Fujitsu Healthy Living Implementation Guide
1.1.28 - release
Publication Build: This will be filled in by the publication tooling
Active as of 2025-07-09 |
Definitions for the fujitsu-medicationdispense-injection resource profile.
Guidance on how to interpret the contents of this table can be found here
0. MedicationDispense | |
Definition | このプロファイルは、注射薬剤処方調剤・払い出しを定義します。 |
Short | Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル) |
Alternate Names | 内服・外用薬処方調剤・払い出し, Medication Dispense |
2. MedicationDispense.id | |
Short | Logical id of this artifact (自動採番される論理ID) |
Alternate Names | 論理ID, Logical id, 論理ID, Logical id, 論理ID, Logical id |
4. MedicationDispense.meta | |
Short | Metadata about the resource (リソースのメタデータ) |
Alternate Names | メタデータ, Meta data, メタデータ, Meta data, メタデータ, Meta data |
6. MedicationDispense.implicitRules | |
Control | 0..0 |
8. MedicationDispense.language | |
Control | 0..0 |
10. MedicationDispense.text | |
Short | Text summary of the resource, for human interpretation (リソースの概要) |
Alternate Names | 概要, Summary, 概要, Summary, 概要, Summary |
12. MedicationDispense.contained | |
Short | Contained, inline Resources (リソース内リソース) |
Alternate Names | 内包リソース, CContained, 内包リソース, CContained, 参照リソース, Resoutce reference |
14. MedicationDispense.extension | |
Short | Additional content defined by implementations (要素の拡張) |
Control | 0..0 |
Alternate Names | 拡張, Extension, 拡張, Extension, 拡張, Extension |
16. MedicationDispense.extension:preparation | |
Slice Name | preparation |
Control | 0..0 |
18. MedicationDispense.modifierExtension | |
Control | 0..0 |
20. MedicationDispense.identifier | |
Short | Business Identifier for observation (識別子) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Alternate Names | 識別子, Identifier, 識別子, Identifier, 識別子, Identifier |
22. MedicationDispense.identifier:rpNumber | |
Slice Name | rpNumber |
Short | External identifier (外部から参照されるID) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Alternate Names | Rp番号, Rp Number |
24. MedicationDispense.identifier:rpNumber.id | |
Control | 0..0 |
26. MedicationDispense.identifier:rpNumber.extension | |
Control | 0..0 |
28. MedicationDispense.identifier:rpNumber.use | |
Control | 0..0 |
30. MedicationDispense.identifier:rpNumber.type | |
Control | 0..0 |
32. MedicationDispense.identifier:rpNumber.system | |
Alternate Names | Rp番号のコード体系, Rp Number code system |
34. MedicationDispense.identifier:rpNumber.value | |
Alternate Names | Rp番号, Rp Number value |
36. MedicationDispense.identifier:rpNumber.period | |
Control | 0..0 |
38. MedicationDispense.identifier:rpNumber.assigner | |
Control | 0..0 |
40. MedicationDispense.identifier:requestIdentifier | |
Slice Name | requestIdentifier |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0 |
Alternate Names | 処方オーダーID, Request Identifier |
42. MedicationDispense.partOf | |
Control | 0..0 |
44. MedicationDispense.status | |
Short | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) |
Alternate Names | 状態, Status |
46. MedicationDispense.statusReason[x] | |
Control | 0..0 |
48. MedicationDispense.category | |
Control | 0..0 |
50. MedicationDispense.medication[x] | |
Short | What was administered (医薬品の参照) |
Type | Reference(Fujitsu Medication Profile) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Alternate Names | 医薬品の参照, Medication reference |
52. MedicationDispense.medication[x].id | |
Control | 0..0 |
54. MedicationDispense.medication[x].extension | |
Control | 0..0 |
56. MedicationDispense.medication[x].reference | |
Short | Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) |
Control | 1..? |
Alternate Names | 医薬品の参照, Medication reference |
Fixed Value | #medication |
58. MedicationDispense.medication[x].type | |
Control | 0..0 |
60. MedicationDispense.medication[x].identifier | |
Short | Logical reference, when literal reference is not known (データ取り込みで使用する論理参照) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Alternate Names | 参照医薬品の識別子, Medication reference identifier |
62. MedicationDispense.medication[x].display | |
Control | 0..0 |
64. MedicationDispense.subject | |
Short | Who the dispense is for (投与対象患者) |
Type | Reference(Fujitsu Patient Profile) |
Alternate Names | 患者, Patient |
66. MedicationDispense.subject.id | |
Control | 0..0 |
68. MedicationDispense.subject.extension | |
Control | 0..0 |
70. MedicationDispense.subject.reference | |
Short | Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) |
Control | 1..? |
Alternate Names | 参照患者, Patient reference |
72. MedicationDispense.subject.type | |
Control | 0..0 |
74. MedicationDispense.subject.identifier | |
Short | Logical reference, when literal reference is not known (データ取り込みで使用する論理参照) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Alternate Names | 患者識別子, Patient identifier |
76. MedicationDispense.subject.display | |
Control | 0..0 |
78. MedicationDispense.supportingInformation | |
Control | 0..0 |
80. MedicationDispense.performer | |
Control | 0..0 |
82. MedicationDispense.location | |
Control | 0..0 |
84. MedicationDispense.authorizingPrescription | |
Control | 0..0 |
86. MedicationDispense.type | |
Control | 0..0 |
88. MedicationDispense.quantity | |
Short | Amount dispensed (払い出される薬剤の量) |
Alternate Names | 払い出される薬剤の量, Amount of medication |
90. MedicationDispense.daysSupply | |
Short | Amount of medication expressed as a timing amount (タイミングとして表される投薬量) |
Alternate Names | 1回投薬量, Amount of medication at the right time |
92. MedicationDispense.whenPrepared | |
Control | 0..0 |
94. MedicationDispense.whenHandedOver | |
Short | When product was given out (調剤がパッケージ化され、レビューされた日時) |
Alternate Names | 払い出し日時, Handed Over Datetime |
96. MedicationDispense.destination | |
Control | 0..0 |
98. MedicationDispense.receiver | |
Control | 0..0 |
100. MedicationDispense.note | |
Control | 0..0 |
102. MedicationDispense.dosageInstruction | |
Short | How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法) |
Alternate Names | 処方指示, Dosage instruction |
104. MedicationDispense.dosageInstruction.id | |
Control | 0..0 |
106. MedicationDispense.dosageInstruction.modifierExtension | |
Control | 0..0 |
108. MedicationDispense.dosageInstruction.sequence | |
Control | 0..0 |
110. MedicationDispense.dosageInstruction.text | |
Short | Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現) |
Alternate Names | 処方指示の概念説明, Explanation of dosage instruction |
112. MedicationDispense.dosageInstruction.additionalInstruction | |
Short | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) |
114. MedicationDispense.dosageInstruction.additionalInstruction.id | |
Control | 0..0 |
116. MedicationDispense.dosageInstruction.additionalInstruction.extension | |
Control | 0..0 |
118. MedicationDispense.dosageInstruction.additionalInstruction.coding | |
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
120. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI | |
Slice Name | JAMI |
Short | Code defined by a terminology system (用法の補足情報を表すコード) |
Control | 0..1 |
Binding | The codes SHALL be taken from JP Core Medication JAMI Additional Usage ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS ) |
122. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.id | |
Control | 0..0 |
124. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.extension | |
Control | 0..0 |
126. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.system | |
Short | Identity of the terminology system (用法の補足情報を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | urn:oid:1.2.392.200250.2.2.20.22 |
128. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
130. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.code | |
Short | Symbol in syntax defined by the system (用法の補足情報を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
132. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.display | |
Short | Representation defined by the system (用法の補足情報の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
134. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.userSelected | |
Control | 0..0 |
136. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode | |
Slice Name | USCode |
Short | Code defined by a terminology system (用法の補足情報を表すコード) |
Control | 0..1 |
Binding | The codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions (required to http://hl7.org/fhir/ValueSet/additional-instruction-codes ) |
138. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.id | |
Control | 0..0 |
140. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.extension | |
Control | 0..0 |
142. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.system | |
Short | Identity of the terminology system (用法の補足情報を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | http://snomed.info/sct |
144. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
146. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.code | |
Short | Symbol in syntax defined by the system (用法の補足情報を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
148. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.display | |
Short | Representation defined by the system (用法の補足情報の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
150. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.userSelected | |
Control | 0..0 |
152. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent | |
Slice Name | Absent |
Short | Code defined by a terminology system (欠損を表すコード) |
Control | 0..* |
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) |
154. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.id | |
Control | 0..0 |
156. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.extension | |
Control | 0..0 |
158. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.system | |
Short | Identity of the terminology system (欠損を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason |
160. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
162. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.code | |
Short | Symbol in syntax defined by the system (欠損を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
164. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.display | |
Short | Representation defined by the system (欠損の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
166. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.userSelected | |
Control | 0..0 |
168. MedicationDispense.dosageInstruction.additionalInstruction.text | |
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) |
Control | 1..? |
170. MedicationDispense.dosageInstruction.patientInstruction | |
Control | 0..0 |
172. MedicationDispense.dosageInstruction.timing | |
Short | When medication should be administered (投与タイミング) |
174. MedicationDispense.dosageInstruction.timing.id | |
Control | 0..0 |
176. MedicationDispense.dosageInstruction.timing.extension | |
Control | 0..0 |
178. MedicationDispense.dosageInstruction.timing.modifierExtension | |
Control | 0..0 |
180. MedicationDispense.dosageInstruction.timing.event | |
Short | When the event occurs (投与イベント) |
Control | 0..0 |
182. MedicationDispense.dosageInstruction.timing.repeat | |
Short | When the event is to occur (投与日時) |
184. MedicationDispense.dosageInstruction.timing.repeat.id | |
Control | 0..0 |
186. MedicationDispense.dosageInstruction.timing.repeat.extension | |
Control | 0..0 |
188. MedicationDispense.dosageInstruction.timing.repeat.bounds[x] | |
Short | Time range defined by start and end date/time (投与日時) |
Type | Period |
[x] Note | See Choice of Data Types for further information about how to use [x] |
190. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].start | |
Short | Starting time with inclusive boundary (投与開始日時) |
192. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].end | |
Short | End time with inclusive boundary, if not ongoing (投与終了日時) |
194. MedicationDispense.dosageInstruction.timing.repeat.count | |
Control | 0..0 |
196. MedicationDispense.dosageInstruction.timing.repeat.countMax | |
Control | 0..0 |
198. MedicationDispense.dosageInstruction.timing.repeat.duration | |
Control | 0..0 |
200. MedicationDispense.dosageInstruction.timing.repeat.durationMax | |
Control | 0..0 |
202. MedicationDispense.dosageInstruction.timing.repeat.durationUnit | |
Control | 0..0 |
204. MedicationDispense.dosageInstruction.timing.repeat.frequency | |
Control | 0..0 |
206. MedicationDispense.dosageInstruction.timing.repeat.frequencyMax | |
Control | 0..0 |
208. MedicationDispense.dosageInstruction.timing.repeat.period | |
Control | 0..0 |
210. MedicationDispense.dosageInstruction.timing.repeat.periodMax | |
Control | 0..0 |
212. MedicationDispense.dosageInstruction.timing.repeat.periodUnit | |
Control | 0..0 |
214. MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek | |
Control | 0..0 |
216. MedicationDispense.dosageInstruction.timing.repeat.timeOfDay | |
Control | 0..0 |
218. MedicationDispense.dosageInstruction.timing.repeat.when | |
Control | 0..0 |
220. MedicationDispense.dosageInstruction.timing.repeat.offset | |
Control | 0..0 |
222. MedicationDispense.dosageInstruction.timing.code | |
224. MedicationDispense.dosageInstruction.timing.code.coding | |
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.code.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
226. MedicationDispense.dosageInstruction.timing.code.coding:JAMI | |
Slice Name | JAMI |
Short | Code defined by a terminology system (用法を表すコード) |
Control | 0..1 |
Binding | The codes SHALL be taken from JP Core Medication JAMI Usage ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS ) |
228. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.id | |
Control | 0..0 |
230. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.extension | |
Control | 0..0 |
232. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.system | |
Short | Identity of the terminology system (用法を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | urn:oid:1.2.392.200250.2.2.20 |
234. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
236. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.code | |
Short | Symbol in syntax defined by the system (用法を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
238. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.display | |
Short | Representation defined by the system (用法の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
240. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.userSelected | |
Control | 0..0 |
242. MedicationDispense.dosageInstruction.timing.code.coding:USCode | |
Slice Name | USCode |
Short | Code defined by a terminology system (用法を表すコード) |
Control | 0..1 |
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation ) |
244. MedicationDispense.dosageInstruction.timing.code.coding:USCode.id | |
Control | 0..0 |
246. MedicationDispense.dosageInstruction.timing.code.coding:USCode.extension | |
Control | 0..0 |
248. MedicationDispense.dosageInstruction.timing.code.coding:USCode.system | |
Short | Identity of the terminology system (用法を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation |
250. MedicationDispense.dosageInstruction.timing.code.coding:USCode.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
252. MedicationDispense.dosageInstruction.timing.code.coding:USCode.code | |
Short | Symbol in syntax defined by the system (用法を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
254. MedicationDispense.dosageInstruction.timing.code.coding:USCode.display | |
Short | Representation defined by the system (用法の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
256. MedicationDispense.dosageInstruction.timing.code.coding:USCode.userSelected | |
Control | 0..0 |
258. MedicationDispense.dosageInstruction.timing.code.coding:Absent | |
Slice Name | Absent |
Short | Code defined by a terminology system (欠損を表すコード) |
Control | 0..* |
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) |
260. MedicationDispense.dosageInstruction.timing.code.coding:Absent.id | |
Control | 0..0 |
262. MedicationDispense.dosageInstruction.timing.code.coding:Absent.extension | |
Control | 0..0 |
264. MedicationDispense.dosageInstruction.timing.code.coding:Absent.system | |
Short | Identity of the terminology system (欠損を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason |
266. MedicationDispense.dosageInstruction.timing.code.coding:Absent.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
268. MedicationDispense.dosageInstruction.timing.code.coding:Absent.code | |
Short | Symbol in syntax defined by the system (欠損を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
270. MedicationDispense.dosageInstruction.timing.code.coding:Absent.display | |
Short | Representation defined by the system (欠損の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
272. MedicationDispense.dosageInstruction.timing.code.coding:Absent.userSelected | |
Control | 0..0 |
274. MedicationDispense.dosageInstruction.timing.code.text | |
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) |
Control | 1..? |
276. MedicationDispense.dosageInstruction.asNeeded[x] | |
Control | 0..0 |
278. MedicationDispense.dosageInstruction.site | |
Control | 0..0 |
280. MedicationDispense.dosageInstruction.route | |
Control | 0..0 |
282. MedicationDispense.dosageInstruction.method | |
Short | Technique for administering medication (投与方法) |
284. MedicationDispense.dosageInstruction.method.id | |
Control | 0..0 |
286. MedicationDispense.dosageInstruction.method.coding:unitDigit1 | |
Slice Name | unitDigit1 |
Short | Code defined by a terminology system (投与方法を表すコード) |
288. MedicationDispense.dosageInstruction.method.coding:unitDigit1.id | |
Control | 0..0 |
290. MedicationDispense.dosageInstruction.method.coding:unitDigit1.extension | |
Control | 0..0 |
292. MedicationDispense.dosageInstruction.method.coding:unitDigit1.system | |
Short | Identity of the terminology system (投与方法を定義するコード体系) |
Alternate Names | コードシステム, System |
294. MedicationDispense.dosageInstruction.method.coding:unitDigit1.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
296. MedicationDispense.dosageInstruction.method.coding:unitDigit1.code | |
