FHIR.FUJITSU.HEALTHY-LIVING\Fujitsu MedicationAdministration Profile - Definitions

idstring

Is Modifier false

Summary true

Alternate Names 論理ID, Logical id

4. MedicationAdministration.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.

Short Metadata about the resource (リソースのメタデータ)

Control 0..1

Meta

Is Modifier false

Summary true

Alternate Names メタデータ, Meta data

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. MedicationAdministration.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.

Short A 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.

Control 0..01

Is Modifier true 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 Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

8. MedicationAdministration.language

Definition

The base language in which the resource is written.

Short Language 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).

Control 0..01

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

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

10. MedicationAdministration.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.

Short Text 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.

Control 0..1

Narrative

Is Modifier false

Summary false

Alternate Names narrative, html, xhtml, display, 概要, Summary

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. MedicationAdministration.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.

Short Contained, 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.

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources, 内包リソース, CContained

14. MedicationAdministration.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.

Short Additional 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.

Control 0..*

Is Modifier false

Summary false

Alternate Names 拡張, Extension, extensions, user content

This element introduces a set of slices on MedicationAdministration.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

16. MedicationAdministration.extension:requestDepartment

Slice Name requestDepartment

Definition

依頼科を格納するための拡張

Short 依頼科

Control 0..0
This element is affected by the following invariants: ele-1

Type Extension(JP Core MedicationAdministration RequestDepartment Extension) (Extension Type: CodeableConcept)

Is Modifier false

Invariants ele-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. MedicationAdministration.extension:requestAuthoredOn

Slice Name requestAuthoredOn

Definition

依頼日時を格納するための拡張

Short 依頼日時

Control 0..0
This element is affected by the following invariants: ele-1

Type Extension(JP Core MedicationAdministration RequestAuthoredOn Extension) (Extension Type: dateTime)

Is Modifier false

20. MedicationAdministration.extension:location

Slice Name location

Definition

実施場所を格納するための拡張。実施場所を記述した Locationリソースへの参照。

Short 実施場所

Control 0..0
This element is affected by the following invariants: ele-1

Type Extension(JP Core MedicationAdministration Location Extension) (Extension Type: Reference(JP Core Location Profile))

Is Modifier false

22. MedicationAdministration.extension:requester

Slice Name requester

Definition

依頼医を格納するための拡張。依頼医を記述した Practitioner リソースへの参照。

Short 依頼医

Control 0..0
This element is affected by the following invariants: ele-1

Type Extension(JP Core MedicationAdministration Requester Extension) (Extension Type: Reference(JP Core Practitioner Profile))

Is Modifier false

24. MedicationAdministration.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).

Short ExtensionExtensions that cannot be ignored

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

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 Names extensions, user content

26. MedicationAdministration.identifier

Definition

このインスタンスが外部から参照されるために使われるIDである。処方箋全体としてのIDとしては使用しない。処方箋内で同一の用法をまとめて表記されるRp番号はこのIdentifier elementの別スライスで表現する。それ以外に任意のIDを付与してもよい。このIDは業務手順によって定められた処方オーダに対して、直接的なURL参照が適切でない場合も含めて関連付けるために使われる。この業務手順のIDは実施者によって割り当てられたものであり、リソースが更新されたりサーバからサーバに転送されたとしても固定のものとして存続する。

Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

Short External identifier (識別子)

Comments

これは業務IDであって、リソースに対するIDではない。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 20..*

Is Modifier false

Summary false

Alternate Names 識別子, Identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationAdministration.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

28. MedicationAdministration.identifier:rpNumber

Slice Name rpNumber

Definition

処方箋内で同一用法の薬剤を慣用的にまとめて、Rpに番号をつけて剤グループとして一括指定されることがある。このスライスでは剤グループに対して割り振られたRp番号を記録する。

Short 処方箋内部の剤グループとしてのRp番号External identifier

Comments

剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

30. MedicationAdministration.identifier:rpNumber.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

32. MedicationAdministration.identifier:rpNumber.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.

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

34. MedicationAdministration.identifier:rpNumber.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The 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 .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

36. MedicationAdministration.identifier:rpNumber.type

Definition

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

Short Description of identifier

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.

Control 0..01

Unless 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.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

38. MedicationAdministration.identifier:rpNumber.system

Definition

ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。

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

Short Rp番号(剤グループ番号)についてのsystem値The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Fixed Value urn:oid:1.2.392.100495.20.3.81

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

40. MedicationAdministration.identifier:rpNumber.value

Definition

Rp番号(剤グループ番号)。"1"など。

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

Short Rp番号(剤グループ番号)The value that is unique

Comments

value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。

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.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

42. MedicationAdministration.identifier:rpNumber.period

Definition

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

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

44. MedicationAdministration.identifier:rpNumber.assigner

Definition

Organization that issued/manages the identifier.

