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Resource Profile: 保険・被保険者情報

Defining URL:	https://igs.healthdataworks.net/jp-rezept-medication/StructureDefinition-JP-REZEPT-Coverage.html
Version:	0.8.0
Name:	Coverage
Title:	保険・被保険者情報
Status:	Draft as of 2021-09-14T21:52:48+00:00
Definition:	保険情報、公費情報です。 医療サービスや調剤等の請求額と自己負担金の両方が含まれます。
Publisher:	HealthDataWorks
Source Resource:	XML / JSON / Turtle

このプロファイルの公式URL:

https://igs.healthdataworks.net/jp-rezept-medication/StructureDefinition-JP-REZEPT-Coverage.html

プロファイルの内容の正式なビュー

プロファイル、差分、スナップショット、およびその他の表示内容について説明します。

 

他のプロファイルの表現: Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Coverage.language	preferred	CommonLanguages Max Binding: AllLanguages
Coverage.text.status	required	Fixed Value: generated
Coverage.status	required	FinancialResourceStatusCodes
Coverage.type	preferred	CoverageTypeAndSelf-PayCodes
Coverage.subscriber.type	extensible	ResourceType
Coverage.beneficiary.type	extensible	ResourceType
Coverage.relationship	extensible	SubscriberRelationshipCodes
Coverage.payor.type	extensible	ResourceType
Coverage.class.type	extensible	CoverageClassCodes
Coverage.class.type.coding.code	required	BearerType
Coverage.costToBeneficiary.type	extensible	CoverageCopayTypeCodes
Coverage.costToBeneficiary.exception.type	example	ExampleCoverageFinancialExceptionCodes

Constraints

Id	Path	Details	Requirements
dom-2	Coverage	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Coverage	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	Coverage	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	Coverage	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Coverage	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Coverage.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.text.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.text.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.text.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.text.div	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
txt-1	Coverage.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	Coverage.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()
ele-1	Coverage.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.extension:InsuredPersonSymbol	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.extension:InsuredPersonSymbol	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.extension:InsuredPersonNumber	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.extension:InsuredPersonNumber	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.policyHolder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subscriber	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subscriber.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.subscriber.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.subscriber.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subscriber.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subscriber.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subscriber.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subscriberId	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.beneficiary	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.beneficiary.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.beneficiary.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.beneficiary.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.beneficiary.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.beneficiary.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.beneficiary.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.dependent	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.relationship.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.relationship.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.relationship.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.relationship.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.relationship.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.period.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.period.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.period.start	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.period.end	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.payor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.payor.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.payor.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.payor.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.payor.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.payor.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.payor.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.class.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.class.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.class.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.class.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.class.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.class.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.class.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.class.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.class.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.order	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.network	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.costToBeneficiary	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.costToBeneficiary.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.costToBeneficiary.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.costToBeneficiary.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.costToBeneficiary.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.costToBeneficiary.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.costToBeneficiary.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.costToBeneficiary.exception	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.costToBeneficiary.exception.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.costToBeneficiary.exception.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.costToBeneficiary.exception.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Coverage.costToBeneficiary.exception.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Coverage.costToBeneficiary.exception.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.costToBeneficiary.exception.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.subrogation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Coverage.contract	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())