Short | Symbol in syntax defined by the system (投与方法を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
298. MedicationDispense.dosageInstruction.method.coding:unitDigit1.display | |
Short | Representation defined by the system (投与方法の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
300. MedicationDispense.dosageInstruction.method.coding:unitDigit1.userSelected | |
Control | 0..0 |
302. MedicationDispense.dosageInstruction.method.coding:unitDigit2 | |
Slice Name | unitDigit2 |
Short | Code defined by a terminology system (投与方法を表すコード) |
304. MedicationDispense.dosageInstruction.method.coding:unitDigit2.id | |
Control | 0..0 |
306. MedicationDispense.dosageInstruction.method.coding:unitDigit2.extension | |
Control | 0..0 |
308. MedicationDispense.dosageInstruction.method.coding:unitDigit2.system | |
Short | Identity of the terminology system (投与方法を定義するコード体系) |
Alternate Names | コードシステム, System |
310. MedicationDispense.dosageInstruction.method.coding:unitDigit2.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
312. MedicationDispense.dosageInstruction.method.coding:unitDigit2.code | |
Short | Symbol in syntax defined by the system (投与方法を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
314. MedicationDispense.dosageInstruction.method.coding:unitDigit2.display | |
Short | Representation defined by the system (投与方法の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
316. MedicationDispense.dosageInstruction.method.coding:unitDigit2.userSelected | |
Control | 0..0 |
318. MedicationDispense.dosageInstruction.method.coding:USCode | |
Slice Name | USCode |
Short | Code defined by a terminology system (投与方法を表すコード) |
Control | 0..* |
Binding | For example codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes ) |
320. MedicationDispense.dosageInstruction.method.coding:USCode.id | |
Control | 0..0 |
322. MedicationDispense.dosageInstruction.method.coding:USCode.extension | |
Control | 0..0 |
324. MedicationDispense.dosageInstruction.method.coding:USCode.system | |
Short | Identity of the terminology system (投与方法を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | http://snomed.info/sct |
326. MedicationDispense.dosageInstruction.method.coding:USCode.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
328. MedicationDispense.dosageInstruction.method.coding:USCode.code | |
Short | Symbol in syntax defined by the system (投与方法を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
330. MedicationDispense.dosageInstruction.method.coding:USCode.display | |
Short | Representation defined by the system (投与方法の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
332. MedicationDispense.dosageInstruction.method.coding:USCode.userSelected | |
Control | 0..0 |
334. MedicationDispense.dosageInstruction.method.coding:Absent | |
Slice Name | Absent |
Short | Code defined by a terminology system (欠損を表すコード) |
Control | 0..* |
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) |
336. MedicationDispense.dosageInstruction.method.coding:Absent.id | |
Control | 0..0 |
338. MedicationDispense.dosageInstruction.method.coding:Absent.extension | |
Control | 0..0 |
340. MedicationDispense.dosageInstruction.method.coding:Absent.system | |
Short | Identity of the terminology system (欠損を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason |
342. MedicationDispense.dosageInstruction.method.coding:Absent.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
344. MedicationDispense.dosageInstruction.method.coding:Absent.code | |
Short | Symbol in syntax defined by the system (欠損を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
346. MedicationDispense.dosageInstruction.method.coding:Absent.display | |
Short | Representation defined by the system (欠損の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
348. MedicationDispense.dosageInstruction.method.coding:Absent.userSelected | |
Control | 0..0 |
350. MedicationDispense.dosageInstruction.method.text | |
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) |
Control | 1..? |
352. MedicationDispense.dosageInstruction.doseAndRate | |
Short | Amount of medication administered (投与量) |
354. MedicationDispense.dosageInstruction.doseAndRate.id | |
Control | 0..0 |
356. MedicationDispense.dosageInstruction.doseAndRate.type | |
Short | The kind of dose or rate specified (力価区分コード) |
Comments | 本要素は、安全性のため省略せずに必須とする。 |
358. MedicationDispense.dosageInstruction.doseAndRate.type.id | |
Control | 0..0 |
360. MedicationDispense.dosageInstruction.doseAndRate.type.extension | |
Control | 0..0 |
362. MedicationDispense.dosageInstruction.doseAndRate.type.coding | |
Short | Code defined by a terminology system (力価区分を表すコード) |
364. MedicationDispense.dosageInstruction.doseAndRate.type.coding.id | |
Control | 0..0 |
366. MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension | |
Control | 0..0 |
368. MedicationDispense.dosageInstruction.doseAndRate.type.coding.system | |
Short | Identity of the terminology system (力価区分を定義するコード体系) |
Control | 1..? |
Alternate Names | コードシステム, System |
Fixed Value | urn:oid:1.2.392.100495.20.2.22 |
370. MedicationDispense.dosageInstruction.doseAndRate.type.coding.version | |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..0 |
372. MedicationDispense.dosageInstruction.doseAndRate.type.coding.code | |
Short | Symbol in syntax defined by the system (力価区分を表すコード値) |
Control | 1..? |
Alternate Names | コード, Code |
374. MedicationDispense.dosageInstruction.doseAndRate.type.coding.display | |
Short | Representation defined by the system (力価区分の表示名) |
Control | 1..? |
Alternate Names | 表示名, Display |
376. MedicationDispense.dosageInstruction.doseAndRate.type.coding.userSelected | |
Control | 0..0 |
378. MedicationDispense.dosageInstruction.doseAndRate.dose[x] | |
Short | Amount of medication per dose (1回量) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
380. MedicationDispense.dosageInstruction.doseAndRate.rate[x] | |
Type | Ratio |
[x] Note | See Choice of Data Types for further information about how to use [x] |
382. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio | |
Slice Name | rateRatio |
Short | Amount of medication per unit of time (投与速度) |
Type | Ratio(JP Core Medication Rate Ratio DataType) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
384. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.id | |
Control | 0..0 |
386. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension | |
Control | 0..0 |
388. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator | |
Short | Numerator value (投与量) |
390. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.id | |
Control | 0..0 |
392. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension | |
Control | 0..0 |
394. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value | |
Short | Numerical value (with implicit precision) (投与量) |
Alternate Names | 値, Value |
396. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.comparator | |
Control | 0..0 |
398. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.unit | |
Short | Unit representation (投与量の単位) |
Control | 1..? |
Alternate Names | 単位, Unit |
400. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.system | |
Short | System that defines coded unit form (単位形式を定義するコード体系) |
Control | 1..? |
Alternate Names | 単位のコードシステム, System |
402. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code | |
Short | Symbol in syntax defined by the system (投与量を表す単位コード) |
Alternate Names | 単位のコード, Code |
404. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator | |
Short | Denominator value (投与時間) |
406. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.id | |
Control | 0..0 |
408. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension | |
Control | 0..0 |
410. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value | |
Short | Numerical value (with implicit precision) (投与の単位時間) |
Control | 1..? |
Alternate Names | 値, Value |
Fixed Value | 1 |
412. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.comparator | |
Control | 0..0 |
414. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.unit | |
Short | Unit representation (投与の単位時間の単位) |
Control | 1..? |
Alternate Names | 単位, Unit |
416. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.system | |
Short | System that defines coded unit form (単位形式を定義するコード体系) |
Control | 1..? |
Alternate Names | 単位のコードシステム, System |
Fixed Value | http://unitsofmeasure.org |
418. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code | |
Short | Coded form of the unit (単位を表すコード値) |
Control | 1..? |
Alternate Names | 単位のコード, Code |
Fixed Value | h |
420. MedicationDispense.dosageInstruction.maxDosePerPeriod | |
Control | 0..0 |
422. MedicationDispense.dosageInstruction.maxDosePerAdministration | |
Control | 0..0 |
424. MedicationDispense.dosageInstruction.maxDosePerLifetime | |
Control | 0..0 |
426. MedicationDispense.substitution | |
Control | 0..0 |
428. MedicationDispense.detectedIssue | |
Control | 0..0 |
430. MedicationDispense.eventHistory | |
Control | 0..0 |
Guidance on how to interpret the contents of this table can be found here
0. MedicationDispense | |||||
Definition | このプロファイルは、注射薬剤処方調剤・払い出しを定義します。 Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order. | ||||
Short | Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル)Dispensing a medication to a named patient | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 内服・外用薬処方調剤・払い出し, Medication Dispense | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) mdd-1: whenHandedOver cannot be before whenPrepared ( whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared )mdd-1: whenHandedOver cannot be before whenPrepared (whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared) | ||||
2. MedicationDispense.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact (自動採番される論理ID) | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | idstring | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 論理ID, Logical id | ||||
4. MedicationDispense.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource (リソースのメタデータ) | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | メタデータ, Meta data | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. MedicationDispense.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..01 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
8. MedicationDispense.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..01 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
10. MedicationDispense.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation (リソースの概要) | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display, 概要, Summary | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
12. MedicationDispense.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources (リソース内リソース) | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources, 内包リソース, CContained, 参照リソース, Resoutce reference | ||||
14. MedicationDispense.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations (要素の拡張) | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 拡張, Extension, extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
16. MedicationDispense.extension:preparation | |||||
Slice Name | preparation | ||||
Definition | 薬剤単位の調剤結果 | ||||
Short | 調剤結果 | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP Core MedicationDispense Preparation Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
18. MedicationDispense.modifierExtension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | ExtensionExtensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
20. MedicationDispense.identifier | |||||
Definition | このインスタンスが外部から参照されるために使われるIDである。処方箋全体としてのIDとしては使用しない。 処方箋内で同一の用法をまとめて表記されるRp番号はこのIdentifier elementの別スライスで表現する。それ以外に任意のIDを付与してもよい。 このIDは業務手順によって定められた処方オーダに対して、直接的なURL参照が適切でない場合も含めて関連付けるために使われる。この業務手順のIDは実施者によって割り当てられたものであり、リソースが更新されたりサーバからサーバに転送されたとしても固定のものとして存続する。 Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. | ||||
Short | Business Identifier for observation (識別子)External identifier | ||||
Comments | これは業務IDであって、リソースに対するIDではない。 This is a business identifier, not a resource identifier. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 10..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 識別子, Identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
22. MedicationDispense.identifier:rpNumber | |||||
Slice Name | rpNumber | ||||
Definition | 処方箋内で同一用法の薬剤を慣用的にまとめて、Rpに番号をつけて剤グループとして一括指定されることがある。このスライスでは剤グループに対して割り振られたRp番号を記録する。 Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. | ||||
Short | External identifier (外部から参照されるID) | ||||
Comments | 剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。 This is a business identifier, not a resource identifier. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 10..1* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Rp番号, Rp Number | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
24. MedicationDispense.identifier:rpNumber.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
26. MedicationDispense.identifier:rpNumber.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
28. MedicationDispense.identifier:rpNumber.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..01 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
30. MedicationDispense.identifier:rpNumber.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..01 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
32. MedicationDispense.identifier:rpNumber.system | |||||
Definition | ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。 Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | Rp番号(剤グループ番号)についてのsystem値The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Alternate Names | Rp番号のコード体系, Rp Number code system | ||||
Fixed Value | urn:oid:1.2.392.100495.20.3.81 | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
34. MedicationDispense.identifier:rpNumber.value | |||||
Definition | Rp番号(剤グループ番号)。"1"など。 The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | Rp番号(剤グループ番号)The value that is unique | ||||
Comments | value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | Rp番号, Rp Number value | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
36. MedicationDispense.identifier:rpNumber.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..01 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
38. MedicationDispense.identifier:rpNumber.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..01 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
40. MedicationDispense.identifier:requestIdentifier | |||||
Slice Name | requestIdentifier | ||||
Definition | 薬剤をオーダする単位としての処方箋に対するID。原則として調剤の基となったMedicationRequestのIDを設定する。 Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. | ||||
Short | 処方オーダに対するID(MedicationRequestからの継承)External identifier | ||||
Comments | This is a business identifier, not a resource identifier. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 処方オーダーID, Request Identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
45. MedicationDispense.partOf | |||||
Definition | The procedure that trigger the dispense. この調剤の契機となったProcedureリソースへの参照。 The procedure that trigger the dispense. | ||||
Short | Event that dispense is part of 親イベントへの参照 | ||||
Control | 0..0* | ||||
Type | Reference(JP Core Procedure Profile, Procedure) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
47. MedicationDispense.status | |||||
Definition | A code specifying the state of the set of dispense events. 一連の調剤イベントの状態を指定するコード。 A code specifying the state of the set of dispense events. | ||||
Short | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from MedicationDispense Status Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 )A coded concept specifying the state of the dispense event. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | 状態, Status | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
49. MedicationDispense.statusReason[x] | |||||
Definition | Indicates the reason why a dispense was not performed. 調剤が実行されなかった理由を示す。 Indicates the reason why a dispense was not performed. | ||||
Short | Why a dispense was not performed 調剤が実行されなかった理由 | ||||
Control | 0..01 | ||||
Binding | For example codes, see MedicationDispense Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-status-reason (example to http://hl7.org/fhir/ValueSet/medicationdispense-status-reason )A code describing why a dispense was not performed. | ||||
Type | Choice of: CodeableConcept, Reference(DetectedIssue) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
51. MedicationDispense.category | |||||
Definition | Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). 投薬のタイプを示す(たとえば、薬剤が消費または投与されると予想される場所(つまり、入院患者または外来患者))。 入院、外来、退院、自宅など。 Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). | ||||
Short | Type of medication dispense 調剤タイプ | ||||
Comments | The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind. | ||||
Control | 0..01 | ||||
Binding | The codes SHOULD be taken from MedicationDispense Category Codeshttp://hl7.org/fhir/ValueSet/medicationdispense-category (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category )A code describing where the dispensed medication is expected to be consumed or administered. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
53. MedicationDispense.medication[x] | |||||
Definition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。 Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | What was administered (医薬品の参照)What medication was supplied | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。 厚生労働省標準であるHOT9コード(販社指定が不要な場合にはHOT7コード)または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素(コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる)で記述する。 なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位(最少包装単位、個別包装単位)14桁を使用する。 ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。 ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。 また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード(ハウスコード、ローカルコード)の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | ||||