Short Organization 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.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

46. MedicationAdministration.identifier:requestIdentifier

Slice Name requestIdentifier

Definition

薬剤をオーダする単位としての処方箋に対するID。原則として投薬実施の基となったMedicationRequestのIDを設定する。

Short 処方オーダに対するID(MedicationRequestからの継承)External identifier

Comments

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

48. MedicationAdministration.identifier:requestIdentifier.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

50. MedicationAdministration.identifier:requestIdentifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

52. MedicationAdministration.identifier:requestIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The 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 .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

54. MedicationAdministration.identifier:requestIdentifier.type

Definition

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

Short Description of identifier

Comments

Control 0..01

Unless 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.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

56. MedicationAdministration.identifier:requestIdentifier.system

Definition

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

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Fixed Value http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

58. MedicationAdministration.identifier:requestIdentifier.value

Definition

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

Short The value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. MedicationAdministration.identifier:requestIdentifier.period

Definition

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

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

62. MedicationAdministration.identifier:requestIdentifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization 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.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

64. MedicationAdministration.identifier:orderInRp

Slice Name orderInRp

Definition

同一剤グループでの薬剤を表記する際の順番。XML形式と異なりJSON形式の場合、表記順は項目の順序を意味しない。したがって、薬剤の記載順を別に規定する必要があるためIDを用いて表現する。

Short 同一RP番号（剤グループ）での薬剤の表記順External identifier

Comments

同一剤グループ内での薬剤の順番を1から順の番号で示す。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

66. MedicationAdministration.identifier:orderInRp.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

68. MedicationAdministration.identifier:orderInRp.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

70. MedicationAdministration.identifier:orderInRp.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The 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 .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

72. MedicationAdministration.identifier:orderInRp.type

Definition

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

Short Description of identifier

Comments

Control 0..01

Unless 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.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

74. MedicationAdministration.identifier:orderInRp.system

Definition

剤グループ内番号の名前空間を識別するURI。固定値urn:oid:1.2.392.100495.20.3.82

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

Short RP番号内（剤グループ内）の連番を示すsystem値The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Fixed Value urn:oid:1.2.392.100495.20.3.82

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

76. MedicationAdministration.identifier:orderInRp.value

Definition

剤グループ内連番。

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

Short RP番号内（剤グループ内）の連番The value that is unique

Comments

value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

78. MedicationAdministration.identifier:orderInRp.period

Definition

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

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

80. MedicationAdministration.identifier:orderInRp.assigner

Definition

Organization that issued/manages the identifier.

Short Organization 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.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

82. MedicationAdministration.identifier:emr

Slice Name emr

Definition

Short External ids for this request (電子カルテの識別子)External identifier

Comments

これは業務IDであって、リソースに対するIDではない。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

84. MedicationAdministration.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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

86. MedicationAdministration.identifier:emr.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

88. MedicationAdministration.identifier:emr.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The 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 .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

90. MedicationAdministration.identifier:emr.type

Definition

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

Short Description of identifier (識別子の種類)

Comments

Control 0..1

Unless 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.

Is Modifier false

Summary true

Requirements

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

Alternate Names 種類, Type

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

92. MedicationAdministration.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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

94. MedicationAdministration.identifier:emr.type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

96. MedicationAdministration.identifier:emr.type.coding

Definition

A reference to a code defined by a terminology system.

Short Code 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.

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names コード, Coding

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

98. MedicationAdministration.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.

Short Plain 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.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

100. MedicationAdministration.identifier:emr.system

Definition

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

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

Comments

Identifier.system is always case sensitive.

Control 10..1

Binding The 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)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

102. MedicationAdministration.identifier:emr.value

Definition

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

Short The 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) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 値, Value

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

104. MedicationAdministration.identifier:emr.period

Definition

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

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

106. MedicationAdministration.identifier:emr.assigner

Definition

Organization that issued/manages the identifier.

Short Organization 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.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

108. MedicationAdministration.instantiates

Definition

A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.

このイベントによって全体的または部分的に順守されたプロトコル、ガイドライン、オーダセット、またはその他の定義。

A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.

Short Instantiates protocol or definition　プロトコルや定義のインスタンス化

Control 0..0*

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

110. MedicationAdministration.partOf

Definition

A larger event of which this particular event is a component or step.

この特定のイベントがコンポーネントまたはステップであるようなより大きな親イベント。

A larger event of which this particular event is a component or step.

Short Part of referenced event 親イベントへの参照

Control 0..0*

Type Reference(MedicationAdministration, Procedure)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

112. MedicationAdministration.status

Definition

Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.

