Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu MedicationAdministration Profile

Official URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-medicationadministration Version: 1.1.28
Active as of 2025-07-09 Computable Name: FujitsuMedicationAdministration

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines the implementation of the prescription.
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。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* JP_MedicationAdministration Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)
... 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
... modifierExtension 0..0
... identifier 2..* Identifier External identifier (識別子)
... 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..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID(MedicationRequestからの継承)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..1 CodeableConcept Description of identifier (識別子の種類)
..... id 0..0
..... extension 0..0
..... coding 0..* Coding Code defined by a terminology system (識別子のコード)
..... text 0..1 string Plain text representation of the concept (識別子のテキスト)
.... system 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
.... value 1..1 string 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]
.... period 0..0
.... assigner 0..0
... instantiates 0..0
... partOf 0..0
... status 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
... category 0..0
... medication[x] C 1..1 CodeableConcept What was administered (医薬品コードと医薬品名称)
fujitsu-4: Medication Code or Data Absent Reason
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:HOT9 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:US 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string 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。)
... subject 1..1 Reference(Fujitsu Patient Profile) Who received medication (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 1..1 Reference(Fujitsu Encounter Profile) 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)
.... 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
... supportingInformation 0..0
... effective[x] 1..1 dateTime Start and end time of administration (投与実施日時)
... performer 0..* BackboneElement Who performed the medication administration and what they did (投薬を実施した人)
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... function 0..0
.... actor 1..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who performed the medication administration (医療従事者)
..... 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
... request 0..0
... device 0..0
... note 0..0
... dosage 1..1 BackboneElement Details of how medication was taken (投与方法や投与量を含む投薬内容)
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... text 0..0
.... site 0..1 CodeableConcept Body site administered to (投与部位)
..... id 0..0
..... extension 0..0
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication JAMI External Body Site ValueSet (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.32
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display 1..1 string Representation defined by the system (医薬品の表示名)
....... userSelected 0..0
...... coding:USCode 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display 1..1 string Representation defined by the system (医薬品の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string 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。)
.... route 0..1 CodeableConcept Path of substance into body (投与経路)
..... id 0..0
..... extension 0..0
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: JP Core Medication HL70162-based Route ValueSet (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/route-codes
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display 1..1 string Representation defined by the system (投与経路の表示名)
....... userSelected 0..0
...... coding:USCode 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: SNOMEDCTRouteCodes (example)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display 1..1 string Representation defined by the system (投与経路の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string 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。)
.... method 0..1 CodeableConcept How drug was administered (投与方法)
..... id 0..0
..... extension 0..0
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: Medication Method Prescription Codes (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display 1..1 string Representation defined by the system (投与方法の表示名)
....... userSelected 0..0
...... coding:USCode 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display 1..1 string Representation defined by the system (投与方法の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string 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。)
.... dose 1..1 JP_MedicationSimpleQuantity Amount of medication per dose (投薬量)
Binding: Fujitsu Medication Unit MERIT9 (required)
..... id 0..0
..... extension 0..0
..... value 1..1 decimal Numerical value (with implicit precision) (投薬量)
..... unit 1..1 string Unit representation (投薬量の単位)
..... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
..... code 1..1 code Coded form of the unit (単位を表すコード値)
.... rate[x]:rateRatio 0..0
.... rate[x]:rateQuantity 0..0
... eventHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationAdministration.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationAdministration.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationAdministration.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationAdministration.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationAdministration.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.site.coding:JPCoderequiredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:USCodeexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.site.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.route.coding:JPCoderequiredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:USCodeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.route.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1requiredJPMedicationMethodPrescriptionCodes
http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes
from this IG
MedicationAdministration.dosage.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.doserequiredFujitsuMedicationUnitMERIT9
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9
from this IG

Constraints

IdGradePath(s)DetailsRequirements
fujitsu-4errorMedicationAdministration.medication[x]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')
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* JP_MedicationAdministration Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)
... 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)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... Slices for identifier 2..* Identifier External identifier (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
..... extension 0..0
..... 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
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID(MedicationRequestからの継承)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string 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]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: MedicationAdministration Status Codes (required): 患者への投与状況