Control | 1..1 | ||||
Type | Reference(Fujitsu Medication Profile, Medication), CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 医薬品の参照, Medication reference | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
55. MedicationDispense.medication[x].id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
57. MedicationDispense.medication[x].extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.medication[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
59. MedicationDispense.medication[x].reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 10..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | 医薬品の参照, Medication reference | ||||
Fixed Value | #medication | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
61. MedicationDispense.medication[x].type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..01 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
63. MedicationDispense.medication[x].identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known (データ取り込みで使用する論理参照) | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 参照医薬品の識別子, Medication reference identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
65. MedicationDispense.medication[x].display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
67. MedicationDispense.subject | |||||
Definition | The person or animal or group receiving the medication. 投与を受ける患者 A link to a resource representing the person or the group to whom the medication will be given. | ||||
Short | Who the dispense is for (投与対象患者) | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 SubstanceAdministration->subject->Patient. | ||||
Control | 10..1 | ||||
Type | Reference(Fujitsu Patient Profile, Patient, Group) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 患者, Patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
69. MedicationDispense.subject.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
71. MedicationDispense.subject.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.subject.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
73. MedicationDispense.subject.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 10..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | 参照患者, Patient reference | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
75. MedicationDispense.subject.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..01 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
77. MedicationDispense.subject.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known (データ取り込みで使用する論理参照) | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 患者識別子, Patient identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
79. MedicationDispense.subject.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
81. MedicationDispense.supportingInformation | |||||
Definition | Additional information that supports the medication being dispensed. 調剤される薬剤をサポートする追加情報への任意のリソースへの参照。 Additional information that supports the medication being dispensed. | ||||
Short | Information that supports the dispensing of the medication 薬の調剤をサポートする情報 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..0* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
83. MedicationDispense.performer | |||||
Definition | Indicates who or what performed the event. 調剤した人を示す Indicates who or what performed the event. | ||||
Short | Who performed event 調剤を実施した人 | ||||
Control | 0..0* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
87. MedicationDispense.location | |||||
Definition | The principal physical location where the dispense was performed. 調剤が実施された場所を示すLocationリソースへの参照。 The principal physical location where the dispense was performed. | ||||
Short | Where the dispense occurred 調剤実施場所 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..01 | ||||
Type | Reference(JP Core Location Profile, Location) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
89. MedicationDispense.authorizingPrescription | |||||
Definition | Indicates the medication order that is being dispensed against. 調剤の元になった処方オーダを表すMedicationRequestリソースへの参照。 Indicates the medication order that is being dispensed against. | ||||
Short | Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ | ||||
Comments | Maps to basedOn in Event logical model. | ||||
Control | 0..0* | ||||
Type | Reference(JP Core MedicationRequest Injection Profile, MedicationRequest) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
91. MedicationDispense.type | |||||
Definition | Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. 実行される調剤イベントのタイプを示す。たとえば、トライアルフィル、トライアルの完了、部分フィル、緊急フィル、サンプルなどである。 Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | ||||
Short | 実行される調剤イベントTrial fill, partial fill, emergency fill, etc. | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. すべてのターミノロジの使用がこの一般的なパターンに適合するわけではない。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係とpre-coordinationとpost-coordinationの用語関係を管理するための独自の構造を提供する必要がある。 | ||||
Control | 0..01 | ||||
Binding | For example codes, see ActPharmacySupplyTypehttp://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType (example to http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType )Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
93. MedicationDispense.quantity | |||||
Definition | 調剤総量。 JP Coreでは必須 払い出される薬剤の量。計測単位を含む。 The amount of medication that has been dispensed. Includes unit of measure. | ||||
Short | Amount dispensed (払い出される薬剤の量) | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. 使用状況によって、これがどのような量であるか、したがってどのような単位を使用できるかが定義される場合がかなりある。使用状況によっては、比較演算子の値も制限される場合がある。 | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType, SimpleQuantity) | ||||
Is Modifier | false | ||||
Alternate Names | 払い出される薬剤の量, Amount of medication | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
95. MedicationDispense.daysSupply | |||||
Definition | The amount of medication expressed as a timing amount. タイミングとして表される投薬量。すなわち、XX日分、XX回分などの数量。 The amount of medication expressed as a timing amount. | ||||
Short | Amount of medication expressed as a timing amount (タイミングとして表される投薬量) | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. 使用状況によって、これがどのような量であるか、したがってどのような単位を使用できるかが定義される場合がかなりある。使用状況によっては、比較演算子の値も制限される場合がある。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType, SimpleQuantity) | ||||
Is Modifier | false | ||||
Alternate Names | 1回投薬量, Amount of medication at the right time | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
97. MedicationDispense.whenPrepared | |||||
Definition | The time when the dispensed product was packaged and reviewed. 調剤がパッケージ化され、レビューされた日時 The time when the dispensed product was packaged and reviewed. | ||||
Short | When product was packaged and reviewed 調剤がパッケージ化され、レビューされた日時 | ||||
Control | 0..01 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
99. MedicationDispense.whenHandedOver | |||||
Definition | The time the dispensed product was provided to the patient or their representative. 必須。 患者あるいはその代理人に払い出される薬剤が提供された日時。 The time the dispensed product was provided to the patient or their representative. | ||||
Short | When product was given out (調剤がパッケージ化され、レビューされた日時) | ||||
Control | 10..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Alternate Names | 払い出し日時, Handed Over Datetime | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
101. MedicationDispense.destination | |||||
Definition | Identification of the facility/location where the medication was shipped to, as part of the dispense event. 調剤イベントの一環として、薬剤が出荷された行先先の施設/場所のLocationリソースへの参照。 Identification of the facility/location where the medication was shipped to, as part of the dispense event. | ||||
Short | Where the medication was sent 薬が送られた場所 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..01 | ||||
Type | Reference(JP Core Location Profile, Location) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
103. MedicationDispense.receiver | |||||
Definition | Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional. 薬を受け取った人を識別する。これは通常、患者またはその介護者だが、医療専門家になる場合もある。 Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional. | ||||
Short | Who collected the medication 薬を受け取った人 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..0* | ||||
Type | Reference(JP Core Patient Profile, JP Core Practitioner Profile, Patient, Practitioner) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
105. MedicationDispense.note | |||||
Definition | Extra information about the dispense that could not be conveyed in the other attributes. 他の要素では伝達できなかった調剤に関する追加情報。 Extra information about the dispense that could not be conveyed in the other attributes. | ||||
Short | Information about the dispense 調剤に関する備考 | ||||
Comments | For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). 構造化された注釈(アノテーション)を持たないシステムの場合、作成者や時間なしで単一の注釈を簡単に伝達できる。情報を変更する可能性があるため、この要素をナラティブに含める必要がある場合がある。 注釈は、計算機処理れきる「変更」情報を伝達するために使用されるべきではない。 (ユーザの行動を強制することはほとんど不可能であるため、これはSHOULDとする)。 | ||||
Control | 0..0* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
107. MedicationDispense.dosageInstruction | |||||
Definition | 薬の服用方法・服用した方法、または服用すべき方法 Indicates how the medication is to be used by the patient. | ||||
Short | How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法) | ||||
Comments | When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed. | ||||
Control | 0..* | ||||
Type | Dosage(JP Core MedicationDosage Injection DataType) | ||||
Is Modifier | false | ||||
Alternate Names | 処方指示, Dosage instruction | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
109. MedicationDispense.dosageInstruction.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
111. MedicationDispense.dosageInstruction.extension:dosageComment | |||||
Slice Name | dosageComment | ||||
Definition | 用法コメントを格納するための拡張 | ||||
Short | 用法コメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage DosageComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
113. MedicationDispense.dosageInstruction.extension:device | |||||
Slice Name | device | ||||
Definition | 投与装置を格納する拡張 | ||||
Short | 投与装置 | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage Device Extension) (Extension Type: Reference(Device)) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
115. MedicationDispense.dosageInstruction.extension:line | |||||
Slice Name | line | ||||
Definition | 指示ラインを格納する拡張 | ||||
Short | 指示ライン | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage Line Extension) (Extension Type: CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
117. MedicationDispense.dosageInstruction.extension:lineComment | |||||
Slice Name | lineComment | ||||
Definition | ラインコメントを格納するための拡張 | ||||
Short | ラインコメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage LineComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
119. MedicationDispense.dosageInstruction.modifierExtension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | ExtensionExtensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
121. MedicationDispense.dosageInstruction.sequence | |||||
Definition | どの服用指示を適応するか判断するかについての順序を示したもの Indicates the order in which the dosage instructions should be applied or interpreted. | ||||
Short | 服用指示の順番The order of the dosage instructions | ||||
Comments | 32 bitの数値。これ以上の値であれば10進数を使うこと。 | ||||
Control | 0..01 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | もし、複数の服用法(Dosage)でsequenceの数値が同じであれば、その指示が同時に扱われることを示している。sequenceの数値が異なれば、服用指示(Dosage)の順番を意図している。 If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
123. MedicationDispense.dosageInstruction.text | |||||
Definition | 投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。 Free text dosage instructions e.g. SIG. | ||||
Short | Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現) | ||||
Comments | textエレメントはcodingのdisplayNameエレメントと一致することがよくある。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。 Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. | ||||
Alternate Names | 処方指示の概念説明, Explanation of dosage instruction | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
125. MedicationDispense.dosageInstruction.additionalInstruction | |||||
Definition | どのように薬剤を内服するかについての患者への補足指示(たとえば、「食事と一緒に」や「30分から1時間前に内服」)や薬剤についての注意書き(たとえば、「眠くなることがある」や「日光や紫外線が皮膚にあたららないようにすること」) Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). | ||||
Short | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) | ||||
Comments | 薬剤投与や調剤についての情報(たとえば、「腹膜内ポートに可能な限り迅速に注入」や「薬剤Xの直後に」)であり、dosage.textにも複製されるべきである。 Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from For example codes, see JP Core Medication JAMI Additional Usage ValueSethttp://hl7.org/fhir/ValueSet/additional-instruction-codes (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 補足指示はコード化されるように意図されているが、コードがない場合はエレメントはテキストだけで表現することができる。たとえば、「大量の水で服用する」という指示はコード化されていることもあれば、されていないことおある。 Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
127. MedicationDispense.dosageInstruction.additionalInstruction.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
129. MedicationDispense.dosageInstruction.additionalInstruction.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
131. MedicationDispense.dosageInstruction.additionalInstruction.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
133. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI | |||||
Slice Name | JAMI | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (用法の補足情報を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* | ||||
Binding | The codes SHALL be taken from For codes, see JP Core Medication JAMI Additional Usage ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
135. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
137. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
139. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (用法の補足情報を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20.22 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
141. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
143. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (用法の補足情報を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
145. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (用法の補足情報の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
147. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
149. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode | |||||
Slice Name | USCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (用法の補足情報を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* | ||||
Binding | The codes SHALL be taken from For codes, see SNOMEDCTAdditionalDosageInstructions (required to http://hl7.org/fhir/ValueSet/additional-instruction-codes ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
151. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
153. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
155. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (用法の補足情報を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://snomed.info/sct | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
157. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
159. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (用法の補足情報を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
161. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (用法の補足情報の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
163. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
165. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent | |||||
Slice Name | Absent | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (欠損を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from For codes, see DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
167. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
169. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
171. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (欠損を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
173. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
175. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (欠損を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
177. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (欠損の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
179. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
181. MedicationDispense.dosageInstruction.additionalInstruction.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
183. MedicationDispense.dosageInstruction.patientInstruction | |||||
Definition | 患者あるいは消費者に理解してもらうための指示。 Instructions in terms that are understood by the patient or consumer. | ||||
Short | 患者あるいは消費者向けの指示Patient or consumer oriented instructions | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
185. MedicationDispense.dosageInstruction.timing | |||||
Definition | 投与タイミングを記録する。 When medication should be administered. | ||||
Short | When medication should be administered (投与タイミング) | ||||
Comments | Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure. This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. | ||||
Control | 0..1 | ||||
Type | Timing(JP Core Medication Timing DataType) | ||||
Is Modifier | false | ||||
Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
187. MedicationDispense.dosageInstruction.timing.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
189. MedicationDispense.dosageInstruction.timing.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
191. MedicationDispense.dosageInstruction.timing.modifierExtension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | ExtensionExtensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
193. MedicationDispense.dosageInstruction.timing.event | |||||
Definition | 服用タイミングを具体的な日時で指定する場合に使用する Identifies specific times when the event occurs. | ||||
Short | When the event occurs (投与イベント) | ||||
Control | 0..0* | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
195. MedicationDispense.dosageInstruction.timing.repeat | |||||
Definition | イベントがスケジュールされたルールについての記述。 A set of rules that describe when the event is scheduled. | ||||
Short | When the event is to occur (投与日時) | ||||