通常、管理が完了したことを示すように設定される。輸液などの長期にわたる投与では、投与を開始しても完了しない場合や、他のプロセスの進行中に一時停止する場合がある。

【JP Core仕様】　completed or stopped に限定される。

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Control 1..1

The codes SHALL be taken from MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1)

患者への投与状況

A set of codes indicating the current status of a MedicationAdministration.

Is Modifier true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 状態, Status

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

114. MedicationAdministration.category

Definition

Indicates where the medication is expected to be consumed or administered.

薬が消費または投与されると予想される場所区分(入院、外来、家庭等)を示す。 inpatient | outpatient | community (http://terminology.hl7.org/CodeSystem/medication-admin-category)

Indicates where the medication is expected to be consumed or administered.

Short Type of medication usage　薬が使用される区分

Control 0..01

The codes SHOULD be taken from MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-category
(preferred to http://hl7.org/fhir/ValueSet/medication-admin-category)

A coded concept describing where the medication administered is expected to occur.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

116. MedicationAdministration.medication[x]

Definition

医薬品コードと医薬品名称。coding要素を繰り返すことでHOT9 やYJコードなど複数のコード体系で医薬品コードを並記することが可能。

Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

Short What was administered (医薬品コードと医薬品名称)

Comments

If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。

厚生労働省標準であるHOT9コード（販社指定が不要な場合にはHOT7コード）または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素（コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる）で記述する。

なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位（最少包装単位、個別包装単位）14桁を使用する。

ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード（ハウスコード、ローカルコード）の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。

Control 1..1

The codes SHOULD be taken from For example codes, see JP Core MedicationCode ValueSethttp://hl7.org/fhir/ValueSet/medication-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS)

処方する製剤を表すコード。

Codes identifying substance or product that can be administered.

Type CodeableConcept, Reference(Medication)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 医薬品, Medication

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
fujitsu-4: Medication Code or Data Absent Reason (coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason'))

118. MedicationAdministration.medication[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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

120. MedicationAdministration.medication[x].extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.medication[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

122. MedicationAdministration.medication[x].coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..*

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationAdministration.medication[x].coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

124. MedicationAdministration.medication[x].coding:YJ

Slice Name YJ

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see JP Core Medication YJ ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names YJコード定義, YJ code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

126. MedicationAdministration.medication[x].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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

128. MedicationAdministration.medication[x].coding:YJ.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

130. MedicationAdministration.medication[x].coding:YJ.system

Definition

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

Short Identity of the terminology system (医薬品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.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value urn:oid:1.2.392.100495.20.1.73

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

132. MedicationAdministration.medication[x].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.

Short Version 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.

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

134. MedicationAdministration.medication[x].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).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

136. MedicationAdministration.medication[x].coding:YJ.display

Definition

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

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

138. MedicationAdministration.medication[x].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).

Short If 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.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

140. MedicationAdministration.medication[x].coding:HOT9

Slice Name HOT9

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see JP Core MedicationCode HOT9 ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names HOT9コード定義, HOT9 code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

142. MedicationAdministration.medication[x].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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

144. MedicationAdministration.medication[x].coding:HOT9.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

146. MedicationAdministration.medication[x].coding:HOT9.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value urn:oid:1.2.392.200119.4.403.1

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

148. MedicationAdministration.medication[x].coding:HOT9.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

150. MedicationAdministration.medication[x].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).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

152. MedicationAdministration.medication[x].coding:HOT9.display

Definition

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

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

154. MedicationAdministration.medication[x].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).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

156. MedicationAdministration.medication[x].coding:US

Slice Name US

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..1*

Binding Unless not suitable, these codes SHALL be taken from For codes, see https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
(extensible to https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion)

Is Modifier false

Summary true

Requirements

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

Alternate Names USコード, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

158. MedicationAdministration.medication[x].coding:US.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

160. MedicationAdministration.medication[x].coding:US.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

162. MedicationAdministration.medication[x].coding:US.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://www.nlm.nih.gov/research/umls/rxnorm

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

164. MedicationAdministration.medication[x].coding:US.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

166. MedicationAdministration.medication[x].coding:US.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).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

168. MedicationAdministration.medication[x].coding:US.display

Definition

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

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

170. MedicationAdministration.medication[x].coding:US.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

172. MedicationAdministration.medication[x].coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Alternate Names データ欠損理由コード定義, Data loss reason code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

174. MedicationAdministration.medication[x].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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

176. MedicationAdministration.medication[x].coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

178. MedicationAdministration.medication[x].coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

180. MedicationAdministration.medication[x].coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

182. MedicationAdministration.medication[x].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).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

184. MedicationAdministration.medication[x].coding:Absent.display

Definition

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

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

186. MedicationAdministration.medication[x].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).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

188. MedicationAdministration.medication[x].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.

Short Plain 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.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 医薬品の概念説明, Explanation of medication concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

190. MedicationAdministration.subject

Definition

The person or animal or group receiving the medication. 投与を受ける患者

The person or animal or group receiving the medication.

