 organization 0..1 Reference(Organization) Organization where the roles are available 役割が可能な組織 code 0..* CodeableConcept Roles which this practitioner may perform この医療従事者が果たす役割 specialty 0..* CodeableConcept Specific specialty of the practitioner location 0..* Reference(Location) The location(s) at which this practitioner provides care この医療従事者がケアを提供している場所 healthcareService 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s) この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト telecom 0..* ContactPoint Contact details that are specific to the role/location/service 役割/場所/サービスに固有の連絡先の詳細 availableTime 0..* BackboneElement Times the Service Site is available daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun allDay 0..1 boolean Always available? e.g. 24 hour service availableStartTime 0..1 time Opening time of day (ignored if allDay = true) availableEndTime 0..1 time Closing time of day (ignored if allDay = true) notAvailable 0..* BackboneElement Not available during this time due to provided reason この期間中は利用できない理由と期間 description 1..1 string Reason presented to the user explaining why time not available during 0..1 Period Service not available from this date <a href="StructureDefinition-JP-PractitionerRole-definitions.html#PractitionerRole.availabilityExceptions" title="A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times. 祝祭日の利用可能性など、サイトの利用可能性の例外についての説明。通常のサイトの利用可能性に対するすべての可能性のある例外を、利用可能なTimesと利用できないTimesの詳細として簡潔に記述する。">availabilityExceptions 0..1 string Description of availability exceptions endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role Documentation for this format
このプロファイルはPractitionerRoleリソースに対して、医療従事者役割のデータを送受信するための基礎となる制約と拡張を定めたものである。
医療従事者が関連付けられている役割/組織
A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 医療従事者が一定期間、組織で行うことができる役割／場所／専門性／サービスの特定のセット。
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
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.
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
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).
Text summary of the resource, for human interpretation
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.
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Business Identifiers that are specific to a role/location 役割/場所に固有のビジネス識別子
Business Identifiers that are specific to a role/location. 役割/場所に固有のビジネス識別子。
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ます。
Whether this practitioner role record is in active use このPractitionerRoleレコードがアクティブに使用されているかどうか
Whether this practitioner role record is in active use. このPractitionerRoleレコードがアクティブに使用されているかどうか。
If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active. この値がfalseの場合、ロールがいつアクティブに使用されていたかを期間を参照して確認することができます。期間が指定されていない場合、それがいつアクティブになったかを推論することはできません。
Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use. PractitionerRoleレコードがエラーで作成されたために使用されないことをマークできるようにする必要があります。
This resource is generally assumed to be active if no value is provided for the active element
The period during which the practitioner is authorized to perform in these role(s) その人が、これらの役割（複数可）の医療従事者として行動することを許可されている期間。
The period during which the person is authorized to act as a practitioner in these role(s) for the organization. その人が、組織のためにこれらの役割（複数可）の医療従事者として行動することを許可されている期間。
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](datatypes.html#Duration). 期間は時間の範囲を指定する。使用状況はその期間全体に適用されるか、範囲から1つの値が適用される。 期間は、時間間隔（経過時間の測定値）には使用されない
Even after the agencies is revoked, the fact that it existed must still be recorded. 機関が取り消された後も、存在していた事実を記録しなければなりません。
.performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime
(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
Practitioner that is able to provide the defined services for the organization 組織に定義されたサービスを提供できる医療従事者
Practitioner that is able to provide the defined services for the organization. 組織に定義されたサービスを提供できる医療従事者。
References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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ある必要があり、内容に辿り着ける（解決できる）必要があります（アクセス制御、一時的な使用不可などを考慮に入れる）。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。
Organization where the roles are available 役割が可能な組織
The organization where the Practitioner performs the roles associated. 医療従事者が関連する役割を実行する組織。
Roles which this practitioner may perform この医療従事者が果たす役割
Roles which this practitioner is authorized to perform for the organization. この医療従事者が組織のために実行することを許可されている役割。
A person may have more than one role. 人は複数の役割を持つ場合があります。 【JP-CORE】 医師、看護職員、薬剤師、放射線技師、情報職員といった職種を格納する。 以下のコード表を作成する。 http://jpfhir.jp/fhir/Common/CodeSystem/JP_PractionerRole_RoleCode SS-MIX2ではJHSR004 医療従事者の職種コードを採用 コード 名称 DR-01 依頼医師 DR-02 実施医師 DR-03 麻酔医師 TC-01 実施技師 NS-01 看護師 NS-02 付添看護師 NS-03 助産師
Need to know what authority the practitioner has - what can they do? プラクティショナーがどのような権限を持っているのかを知る必要がある - 何ができるのか？
The role a person plays representing an organization.