Control | 0..1 | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | スケジュールされたタイミングの多くは規則的な繰り返しで決定されている。 Many timing schedules are determined by regular repetitions. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists() )tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists() )tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0 )tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0 )tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists() )tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists() )tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists() )tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) )tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty() )tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty()) | ||||
197. MedicationDispense.dosageInstruction.timing.repeat.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
199. MedicationDispense.dosageInstruction.timing.repeat.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.repeat.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
201. MedicationDispense.dosageInstruction.timing.repeat.bounds[x] | |||||
Definition | 服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。 Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
Short | Time range defined by start and end date/time (投与日時)Length/Range of lengths, or (Start and/or end) limits | ||||
Control | 0..1 | ||||
Type | Period, Duration, Range | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
203. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].start | |||||
Definition | The start of the period. The boundary is inclusive. | ||||
Short | Starting time with inclusive boundary (投与開始日時) | ||||
Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
205. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].end | |||||
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. | ||||
Short | End time with inclusive boundary, if not ongoing (投与終了日時) | ||||
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
207. MedicationDispense.dosageInstruction.timing.repeat.count | |||||
Definition | Timing仕様の全てにおいて、特定の期間に繰り返されるように指定された総回数。もし、countMaxが設定されていれば、このエレメントは許容される最低限度の回数を示す。 A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. | ||||
Short | 繰り返し服用もしくは注射回数Number of times to repeat | ||||
Comments | 回数に上限、下限の範囲がある場合は、このcountで示される回数が起きるまでは、エレメントは範囲の中にあると解釈されるべきである。 If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. | ||||
Control | 0..01 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Repetitions may be limited by end time or total occurrences. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
209. MedicationDispense.dosageInstruction.timing.repeat.countMax | |||||
Definition | このエレメントが設定されている場合は、回数に範囲があることを示している。したがって、[count]から[countmax]までの回数で繰り返される。 If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. | ||||
Short | 繰り返しの最大回数Maximum number of times to repeat | ||||
Comments | 32bit整数。もし、値がこれを超える場合はdecimalで記録される。 | ||||
Control | 0..01 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
211. MedicationDispense.dosageInstruction.timing.repeat.duration | |||||
Definition | 投与されるタイミングが発生している時間。もし、durationMaxが設定されていれば、このエレメントは許容される継続時間の下限を示す。 How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. | ||||
Short | 継続時間How long when it happens | ||||
Comments | 継続時間はイベントの定義の一部(たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部(たとえば、運動)として示されることもある。 For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..01 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | アクティビティによっては即時的なものではなく、その期間において維持される必要がある。 Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
213. MedicationDispense.dosageInstruction.timing.repeat.durationMax | |||||
Definition | もし、このエレメントに値が設定されていれば、durationには範囲があることを示している。したがって、[duration]から[durationMax]までの継続時間の範囲で投与される。 If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. | ||||
Short | 継続時間(最大値)How long when it happens (Max) | ||||
Comments | 継続時間はイベントの定義の一部(たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部(たとえば、運動)として示されることもある。 For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..01 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | アクティビティによっては即時的なものではなく、その期間において維持される必要がある。 Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
215. MedicationDispense.dosageInstruction.timing.repeat.durationUnit | |||||
Definition | UCUM単位で表される継続時間についての単位。 The units of time for the duration, in UCUM units. | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..01 | ||||
Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
217. MedicationDispense.dosageInstruction.timing.repeat.frequency | |||||
Definition | 特定の期間に繰り返して発生した行為の回数。もし、frequencyMaxが設定されていれば、このエレメントはfrequencyとして認められた下限を示す。 The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. | ||||
Short | 期間内にイベントが発生する回数、頻度Event occurs frequency times per period | ||||
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 | ||||
Control | 0..01 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
219. MedicationDispense.dosageInstruction.timing.repeat.frequencyMax | |||||
Definition | このエレメントに値が設定されていれば、frequencyには範囲が指定されている。つまり、期間あるいは期間の範囲内に[frequency]から[frequencyMax]回繰り返されることを示している。 If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. | ||||
Short | 期間内にイベントが発生する最大回数、最大頻度Event occurs up to frequencyMax times per period | ||||
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 | ||||
Control | 0..01 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
221. MedicationDispense.dosageInstruction.timing.repeat.period | |||||
Definition | 繰り返し投与が行われる期間を示す。たとえば、「1日3回」であれば、3は繰り返しの頻度(frequency)であり、「1日」が期間(period)である。もし、periodMaxに値が設定されていれば、このエレメントは期間として認められた範囲の下限を示す。 Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. | ||||
Short | イベントが発生する頻度に対応する期間Event occurs frequency times per period | ||||
Comments | IEEEの浮動小数点型を使わずに、小数点も含むdecimal型のようなものを利用すること(たとえばJavaのBigInteger)。 | ||||
Control | 0..01 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
223. MedicationDispense.dosageInstruction.timing.repeat.periodMax | |||||
Definition | もし、この値が設定されていれば、期間は[period]から[periodMax]までであることを示し、「3-5日に1回投与」のような表現が認められる。 If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. | ||||
Short | 期間の上限(3-4時間)Upper limit of period (3-4 hours) | ||||
Comments | IEEEの浮動小数点型を使わずに、小数点の制度も示すdecimal型のようなものを利用すること(たとえばJavaのBigInteger)。 | ||||
Control | 0..01 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
225. MedicationDispense.dosageInstruction.timing.repeat.periodUnit | |||||
Definition | 期間を表すUCUM単位。 The units of time for the period in UCUM units. | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..01 | ||||
Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
227. MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek | |||||
Definition | 期間として1週間以上が指定されていれば、指定された曜日のみで投与が行われる。 If one or more days of week is provided, then the action happens only on the specified day(s). | ||||
Short | mon | tue | wed | thu | fri | sat | sun | ||||
Comments | 曜日が指定されていなければ、他に指定された日には毎日投与されると想定される。frequencyとperiodエレメントはdayOfWeekと同じように使うことはできない。 If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. | ||||
Control | 0..0* | ||||
Binding | The codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
229. MedicationDispense.dosageInstruction.timing.repeat.timeOfDay | |||||
Definition | 一日の間で指定された投与される時刻。 Specified time of day for action to take place. | ||||
Short | 一日の間で投与される時刻Time of day for action | ||||
Comments | もし、このtimeOfDayに値が指定されていれば、毎日(daysOfWeekでフィルタされた曜日の)指定された時刻に投与されると推定される。whenやfrequency, periodエレメントはtimeOfDayとは同様に使うことはできない。 When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. | ||||
Control | 0..0* | ||||
Type | time | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
231. MedicationDispense.dosageInstruction.timing.repeat.when | |||||
Definition | 一日の間のおおよその時間帯で投与すべきタイミングを示す。日常のイベントに関連付けられていることもある。 An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. | ||||
Short | 投薬期間についてのコードCode for time period of occurrence | ||||
Comments | 一つ以上のイベントが記載されている場合、そのイベントは特定のイベントの組み合わせと結びついている。 When more than one event is listed, the event is tied to the union of the specified events. | ||||
Control | 0..0* | ||||
Binding | The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 )Real world event relating to the schedule. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | タイミングはしばしば起床や食事、睡眠などのできごとによってしばしば決定されている。 Timings are frequently determined by occurrences such as waking, eating and sleep. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
233. MedicationDispense.dosageInstruction.timing.repeat.offset | |||||
Definition | イベントからの時間(分)。もし、分で示される時間がイベントのコードが前か後かを示していない場合、offsetはイベントの後であることが想定される。 The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. | ||||
Short | イベントからの時間(分、前後)Minutes from event (before or after) | ||||
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 | ||||
Control | 0..01 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
235. MedicationDispense.dosageInstruction.asNeeded[x] | |||||
Definition | 【JP Core仕様】頓用型の用法を指定する場合に”true”を指定し、そのコードを指定する場合は用法コードとして指定する。 Medication(薬剤)が必要なときに指定された量とスケジュールのみで投薬するか(Booleanで選択される)、投薬する前提条件はTiming.Code(CodeableConcept)を示している。 Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). | ||||
Short | 「頓用」指示Take "as needed" (for x) | ||||
Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". | ||||
Control | 0..01 | ||||
Type | boolean, CodeableConcept | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
237. MedicationDispense.dosageInstruction.site | |||||
Definition | 投与される身体部位。外用薬で部位を指定する場合に使用する。 Body site to administer to. | ||||
Short | 投与される身体部位Body site to administer to | ||||
Comments | もし、BodySite resourceの属性が必要な場合(たとえば、部位の指定や別々に投与経路を設定する場合)は、bodySiteの標準拡張を使うこと。要約コードや非常に正確な位置の定義へのreferenceを使用することもできる。 If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. | ||||
Control | 0..01 | ||||
Binding | The codes SHOULD be taken from For example codes, see JP Core Medication JAMI External Body Site ValueSethttp://hl7.org/fhir/ValueSet/approach-site-codes (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A coded specification of the anatomic site where the medication first enters the body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
241. MedicationDispense.dosageInstruction.route | |||||
Definition | 投与経路 How drug should enter body. | ||||
Short | 投与経路How drug should enter body | ||||
Comments | 投与経路の一般的パターンに全てのターミノロジが適応しているわけではない。情報モデルはCodeableConceptではなく、直接Codingをを使用してテキストやコーディング、翻訳、そしてエレメントと事前条件、事後条件の関係について管理するためにその構造を提示する必要がある。 | ||||
Control | 0..01 | ||||
Binding | The codes SHOULD be taken from For example codes, see JP Core Medication HL70162-based Route ValueSethttp://hl7.org/fhir/ValueSet/route-codes (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
244. MedicationDispense.dosageInstruction.method | |||||
Definition | 投与方法 Technique for administering medication. | ||||
Short | Technique for administering medication (投与方法) | ||||
Comments | ターミノロジは投与する経路あるいは剤型をあらかじめ指定するために用いられる。 Terminologies used often pre-coordinate this term with the route and or form of administration. | ||||
Control | 0..1 | ||||
Binding | For example codes, see SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes (example to http://hl7.org/fhir/ValueSet/administration-method-codes )A coded concept describing the technique by which the medicine is administered. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | コード化された値は体内に薬剤が投与される方法を示している。注射ではよく使われる。たとえば、緩徐に注入、深部に静注など。 A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
246. MedicationDispense.dosageInstruction.method.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
248. MedicationDispense.dosageInstruction.method.extension:methodComment | |||||
Slice Name | methodComment | ||||
Definition | 手技コメントを格納するための拡張 | ||||
Short | 手技コメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage MethodComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
250. MedicationDispense.dosageInstruction.method.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
252. MedicationDispense.dosageInstruction.method.coding:unitDigit1 | |||||
Slice Name | unitDigit1 | ||||
Definition | 投与⽅法に対応するJAMI 用法コード表基本用法1桁コードを識別するURI。 A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (投与方法を表すコード) | ||||
Comments | コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである(HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* | ||||
Binding | The codes SHOULD be taken from For codes, see JP Core Medication JAMI Basic Usage Type ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
254. MedicationDispense.dosageInstruction.method.coding:unitDigit1.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
256. MedicationDispense.dosageInstruction.method.coding:unitDigit1.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
258. MedicationDispense.dosageInstruction.method.coding:unitDigit1.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (投与方法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20.30 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
260. MedicationDispense.dosageInstruction.method.coding:unitDigit1.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
262. MedicationDispense.dosageInstruction.method.coding:unitDigit1.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (投与方法を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
264. MedicationDispense.dosageInstruction.method.coding:unitDigit1.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (投与方法の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
266. MedicationDispense.dosageInstruction.method.coding:unitDigit1.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
268. MedicationDispense.dosageInstruction.method.coding:unitDigit2 | |||||
Slice Name | unitDigit2 | ||||
Definition | 投与⽅法に対応するJAMI 用法コード表基本用法2桁コードを識別するURI。2桁コードurn:oid:1.2.392.200250.2.2.20.40 A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (投与方法を表すコード) | ||||
Comments | コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである(HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* | ||||
Binding | The codes SHOULD be taken from For codes, see JP Core Medication JAMI Detail Usage ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
270. MedicationDispense.dosageInstruction.method.coding:unitDigit2.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
272. MedicationDispense.dosageInstruction.method.coding:unitDigit2.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
274. MedicationDispense.dosageInstruction.method.coding:unitDigit2.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (投与方法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20.40 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
276. MedicationDispense.dosageInstruction.method.coding:unitDigit2.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
278. MedicationDispense.dosageInstruction.method.coding:unitDigit2.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (投与方法を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
280. MedicationDispense.dosageInstruction.method.coding:unitDigit2.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (投与方法の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
282. MedicationDispense.dosageInstruction.method.coding:unitDigit2.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
284. MedicationDispense.dosageInstruction.method.coding:USCode | |||||
Slice Name | USCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (投与方法を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | For example codes, see For codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
286. MedicationDispense.dosageInstruction.method.coding:USCode.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
288. MedicationDispense.dosageInstruction.method.coding:USCode.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
290. MedicationDispense.dosageInstruction.method.coding:USCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (投与方法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://snomed.info/sct | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
292. MedicationDispense.dosageInstruction.method.coding:USCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
294. MedicationDispense.dosageInstruction.method.coding:USCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (投与方法を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
296. MedicationDispense.dosageInstruction.method.coding:USCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (投与方法の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
298. MedicationDispense.dosageInstruction.method.coding:USCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
300. MedicationDispense.dosageInstruction.method.coding:Absent | |||||
Slice Name | Absent | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (欠損を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from For codes, see DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
302. MedicationDispense.dosageInstruction.method.coding:Absent.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
304. MedicationDispense.dosageInstruction.method.coding:Absent.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
306. MedicationDispense.dosageInstruction.method.coding:Absent.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (欠損を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
308. MedicationDispense.dosageInstruction.method.coding:Absent.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
310. MedicationDispense.dosageInstruction.method.coding:Absent.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (欠損を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
312. MedicationDispense.dosageInstruction.method.coding:Absent.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (欠損の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
314. MedicationDispense.dosageInstruction.method.coding:Absent.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
316. MedicationDispense.dosageInstruction.method.text | |||||
Definition | 投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) | ||||