... medication[x] ΣC 1..1 CodeableConcept What was administered (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。


fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string 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。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (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)
... context 1..1 Reference(Fujitsu Encounter Profile) 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)
.... 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 dateTime Start and end time of administration (投与実施日時)
... performer Σ 0..* BackboneElement Who performed the medication administration and what they did (投薬を実施した人)
.... actor Σ 1..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who performed the medication administration (医療従事者)
..... 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)
... dosage C 1..1 BackboneElement Details of how medication was taken (投与方法や投与量を含む投薬内容)
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... site 0..1 CodeableConcept Body site administered to (投与部位)
Binding: JP Core Medication JAMI External Body Site ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication JAMI External Body Site ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.32
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... route 0..1 CodeableConcept Path of substance into body (投与経路)
Binding: JP Core Medication HL70162-based Route ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: JP Core Medication HL70162-based Route ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/route-codes
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: SNOMEDCTRouteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... method 0..1 CodeableConcept How drug was administered (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: Medication Method Prescription Codes (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... 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)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... dose C 1..1 JP_MedicationSimpleQuantity Amount of medication per dose (投薬量)
Binding: Fujitsu Medication Unit MERIT9 (required)
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
..... extension 0..0
..... value Σ 1..1 decimal Numerical value (with implicit precision) (投薬量)
..... unit Σ 1..1 string Unit representation (投薬量の単位)
..... system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
..... code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
.... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationAdministration.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationAdministration.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationAdministration.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationAdministration.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationAdministration.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.sitepreferredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:JPCoderequiredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:USCodeexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.site.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.routepreferredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:JPCoderequiredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:USCodeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.route.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1requiredJPMedicationMethodPrescriptionCodes
http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes
from this IG
MedicationAdministration.dosage.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationAdministration.dosage.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.doserequiredFujitsuMedicationUnitMERIT9
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9
from this IG
MedicationAdministration.dosage.dose.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-4errorMedicationAdministration.medication[x]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')
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* JP_MedicationAdministration Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)
... 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)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... Slices for identifier 2..* Identifier External identifier (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
..... extension 0..0
..... 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
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID(MedicationRequestからの継承)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string 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]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: MedicationAdministration Status Codes (required): 患者への投与状況

... statusReason 0..* CodeableConcept Reason administration not performed　実施されていない理由
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... medication[x] ΣC 1..1 CodeableConcept What was administered (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。


fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string 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。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (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)
... context 1..1 Reference(Fujitsu Encounter Profile) 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)
.... 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 dateTime Start and end time of administration (投与実施日時)
... performer Σ 0..* BackboneElement Who performed the medication administration and what they did (投薬を実施した人)
.... actor Σ 1..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who performed the medication administration (医療従事者)
..... 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)
... reasonCode 0..* CodeableConcept Reason administration performed　投薬が実施された理由
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..* Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core DiagnosticReport Common Profile) Condition or observation that supports why the medication was administered　薬が投与された理由を裏付ける状態または観察
... dosage C 1..1 BackboneElement Details of how medication was taken (投与方法や投与量を含む投薬内容)
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... site 0..1 CodeableConcept Body site administered to (投与部位)
Binding: JP Core Medication JAMI External Body Site ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication JAMI External Body Site ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.32
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... route 0..1 CodeableConcept Path of substance into body (投与経路)
Binding: JP Core Medication HL70162-based Route ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: JP Core Medication HL70162-based Route ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/route-codes
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: SNOMEDCTRouteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... method 0..1 CodeableConcept How drug was administered (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: Medication Method Prescription Codes (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... 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
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... dose C 1..1 JP_MedicationSimpleQuantity Amount of medication per dose (投薬量)
Binding: Fujitsu Medication Unit MERIT9 (required)
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
..... extension 0..0
..... value Σ 1..1 decimal Numerical value (with implicit precision) (投薬量)
..... unit Σ 1..1 string Unit representation (投薬量の単位)
..... system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
..... code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
.... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationAdministration.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationAdministration.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationAdministration.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationAdministration.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationAdministration.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.sitepreferredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:JPCoderequiredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:USCodeexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.site.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.routepreferredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:JPCoderequiredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:USCodeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.route.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1requiredJPMedicationMethodPrescriptionCodes
http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes
from this IG
MedicationAdministration.dosage.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationAdministration.dosage.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.doserequiredFujitsuMedicationUnitMERIT9
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9
from this IG
MedicationAdministration.dosage.dose.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-4errorMedicationAdministration.medication[x]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')
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()

This structure is derived from JP_MedicationAdministration

Summary

Mandatory: 9 elements(47 nested mandatory elements)
Fixed: 12 elements
Prohibited: 124 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationAdministration.medication[x].coding
  • The element 1 is sliced based on the value of MedicationAdministration.dosage.site.coding
  • The element 1 is sliced based on the value of MedicationAdministration.dosage.route.coding
  • The element 1 is sliced based on the value of MedicationAdministration.dosage.method.coding