Short Who received medication (患者)

Comments

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ある必要があり、解決可能（内容に到達可能）である必要がある（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。

Control 1..1

Type Reference(Fujitsu Patient Profile, Patient, Group)

Is Modifier false

Summary true

Alternate Names 患者, Patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

192. MedicationAdministration.subject.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

194. MedicationAdministration.subject.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

196. MedicationAdministration.subject.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.

Short Literal 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.

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 参照患者, Patient reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

198. MedicationAdministration.subject.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).

Short Type 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.

Control 0..01

Unless 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).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

200. MedicationAdministration.subject.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.

Short Logical 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).

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 患者識別子, Patient identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

202. MedicationAdministration.subject.display

Definition

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

Short Text 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.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

204. MedicationAdministration.context

Definition

The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.

投薬が行われた患者と医療提供者の間の訪問、入院、またはその他の接触。受診情報や入院情報を表すEncounterへの参照。

The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.

Short Encounter of Care administered as part of (この行為が行われたタイミングの外来または入院)Encounter or Episode of Care administered as part of

Comments

Control 10..1

Type Reference(Fujitsu Encounter Profile, Encounter, EpisodeOfCare)

Is Modifier false

Summary false

Alternate Names 入外区分, Encounter

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

206. MedicationAdministration.context.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

208. MedicationAdministration.context.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.context.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

210. MedicationAdministration.context.reference

Definition

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

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 入外区分の参照, Encounter reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

212. MedicationAdministration.context.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.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless 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).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

214. MedicationAdministration.context.identifier

Definition

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

Comments

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

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 入外区分の識別子, Encounter identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

216. MedicationAdministration.context.display

Definition

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

Short Text 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.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

218. MedicationAdministration.supportingInformation

Definition

Additional information (for example, patient height and weight) that supports the administration of the medication.

薬の投与をサポートする追加情報（たとえば、患者の身長や体重）。

Additional information (for example, patient height and weight) that supports the administration of the medication.

Short Additional information to support administration　投与をサポートする追加情報

Comments

Control 0..0*

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

220. MedicationAdministration.effective[x]

Definition

A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.

投与が行われた（または「notGiven」属性がtrueの場合は行われなかった）特定の日時または時間間隔。錠剤を飲み込むなど、多くの管理では、dateTimeの使用がより適切である。

Short Start and end time of administration (投与実施日時)

Comments

投与実施日時であり、JP Coreでは必須である。

Control 1..1

Type dateTime, Period

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 実施日時, Datetime of administration

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

222. MedicationAdministration.performer

Definition

Indicates who or what performed the medication administration and how they were involved. 投薬およびそれに関与した人

Indicates who or what performed the medication administration and how they were involved.

Short Who performed the medication administration and what they did (投薬を実施した人)

Control 0..*

BackboneElement

Is Modifier false

Summary true

Alternate Names 実施者, Performer

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

224. MedicationAdministration.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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

226. MedicationAdministration.performer.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

228. MedicationAdministration.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).

Short ExtensionExtensions that cannot be ignored even if unrecognized

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

230. MedicationAdministration.performer.function

Definition

Distinguishes the type of involvement of the performer in the medication administration.

Short Type of performance

Control 0..01

For example codes, see MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-function
(example to http://hl7.org/fhir/ValueSet/med-admin-perform-function)

A code describing the role an individual played in administering the medication.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

232. MedicationAdministration.performer.actor

Definition

Indicates who or what performed the medication administration.

Short Who performed the medication administration (医療従事者)

Control 1..1

Type Reference(Fujitsu Practitioner Profile, Fujitsu PractitionerRole Profile, Fujitsu Patient Profile, RelatedPerson, Device, Practitioner, PractitionerRole, Patient)

Is Modifier false

Summary true

Alternate Names 医療従事者, Health worker

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

234. MedicationAdministration.performer.actor.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

236. MedicationAdministration.performer.actor.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.performer.actor.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

238. MedicationAdministration.performer.actor.reference

Definition

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

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 医療従事者の参照, Health worker reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

240. MedicationAdministration.performer.actor.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.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless 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).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

242. MedicationAdministration.performer.actor.identifier

Definition

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

Comments

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

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 医療従事者識別子, Health worker identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

244. MedicationAdministration.performer.actor.display

Definition

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

Short Text 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.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

246. MedicationAdministration.request

Definition

The original request, instruction or authority to perform the administration.

投与を実行する元になった投与指示や権限への参照情報。

The original request, instruction or authority to perform the administration.