Comments | textエレメントはcodingのdisplayNameエレメントと一致することがよくある。 Very often the text is the same as a displayName of one of the codings. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
318. MedicationDispense.dosageInstruction.doseAndRate | |||||
Definition | 薬剤が投与される量 The amount of medication administered. | ||||
Short | Amount of medication administered (投与量) | ||||
Control | 0..* | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
320. MedicationDispense.dosageInstruction.doseAndRate.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
322. MedicationDispense.dosageInstruction.doseAndRate.extension:rateComment | |||||
Slice Name | rateComment | ||||
Definition | 投与速度コメントを格納するための拡張 | ||||
Short | 投与速度コメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage RateComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
324. MedicationDispense.dosageInstruction.doseAndRate.type | |||||
Definition | 力価区分 The kind of dose or rate specified, for example, ordered or calculated. | ||||
Short | The kind of dose or rate specified (力価区分コード) | ||||
Comments | 本要素は、安全性のため省略せずに必須とする。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from For example codes, see JP Core Medication IngredientStrength StrengthType ValueSethttp://hl7.org/fhir/ValueSet/dose-rate-type (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | このtypeに値が指定されていなければ、"ordered"であることが想定される。 If the type is not populated, assume to be "ordered". | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
326. MedicationDispense.dosageInstruction.doseAndRate.type.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
328. MedicationDispense.dosageInstruction.doseAndRate.type.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.type.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
330. MedicationDispense.dosageInstruction.doseAndRate.type.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (力価区分を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
332. MedicationDispense.dosageInstruction.doseAndRate.type.coding.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
334. MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
336. MedicationDispense.dosageInstruction.doseAndRate.type.coding.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (力価区分を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.100495.20.2.22 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
338. MedicationDispense.dosageInstruction.doseAndRate.type.coding.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
340. MedicationDispense.dosageInstruction.doseAndRate.type.coding.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (力価区分を表すコード値) | ||||
Control | 10..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
342. MedicationDispense.dosageInstruction.doseAndRate.type.coding.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (力価区分の表示名) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
344. MedicationDispense.dosageInstruction.doseAndRate.type.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..01 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
346. MedicationDispense.dosageInstruction.doseAndRate.dose[x] | |||||
Definition | 1回投与量(体積) Amount of medication per dose. | ||||
Short | Amount of medication per dose (1回量) | ||||
Comments | この量は指定された薬剤の量を指定するものであって、各有効成分の量を指定するものではない。各成分の量はMedication resourceで伝えることができる。たとえば、有効成分が375mgである錠剤を1錠投与することを伝えたい場合、Medication resourceを利用して、XYZ成分が375mg含有しているという錠剤であることを文書化することができる。あるいは1回投与量が375mgであることを伝えるのであれば、Medication resourceをつかって単にそれが錠剤であることを示せばよい。もし、ドーパミンの静注を例に挙げて、400mgのドーパミンを500mlの注射溶液に混ぜて使うことを伝えたいのであれば、それをすべてMedication resourceで伝えることができる。もし、投与について即時に伝達することを意図していない(たとえば投与速度が示されていたり、投与時期に範囲があるような場合)のであれば、たとえば1回500mlを4時間以上かけて投与する予定を伝える場合にもMedication resourceで伝えることができる。 Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType, SimpleQuantity), Range | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | The amount of therapeutic or other substance given at one administration event. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
348. MedicationDispense.dosageInstruction.doseAndRate.rate[x] | |||||
Definition | 薬剤が投与される量の速度 Amount of medication per unit of time. | ||||
Short | 薬剤の投与量速度Amount of medication per unit of time | ||||
Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 | ||||
Type | Ratio, Quantity(SimpleQuantity), Range | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
350. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio | |||||
Slice Name | rateRatio | ||||
Definition | 単位時間内での薬剤の容量 Amount of medication per unit of time. | ||||
Short | Amount of medication per unit of time (投与速度) | ||||
Comments | The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Ratio(JP Core Medication Rate Ratio DataType), Quantity(SimpleQuantity), Range | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ( (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) ) | ||||
352. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
354. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
356. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator | |||||
Definition | 投与量 The value of the numerator. | ||||
Short | Numerator value (投与量) | ||||
Comments | 薬剤に関する数量と単位を定めている。ValueおよびCodeを必須としている。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() ) | ||||
358. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
360. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x].numerator.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
362. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value | |||||
Definition | 投与量 The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
Short | Numerical value (with implicit precision) (投与量) | ||||
Comments | 暗示された精度については常に尊重すべきである。貨幣計算では制度に関する独自のルールがある(会計についての標準的な教科書を参照すること)。 The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
Control | 10..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
Alternate Names | 値, Value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
364. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.comparator | |||||
Definition | 実際の値が計測して示された値よりも大きいのか小さいのかなど、値がどのように解釈され、表現されるのかを示している。たとえば、もし、comparatorエレメントが"<"であれば、実際の値は示された値よりも小さい(<)。 How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
Short | < | <= | >= | > - 値の解釈法< | <= | >= | > - how to understand the value | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..01 | ||||
Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 )How the Quantity should be understood and represented. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 計測法に制限があって値が<5ug/L や >400mg/L として示されるような場合でも値を扱えるようなフレームワークが必要である。 Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
366. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.unit | |||||
Definition | 投与量の単位。 A human-readable form of the unit. | ||||
Short | Unit representation (投与量の単位) | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。 There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
Alternate Names | 単位, Unit | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
368. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.system | |||||
Definition | 単位をコード化して表現するシステムについてのID。 The identification of the system that provides the coded form of the unit. | ||||
Short | System that defines coded unit form (単位形式を定義するコード体系) | ||||
Comments | 以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier | ||||
Control | 10..1 This element is affected by the following invariants: qty-3 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | システムによって定義される単位のコードを把握しておく必要がある。 Need to know the system that defines the coded form of the unit. | ||||
Alternate Names | 単位のコードシステム, System | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
370. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code | |||||
Definition | 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD) A computer processable form of the unit in some unit representation system. | ||||
Short | Symbol in syntax defined by the system (投与量を表す単位コード)Coded form of the unit | ||||
Comments | 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)されるが、ローカルコード等を利用することも可能とする The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
Control | 10..1 | ||||
Binding | The codes SHOULD be taken from For codes, see JP Core Medication MERIT9 Unit ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
Alternate Names | 単位のコード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
372. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator | |||||
Definition | 単位時間 The value of the denominator. | ||||
Short | Denominator value (投与時間) | ||||
Control | 0..1 | ||||
Type | Quantity | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
374. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
376. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x].denominator.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
378. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value | |||||
Definition | 単位時間 The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
Short | Numerical value (with implicit precision) (投与の単位時間) | ||||
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
Control | 10..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
Alternate Names | 値, Value | ||||
Fixed Value | 1 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
380. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.comparator | |||||
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
Short | < | <= | >= | > - how to understand the value | ||||
Control | 0..01 | ||||
Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 )How the Quantity should be understood and represented. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
382. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.unit | |||||
Definition | 単位時間の単位。UCUMを使用する。 A human-readable form of the unit. | ||||
Short | Unit representation (投与の単位時間の単位) | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
Alternate Names | 単位, Unit | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
384. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.system | |||||
Definition | UCUMを識別するURL。固定値。 The identification of the system that provides the coded form of the unit. | ||||
Short | System that defines coded unit form (単位形式を定義するコード体系) | ||||
Control | 10..1 This element is affected by the following invariants: qty-3 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to know the system that defines the coded form of the unit. | ||||
Alternate Names | 単位のコードシステム, System | ||||
Fixed Value | http://unitsofmeasure.org | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
386. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code | |||||
Definition | A computer processable form of the unit in some unit representation system. | ||||
Short | Coded form of the unit (単位を表すコード値) | ||||
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
Control | 10..1 | ||||
Binding | The codes SHOULD be taken from For codes, see UnitsOfTime (preferred to http://hl7.org/fhir/ValueSet/units-of-time ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
Alternate Names | 単位のコード, Code | ||||
Fixed Value | h | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
388. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange | |||||
Slice Name | rateRange | ||||
Definition | 範囲指定された時間の上限下限 Amount of medication per unit of time. | ||||
Short | 範囲指定された時間の上限下限Amount of medication per unit of time | ||||
Comments | 時間の上限量、下限量の範囲を持っている。単位指定された数量を割り当てている。Low,Highの値は時間の単位当てはめる。 It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Range(JP Core Medication Range DataType), Quantity(SimpleQuantity), Ratio | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) rng-2: If present, low SHALL have a lower value than high ( low.empty() or high.empty() or (low <= high) ) | ||||
390. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity | |||||
Slice Name | rateQuantity | ||||
Definition | 投与速度(流量)を指定する単位は流量を表す単位(e.g. 量/時間)を指定する Amount of medication per unit of time. | ||||
Short | 投与速度(流量)を指定する単位は流量を表す単位(e.g. 量/時間)を指定するAmount of medication per unit of time | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(SimpleQuantity), Ratio, Range | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
392. MedicationDispense.dosageInstruction.maxDosePerPeriod | |||||
Definition | 単位時間当たりの投薬量の上限 Upper limit on medication per unit of time. | ||||
Short | 単位時間当たりの投薬量の上限Upper limit on medication per unit of time | ||||
Comments | The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio. This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Ratio(JP Core Medication Rate Ratio DataType) | ||||
Is Modifier | false | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ( (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) ) | ||||
394. MedicationDispense.dosageInstruction.maxDosePerAdministration | |||||
Definition | 1回あたりの投薬量の上限 Upper limit on medication per administration. | ||||
Short | 1回あたりの投薬量の上限Upper limit on medication per administration | ||||
Comments | 薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType, SimpleQuantity) | ||||
Is Modifier | false | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
396. MedicationDispense.dosageInstruction.maxDosePerLifetime | |||||
Definition | 生涯の投薬量の上限 Upper limit on medication per lifetime of the patient. | ||||
Short | 生涯の投薬量の上限Upper limit on medication per lifetime of the patient | ||||
Comments | 薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType, SimpleQuantity) | ||||
Is Modifier | false | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
398. MedicationDispense.substitution | |||||
Definition | Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done. 調剤の一部として置換が行われたかどうかを示す。場合によっては、置換が期待されるが発生しない場合もあれば、置換が予期されないが発生する場合もある。このブロックは、置換が行われたか行われなかったか、およびその理由を説明する。何も指定されていない場合、置換は行われていない。 Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done. | ||||
Short | Whether a substitution was performed on the dispense 調剤で置換が実行されたかどうか | ||||
Control | 0..01 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
402. MedicationDispense.detectedIssue | |||||
Definition | Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc. 患者に対する1つまたは複数のアクティブまたは提案された臨床アクションを伴う、またはそれらの間の実際のまたは潜在的な臨床問題を示す。例えば薬物間相互作用、重複治療、投与量アラートなど。 DetectedIssue リソースへの参照。 Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc. | ||||
Short | Clinical issue with action アクションを伴う臨床的問題 | ||||
Comments | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. | ||||
Control | 0..0* | ||||
Type | Reference(DetectedIssue) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
404. MedicationDispense.eventHistory | |||||
Definition | A summary of the events of interest that have occurred, such as when the dispense was verified. 調剤が確認されたときなど、発生した対象のイベントのサマリー。 A summary of the events of interest that have occurred, such as when the dispense was verified. | ||||
Short | A list of relevant lifecycle events 関連するライフサイクルイベントのリスト | ||||
Comments | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). | ||||
Control | 0..0* | ||||
Type | Reference(Provenance) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. MedicationDispense | |||||
Definition | このプロファイルは、注射薬剤処方調剤・払い出しを定義します。 | ||||
Short | Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル) | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 内服・外用薬処方調剤・払い出し, Medication Dispense | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )mdd-1: whenHandedOver cannot be before whenPrepared ( whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared ) | ||||
2. MedicationDispense.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact (自動採番される論理ID) | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 論理ID, Logical id | ||||
4. MedicationDispense.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource (リソースのメタデータ) | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | メタデータ, Meta data | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. MedicationDispense.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..0 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. MedicationDispense.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..0 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. MedicationDispense.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation (リソースの概要) | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display, 概要, Summary | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. MedicationDispense.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources (リソース内リソース) | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources, 内包リソース, CContained, 参照リソース, Resoutce reference | ||||
14. MedicationDispense.extension | |||||
Definition | An Extension | ||||
Short | Additional content defined by implementations (要素の拡張) | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 拡張, Extension | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
16. MedicationDispense.extension:preparation | |||||
Slice Name | preparation | ||||
Definition | 薬剤単位の調剤結果 | ||||
Short | 調剤結果 | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP Core MedicationDispense Preparation Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. MedicationDispense.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. MedicationDispense.identifier | |||||
Definition | このインスタンスが外部から参照されるために使われるIDである。処方箋全体としてのIDとしては使用しない。 処方箋内で同一の用法をまとめて表記されるRp番号はこのIdentifier elementの別スライスで表現する。それ以外に任意のIDを付与してもよい。 このIDは業務手順によって定められた処方オーダに対して、直接的なURL参照が適切でない場合も含めて関連付けるために使われる。この業務手順のIDは実施者によって割り当てられたものであり、リソースが更新されたりサーバからサーバに転送されたとしても固定のものとして存続する。 | ||||
Short | Business Identifier for observation (識別子) | ||||
Comments | これは業務IDであって、リソースに対するIDではない。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 識別子, Identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
22. MedicationDispense.identifier:rpNumber | |||||
Slice Name | rpNumber | ||||
Definition | 処方箋内で同一用法の薬剤を慣用的にまとめて、Rpに番号をつけて剤グループとして一括指定されることがある。このスライスでは剤グループに対して割り振られたRp番号を記録する。 | ||||
Short | External identifier (外部から参照されるID) | ||||
Comments | 剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Rp番号, Rp Number | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. MedicationDispense.identifier:rpNumber.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