Specific specialty of the practitioner. 医療従事者の特定の専門性
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. 【JP-CORE】 PractitionerRole.codeに格納した職種の専門領域を格納する。 以下のコード表を作成する。 http://jpfhir.jp/fhir/Common/CodeSystem/JP_PractionerRole_practicecodes
Specific specialty associated with the agency.
.player.HealthCareProvider[@classCode = 'PROV'].code
The location(s) at which this practitioner provides care この医療従事者がケアを提供している場所
The location(s) at which this practitioner provides care. この医療従事者がケアを提供している場所（複数可）。
.performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']
(ServD maps Practitioners and Organizations via another entity, so this concept is not available) However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)
The list of healthcare services that this worker provides for this role's Organization/Location(s) この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト
The list of healthcare services that this worker provides for this role's Organization/Location(s). この対象者がこの役割の組織/場所に対して提供するヘルスケアサービスのリスト。
.player.QualifiedEntity[@classCode = 'QUAL'].code
Contact details that are specific to the role/location/service 役割/場所/サービスに固有の連絡先の詳細
Contact details that are specific to the role/location/service. 役割/場所/サービスに固有の連絡先の詳細。
Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these. 多くの場合、医療従事者は、勤務する場所（またはサービス）ごとに専用の回線を持っており、それぞれに別々の連絡先を定義する必要がある。
A collection of times the practitioner is available or performing this role at the location and/or healthcareservice. 医療従事者が利用可能な時間、またはその場所および/またはヘルスケアサービスでこの役割を実行している時間のコレクション。
More detailed availability information may be provided in associated Schedule/Slot resources. より詳細な利用可能な情報は、関連するSchedule/Slotのリソースで提供される場合があります。
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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.
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Indicates which days of the week are available between the start and end Times. 開始時刻と終了時刻の間に利用可能な曜日を示します。
Is this always available? (hence times are irrelevant) e.g. 24 hour service. これはいつでも利用できますか？(そのため時間は関係ありません) 例：24時間サービス。
Opening time of day (ignored if allDay = true)
The opening time of day. Note: If the AllDay flag is set, then this time is ignored. 一日の開始時間。注意：AllDayフラグが設定されている場合、この時間は無視されます。
The timezone is expected to be for where this HealthcareService is provided at. タイムゾーンは、このHealthcareServiceが提供されている場所のために期待されています。
Closing time of day (ignored if allDay = true)
The closing time of day. Note: If the AllDay flag is set, then this time is ignored. 一日の終了時刻。注意：AllDayフラグが設定されている場合、この時間は無視されます。
Not available during this time due to provided reason この期間中は利用できない理由と期間
The practitioner is not available or performing this role during this period of time due to the provided reason. 医療従事者は、提供された理由により、この期間中にこの役割を果たすことができないか、またはこの役割を果たすことができない。
Reason presented to the user explaining why time not available
The reason that can be presented to the user as to why this time is not available. この時間が利用できない理由をユーザーに提示することができます。
Service is not available (seasonally or for a public holiday) from this date. この日からサービスのご利用（季節・祝日）はできません。
A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times. 祝祭日の利用可能性など、サイトの利用可能性の例外についての説明。通常のサイトの利用可能性に対するすべての可能性のある例外を、利用可能なTimesと利用できないTimesの詳細として簡潔に記述する。
Technical endpoints providing access to services operated for the practitioner with this role
Technical endpoints providing access to services operated for the practitioner with this role. この役割を持つ医療従事者のために運営されているサービスへのアクセスを提供する技術的なエンドポイント。
Organizations have multiple systems that provide various services and ,ay also be different for practitioners too. So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose. 組織には、様々なサービスを提供するための複数のシステムがあり、また、医療従事者にとっても様々である。 したがって、エンドポイントは、それらにどのように接続するか、また、どのような目的で接続するかにての技術的な接続の詳細を定義することができるという必要性を満たす。
This resource is generally assumed to be active if no value is provided for the active element このactiveエレメントに値が提供されていない場合、このリソースは一般的にアクティブであると見なされます。