Short Request administration performed against　実施された元の投与依頼情報

Comments

This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.

これは、orderまたはinstance-orderのいずれかであるMedicationRequestへの参照。インテントが他の値である場合は、MedicationRequestsを参照しないこと。

This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.

Control 0..01

Type Reference(MedicationRequest)

Is Modifier false

Summary false

Requirements

これは、インテント（意図）がorderまたはinstance-orderのいずれかであるMedicationRequestへの参照である。インテントが他の値である場合は、MedicationRequestsを参照しないこと。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

248. MedicationAdministration.device

Definition

The device used in administering the medication to the patient. For example, a particular infusion pump.

患者に薬を投与する際に使用されるデバイスへの参照。たとえば、特定の輸液ポンプ。

The device used in administering the medication to the patient. For example, a particular infusion pump.

Short Device used to administer　投与に使用されるデバイス

Comments

Control 0..0*

Type Reference(Device)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

250. MedicationAdministration.note

Definition

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

他の属性では伝えられない投薬管理に関する追加情報。

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

Short Information about the administration　投与に関する備考情報

Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

構造化された注釈情報がないシステムの場合、この要素によって作成者や作成時刻情報なしで単一の注釈を簡単に伝達できる。投与情報に付帯する潜在的な情報や修飾的な情報を伝えるために、この要素に叙述的な記述でそれらを含める必要がある場合がある。 注釈は、計算可能な「変更」情報を伝達するために使用されるべきではない。（ユーザの行動を強制することはほとんど不可能であるため、これはSHOULDである）。

Control 0..0*

Annotation

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

252. MedicationAdministration.dosage

Definition

Describes the medication dosage information details e.g. dose, rate, site, route, etc. 投薬量情報の詳細を説明する。線量、率、場所、ルートなど。

Describes the medication dosage information details e.g. dose, rate, site, route, etc.

Short Details of how medication was taken (投与方法や投与量を含む投薬内容)

Control 10..1

BackboneElement

Is Modifier false

Summary false

Alternate Names 投薬, Dosage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (dose.exists() or rate.exists())
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (dose.exists() or rate.exists())

254. MedicationAdministration.dosage.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

256. MedicationAdministration.dosage.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

258. MedicationAdministration.dosage.modifierExtension

Definition

An Extension

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

Short ExtensionExtensions that cannot be ignored even if unrecognized

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

260. MedicationAdministration.dosage.text

Definition

Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.

The dosage instructions should reflect the dosage of the medication that was administered.

フリーテキストの投与量用法は、投与される投与量や用法が複雑すぎてコーディングできない場合に使用できる。コード化された投与量や用法が存在する場合、フリーテキストの投与量や用法は、人間に表示するためにまだ存在している可能性がある。投与量や用法のこの指示は、実際に投与される薬の投与量や用法を反映する必要がある。

Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.

The dosage instructions should reflect the dosage of the medication that was administered.

Short Free text dosage instructions e.g. SIG　フリーテキストの投与方法の説明　SIG:用法

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

262. MedicationAdministration.dosage.site

Definition

A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".

薬が最初に体内に入った解剖学的部位のコード化された記述。たとえば、「左腕」。

A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".

Short Body site administered to (投与部位)

Comments

If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

ユースケースでBodySiteリソースの属性が必要な場合（たとえば、個別に識別して追跡するため）、標準の拡張機能[bodySite]（extension-bodysite.html）を使用する。要約コード、または場所の非常に正確な定義への参照、あるいはその両方である可能性がある。

Control 0..1

Binding The codes SHOULD be taken from For example codes, see JP Core Medication JAMI External Body Site ValueSethttp://hl7.org/fhir/ValueSet/approach-site-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS)

Is Modifier false

Summary false

Alternate Names 投与部位, Dosage site

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

264. MedicationAdministration.dosage.site.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

266. MedicationAdministration.dosage.site.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.site.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

268. MedicationAdministration.dosage.site.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与部位コード定義, Dosage site code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationAdministration.dosage.site.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

270. MedicationAdministration.dosage.site.coding:JPCode

Slice Name JPCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see JP Core Medication JAMI External Body Site ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names JPCodeコード定義, JPCode code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

272. MedicationAdministration.dosage.site.coding:JPCode.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

274. MedicationAdministration.dosage.site.coding:JPCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.site.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

276. MedicationAdministration.dosage.site.coding:JPCode.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value urn:oid:1.2.392.200250.2.2.20.32

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

278. MedicationAdministration.dosage.site.coding:JPCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

280. MedicationAdministration.dosage.site.coding:JPCode.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).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

282. MedicationAdministration.dosage.site.coding:JPCode.display

Definition

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

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

284. MedicationAdministration.dosage.site.coding:JPCode.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

286. MedicationAdministration.dosage.site.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding For example codes, see For codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
(example to http://hl7.org/fhir/ValueSet/approach-site-codes)