26. MedicationDispense.identifier:rpNumber.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
28. MedicationDispense.identifier:rpNumber.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. MedicationDispense.identifier:rpNumber.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..0 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. MedicationDispense.identifier:rpNumber.system | |||||
Definition | ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。 | ||||
Short | Rp番号(剤グループ番号)についてのsystem値 | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Alternate Names | Rp番号のコード体系, Rp Number code system | ||||
Fixed Value | urn:oid:1.2.392.100495.20.3.81 | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. MedicationDispense.identifier:rpNumber.value | |||||
Definition | Rp番号(剤グループ番号)。"1"など。 | ||||
Short | Rp番号(剤グループ番号) | ||||
Comments | value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。 | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | Rp番号, Rp Number value | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. MedicationDispense.identifier:rpNumber.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..0 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. MedicationDispense.identifier:rpNumber.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..0 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. MedicationDispense.identifier:requestIdentifier | |||||
Slice Name | requestIdentifier | ||||
Definition | 薬剤をオーダする単位としての処方箋に対するID。原則として調剤の基となったMedicationRequestのIDを設定する。 | ||||
Short | 処方オーダに対するID(MedicationRequestからの継承) | ||||
Comments | This is a business identifier, not a resource identifier. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | 処方オーダーID, Request Identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. MedicationDispense.partOf | |||||
Definition | The procedure that trigger the dispense. この調剤の契機となったProcedureリソースへの参照。 | ||||
Short | Event that dispense is part of 親イベントへの参照 | ||||
Control | 0..0 | ||||
Type | Reference(JP Core Procedure Profile) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. MedicationDispense.status | |||||
Definition | A code specifying the state of the set of dispense events. 一連の調剤イベントの状態を指定するコード。 | ||||
Short | preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from MedicationDispense Status Codes (required to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 )A coded concept specifying the state of the dispense event. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | 状態, Status | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. MedicationDispense.statusReason[x] | |||||
Definition | Indicates the reason why a dispense was not performed. 調剤が実行されなかった理由を示す。 | ||||
Short | Why a dispense was not performed 調剤が実行されなかった理由 | ||||
Control | 0..0 | ||||
Binding | For example codes, see MedicationDispense Status Reason Codes (example to http://hl7.org/fhir/ValueSet/medicationdispense-status-reason )A code describing why a dispense was not performed. | ||||
Type | Choice of: CodeableConcept, Reference(DetectedIssue) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. MedicationDispense.category | |||||
Definition | Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). 投薬のタイプを示す(たとえば、薬剤が消費または投与されると予想される場所(つまり、入院患者または外来患者))。 入院、外来、退院、自宅など。 | ||||
Short | Type of medication dispense 調剤タイプ | ||||
Comments | The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind. | ||||
Control | 0..0 | ||||
Binding | The codes SHOULD be taken from MedicationDispense Category Codes (preferred to http://hl7.org/fhir/ValueSet/medicationdispense-category )A code describing where the dispensed medication is expected to be consumed or administered. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. MedicationDispense.medication[x] | |||||
Definition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。 | ||||
Short | What was administered (医薬品の参照) | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。 厚生労働省標準であるHOT9コード(販社指定が不要な場合にはHOT7コード)または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素(コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる)で記述する。 なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位(最少包装単位、個別包装単位)14桁を使用する。 ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。 ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。 また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード(ハウスコード、ローカルコード)の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。 | ||||
Control | 1..1 | ||||
Type | Reference(Fujitsu Medication Profile) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 医薬品の参照, Medication reference | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. MedicationDispense.medication[x].id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
62. MedicationDispense.medication[x].extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.medication[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
64. MedicationDispense.medication[x].reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | 医薬品の参照, Medication reference | ||||
Fixed Value | #medication | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. MedicationDispense.medication[x].type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..0 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. MedicationDispense.medication[x].identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known (データ取り込みで使用する論理参照) | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 参照医薬品の識別子, Medication reference identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. MedicationDispense.medication[x].display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. MedicationDispense.subject | |||||
Definition | The person or animal or group receiving the medication. 投与を受ける患者 | ||||
Short | Who the dispense is for (投与対象患者) | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 1..1 | ||||
Type | Reference(Fujitsu Patient Profile) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 患者, Patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. MedicationDispense.subject.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
76. MedicationDispense.subject.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.subject.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
78. MedicationDispense.subject.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | 参照患者, Patient reference | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. MedicationDispense.subject.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..0 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. MedicationDispense.subject.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known (データ取り込みで使用する論理参照) | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | 患者識別子, Patient identifier | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. MedicationDispense.subject.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. MedicationDispense.context | |||||
Definition | The encounter or episode of care that establishes the context for this event. 調剤ベントに関連するEncounterやエピソードへの参照。 | ||||
Short | Encounter / Episode associated with event 調剤ベントに関連するEncounterやエピソード | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..1 | ||||
Type | Reference(JP Core Encounter Profile, EpisodeOfCare) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. MedicationDispense.supportingInformation | |||||
Definition | Additional information that supports the medication being dispensed. 調剤される薬剤をサポートする追加情報への任意のリソースへの参照。 | ||||
Short | Information that supports the dispensing of the medication 薬の調剤をサポートする情報 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..0 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. MedicationDispense.performer | |||||
Definition | Indicates who or what performed the event. 調剤した人を示す | ||||
Short | Who performed event 調剤を実施した人 | ||||
Control | 0..0 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
97. MedicationDispense.location | |||||
Definition | The principal physical location where the dispense was performed. 調剤が実施された場所を示すLocationリソースへの参照。 | ||||
Short | Where the dispense occurred 調剤実施場所 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..0 | ||||
Type | Reference(JP Core Location Profile) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
99. MedicationDispense.authorizingPrescription | |||||
Definition | Indicates the medication order that is being dispensed against. 調剤の元になった処方オーダを表すMedicationRequestリソースへの参照。 | ||||
Short | Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ | ||||
Comments | Maps to basedOn in Event logical model. | ||||
Control | 0..0 | ||||
Type | Reference(JP Core MedicationRequest Injection Profile) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
101. MedicationDispense.type | |||||
Definition | Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. 実行される調剤イベントのタイプを示す。たとえば、トライアルフィル、トライアルの完了、部分フィル、緊急フィル、サンプルなどである。 | ||||
Short | 実行される調剤イベント | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. すべてのターミノロジの使用がこの一般的なパターンに適合するわけではない。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係とpre-coordinationとpost-coordinationの用語関係を管理するための独自の構造を提供する必要がある。 | ||||
Control | 0..0 | ||||
Binding | For example codes, see ActPharmacySupplyType (example to http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType )Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
103. MedicationDispense.quantity | |||||
Definition | 調剤総量。 JP Coreでは必須 払い出される薬剤の量。計測単位を含む。 | ||||
Short | Amount dispensed (払い出される薬剤の量) | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. 使用状況によって、これがどのような量であるか、したがってどのような単位を使用できるかが定義される場合がかなりある。使用状況によっては、比較演算子の値も制限される場合がある。 | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Alternate Names | 払い出される薬剤の量, Amount of medication | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
105. MedicationDispense.daysSupply | |||||
Definition | The amount of medication expressed as a timing amount. タイミングとして表される投薬量。すなわち、XX日分、XX回分などの数量。 | ||||
Short | Amount of medication expressed as a timing amount (タイミングとして表される投薬量) | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. 使用状況によって、これがどのような量であるか、したがってどのような単位を使用できるかが定義される場合がかなりある。使用状況によっては、比較演算子の値も制限される場合がある。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Alternate Names | 1回投薬量, Amount of medication at the right time | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
107. MedicationDispense.whenPrepared | |||||
Definition | The time when the dispensed product was packaged and reviewed. 調剤がパッケージ化され、レビューされた日時 | ||||
Short | When product was packaged and reviewed 調剤がパッケージ化され、レビューされた日時 | ||||
Control | 0..0 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
109. MedicationDispense.whenHandedOver | |||||
Definition | The time the dispensed product was provided to the patient or their representative. 必須。 患者あるいはその代理人に払い出される薬剤が提供された日時。 | ||||
Short | When product was given out (調剤がパッケージ化され、レビューされた日時) | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Alternate Names | 払い出し日時, Handed Over Datetime | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
111. MedicationDispense.destination | |||||
Definition | Identification of the facility/location where the medication was shipped to, as part of the dispense event. 調剤イベントの一環として、薬剤が出荷された行先先の施設/場所のLocationリソースへの参照。 | ||||
Short | Where the medication was sent 薬が送られた場所 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..0 | ||||
Type | Reference(JP Core Location Profile) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
113. MedicationDispense.receiver | |||||
Definition | Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional. 薬を受け取った人を識別する。これは通常、患者またはその介護者だが、医療専門家になる場合もある。 | ||||
Short | Who collected the medication 薬を受け取った人 | ||||
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. 参照は、実際のFHIRリソースへの参照である必要があり、解決可能(内容に到達可能)である必要がある(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。 | ||||
Control | 0..0 | ||||
Type | Reference(JP Core Patient Profile, JP Core Practitioner Profile) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
115. MedicationDispense.note | |||||
Definition | Extra information about the dispense that could not be conveyed in the other attributes. 他の要素では伝達できなかった調剤に関する追加情報。 | ||||
Short | Information about the dispense 調剤に関する備考 | ||||
Comments | For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). 構造化された注釈(アノテーション)を持たないシステムの場合、作成者や時間なしで単一の注釈を簡単に伝達できる。情報を変更する可能性があるため、この要素をナラティブに含める必要がある場合がある。 注釈は、計算機処理れきる「変更」情報を伝達するために使用されるべきではない。 (ユーザの行動を強制することはほとんど不可能であるため、これはSHOULDとする)。 | ||||
Control | 0..0 | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
117. MedicationDispense.dosageInstruction | |||||
Definition | 薬の服用方法・服用した方法、または服用すべき方法 | ||||
Short | How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法) | ||||
Comments | When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed. | ||||
Control | 0..* | ||||
Type | Dosage(JP Core MedicationDosage Injection DataType) | ||||
Is Modifier | false | ||||
Alternate Names | 処方指示, Dosage instruction | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
119. MedicationDispense.dosageInstruction.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
121. MedicationDispense.dosageInstruction.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
123. MedicationDispense.dosageInstruction.extension:dosageComment | |||||
Slice Name | dosageComment | ||||
Definition | 用法コメントを格納するための拡張 | ||||
Short | 用法コメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage DosageComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
125. MedicationDispense.dosageInstruction.extension:device | |||||
Slice Name | device | ||||
Definition | 投与装置を格納する拡張 | ||||
Short | 投与装置 | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage Device Extension) (Extension Type: Reference(Device)) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
127. MedicationDispense.dosageInstruction.extension:line | |||||
Slice Name | line | ||||
Definition | 指示ラインを格納する拡張 | ||||
Short | 指示ライン | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage Line Extension) (Extension Type: CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
129. MedicationDispense.dosageInstruction.extension:lineComment | |||||
Slice Name | lineComment | ||||
Definition | ラインコメントを格納するための拡張 | ||||
Short | ラインコメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage LineComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
131. MedicationDispense.dosageInstruction.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
133. MedicationDispense.dosageInstruction.sequence | |||||
Definition | どの服用指示を適応するか判断するかについての順序を示したもの | ||||
Short | 服用指示の順番 | ||||
Comments | 32 bitの数値。これ以上の値であれば10進数を使うこと。 | ||||
Control | 0..0 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | もし、複数の服用法(Dosage)でsequenceの数値が同じであれば、その指示が同時に扱われることを示している。sequenceの数値が異なれば、服用指示(Dosage)の順番を意図している。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
135. MedicationDispense.dosageInstruction.text | |||||
Definition | 投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。 | ||||
Short | Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現) | ||||
Comments | textエレメントはcodingのdisplayNameエレメントと一致することがよくある。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。 | ||||
Alternate Names | 処方指示の概念説明, Explanation of dosage instruction | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
137. MedicationDispense.dosageInstruction.additionalInstruction | |||||
Definition | どのように薬剤を内服するかについての患者への補足指示(たとえば、「食事と一緒に」や「30分から1時間前に内服」)や薬剤についての注意書き(たとえば、「眠くなることがある」や「日光や紫外線が皮膚にあたららないようにすること」) | ||||
Short | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) | ||||
Comments | 薬剤投与や調剤についての情報(たとえば、「腹膜内ポートに可能な限り迅速に注入」や「薬剤Xの直後に」)であり、dosage.textにも複製されるべきである。 | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from JP Core Medication JAMI Additional Usage ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 補足指示はコード化されるように意図されているが、コードがない場合はエレメントはテキストだけで表現することができる。たとえば、「大量の水で服用する」という指示はコード化されていることもあれば、されていないことおある。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
139. MedicationDispense.dosageInstruction.additionalInstruction.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
141. MedicationDispense.dosageInstruction.additionalInstruction.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
143. MedicationDispense.dosageInstruction.additionalInstruction.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
145. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI | |||||
Slice Name | JAMI | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (用法の補足情報を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from JP Core Medication JAMI Additional Usage ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
147. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
149. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
151. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (用法の補足情報を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20.22 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
153. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
155. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (用法の補足情報を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
157. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (用法の補足情報の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
159. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
161. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode | |||||
Slice Name | USCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (用法の補足情報を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions (required to http://hl7.org/fhir/ValueSet/additional-instruction-codes ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
163. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
165. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
167. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (用法の補足情報を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://snomed.info/sct | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
169. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
171. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (用法の補足情報を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
173. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (用法の補足情報の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
175. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
177. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent | |||||
Slice Name | Absent | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (欠損を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
179. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
181. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.additionalInstruction.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
183. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (欠損を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
185. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
187. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (欠損を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
189. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (欠損の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
191. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
193. MedicationDispense.dosageInstruction.additionalInstruction.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
195. MedicationDispense.dosageInstruction.patientInstruction | |||||
Definition | 患者あるいは消費者に理解してもらうための指示。 | ||||
Short | 患者あるいは消費者向けの指示 | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
197. MedicationDispense.dosageInstruction.timing | |||||
Definition | 投与タイミングを記録する。 | ||||
Short | When medication should be administered (投与タイミング) | ||||
Comments | Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure. | ||||
Control | 0..1 | ||||
Type | Timing(JP Core Medication Timing DataType) | ||||
Is Modifier | false | ||||
Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
199. MedicationDispense.dosageInstruction.timing.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
201. MedicationDispense.dosageInstruction.timing.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
203. MedicationDispense.dosageInstruction.timing.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
205. MedicationDispense.dosageInstruction.timing.event | |||||
Definition | 服用タイミングを具体的な日時で指定する場合に使用する | ||||
Short | When the event occurs (投与イベント) | ||||
Control | 0..0 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
207. MedicationDispense.dosageInstruction.timing.repeat | |||||
Definition | イベントがスケジュールされたルールについての記述。 | ||||
Short | When the event is to occur (投与日時) | ||||
Control | 0..1 | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | スケジュールされたタイミングの多くは規則的な繰り返しで決定されている。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists() )tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists() )tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0 )tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0 )tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists() )tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists() )tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists() )tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) )tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty() ) | ||||
209. MedicationDispense.dosageInstruction.timing.repeat.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
211. MedicationDispense.dosageInstruction.timing.repeat.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.repeat.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
213. MedicationDispense.dosageInstruction.timing.repeat.bounds[x] | |||||
Definition | 服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。 | ||||
Short | Time range defined by start and end date/time (投与日時) | ||||
Control | 0..1 | ||||
Type | Period | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
215. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
217. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.repeat.bounds[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
219. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].start | |||||
Definition | The start of the period. The boundary is inclusive. | ||||
Short | Starting time with inclusive boundary (投与開始日時) | ||||
Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
221. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].end | |||||
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. | ||||
Short | End time with inclusive boundary, if not ongoing (投与終了日時) | ||||
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
223. MedicationDispense.dosageInstruction.timing.repeat.count | |||||
Definition | Timing仕様の全てにおいて、特定の期間に繰り返されるように指定された総回数。もし、countMaxが設定されていれば、このエレメントは許容される最低限度の回数を示す。 | ||||
Short | 繰り返し服用もしくは注射回数 | ||||
Comments | 回数に上限、下限の範囲がある場合は、このcountで示される回数が起きるまでは、エレメントは範囲の中にあると解釈されるべきである。 | ||||
Control | 0..0 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Repetitions may be limited by end time or total occurrences. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
225. MedicationDispense.dosageInstruction.timing.repeat.countMax | |||||
Definition | このエレメントが設定されている場合は、回数に範囲があることを示している。したがって、[count]から[countmax]までの回数で繰り返される。 | ||||
Short | 繰り返しの最大回数 | ||||
Comments | 32bit整数。もし、値がこれを超える場合はdecimalで記録される。 | ||||
Control | 0..0 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
227. MedicationDispense.dosageInstruction.timing.repeat.duration | |||||
Definition | 投与されるタイミングが発生している時間。もし、durationMaxが設定されていれば、このエレメントは許容される継続時間の下限を示す。 | ||||
Short | 継続時間 | ||||
Comments | 継続時間はイベントの定義の一部(たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部(たとえば、運動)として示されることもある。 | ||||
Control | 0..0 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | アクティビティによっては即時的なものではなく、その期間において維持される必要がある。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
229. MedicationDispense.dosageInstruction.timing.repeat.durationMax | |||||
Definition | もし、このエレメントに値が設定されていれば、durationには範囲があることを示している。したがって、[duration]から[durationMax]までの継続時間の範囲で投与される。 | ||||
Short | 継続時間(最大値) | ||||
Comments | 継続時間はイベントの定義の一部(たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部(たとえば、運動)として示されることもある。 | ||||
Control | 0..0 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | アクティビティによっては即時的なものではなく、その期間において維持される必要がある。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
231. MedicationDispense.dosageInstruction.timing.repeat.durationUnit | |||||
Definition | UCUM単位で表される継続時間についての単位。 | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
233. MedicationDispense.dosageInstruction.timing.repeat.frequency | |||||
Definition | 特定の期間に繰り返して発生した行為の回数。もし、frequencyMaxが設定されていれば、このエレメントはfrequencyとして認められた下限を示す。 | ||||
Short | 期間内にイベントが発生する回数、頻度 | ||||
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 | ||||
Control | 0..0 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
235. MedicationDispense.dosageInstruction.timing.repeat.frequencyMax | |||||
Definition | このエレメントに値が設定されていれば、frequencyには範囲が指定されている。つまり、期間あるいは期間の範囲内に[frequency]から[frequencyMax]回繰り返されることを示している。 | ||||
Short | 期間内にイベントが発生する最大回数、最大頻度 | ||||
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 | ||||
Control | 0..0 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
237. MedicationDispense.dosageInstruction.timing.repeat.period | |||||
Definition | 繰り返し投与が行われる期間を示す。たとえば、「1日3回」であれば、3は繰り返しの頻度(frequency)であり、「1日」が期間(period)である。もし、periodMaxに値が設定されていれば、このエレメントは期間として認められた範囲の下限を示す。 | ||||
Short | イベントが発生する頻度に対応する期間 | ||||
Comments | IEEEの浮動小数点型を使わずに、小数点も含むdecimal型のようなものを利用すること(たとえばJavaのBigInteger)。 | ||||
Control | 0..0 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
239. MedicationDispense.dosageInstruction.timing.repeat.periodMax | |||||
Definition | もし、この値が設定されていれば、期間は[period]から[periodMax]までであることを示し、「3-5日に1回投与」のような表現が認められる。 | ||||
Short | 期間の上限(3-4時間) | ||||
Comments | IEEEの浮動小数点型を使わずに、小数点の制度も示すdecimal型のようなものを利用すること(たとえばJavaのBigInteger)。 | ||||
Control | 0..0 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
241. MedicationDispense.dosageInstruction.timing.repeat.periodUnit | |||||
Definition | 期間を表すUCUM単位。 | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
243. MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek | |||||
Definition | 期間として1週間以上が指定されていれば、指定された曜日のみで投与が行われる。 | ||||
Short | mon | tue | wed | thu | fri | sat | sun | ||||
Comments | 曜日が指定されていなければ、他に指定された日には毎日投与されると想定される。frequencyとperiodエレメントはdayOfWeekと同じように使うことはできない。 | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
245. MedicationDispense.dosageInstruction.timing.repeat.timeOfDay | |||||
Definition | 一日の間で指定された投与される時刻。 | ||||
Short | 一日の間で投与される時刻 | ||||
Comments | もし、このtimeOfDayに値が指定されていれば、毎日(daysOfWeekでフィルタされた曜日の)指定された時刻に投与されると推定される。whenやfrequency, periodエレメントはtimeOfDayとは同様に使うことはできない。 | ||||
Control | 0..0 | ||||
Type | time | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
247. MedicationDispense.dosageInstruction.timing.repeat.when | |||||
Definition | 一日の間のおおよその時間帯で投与すべきタイミングを示す。日常のイベントに関連付けられていることもある。 | ||||
Short | 投薬期間についてのコード | ||||
Comments | 一つ以上のイベントが記載されている場合、そのイベントは特定のイベントの組み合わせと結びついている。 | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 )Real world event relating to the schedule. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | タイミングはしばしば起床や食事、睡眠などのできごとによってしばしば決定されている。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
249. MedicationDispense.dosageInstruction.timing.repeat.offset | |||||
Definition | イベントからの時間(分)。もし、分で示される時間がイベントのコードが前か後かを示していない場合、offsetはイベントの後であることが想定される。 | ||||
Short | イベントからの時間(分、前後) | ||||
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 | ||||
Control | 0..0 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
251. MedicationDispense.dosageInstruction.timing.code | |||||
Definition | スケジュール上のタイミングを表すコード(あるいはcode.text内のテキスト)。BID(1日2回)のようなコードはどこにでもあるが、多くの医療機関は付加的なコードを定義している。もし、コードが示されていれば、構造化されたタイミングで完全に示されたデータであると解釈され、コードまたはTimingを解釈するためのデータであると解釈される。しかし、例外的に.repeat.bounds(コードは含まれない)はコードを上書きして適用される。 | ||||
Short | BID | TID | QID | AM | PM | QD | QOD | + | ||||
Comments | BIDなどは「施設特有の時間」として定義される。たとえば、施設がBIDを「つねに朝7時と夕方6時」であると指定することがある。この指定が不適切であれば、BIDというコードは使うべきではない。その代わり、HL7が定義したBIDのコードではなく、その施設特有のコードで明示的に示すべきであり、構造化された表現を使うべきである(この場合、2回のイベントの時刻を指定する必要がある)。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from JP Core MedicationReuqest Injection Usage ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
253. MedicationDispense.dosageInstruction.timing.code.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
255. MedicationDispense.dosageInstruction.timing.code.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.code.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
257. MedicationDispense.dosageInstruction.timing.code.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.code.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
259. MedicationDispense.dosageInstruction.timing.code.coding:JAMI | |||||
Slice Name | JAMI | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (用法を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from JP Core Medication JAMI Usage ValueSet (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
261. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
263. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.code.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
265. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (用法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
267. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
269. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (用法を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
271. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (用法の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
273. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
275. MedicationDispense.dosageInstruction.timing.code.coding:USCode | |||||
Slice Name | USCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (用法を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
277. MedicationDispense.dosageInstruction.timing.code.coding:USCode.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
279. MedicationDispense.dosageInstruction.timing.code.coding:USCode.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.code.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
281. MedicationDispense.dosageInstruction.timing.code.coding:USCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (用法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
283. MedicationDispense.dosageInstruction.timing.code.coding:USCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
285. MedicationDispense.dosageInstruction.timing.code.coding:USCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (用法を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
287. MedicationDispense.dosageInstruction.timing.code.coding:USCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (用法の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
289. MedicationDispense.dosageInstruction.timing.code.coding:USCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
291. MedicationDispense.dosageInstruction.timing.code.coding:Absent | |||||
Slice Name | Absent | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (欠損を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
293. MedicationDispense.dosageInstruction.timing.code.coding:Absent.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
295. MedicationDispense.dosageInstruction.timing.code.coding:Absent.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.timing.code.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
297. MedicationDispense.dosageInstruction.timing.code.coding:Absent.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (欠損を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
299. MedicationDispense.dosageInstruction.timing.code.coding:Absent.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
301. MedicationDispense.dosageInstruction.timing.code.coding:Absent.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (欠損を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
303. MedicationDispense.dosageInstruction.timing.code.coding:Absent.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (欠損の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
305. MedicationDispense.dosageInstruction.timing.code.coding:Absent.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
307. MedicationDispense.dosageInstruction.timing.code.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
309. MedicationDispense.dosageInstruction.asNeeded[x] | |||||
Definition | 【JP Core仕様】頓用型の用法を指定する場合に”true”を指定し、そのコードを指定する場合は用法コードとして指定する。 Medication(薬剤)が必要なときに指定された量とスケジュールのみで投薬するか(Booleanで選択される)、投薬する前提条件はTiming.Code(CodeableConcept)を示している。 | ||||
Short | 「頓用」指示 | ||||
Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
311. MedicationDispense.dosageInstruction.site | |||||
Definition | 投与される身体部位。外用薬で部位を指定する場合に使用する。 | ||||
Short | 投与される身体部位 | ||||
Comments | もし、BodySite resourceの属性が必要な場合(たとえば、部位の指定や別々に投与経路を設定する場合)は、bodySiteの標準拡張を使うこと。要約コードや非常に正確な位置の定義へのreferenceを使用することもできる。 | ||||
Control | 0..0 | ||||
Binding | The codes SHOULD be taken from JP Core Medication JAMI External Body Site ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A coded specification of the anatomic site where the medication first enters the body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
319. MedicationDispense.dosageInstruction.route | |||||
Definition | 投与経路 | ||||
Short | 投与経路 | ||||
Comments | 投与経路の一般的パターンに全てのターミノロジが適応しているわけではない。情報モデルはCodeableConceptではなく、直接Codingをを使用してテキストやコーディング、翻訳、そしてエレメントと事前条件、事後条件の関係について管理するためにその構造を提示する必要がある。 | ||||
Control | 0..0 | ||||
Binding | The codes SHOULD be taken from JP Core Medication HL70162-based Route ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
326. MedicationDispense.dosageInstruction.method | |||||
Definition | 投与方法 | ||||
Short | Technique for administering medication (投与方法) | ||||
Comments | ターミノロジは投与する経路あるいは剤型をあらかじめ指定するために用いられる。 | ||||
Control | 0..1 | ||||
Binding | For example codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes )A coded concept describing the technique by which the medicine is administered. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | コード化された値は体内に薬剤が投与される方法を示している。注射ではよく使われる。たとえば、緩徐に注入、深部に静注など。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
328. MedicationDispense.dosageInstruction.method.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
330. MedicationDispense.dosageInstruction.method.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
332. MedicationDispense.dosageInstruction.method.extension:methodComment | |||||
Slice Name | methodComment | ||||
Definition | 手技コメントを格納するための拡張 | ||||
Short | 手技コメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage MethodComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
334. MedicationDispense.dosageInstruction.method.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
336. MedicationDispense.dosageInstruction.method.coding:unitDigit1 | |||||
Slice Name | unitDigit1 | ||||
Definition | 投与⽅法に対応するJAMI 用法コード表基本用法1桁コードを識別するURI。 | ||||
Short | Code defined by a terminology system (投与方法を表すコード) | ||||
Comments | コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである(HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from JP Core Medication JAMI Basic Usage Type ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
338. MedicationDispense.dosageInstruction.method.coding:unitDigit1.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
340. MedicationDispense.dosageInstruction.method.coding:unitDigit1.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
342. MedicationDispense.dosageInstruction.method.coding:unitDigit1.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (投与方法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20.30 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
344. MedicationDispense.dosageInstruction.method.coding:unitDigit1.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
346. MedicationDispense.dosageInstruction.method.coding:unitDigit1.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (投与方法を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
