Publication Build: This will be filled in by the publication tooling

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: Fujitsu MedicationAdministration Insulin Profile

This profile defines the administered insulin doses of a patient.
このプロファイルはインスリン投与を定義します。

Usage:

• Examples for this Resource Profile: MedicationAdministration/pghd-medicationadministration-insulin-1 and MedicationAdministration/pghd-medicationadministration-insulin-2

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from JP_MedicationAdministration_Injection

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	JP_MedicationAdministration_Injection	Fujitsu MedicationAdministration Insulin Profile (インスリン投与プロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
extension:requestDepartment		0..0
extension:requestAuthoredOn		0..0
extension:location		0..0
extension:requester		0..0
extension:uncategorizedComment		0..0
modifierExtension		0..0
identifier		1..*	Identifier	Business Identifier for observation (識別子)
identifier:requestIdentifier		0..0
instantiates		0..0
partOf		0..0
status		1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (投薬の状態) Fixed Value: completed
statusReason		0..0
category		0..0
medication[x]		1..1	Reference(Fujitsu Medication Profile)	What was administered (投薬したインスリン)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
subject		1..1	Reference(Fujitsu Patient Profile)	Who received medication (インスリン投与した患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
context		0..0
supportingInformation		0..0
effective[x]		1..1	dateTime, Period	Start and end time of administration (投与日)
performer		0..*	BackboneElement	Who performed the medication administration and what they did (実行者)
id		0..0
extension		0..0
modifierExtension		0..0
actor		1..1	Reference(Fujitsu Patient Profile)	Who performed the medication administration
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
reasonCode		0..0
reasonReference		0..0
request		0..0
device		0..0
note		0..*	Annotation	Information about the administration (追加情報)
dosage		0..1	BackboneElement	Details of how medication was taken (投与量)
extension:dosageComment		0..0
extension:device		0..0
extension:line		0..0
extension:lineComment		0..0
extension:rateComment		0..0
eventHistory		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	JP_MedicationAdministration_Injection	Fujitsu MedicationAdministration Insulin Profile (インスリン投与プロファイル)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..*	Extension	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (投薬の状態) Binding: MedicationAdministration Status Codes (required): 患者への投与状況 Fixed Value: completed
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (投薬したインスリン)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (インスリン投与した患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	1..1		Start and end time of administration (投与日)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did (実行者)
actor	Σ	1..1	Reference(Fujitsu Patient Profile)	Who performed the medication administration
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
note		0..*	Annotation	Information about the administration (追加情報)
dosage	C	0..1	BackboneElement	Details of how medication was taken (投与量) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for rate[x]		0..1		Dose quantity per unit of time　単位時間あたりの用量 Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	単位時間内での薬剤の容量 rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.identifier:rpNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	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	error	MedicationAdministration	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	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationAdministration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
qty-3	error	MedicationAdministration.dosage.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationAdministration.dosage.rate[x]:rateRatio	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())
sqty-1	error	MedicationAdministration.dosage.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	JP_MedicationAdministration_Injection	Fujitsu MedicationAdministration Insulin Profile (インスリン投与プロファイル)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..*	Extension	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (投薬の状態) Binding: MedicationAdministration Status Codes (required): 患者への投与状況 Fixed Value: completed
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (投薬したインスリン)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (インスリン投与した患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	1..1		Start and end time of administration (投与日)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did (実行者)
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(Fujitsu Patient Profile)	Who performed the medication administration
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
note		0..*	Annotation	Information about the administration (追加情報)
dosage	C	0..1	BackboneElement	Details of how medication was taken (投与量) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	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
site		0..1	CodeableConcept	Body site administered to　投与部位 Binding: JP Core Medication JAMI External Body Site ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bodySite		0..*	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
siteComment		0..*	CodeableConcept	投与部位コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_SiteComment Binding: JP Core Medication Example SiteComment ValueSet (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
route		0..1	CodeableConcept	Path of substance into body　体への投与経路 Binding: JP Core Medication HL70162-based Route ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
routeComment		0..*	CodeableConcept	投与経路コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RouteComment Binding: JP Core Medication Example RouteComment ValueSet (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
method		0..1	CodeableConcept	投与方法 Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	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 Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:unitDigit2	Σ	0..1	Coding	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 Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	投与⽅法のテキスト表現
dose	C	0..1	JP_MedicationSimpleQuantity	Amount of medication per dose　用量あたりの投薬量 qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]		0..1		Dose quantity per unit of time　単位時間あたりの用量 Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	単位時間内での薬剤の容量 rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.identifier:rpNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.identifier:rpNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.identifier:requestIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.dosage.site	preferred	JP_MedicationBodySiteJAMIExternal_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.route	preferred	JP_MedicationRouteHL70162_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationAdministration.dosage.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	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	error	MedicationAdministration	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	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationAdministration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
qty-3	error	MedicationAdministration.dosage.dose, MedicationAdministration.dosage.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationAdministration.dosage.rate[x]:rateRatio	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())
sqty-1	error	MedicationAdministration.dosage.dose	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationAdministration.dosage.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from JP_MedicationAdministration_Injection