Is Modifier false

Summary true

Requirements

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

Alternate Names USCodeコード定義, USCode code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

288. MedicationAdministration.dosage.site.coding:USCode.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

290. MedicationAdministration.dosage.site.coding:USCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.site.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

292. MedicationAdministration.dosage.site.coding:USCode.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

294. MedicationAdministration.dosage.site.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

296. MedicationAdministration.dosage.site.coding:USCode.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).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

298. MedicationAdministration.dosage.site.coding:USCode.display

Definition

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

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

300. MedicationAdministration.dosage.site.coding:USCode.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

302. MedicationAdministration.dosage.site.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

304. MedicationAdministration.dosage.site.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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

306. MedicationAdministration.dosage.site.coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.site.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

308. MedicationAdministration.dosage.site.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

310. MedicationAdministration.dosage.site.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

312. MedicationAdministration.dosage.site.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).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

314. MedicationAdministration.dosage.site.coding:Absent.display

Definition

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

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

316. MedicationAdministration.dosage.site.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).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

318. MedicationAdministration.dosage.site.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.

Comments

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 投与部位の概念説明, Explanation of dosage site concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

320. MedicationAdministration.dosage.route

Definition

A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.

患者への、または患者への治療薬の投与経路または生理学的経路を指定するコード。たとえば、局所、静脈内など。

A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.

Short Path of substance into body (投与経路)

Comments

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.

すべてのターミノロジ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。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係とpre-coordinationとpost-coordinationの用語関係を管理するための独自の構造を提供する必要がある。

Control 0..1

Binding The codes SHOULD be taken from For example codes, see JP Core Medication HL70162-based Route ValueSethttp://hl7.org/fhir/ValueSet/route-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS)

Is Modifier false

Summary false

Alternate Names 投与経路, Dosage route

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

322. MedicationAdministration.dosage.route.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

324. MedicationAdministration.dosage.route.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.route.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

326. MedicationAdministration.dosage.route.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与経路コード定義, Dosage route code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationAdministration.dosage.route.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

328. MedicationAdministration.dosage.route.coding:JPCode

Slice Name JPCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与経路を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see JP Core Medication HL70162-based Route ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names JPCodeコード定義, JPCode code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

330. MedicationAdministration.dosage.route.coding:JPCode.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

332. MedicationAdministration.dosage.route.coding:JPCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.route.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

334. MedicationAdministration.dosage.route.coding:JPCode.system

Definition

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

Short Identity of the terminology system (投与経路を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://jpfhir.jp/fhir/core/CodeSystem/route-codes

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

336. MedicationAdministration.dosage.route.coding:JPCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. MedicationAdministration.dosage.route.coding:JPCode.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).

Short Symbol in syntax defined by the system (投与経路を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

340. MedicationAdministration.dosage.route.coding:JPCode.display

Definition

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

Short Representation defined by the system (投与経路の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

342. MedicationAdministration.dosage.route.coding:JPCode.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

344. MedicationAdministration.dosage.route.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与経路を表すコード)

Comments

Control 0..*

Binding For example codes, see For codes, see SNOMEDCTRouteCodes
(example to http://hl7.org/fhir/ValueSet/route-codes)

Is Modifier false

Summary true

Requirements

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

Alternate Names USCodeコード定義, USCode code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

346. MedicationAdministration.dosage.route.coding:USCode.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

348. MedicationAdministration.dosage.route.coding:USCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.route.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

350. MedicationAdministration.dosage.route.coding:USCode.system

Definition

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

Short Identity of the terminology system (投与経路を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

352. MedicationAdministration.dosage.route.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

354. MedicationAdministration.dosage.route.coding:USCode.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).

Short Symbol in syntax defined by the system (投与経路を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

356. MedicationAdministration.dosage.route.coding:USCode.display

Definition

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

Short Representation defined by the system (投与経路の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

358. MedicationAdministration.dosage.route.coding:USCode.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

360. MedicationAdministration.dosage.route.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

362. MedicationAdministration.dosage.route.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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

364. MedicationAdministration.dosage.route.coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.route.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

366. MedicationAdministration.dosage.route.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

368. MedicationAdministration.dosage.route.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

370. MedicationAdministration.dosage.route.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).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

372. MedicationAdministration.dosage.route.coding:Absent.display

Definition

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

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

374. MedicationAdministration.dosage.route.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).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

376. MedicationAdministration.dosage.route.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.

Comments

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 投与経路の概念説明, Explanation of dosage route concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

378. MedicationAdministration.dosage.method

Definition

投与方法

A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

Short How drug was administered (投与方法)

Comments

ターミノロジは投与する経路あるいは剤型をあらかじめ指定するために用いられる。

One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently.