Differential View

This structure is derived from JP_MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* JP_MedicationAdministration Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)
... 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
... modifierExtension 0..0
... identifier 2..* Identifier External identifier (識別子)
... 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..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID(MedicationRequestからの継承)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..1 CodeableConcept Description of identifier (識別子の種類)
..... id 0..0
..... extension 0..0
..... coding 0..* Coding Code defined by a terminology system (識別子のコード)
..... text 0..1 string Plain text representation of the concept (識別子のテキスト)
.... system 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
.... value 1..1 string 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]
.... period 0..0
.... assigner 0..0
... instantiates 0..0
... partOf 0..0
... status 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
... category 0..0
... medication[x] C 1..1 CodeableConcept What was administered (医薬品コードと医薬品名称)
fujitsu-4: Medication Code or Data Absent Reason
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:HOT9 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:US 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string 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。)
... subject 1..1 Reference(Fujitsu Patient Profile) Who received medication (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 1..1 Reference(Fujitsu Encounter Profile) 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)
.... 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
... supportingInformation 0..0
... effective[x] 1..1 dateTime Start and end time of administration (投与実施日時)
... performer 0..* BackboneElement Who performed the medication administration and what they did (投薬を実施した人)
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... function 0..0
.... actor 1..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who performed the medication administration (医療従事者)
..... 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
... request 0..0
... device 0..0
... note 0..0
... dosage 1..1 BackboneElement Details of how medication was taken (投与方法や投与量を含む投薬内容)
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... text 0..0
.... site 0..1 CodeableConcept Body site administered to (投与部位)
..... id 0..0
..... extension 0..0
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication JAMI External Body Site ValueSet (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.32
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display 1..1 string Representation defined by the system (医薬品の表示名)
....... userSelected 0..0
...... coding:USCode 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display 1..1 string Representation defined by the system (医薬品の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string 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。)
.... route 0..1 CodeableConcept Path of substance into body (投与経路)
..... id 0..0
..... extension 0..0
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: JP Core Medication HL70162-based Route ValueSet (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/route-codes
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display 1..1 string Representation defined by the system (投与経路の表示名)
....... userSelected 0..0
...... coding:USCode 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: SNOMEDCTRouteCodes (example)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display 1..1 string Representation defined by the system (投与経路の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string 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。)
.... method 0..1 CodeableConcept How drug was administered (投与方法)
..... id 0..0
..... extension 0..0
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: Medication Method Prescription Codes (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display 1..1 string Representation defined by the system (投与方法の表示名)
....... userSelected 0..0
...... coding:USCode 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display 1..1 string Representation defined by the system (投与方法の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string 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。)
.... dose 1..1 JP_MedicationSimpleQuantity Amount of medication per dose (投薬量)
Binding: Fujitsu Medication Unit MERIT9 (required)
..... id 0..0
..... extension 0..0
..... value 1..1 decimal Numerical value (with implicit precision) (投薬量)
..... unit 1..1 string Unit representation (投薬量の単位)
..... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
..... code 1..1 code Coded form of the unit (単位を表すコード値)
.... rate[x]:rateRatio 0..0
.... rate[x]:rateQuantity 0..0
... eventHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationAdministration.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationAdministration.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationAdministration.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationAdministration.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationAdministration.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.site.coding:JPCoderequiredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:USCodeexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.site.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.route.coding:JPCoderequiredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:USCodeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.route.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1requiredJPMedicationMethodPrescriptionCodes
http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes
from this IG
MedicationAdministration.dosage.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.doserequiredFujitsuMedicationUnitMERIT9
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9
from this IG

Constraints

IdGradePath(s)DetailsRequirements
fujitsu-4errorMedicationAdministration.medication[x]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')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* JP_MedicationAdministration Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)
... 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)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... Slices for identifier 2..* Identifier External identifier (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
..... extension 0..0
..... 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
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID(MedicationRequestからの継承)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string 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]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: MedicationAdministration Status Codes (required): 患者への投与状況

... medication[x] ΣC 1..1 CodeableConcept What was administered (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。


fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string 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。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (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)
... context 1..1 Reference(Fujitsu Encounter Profile) 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)
.... 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 dateTime Start and end time of administration (投与実施日時)
... performer Σ 0..* BackboneElement Who performed the medication administration and what they did (投薬を実施した人)
.... actor Σ 1..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who performed the medication administration (医療従事者)
..... 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)
... dosage C 1..1 BackboneElement Details of how medication was taken (投与方法や投与量を含む投薬内容)
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... site 0..1 CodeableConcept Body site administered to (投与部位)
Binding: JP Core Medication JAMI External Body Site ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication JAMI External Body Site ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.32
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... route 0..1 CodeableConcept Path of substance into body (投与経路)
Binding: JP Core Medication HL70162-based Route ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: JP Core Medication HL70162-based Route ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/route-codes
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: SNOMEDCTRouteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... method 0..1 CodeableConcept How drug was administered (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: Medication Method Prescription Codes (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... 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)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... dose C 1..1 JP_MedicationSimpleQuantity Amount of medication per dose (投薬量)
Binding: Fujitsu Medication Unit MERIT9 (required)
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
..... extension 0..0
..... value Σ 1..1 decimal Numerical value (with implicit precision) (投薬量)
..... unit Σ 1..1 string Unit representation (投薬量の単位)
..... system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
..... code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
.... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationAdministration.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationAdministration.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationAdministration.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationAdministration.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationAdministration.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.sitepreferredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:JPCoderequiredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:USCodeexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.site.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.routepreferredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:JPCoderequiredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:USCodeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.route.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1requiredJPMedicationMethodPrescriptionCodes
http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes
from this IG
MedicationAdministration.dosage.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationAdministration.dosage.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.doserequiredFujitsuMedicationUnitMERIT9
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9
from this IG
MedicationAdministration.dosage.dose.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-4errorMedicationAdministration.medication[x]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')
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* JP_MedicationAdministration Fujitsu MedicationAdministration Profile (内服・外用薬剤処方投与実施情報プロファイル)
... 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)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... Slices for identifier 2..* Identifier External identifier (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
..... extension 0..0
..... 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
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID(MedicationRequestからの継承)
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
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.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string 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]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: MedicationAdministration Status Codes (required): 患者への投与状況

... statusReason 0..* CodeableConcept Reason administration not performed　実施されていない理由
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... medication[x] ΣC 1..1 CodeableConcept What was administered (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。


fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string 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。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (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)
... context 1..1 Reference(Fujitsu Encounter Profile) 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)
.... 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 dateTime Start and end time of administration (投与実施日時)
... performer Σ 0..* BackboneElement Who performed the medication administration and what they did (投薬を実施した人)
.... actor Σ 1..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who performed the medication administration (医療従事者)
..... 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)
... reasonCode 0..* CodeableConcept Reason administration performed　投薬が実施された理由
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..* Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core DiagnosticReport Common Profile) Condition or observation that supports why the medication was administered　薬が投与された理由を裏付ける状態または観察
... dosage C 1..1 BackboneElement Details of how medication was taken (投与方法や投与量を含む投薬内容)
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... site 0..1 CodeableConcept Body site administered to (投与部位)
Binding: JP Core Medication JAMI External Body Site ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication JAMI External Body Site ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.32
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
....... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... route 0..1 CodeableConcept Path of substance into body (投与経路)
Binding: JP Core Medication HL70162-based Route ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JPCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: JP Core Medication HL70162-based Route ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://jpfhir.jp/fhir/core/CodeSystem/route-codes
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与経路を表すコード)
Binding: SNOMEDCTRouteCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与経路を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与経路を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与経路の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... method 0..1 CodeableConcept How drug was administered (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: Medication Method Prescription Codes (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... 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
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string 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。)
.... dose C 1..1 JP_MedicationSimpleQuantity Amount of medication per dose (投薬量)
Binding: Fujitsu Medication Unit MERIT9 (required)
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
..... extension 0..0
..... value Σ 1..1 decimal Numerical value (with implicit precision) (投薬量)
..... unit Σ 1..1 string Unit representation (投薬量の単位)
..... system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
..... code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
.... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationAdministration.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationAdministration.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationAdministration.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationAdministration.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationAdministration.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.sitepreferredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:JPCoderequiredJP_MedicationBodySiteJAMIExternal_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS
MedicationAdministration.dosage.site.coding:USCodeexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.site.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.routepreferredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:JPCoderequiredJP_MedicationRouteHL70162_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS
MedicationAdministration.dosage.route.coding:USCodeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.route.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:unitDigit1requiredJPMedicationMethodPrescriptionCodes
http://ig.fujitsu.com/healthy-living/ValueSet/JP-Medication-Method-Prescription-Codes
from this IG
MedicationAdministration.dosage.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationAdministration.dosage.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationAdministration.dosage.doserequiredFujitsuMedicationUnitMERIT9
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-medication-unit-merit9
from this IG
MedicationAdministration.dosage.dose.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fujitsu-4errorMedicationAdministration.medication[x]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')
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()

This structure is derived from JP_MedicationAdministration

Summary

Mandatory: 9 elements(47 nested mandatory elements)
Fixed: 12 elements
Prohibited: 124 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationAdministration.medication[x].coding
  • The element 1 is sliced based on the value of MedicationAdministration.dosage.site.coding
  • The element 1 is sliced based on the value of MedicationAdministration.dosage.route.coding
  • The element 1 is sliced based on the value of MedicationAdministration.dosage.method.coding

 

Other representations of profile: CSV, Excel, Schematron