Summary

Mandatory: 2 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 40 elements

Structures

This structure refers to these other structures:

• Fujitsu Medication Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-medication)
• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)

Differential View

This structure is derived from JP_MedicationAdministration_Injection

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	JP_MedicationAdministration_Injection	Fujitsu MedicationAdministration Insulin Profile (インスリン投与プロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
extension:requestDepartment		0..0
extension:requestAuthoredOn		0..0
extension:location		0..0
extension:requester		0..0
extension:uncategorizedComment		0..0
modifierExtension		0..0
identifier		1..*	Identifier	Business Identifier for observation (識別子)
identifier:requestIdentifier		0..0
instantiates		0..0
partOf		0..0
status		1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (投薬の状態) Fixed Value: completed
statusReason		0..0
category		0..0
medication[x]		1..1	Reference(Fujitsu Medication Profile)	What was administered (投薬したインスリン)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
subject		1..1	Reference(Fujitsu Patient Profile)	Who received medication (インスリン投与した患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
context		0..0
supportingInformation		0..0
effective[x]		1..1	dateTime, Period	Start and end time of administration (投与日)
performer		0..*	BackboneElement	Who performed the medication administration and what they did (実行者)
id		0..0
extension		0..0
modifierExtension		0..0
actor		1..1	Reference(Fujitsu Patient Profile)	Who performed the medication administration
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
reasonCode		0..0
reasonReference		0..0
request		0..0
device		0..0
note		0..*	Annotation	Information about the administration (追加情報)
dosage		0..1	BackboneElement	Details of how medication was taken (投与量)
extension:dosageComment		0..0
extension:device		0..0
extension:line		0..0
extension:lineComment		0..0
extension:rateComment		0..0
eventHistory		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	JP_MedicationAdministration_Injection	Fujitsu MedicationAdministration Insulin Profile (インスリン投与プロファイル)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..*	Extension	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (投薬の状態) Binding: MedicationAdministration Status Codes (required): 患者への投与状況 Fixed Value: completed
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (投薬したインスリン)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (インスリン投与した患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	1..1		Start and end time of administration (投与日)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did (実行者)
actor	Σ	1..1	Reference(Fujitsu Patient Profile)	Who performed the medication administration
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
note		0..*	Annotation	Information about the administration (追加情報)
dosage	C	0..1	BackboneElement	Details of how medication was taken (投与量) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for rate[x]		0..1		Dose quantity per unit of time　単位時間あたりの用量 Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	単位時間内での薬剤の容量 rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.identifier:rpNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	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	error	MedicationAdministration	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	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationAdministration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
qty-3	error	MedicationAdministration.dosage.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationAdministration.dosage.rate[x]:rateRatio	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())
sqty-1	error	MedicationAdministration.dosage.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	JP_MedicationAdministration_Injection	Fujitsu MedicationAdministration Insulin Profile (インスリン投与プロファイル)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..*	Extension	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (投薬の状態) Binding: MedicationAdministration Status Codes (required): 患者への投与状況 Fixed Value: completed
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (投薬したインスリン)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (インスリン投与した患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
effective[x]	Σ	1..1		Start and end time of administration (投与日)
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did (実行者)
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(Fujitsu Patient Profile)	Who performed the medication administration
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
note		0..*	Annotation	Information about the administration (追加情報)
dosage	C	0..1	BackboneElement	Details of how medication was taken (投与量) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	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
site		0..1	CodeableConcept	Body site administered to　投与部位 Binding: JP Core Medication JAMI External Body Site ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bodySite		0..*	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
siteComment		0..*	CodeableConcept	投与部位コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_SiteComment Binding: JP Core Medication Example SiteComment ValueSet (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
route		0..1	CodeableConcept	Path of substance into body　体への投与経路 Binding: JP Core Medication HL70162-based Route ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
routeComment		0..*	CodeableConcept	投与経路コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RouteComment Binding: JP Core Medication Example RouteComment ValueSet (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
method		0..1	CodeableConcept	投与方法 Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	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 Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:unitDigit2	Σ	0..1	Coding	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 Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	投与⽅法のテキスト表現
dose	C	0..1	JP_MedicationSimpleQuantity	Amount of medication per dose　用量あたりの投薬量 qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]		0..1		Dose quantity per unit of time　単位時間あたりの用量 Slice: Unordered, Closed by type:$this
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	単位時間内での薬剤の容量 rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.identifier:rpNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.identifier:rpNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.identifier:requestIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.dosage.site	preferred	JP_MedicationBodySiteJAMIExternal_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.route	preferred	JP_MedicationRouteHL70162_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationAdministration.dosage.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	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	error	MedicationAdministration	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	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationAdministration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
qty-3	error	MedicationAdministration.dosage.dose, MedicationAdministration.dosage.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationAdministration.dosage.rate[x]:rateRatio	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())
sqty-1	error	MedicationAdministration.dosage.dose	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationAdministration.dosage.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from JP_MedicationAdministration_Injection

Summary

Mandatory: 2 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 40 elements

Structures

This structure refers to these other structures:

• Fujitsu Medication Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-medication)
• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)

Other representations of profile: CSV, Excel, Schematron