Control 0..1

For example codes, see SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes
(example to http://hl7.org/fhir/ValueSet/administration-method-codes)

A coded concept describing the technique by which the medicine is administered.

Is Modifier false

Summary false

Requirements

コード化された値は体内に薬剤が投与される方法を示している。注射ではよく使われる。たとえば、緩徐に注入、深部に静注など。

Alternate Names 投与方法, Dosage method

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

380. MedicationAdministration.dosage.method.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

382. MedicationAdministration.dosage.method.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.method.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

384. MedicationAdministration.dosage.method.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与方法コード定義, Dosage method code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationAdministration.dosage.method.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

386. MedicationAdministration.dosage.method.coding:unitDigit1

Slice Name unitDigit1

Definition

投与⽅法に対応するJAMI 用法コード表基本用法１桁コードを識別するURI。

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与方法を表すコード)

Comments

コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである（HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。

Control 0..1*

Binding The codes SHALL be taken from For codes, see Medication Method Prescription Codes
(required to http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes)

Is Modifier false

Summary true

Requirements

他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。

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

Alternate Names JPCodeコード定義, JPCode code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

388. MedicationAdministration.dosage.method.coding:unitDigit1.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

390. MedicationAdministration.dosage.method.coding:unitDigit1.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.method.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

392. MedicationAdministration.dosage.method.coding:unitDigit1.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value urn:oid:1.2.392.200250.2.2.20.30

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

394. MedicationAdministration.dosage.method.coding:unitDigit1.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

396. MedicationAdministration.dosage.method.coding:unitDigit1.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).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

398. MedicationAdministration.dosage.method.coding:unitDigit1.display

Definition

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

Short Representation defined by the system (投与方法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

400. MedicationAdministration.dosage.method.coding:unitDigit1.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

402. MedicationAdministration.dosage.method.coding:unitDigit2

Slice Name unitDigit2

Definition

投与⽅法に対応するJAMI 用法コード表基本用法2桁コードを識別するURI。２桁コードurn:oid:1.2.392.200250.2.2.20.40

A reference to a code defined by a terminology system.

Short 投与⽅法に対応するJAMI 用法コード表基本用法2桁コードCode defined by a terminology system

Comments

Control 0..1*

Binding The codes SHOULD be taken from For codes, see JP Core Medication JAMI Detail Usage ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS)

Is Modifier false

Summary true

Requirements

他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

404. MedicationAdministration.dosage.method.coding:unitDigit2.system

Definition

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

Short Identity of the terminology system

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Fixed Value urn:oid:1.2.392.200250.2.2.20.40

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

406. MedicationAdministration.dosage.method.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与方法を表すコード)

Comments

Control 0..*

Binding For example codes, see For codes, see SNOMEDCTAdministrationMethodCodes
(example to http://hl7.org/fhir/ValueSet/administration-method-codes)

Is Modifier false

Summary true

Requirements

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

Alternate Names USCodeコード定義, USCode code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

408. MedicationAdministration.dosage.method.coding:USCode.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

410. MedicationAdministration.dosage.method.coding:USCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.method.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

412. MedicationAdministration.dosage.method.coding:USCode.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

414. MedicationAdministration.dosage.method.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

416. MedicationAdministration.dosage.method.coding:USCode.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).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

418. MedicationAdministration.dosage.method.coding:USCode.display

Definition

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

Short Representation defined by the system (投与方法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

420. MedicationAdministration.dosage.method.coding:USCode.userSelected

Definition

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

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

422. MedicationAdministration.dosage.method.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

424. MedicationAdministration.dosage.method.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.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

426. MedicationAdministration.dosage.method.coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.method.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

428. MedicationAdministration.dosage.method.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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 Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

430. MedicationAdministration.dosage.method.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

432. MedicationAdministration.dosage.method.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).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

434. MedicationAdministration.dosage.method.coding:Absent.display

Definition

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

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

436. MedicationAdministration.dosage.method.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).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

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.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

438. MedicationAdministration.dosage.method.text

Definition

投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。

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.

Comments

textエレメントはcodingのdisplayNameエレメントと一致することがよくある。

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。

Alternate Names 投与方法の概念説明, Explanation of dosage method concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

440. MedicationAdministration.dosage.dose

Definition

The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.

1回の投与イベントで投与される薬剤の量。この値は、投与が錠剤の飲み込みや注射などの本質的に瞬間的なイベントである場合に使用する。

The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.

Short Amount of medication per dose (投薬量)

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)

If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.

Control 10..1
This element is affected by the following invariants: ele-1

Binding The codes SHALL be taken from For codes, see Fujitsu Medication Unit MERIT9
(required to http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9)

Type Quantity(JP Core Medication Quantity DataType, SimpleQuantity)

Is Modifier false

Alternate Names 投与量, Dose

Invariants ele-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())

442. MedicationAdministration.dosage.dose.id

Definition

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

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

444. MedicationAdministration.dosage.dose.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationAdministration.dosage.dose.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

446. MedicationAdministration.dosage.dose.value

Definition

計測された量。精度を含めた値が暗示される。

The value of the measured amount. The value includes an implicit precision in the presentation of the value.

Short Numerical value (with implicit precision) (投薬量)

Comments

暗示された精度については常に尊重すべきである。貨幣計算では制度に関する独自のルールがある（会計についての標準的な教科書を参照すること）。

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 10..1

decimal

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 投与量, Dose value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

448. MedicationAdministration.dosage.dose.comparator

Definition

Not allowed to be used in this context

How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

Short < | <= | >= | > - how to understand the value

Control 0..01

The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Is Modifier true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

450. MedicationAdministration.dosage.dose.unit

Definition

人間にも可読な単位表現

A human-readable form of the unit.

Short Unit representation (投薬量の単位)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Alternate Names 単位, Unit, 投与量単位, Unit of dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

452. MedicationAdministration.dosage.dose.system

Definition

単位をコード化して表現するシステムについてのID。

The identification of the system that provides the coded form of the unit.

Short System that defines coded unit form (単位形式を定義するコード体系)

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 10..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

システムによって定義される単位のコードを把握しておく必要がある。

Need to know the system that defines the coded form of the unit.

Alternate Names 単位のコードシステム, System, 投与量単位コード体系, Unit code system of dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

454. MedicationAdministration.dosage.dose.code

Definition

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)

A computer processable form of the unit in some unit representation system.

Short Coded form of the unit (単位を表すコード値)

Comments

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)されるが、ローカルコード等を利用することも可能とする

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 10..1

Binding The codes SHOULD be taken from For codes, see JP Core Medication MERIT9 Unit ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 投与量単位コード, Unit code of dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

456. MedicationAdministration.dosage.rate[x]

Definition

Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

薬が患者に導入された、または導入される予定の速度を識別する。通常、注入の速度。 1時間あたり100mlまたは100ml/時。単位時間あたりのレートとして表すこともできる。 2時間あたり500ml。その他の例：200mcg/分または200mcg/1分。 1リットル/8時間。

Short Dose quantity per unit of time　単位時間あたりの用量

Comments

If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.

レートが時間の経過とともに変化し、これをMedicationAdministrationで記述する場合は、各変更を、特定のMedicationAdministration.dosage.rateと、レート変更が発生した日時を使用して、個別のMedicationAdministrationとして記述する必要がある。通常、MedicationAdministration.dosage.rate要素は、平均レートを伝達するためには使用されない。

Control 0..1

Type Choice of: Ratio, Quantity(SimpleQuantity)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationAdministration.dosage.rate[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:

type @ $this

458. MedicationAdministration.dosage.rate[x]:rateRatio

Slice Name rateRatio

Definition

単位時間内での薬剤の容量

Short 単位時間内での薬剤の容量Dose quantity per unit of time

Comments

The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.

Control 0..01
This element is affected by the following invariants: ele-1

Type Ratio(JP Core Medication Rate Ratio DataType), Quantity(SimpleQuantity)

Is Modifier false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ((numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()))

460. MedicationAdministration.dosage.rate[x]:rateQuantity

Slice Name rateQuantity

Definition

The comparator is not used on a SimpleQuantity

Short A fixed quantity (no comparator)Dose quantity per unit of time

Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

Control 0..01
This element is affected by the following invariants: ele-1

Type Quantity(SimpleQuantity), Ratio

Is Modifier false

462. MedicationAdministration.eventHistory

Definition

A summary of the events of interest that have occurred, such as when the administration was verified.

投与が確認されたときなど、発生した関連のあるベントのサマリー。

A summary of the events of interest that have occurred, such as when the administration was verified.

Short A list of events of interest in the lifecycle　ライフサイクルで関心のあるイベントのリスト

Comments

This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.

Control 0..0*

Type Reference(Provenance)

Is Modifier false

Summary false

Invariants ele-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. MedicationAdministration

Definition

このプロファイルは、内服・外用薬剤処方投与実施情報を定義します。

Short Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)

Control 0..*

Is Modifier false

Summary false

Alternate Names 内服・外用薬剤処方投与実施情報, Medication Administration

Invariants dom-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. MedicationAdministration.id

Definition

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

Short Logical 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.

Control 0..1

Is Modifier false

Summary true

Alternate Names 論理ID, Logical id

4. MedicationAdministration.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.

Short Metadata about the resource (リソースのメタデータ)

Control 0..1