348. MedicationDispense.dosageInstruction.method.coding:unitDigit1.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (投与方法の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
350. MedicationDispense.dosageInstruction.method.coding:unitDigit1.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
352. MedicationDispense.dosageInstruction.method.coding:unitDigit2 | |||||
Slice Name | unitDigit2 | ||||
Definition | 投与⽅法に対応するJAMI 用法コード表基本用法2桁コードを識別するURI。2桁コードurn:oid:1.2.392.200250.2.2.20.40 | ||||
Short | Code defined by a terminology system (投与方法を表すコード) | ||||
Comments | コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである(HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from JP Core Medication JAMI Detail Usage ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
354. MedicationDispense.dosageInstruction.method.coding:unitDigit2.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
356. MedicationDispense.dosageInstruction.method.coding:unitDigit2.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
358. MedicationDispense.dosageInstruction.method.coding:unitDigit2.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (投与方法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.200250.2.2.20.40 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
360. MedicationDispense.dosageInstruction.method.coding:unitDigit2.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
362. MedicationDispense.dosageInstruction.method.coding:unitDigit2.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (投与方法を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
364. MedicationDispense.dosageInstruction.method.coding:unitDigit2.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (投与方法の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
366. MedicationDispense.dosageInstruction.method.coding:unitDigit2.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
368. MedicationDispense.dosageInstruction.method.coding:USCode | |||||
Slice Name | USCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (投与方法を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | For example codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
370. MedicationDispense.dosageInstruction.method.coding:USCode.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
372. MedicationDispense.dosageInstruction.method.coding:USCode.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
374. MedicationDispense.dosageInstruction.method.coding:USCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (投与方法を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://snomed.info/sct | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
376. MedicationDispense.dosageInstruction.method.coding:USCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
378. MedicationDispense.dosageInstruction.method.coding:USCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (投与方法を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
380. MedicationDispense.dosageInstruction.method.coding:USCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (投与方法の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
382. MedicationDispense.dosageInstruction.method.coding:USCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
384. MedicationDispense.dosageInstruction.method.coding:Absent | |||||
Slice Name | Absent | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (欠損を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
386. MedicationDispense.dosageInstruction.method.coding:Absent.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
388. MedicationDispense.dosageInstruction.method.coding:Absent.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.method.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
390. MedicationDispense.dosageInstruction.method.coding:Absent.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (欠損を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | http://terminology.hl7.org/CodeSystem/data-absent-reason | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
392. MedicationDispense.dosageInstruction.method.coding:Absent.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
394. MedicationDispense.dosageInstruction.method.coding:Absent.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (欠損を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
396. MedicationDispense.dosageInstruction.method.coding:Absent.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (欠損の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
398. MedicationDispense.dosageInstruction.method.coding:Absent.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
400. MedicationDispense.dosageInstruction.method.text | |||||
Definition | 投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。 | ||||
Short | Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。) | ||||
Comments | textエレメントはcodingのdisplayNameエレメントと一致することがよくある。 | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
402. MedicationDispense.dosageInstruction.doseAndRate | |||||
Definition | 薬剤が投与される量 | ||||
Short | Amount of medication administered (投与量) | ||||
Control | 0..* | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
404. MedicationDispense.dosageInstruction.doseAndRate.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
406. MedicationDispense.dosageInstruction.doseAndRate.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
408. MedicationDispense.dosageInstruction.doseAndRate.extension:rateComment | |||||
Slice Name | rateComment | ||||
Definition | 投与速度コメントを格納するための拡張 | ||||
Short | 投与速度コメント | ||||
Control | 0..* | ||||
Type | Extension(JP Core Medication Dosage RateComment Extension) (Extension Type: Choice of: string, CodeableConcept) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
410. MedicationDispense.dosageInstruction.doseAndRate.type | |||||
Definition | 力価区分 | ||||
Short | The kind of dose or rate specified (力価区分コード) | ||||
Comments | 本要素は、安全性のため省略せずに必須とする。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from JP Core Medication IngredientStrength StrengthType ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS ) | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | このtypeに値が指定されていなければ、"ordered"であることが想定される。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
412. MedicationDispense.dosageInstruction.doseAndRate.type.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
414. MedicationDispense.dosageInstruction.doseAndRate.type.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.type.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
416. MedicationDispense.dosageInstruction.doseAndRate.type.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system (力価区分を表すコード) | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
418. MedicationDispense.dosageInstruction.doseAndRate.type.coding.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
420. MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
422. MedicationDispense.dosageInstruction.doseAndRate.type.coding.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system (力価区分を定義するコード体系) | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Alternate Names | コードシステム, System | ||||
Fixed Value | urn:oid:1.2.392.100495.20.2.22 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
424. MedicationDispense.dosageInstruction.doseAndRate.type.coding.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
426. MedicationDispense.dosageInstruction.doseAndRate.type.coding.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system (力価区分を表すコード値) | ||||
Control | 1..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Alternate Names | コード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
428. MedicationDispense.dosageInstruction.doseAndRate.type.coding.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system (力価区分の表示名) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Alternate Names | 表示名, Display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
430. MedicationDispense.dosageInstruction.doseAndRate.type.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
432. MedicationDispense.dosageInstruction.doseAndRate.type.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
434. MedicationDispense.dosageInstruction.doseAndRate.dose[x] | |||||
Definition | 1回投与量(体積) | ||||
Short | Amount of medication per dose (1回量) | ||||
Comments | この量は指定された薬剤の量を指定するものであって、各有効成分の量を指定するものではない。各成分の量はMedication resourceで伝えることができる。たとえば、有効成分が375mgである錠剤を1錠投与することを伝えたい場合、Medication resourceを利用して、XYZ成分が375mg含有しているという錠剤であることを文書化することができる。あるいは1回投与量が375mgであることを伝えるのであれば、Medication resourceをつかって単にそれが錠剤であることを示せばよい。もし、ドーパミンの静注を例に挙げて、400mgのドーパミンを500mlの注射溶液に混ぜて使うことを伝えたいのであれば、それをすべてMedication resourceで伝えることができる。もし、投与について即時に伝達することを意図していない(たとえば投与速度が示されていたり、投与時期に範囲があるような場合)のであれば、たとえば1回500mlを4時間以上かけて投与する予定を伝える場合にもMedication resourceで伝えることができる。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | The amount of therapeutic or other substance given at one administration event. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
436. MedicationDispense.dosageInstruction.doseAndRate.rate[x] | |||||
Definition | 薬剤が投与される量の速度 | ||||
Short | 薬剤の投与量速度 | ||||
Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 | ||||
Type | Ratio | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
438. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio | |||||
Slice Name | rateRatio | ||||
Definition | 単位時間内での薬剤の容量 | ||||
Short | Amount of medication per unit of time (投与速度) | ||||
Comments | The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Ratio(JP Core Medication Rate Ratio DataType) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ( (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) ) | ||||
440. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
442. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
444. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator | |||||
Definition | 投与量 | ||||
Short | Numerator value (投与量) | ||||
Comments | 薬剤に関する数量と単位を定めている。ValueおよびCodeを必須としている。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() ) | ||||
446. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
448. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x].numerator.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
450. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value | |||||
Definition | 投与量 | ||||
Short | Numerical value (with implicit precision) (投与量) | ||||
Comments | 暗示された精度については常に尊重すべきである。貨幣計算では制度に関する独自のルールがある(会計についての標準的な教科書を参照すること)。 | ||||
Control | 1..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
Alternate Names | 値, Value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
452. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.comparator | |||||
Definition | 実際の値が計測して示された値よりも大きいのか小さいのかなど、値がどのように解釈され、表現されるのかを示している。たとえば、もし、comparatorエレメントが"<"であれば、実際の値は示された値よりも小さい(<)。 | ||||
Short | < | <= | >= | > - 値の解釈法 | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 )How the Quantity should be understood and represented. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 計測法に制限があって値が<5ug/L や >400mg/L として示されるような場合でも値を扱えるようなフレームワークが必要である。 | ||||
Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
454. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.unit | |||||
Definition | 投与量の単位。 | ||||
Short | Unit representation (投与量の単位) | ||||
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。 | ||||
Alternate Names | 単位, Unit | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
456. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.system | |||||
Definition | 単位をコード化して表現するシステムについてのID。 | ||||
Short | System that defines coded unit form (単位形式を定義するコード体系) | ||||
Comments | 以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier | ||||
Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | システムによって定義される単位のコードを把握しておく必要がある。 | ||||
Alternate Names | 単位のコードシステム, System | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
458. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code | |||||
Definition | 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD) | ||||
Short | Symbol in syntax defined by the system (投与量を表す単位コード) | ||||
Comments | 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)されるが、ローカルコード等を利用することも可能とする | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from JP Core Medication MERIT9 Unit ValueSet (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
Alternate Names | 単位のコード, Code | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
460. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator | |||||
Definition | 単位時間 | ||||
Short | Denominator value (投与時間) | ||||
Control | 0..1 | ||||
Type | Quantity | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
462. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
464. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationDispense.dosageInstruction.doseAndRate.rate[x].denominator.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
466. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value | |||||
Definition | 単位時間 | ||||
Short | Numerical value (with implicit precision) (投与の単位時間) | ||||
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
Control | 1..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
Alternate Names | 値, Value | ||||
Fixed Value | 1 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
468. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.comparator | |||||
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
Short | < | <= | >= | > - how to understand the value | ||||
Control | 0..0 | ||||
Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 )How the Quantity should be understood and represented. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
470. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.unit | |||||
Definition | 単位時間の単位。UCUMを使用する。 | ||||
Short | Unit representation (投与の単位時間の単位) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
Alternate Names | 単位, Unit | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
472. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.system | |||||
Definition | UCUMを識別するURL。固定値。 | ||||
Short | System that defines coded unit form (単位形式を定義するコード体系) | ||||
Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to know the system that defines the coded form of the unit. | ||||
Alternate Names | 単位のコードシステム, System | ||||
Fixed Value | http://unitsofmeasure.org | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
474. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code | |||||
Definition | A computer processable form of the unit in some unit representation system. | ||||
Short | Coded form of the unit (単位を表すコード値) | ||||
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from UnitsOfTime (preferred to http://hl7.org/fhir/ValueSet/units-of-time ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
Alternate Names | 単位のコード, Code | ||||
Fixed Value | h | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
476. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange | |||||
Slice Name | rateRange | ||||
Definition | 範囲指定された時間の上限下限 | ||||
Short | 範囲指定された時間の上限下限 | ||||
Comments | 時間の上限量、下限量の範囲を持っている。単位指定された数量を割り当てている。Low,Highの値は時間の単位当てはめる。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Range(JP Core Medication Range DataType) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )rng-2: If present, low SHALL have a lower value than high ( low.empty() or high.empty() or (low <= high) ) | ||||
478. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity | |||||
Slice Name | rateQuantity | ||||
Definition | 投与速度(流量)を指定する単位は流量を表す単位(e.g. 量/時間)を指定する | ||||
Short | 投与速度(流量)を指定する単位は流量を表す単位(e.g. 量/時間)を指定する | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(SimpleQuantity) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
480. MedicationDispense.dosageInstruction.maxDosePerPeriod | |||||
Definition | 単位時間当たりの投薬量の上限 | ||||
Short | 単位時間当たりの投薬量の上限 | ||||
Comments | The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Ratio(JP Core Medication Rate Ratio DataType) | ||||
Is Modifier | false | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ( (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) ) | ||||
482. MedicationDispense.dosageInstruction.maxDosePerAdministration | |||||
Definition | 1回あたりの投薬量の上限 | ||||
Short | 1回あたりの投薬量の上限 | ||||
Comments | 薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
484. MedicationDispense.dosageInstruction.maxDosePerLifetime | |||||
Definition | 生涯の投薬量の上限 | ||||
Short | 生涯の投薬量の上限 | ||||
Comments | 薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP Core Medication Quantity DataType) | ||||
Is Modifier | false | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
486. MedicationDispense.substitution | |||||
Definition | Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done. 調剤の一部として置換が行われたかどうかを示す。場合によっては、置換が期待されるが発生しない場合もあれば、置換が予期されないが発生する場合もある。このブロックは、置換が行われたか行われなかったか、およびその理由を説明する。何も指定されていない場合、置換は行われていない。 | ||||
Short | Whether a substitution was performed on the dispense 調剤で置換が実行されたかどうか | ||||
Control | 0..0 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
495. MedicationDispense.detectedIssue | |||||
Definition | Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc. 患者に対する1つまたは複数のアクティブまたは提案された臨床アクションを伴う、またはそれらの間の実際のまたは潜在的な臨床問題を示す。例えば薬物間相互作用、重複治療、投与量アラートなど。 DetectedIssue リソースへの参照。 | ||||
Short | Clinical issue with action アクションを伴う臨床的問題 | ||||
Comments | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. | ||||
Control | 0..0 | ||||
Type | Reference(DetectedIssue) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
497. MedicationDispense.eventHistory | |||||
Definition | A summary of the events of interest that have occurred, such as when the dispense was verified. 調剤が確認されたときなど、発生した対象のイベントのサマリー。 | ||||
Short | A list of relevant lifecycle events 関連するライフサイクルイベントのリスト | ||||
Comments | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). | ||||
Control | 0..0 | ||||
Type | Reference(Provenance) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |