Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: FujitsuMedicationDispenseInjection - Detailed Descriptions

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。

ShortFujitsu 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
ShortLogical 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
ShortMetadata 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
Control0..0
8. MedicationDispense.language
Control0..0
10. MedicationDispense.text
ShortText 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
ShortContained, 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
ShortAdditional content defined by implementations (要素の拡張)
Control0..0
Alternate Names拡張, Extension, 拡張, Extension, 拡張, Extension
16. MedicationDispense.extension:preparation
Slice Namepreparation
Control0..0
18. MedicationDispense.modifierExtension
Control0..0
20. MedicationDispense.identifier
ShortBusiness Identifier for observation (識別子)
NoteThis 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 NamerpNumber
ShortExternal identifier (外部から参照されるID)
NoteThis is a business identifier, not a resource identifier (see discussion)
Alternate NamesRp番号, Rp Number
24. MedicationDispense.identifier:rpNumber.id
Control0..0
26. MedicationDispense.identifier:rpNumber.extension
Control0..0
28. MedicationDispense.identifier:rpNumber.use
Control0..0
30. MedicationDispense.identifier:rpNumber.type
Control0..0
32. MedicationDispense.identifier:rpNumber.system
Alternate NamesRp番号のコード体系, Rp Number code system
34. MedicationDispense.identifier:rpNumber.value
Alternate NamesRp番号, Rp Number value
36. MedicationDispense.identifier:rpNumber.period
Control0..0
38. MedicationDispense.identifier:rpNumber.assigner
Control0..0
40. MedicationDispense.identifier:requestIdentifier
Slice NamerequestIdentifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
Alternate Names処方オーダーID, Request Identifier
42. MedicationDispense.partOf
Control0..0
44. MedicationDispense.status
Shortpreparation | 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]
Control0..0
48. MedicationDispense.category
Control0..0
50. MedicationDispense.medication[x]
ShortWhat was administered (医薬品の参照)
TypeReference(Fujitsu Medication Profile)
[x] NoteSee 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
Control0..0
54. MedicationDispense.medication[x].extension
Control0..0
56. MedicationDispense.medication[x].reference
ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Control1..?
Alternate Names医薬品の参照, Medication reference
Fixed Value#medication
58. MedicationDispense.medication[x].type
Control0..0
60. MedicationDispense.medication[x].identifier
ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
NoteThis 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
Control0..0
64. MedicationDispense.subject
ShortWho the dispense is for (投与対象患者)
TypeReference(Fujitsu Patient Profile)
Alternate Names患者, Patient
66. MedicationDispense.subject.id
Control0..0
68. MedicationDispense.subject.extension
Control0..0
70. MedicationDispense.subject.reference
ShortLiteral reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Control1..?
Alternate Names参照患者, Patient reference
72. MedicationDispense.subject.type
Control0..0
74. MedicationDispense.subject.identifier
ShortLogical reference, when literal reference is not known (データ取り込みで使用する論理参照)
NoteThis is a business identifier, not a resource identifier (see discussion)
Alternate Names患者識別子, Patient identifier
76. MedicationDispense.subject.display
Control0..0
78. MedicationDispense.supportingInformation
Control0..0
80. MedicationDispense.performer
Control0..0
82. MedicationDispense.location
Control0..0
84. MedicationDispense.authorizingPrescription
Control0..0
86. MedicationDispense.type
Control0..0
88. MedicationDispense.quantity
ShortAmount 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
ShortAmount of medication expressed as a timing amount (タイミングとして表される投薬量)
Alternate Names1回投薬量, Amount of medication at the right time
92. MedicationDispense.whenPrepared
Control0..0
94. MedicationDispense.whenHandedOver
ShortWhen 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
Control0..0
98. MedicationDispense.receiver
Control0..0
100. MedicationDispense.note
Control0..0
102. MedicationDispense.dosageInstruction
ShortHow 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
Control0..0
106. MedicationDispense.dosageInstruction.modifierExtension
Control0..0
108. MedicationDispense.dosageInstruction.sequence
Control0..0
110. MedicationDispense.dosageInstruction.text
ShortFree 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
ShortSupplemental 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
Control0..0
116. MedicationDispense.dosageInstruction.additionalInstruction.extension
Control0..0
118. MedicationDispense.dosageInstruction.additionalInstruction.coding
SlicingThis 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:
  • value @ system
  • 120. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI
    Slice NameJAMI
    ShortCode defined by a terminology system (用法の補足情報を表すコード)
    Control0..1
    BindingThe 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
    Control0..0
    124. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.extension
    Control0..0
    126. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.system
    ShortIdentity of the terminology system (用法の補足情報を定義するコード体系)
    Control1..?
    Alternate Namesコードシステム, System
    Fixed Valueurn:oid:1.2.392.200250.2.2.20.22
    128. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.version
    NoteThis is a business versionId, not a resource version id (see discussion)
    Control0..0
    130. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.code
    ShortSymbol in syntax defined by the system (用法の補足情報を表すコード値)
    Control1..?
    Alternate Namesコード, Code
    132. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.display
    ShortRepresentation defined by the system (用法の補足情報の表示名)
    Control1..?
    Alternate Names表示名, Display
    134. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.userSelected
    Control0..0
    136. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode
    Slice NameUSCode
    ShortCode defined by a terminology system (用法の補足情報を表すコード)
    Control0..1
    BindingThe codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions
    (required to http://hl7.org/fhir/ValueSet/additional-instruction-codes)
    138. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.id
    Control0..0
    140. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.extension
    Control0..0
    142. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.system
    ShortIdentity of the terminology system (用法の補足情報を定義するコード体系)
    Control1..?
    Alternate Namesコードシステム, System
    Fixed Valuehttp://snomed.info/sct
    144. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.version
    NoteThis is a business versionId, not a resource version id (see discussion)
    Control0..0
    146. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.code
    ShortSymbol in syntax defined by the system (用法の補足情報を表すコード値)
    Control1..?
    Alternate Namesコード, Code
    148. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.display
    ShortRepresentation defined by the system (用法の補足情報の表示名)
    Control1..?
    Alternate Names表示名, Display
    150. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.userSelected
    Control0..0
    152. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent
    Slice NameAbsent
    ShortCode defined by a terminology system (欠損を表すコード)
    Control0..*
    BindingThe codes SHALL be taken from DataAbsentReason
    (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
    154. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.id
    Control0..0
    156. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.extension
    Control0..0
    158. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.system
    ShortIdentity of the terminology system (欠損を定義するコード体系)
    Control1..?
    Alternate Namesコードシステム, System
    Fixed Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
    160. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.version
    NoteThis is a business versionId, not a resource version id (see discussion)
    Control0..0
    162. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.code
    ShortSymbol in syntax defined by the system (欠損を表すコード値)
    Control1..?
    Alternate Namesコード, Code
    164. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.display
    ShortRepresentation defined by the system (欠損の表示名)
    Control1..?
    Alternate Names表示名, Display
    166. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.userSelected
    Control0..0
    168. MedicationDispense.dosageInstruction.additionalInstruction.text
    ShortPlain 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。)
    Control1..?
    170. MedicationDispense.dosageInstruction.patientInstruction
    Control0..0
    172. MedicationDispense.dosageInstruction.timing
    ShortWhen medication should be administered (投与タイミング)
    174. MedicationDispense.dosageInstruction.timing.id
    Control0..0
    176. MedicationDispense.dosageInstruction.timing.extension
    Control0..0
    178. MedicationDispense.dosageInstruction.timing.modifierExtension
    Control0..0
    180. MedicationDispense.dosageInstruction.timing.event
    ShortWhen the event occurs (投与イベント)
    Control0..0
    182. MedicationDispense.dosageInstruction.timing.repeat
    ShortWhen the event is to occur (投与日時)
    184. MedicationDispense.dosageInstruction.timing.repeat.id
    Control0..0
    186. MedicationDispense.dosageInstruction.timing.repeat.extension
    Control0..0
    188. MedicationDispense.dosageInstruction.timing.repeat.bounds[x]
    ShortTime range defined by start and end date/time (投与日時)
    TypePeriod
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    190. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].start
    ShortStarting time with inclusive boundary (投与開始日時)
    192. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].end
    ShortEnd time with inclusive boundary, if not ongoing (投与終了日時)
    194. MedicationDispense.dosageInstruction.timing.repeat.count
    Control0..0
    196. MedicationDispense.dosageInstruction.timing.repeat.countMax
    Control0..0
    198. MedicationDispense.dosageInstruction.timing.repeat.duration
    Control0..0
    200. MedicationDispense.dosageInstruction.timing.repeat.durationMax
    Control0..0
    202. MedicationDispense.dosageInstruction.timing.repeat.durationUnit
    Control0..0
    204. MedicationDispense.dosageInstruction.timing.repeat.frequency
    Control0..0
    206. MedicationDispense.dosageInstruction.timing.repeat.frequencyMax
    Control0..0
    208. MedicationDispense.dosageInstruction.timing.repeat.period
    Control0..0
    210. MedicationDispense.dosageInstruction.timing.repeat.periodMax
    Control0..0
    212. MedicationDispense.dosageInstruction.timing.repeat.periodUnit
    Control0..0
    214. MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek
    Control0..0
    216. MedicationDispense.dosageInstruction.timing.repeat.timeOfDay
    Control0..0
    218. MedicationDispense.dosageInstruction.timing.repeat.when
    Control0..0
    220. MedicationDispense.dosageInstruction.timing.repeat.offset
    Control0..0
    222. MedicationDispense.dosageInstruction.timing.code
    224. MedicationDispense.dosageInstruction.timing.code.coding
    SlicingThis 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:
    • value @ system
    • 226. MedicationDispense.dosageInstruction.timing.code.coding:JAMI
      Slice NameJAMI
      ShortCode defined by a terminology system (用法を表すコード)
      Control0..1
      BindingThe 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
      Control0..0
      230. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.extension
      Control0..0
      232. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.system
      ShortIdentity of the terminology system (用法を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valueurn:oid:1.2.392.200250.2.2.20
      234. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      236. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.code
      ShortSymbol in syntax defined by the system (用法を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      238. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.display
      ShortRepresentation defined by the system (用法の表示名)
      Control1..?
      Alternate Names表示名, Display
      240. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.userSelected
      Control0..0
      242. MedicationDispense.dosageInstruction.timing.code.coding:USCode
      Slice NameUSCode
      ShortCode defined by a terminology system (用法を表すコード)
      Control0..1
      BindingThe codes SHOULD be taken from TimingAbbreviation
      (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)
      244. MedicationDispense.dosageInstruction.timing.code.coding:USCode.id
      Control0..0
      246. MedicationDispense.dosageInstruction.timing.code.coding:USCode.extension
      Control0..0
      248. MedicationDispense.dosageInstruction.timing.code.coding:USCode.system
      ShortIdentity of the terminology system (用法を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
      250. MedicationDispense.dosageInstruction.timing.code.coding:USCode.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      252. MedicationDispense.dosageInstruction.timing.code.coding:USCode.code
      ShortSymbol in syntax defined by the system (用法を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      254. MedicationDispense.dosageInstruction.timing.code.coding:USCode.display
      ShortRepresentation defined by the system (用法の表示名)
      Control1..?
      Alternate Names表示名, Display
      256. MedicationDispense.dosageInstruction.timing.code.coding:USCode.userSelected
      Control0..0
      258. MedicationDispense.dosageInstruction.timing.code.coding:Absent
      Slice NameAbsent
      ShortCode defined by a terminology system (欠損を表すコード)
      Control0..*
      BindingThe codes SHALL be taken from DataAbsentReason
      (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
      260. MedicationDispense.dosageInstruction.timing.code.coding:Absent.id
      Control0..0
      262. MedicationDispense.dosageInstruction.timing.code.coding:Absent.extension
      Control0..0
      264. MedicationDispense.dosageInstruction.timing.code.coding:Absent.system
      ShortIdentity of the terminology system (欠損を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
      266. MedicationDispense.dosageInstruction.timing.code.coding:Absent.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      268. MedicationDispense.dosageInstruction.timing.code.coding:Absent.code
      ShortSymbol in syntax defined by the system (欠損を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      270. MedicationDispense.dosageInstruction.timing.code.coding:Absent.display
      ShortRepresentation defined by the system (欠損の表示名)
      Control1..?
      Alternate Names表示名, Display
      272. MedicationDispense.dosageInstruction.timing.code.coding:Absent.userSelected
      Control0..0
      274. MedicationDispense.dosageInstruction.timing.code.text
      ShortPlain 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。)
      Control1..?
      276. MedicationDispense.dosageInstruction.asNeeded[x]
      Control0..0
      278. MedicationDispense.dosageInstruction.site
      Control0..0
      280. MedicationDispense.dosageInstruction.route
      Control0..0
      282. MedicationDispense.dosageInstruction.method
      ShortTechnique for administering medication (投与方法)
      284. MedicationDispense.dosageInstruction.method.id
      Control0..0
      286. MedicationDispense.dosageInstruction.method.coding:unitDigit1
      Slice NameunitDigit1
      ShortCode defined by a terminology system (投与方法を表すコード)
      288. MedicationDispense.dosageInstruction.method.coding:unitDigit1.id
      Control0..0
      290. MedicationDispense.dosageInstruction.method.coding:unitDigit1.extension
      Control0..0
      292. MedicationDispense.dosageInstruction.method.coding:unitDigit1.system
      ShortIdentity 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
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      296. MedicationDispense.dosageInstruction.method.coding:unitDigit1.code
      ShortSymbol in syntax defined by the system (投与方法を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      298. MedicationDispense.dosageInstruction.method.coding:unitDigit1.display
      ShortRepresentation defined by the system (投与方法の表示名)
      Control1..?
      Alternate Names表示名, Display
      300. MedicationDispense.dosageInstruction.method.coding:unitDigit1.userSelected
      Control0..0
      302. MedicationDispense.dosageInstruction.method.coding:unitDigit2
      Slice NameunitDigit2
      ShortCode defined by a terminology system (投与方法を表すコード)
      304. MedicationDispense.dosageInstruction.method.coding:unitDigit2.id
      Control0..0
      306. MedicationDispense.dosageInstruction.method.coding:unitDigit2.extension
      Control0..0
      308. MedicationDispense.dosageInstruction.method.coding:unitDigit2.system
      ShortIdentity 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
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      312. MedicationDispense.dosageInstruction.method.coding:unitDigit2.code
      ShortSymbol in syntax defined by the system (投与方法を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      314. MedicationDispense.dosageInstruction.method.coding:unitDigit2.display
      ShortRepresentation defined by the system (投与方法の表示名)
      Control1..?
      Alternate Names表示名, Display
      316. MedicationDispense.dosageInstruction.method.coding:unitDigit2.userSelected
      Control0..0
      318. MedicationDispense.dosageInstruction.method.coding:USCode
      Slice NameUSCode
      ShortCode defined by a terminology system (投与方法を表すコード)
      Control0..*
      BindingFor example codes, see SNOMEDCTAdministrationMethodCodes
      (example to http://hl7.org/fhir/ValueSet/administration-method-codes)
      320. MedicationDispense.dosageInstruction.method.coding:USCode.id
      Control0..0
      322. MedicationDispense.dosageInstruction.method.coding:USCode.extension
      Control0..0
      324. MedicationDispense.dosageInstruction.method.coding:USCode.system
      ShortIdentity of the terminology system (投与方法を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://snomed.info/sct
      326. MedicationDispense.dosageInstruction.method.coding:USCode.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      328. MedicationDispense.dosageInstruction.method.coding:USCode.code
      ShortSymbol in syntax defined by the system (投与方法を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      330. MedicationDispense.dosageInstruction.method.coding:USCode.display
      ShortRepresentation defined by the system (投与方法の表示名)
      Control1..?
      Alternate Names表示名, Display
      332. MedicationDispense.dosageInstruction.method.coding:USCode.userSelected
      Control0..0
      334. MedicationDispense.dosageInstruction.method.coding:Absent
      Slice NameAbsent
      ShortCode defined by a terminology system (欠損を表すコード)
      Control0..*
      BindingThe codes SHALL be taken from DataAbsentReason
      (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
      336. MedicationDispense.dosageInstruction.method.coding:Absent.id
      Control0..0
      338. MedicationDispense.dosageInstruction.method.coding:Absent.extension
      Control0..0
      340. MedicationDispense.dosageInstruction.method.coding:Absent.system
      ShortIdentity of the terminology system (欠損を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
      342. MedicationDispense.dosageInstruction.method.coding:Absent.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      344. MedicationDispense.dosageInstruction.method.coding:Absent.code
      ShortSymbol in syntax defined by the system (欠損を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      346. MedicationDispense.dosageInstruction.method.coding:Absent.display
      ShortRepresentation defined by the system (欠損の表示名)
      Control1..?
      Alternate Names表示名, Display
      348. MedicationDispense.dosageInstruction.method.coding:Absent.userSelected
      Control0..0
      350. MedicationDispense.dosageInstruction.method.text
      ShortPlain 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。)
      Control1..?
      352. MedicationDispense.dosageInstruction.doseAndRate
      ShortAmount of medication administered (投与量)
      354. MedicationDispense.dosageInstruction.doseAndRate.id
      Control0..0
      356. MedicationDispense.dosageInstruction.doseAndRate.type
      ShortThe 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
      Control0..0
      360. MedicationDispense.dosageInstruction.doseAndRate.type.extension
      Control0..0
      362. MedicationDispense.dosageInstruction.doseAndRate.type.coding
      ShortCode defined by a terminology system (力価区分を表すコード)
      364. MedicationDispense.dosageInstruction.doseAndRate.type.coding.id
      Control0..0
      366. MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension
      Control0..0
      368. MedicationDispense.dosageInstruction.doseAndRate.type.coding.system
      ShortIdentity of the terminology system (力価区分を定義するコード体系)
      Control1..?
      Alternate Namesコードシステム, System
      Fixed Valueurn:oid:1.2.392.100495.20.2.22
      370. MedicationDispense.dosageInstruction.doseAndRate.type.coding.version
      NoteThis is a business versionId, not a resource version id (see discussion)
      Control0..0
      372. MedicationDispense.dosageInstruction.doseAndRate.type.coding.code
      ShortSymbol in syntax defined by the system (力価区分を表すコード値)
      Control1..?
      Alternate Namesコード, Code
      374. MedicationDispense.dosageInstruction.doseAndRate.type.coding.display
      ShortRepresentation defined by the system (力価区分の表示名)
      Control1..?
      Alternate Names表示名, Display
      376. MedicationDispense.dosageInstruction.doseAndRate.type.coding.userSelected
      Control0..0
      378. MedicationDispense.dosageInstruction.doseAndRate.dose[x]
      ShortAmount of medication per dose (1回量)
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      380. MedicationDispense.dosageInstruction.doseAndRate.rate[x]
      TypeRatio
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      382. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio
      Slice NamerateRatio
      ShortAmount of medication per unit of time (投与速度)
      TypeRatio(JP Core Medication Rate Ratio DataType)
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      384. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.id
      Control0..0
      386. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension
      Control0..0
      388. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator
      ShortNumerator value (投与量)
      390. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.id
      Control0..0
      392. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension
      Control0..0
      394. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value
      ShortNumerical value (with implicit precision) (投与量)
      Alternate Names値, Value
      396. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.comparator
      Control0..0
      398. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.unit
      ShortUnit representation (投与量の単位)
      Control1..?
      Alternate Names単位, Unit
      400. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.system
      ShortSystem that defines coded unit form (単位形式を定義するコード体系)
      Control1..?
      Alternate Names単位のコードシステム, System
      402. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code
      ShortSymbol 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
      ShortDenominator value (投与時間)
      406. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.id
      Control0..0
      408. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension
      Control0..0
      410. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value
      ShortNumerical value (with implicit precision) (投与の単位時間)
      Control1..?
      Alternate Names値, Value
      Fixed Value1
      412. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.comparator
      Control0..0
      414. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.unit
      ShortUnit representation (投与の単位時間の単位)
      Control1..?
      Alternate Names単位, Unit
      416. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.system
      ShortSystem that defines coded unit form (単位形式を定義するコード体系)
      Control1..?
      Alternate Names単位のコードシステム, System
      Fixed Valuehttp://unitsofmeasure.org
      418. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code
      ShortCoded form of the unit (単位を表すコード値)
      Control1..?
      Alternate Names単位のコード, Code
      Fixed Valueh
      420. MedicationDispense.dosageInstruction.maxDosePerPeriod
      Control0..0
      422. MedicationDispense.dosageInstruction.maxDosePerAdministration
      Control0..0
      424. MedicationDispense.dosageInstruction.maxDosePerLifetime
      Control0..0
      426. MedicationDispense.substitution
      Control0..0
      428. MedicationDispense.detectedIssue
      Control0..0
      430. MedicationDispense.eventHistory
      Control0..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.

      ShortFujitsu 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
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate Names内服・外用薬処方調剤・払い出し, Medication Dispense
      Invariantsdom-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.

      ShortLogical 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.

      Control0..1
      Typeidstring
      Is Modifierfalse
      Summarytrue
      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.

      ShortMetadata about the resource (リソースのメタデータ)
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Alternate Namesメタデータ, Meta data
      Invariantsele-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.

      ShortA 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.

      Control0..01
      Typeuri
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-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.

      ShortLanguage 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).

      Control0..01
      BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-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.

      ShortText 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.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display, 概要, Summary
      Invariantsele-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.

      ShortContained, 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.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline 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.

      ShortAdditional 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.

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Names拡張, Extension, extensions, user content
      Invariantsele-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())
      SlicingThis element introduces a set of slices on MedicationDispense.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. MedicationDispense.extension:preparation
        Slice Namepreparation
        Definition

        薬剤単位の調剤結果

        Short調剤結果
        Control0..0
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core MedicationDispense Preparation Extension) (Extension Type: Choice of: string, CodeableConcept)
        Is Modifierfalse
        Invariantsele-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).

        ShortExtensionExtensions 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.

        Control0..0*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        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 Namesextensions, user content
        Invariantsele-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.

        ShortBusiness 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.

        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control10..*
        TypeIdentifier
        Is Modifierfalse
        Summaryfalse
        Alternate Names識別子, Identifier
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on MedicationDispense.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 22. MedicationDispense.identifier:rpNumber
          Slice NamerpNumber
          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.

          ShortExternal 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.

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control10..1*
          TypeIdentifier
          Is Modifierfalse
          Summaryfalse
          Alternate NamesRp番号, Rp Number
          Invariantsele-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.

          ShortUnique id for inter-element referencing
          Control0..01
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          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.

          ShortExtensionAdditional 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.

          Control0..0*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis element introduces a set of slices on MedicationDispense.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 28. MedicationDispense.identifier:rpNumber.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

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

            Control0..01
            BindingThe 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 .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

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

            Invariantsele-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.

            ShortDescription 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.

            Control0..01
            BindingUnless 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.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Requirements

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

            Invariantsele-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.

            ShortRp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.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            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 NamesRp番号のコード体系, Rp Number code system
            Fixed Valueurn:oid:1.2.392.100495.20.3.81
            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
            Invariantsele-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.

            ShortRp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.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesRp番号, Rp Number value
            Example<br/><b>General</b>:123456
            Invariantsele-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.

            ShortTime period when id is/was valid for use
            Control0..01
            TypePeriod
            Is Modifierfalse
            Summarytrue
            Invariantsele-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.

            ShortOrganization 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.

            Control0..01
            TypeReference(Organization)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. MedicationDispense.identifier:requestIdentifier
            Slice NamerequestIdentifier
            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.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..0*
            TypeIdentifier
            Is Modifierfalse
            Summaryfalse
            Alternate Names処方オーダーID, Request Identifier
            Invariantsele-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.

            ShortEvent that dispense is part of 親イベントへの参照
            Control0..0*
            TypeReference(JP Core Procedure Profile, Procedure)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-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.

            Shortpreparation | 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.

            Control1..1
            BindingThe 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.

            Typecode
            Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate Names状態, Status
            Invariantsele-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.

            ShortWhy a dispense was not performed 調剤が実行されなかった理由
            Control0..01
            BindingFor 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.

            TypeChoice of: CodeableConcept, Reference(DetectedIssue)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-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)).

            ShortType 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.

            Control0..01
            BindingThe 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.

            TypeCodeableConcept
            Is Modifierfalse
            Summaryfalse
            Invariantsele-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.

            ShortWhat 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.

            Control1..1
            TypeReference(Fujitsu Medication Profile, Medication), CodeableConcept
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Is Modifierfalse
            Summarytrue
            Alternate Names医薬品の参照, Medication reference
            Invariantsele-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.

            ShortUnique id for inter-element referencing
            Control0..01
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            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.

            ShortExtensionAdditional 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.

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis 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:
            • value @ url
            • 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.

              ShortLiteral 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.

              Control10..1
              This element is affected by the following invariants: ref-1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate Names医薬品の参照, Medication reference
              Fixed Value#medication
              Invariantsele-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).

              ShortType 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.

              Control0..01
              BindingUnless 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).

              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-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.

              ShortLogical 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).

              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Alternate Names参照医薬品の識別子, Medication reference identifier
              Invariantsele-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.

              ShortText 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.

              Control0..01
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-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.

              ShortWho 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.

              Control10..1
              TypeReference(Fujitsu Patient Profile, Patient, Group)
              Is Modifierfalse
              Summarytrue
              Alternate Names患者, Patient
              Invariantsele-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.

              ShortUnique id for inter-element referencing
              Control0..01
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              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.

              ShortExtensionAdditional 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.

              Control0..0*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis element introduces a set of slices on MedicationDispense.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 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.

                ShortLiteral 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.

                Control10..1
                This element is affected by the following invariants: ref-1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate Names参照患者, Patient reference
                Invariantsele-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).

                ShortType 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.

                Control0..01
                BindingUnless 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).

                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-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.

                ShortLogical 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).

                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Alternate Names患者識別子, Patient identifier
                Invariantsele-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.

                ShortText 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.

                Control0..01
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-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.

                ShortInformation 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。

                Control0..0*
                TypeReference(Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortWho performed event 調剤を実施した人
                Control0..0*
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortWhere 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。

                Control0..01
                TypeReference(JP Core Location Profile, Location)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortMedication 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.

                Control0..0*
                TypeReference(JP Core MedicationRequest Injection Profile, MedicationRequest)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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。

                Control0..01
                BindingFor 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.

                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortAmount 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。

                Control10..1
                This element is affected by the following invariants: ele-1
                TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity)
                Is Modifierfalse
                Alternate Names払い出される薬剤の量, Amount of medication
                Invariantsele-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.

                ShortAmount 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。

                Control0..1
                This element is affected by the following invariants: ele-1
                TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity)
                Is Modifierfalse
                Alternate Names1回投薬量, Amount of medication at the right time
                Invariantsele-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.

                ShortWhen 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
                Control0..01
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-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.

                ShortWhen product was given out (調剤がパッケージ化され、レビューされた日時)
                Control10..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Alternate Names払い出し日時, Handed Over Datetime
                Invariantsele-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.

                ShortWhere 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。

                Control0..01
                TypeReference(JP Core Location Profile, Location)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortWho 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。

                Control0..0*
                TypeReference(JP Core Patient Profile, JP Core Practitioner Profile, Patient, Practitioner)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortInformation 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)。

                Control0..0*
                TypeAnnotation
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                ShortHow 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.

                Control0..*
                TypeDosage(JP Core MedicationDosage Injection DataType)
                Is Modifierfalse
                Alternate Names処方指示, Dosage instruction
                Invariantsele-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.

                ShortUnique id for inter-element referencing
                Control0..01
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                111. MedicationDispense.dosageInstruction.extension:dosageComment
                Slice NamedosageComment
                Definition

                用法コメントを格納するための拡張

                Short用法コメント
                Control0..*
                TypeExtension(JP Core Medication Dosage DosageComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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 Namedevice
                Definition

                投与装置を格納する拡張

                Short投与装置
                Control0..*
                TypeExtension(JP Core Medication Dosage Device Extension) (Extension Type: Reference(Device))
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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 Nameline
                Definition

                指示ラインを格納する拡張

                Short指示ライン
                Control0..*
                TypeExtension(JP Core Medication Dosage Line Extension) (Extension Type: CodeableConcept)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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 NamelineComment
                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
                Control0..*
                TypeExtension(JP Core Medication Dosage LineComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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).

                ShortExtensionExtensions 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.

                Control0..0*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                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 Namesextensions, user content, modifiers
                Invariantsele-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。

                Control0..01
                Typeinteger
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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.

                Invariantsele-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.

                ShortFree 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。

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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
                Invariantsele-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").

                ShortSupplemental 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.

                Control0..*
                BindingThe 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)
                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                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.

                Invariantsele-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.

                ShortUnique id for inter-element referencing
                Control0..01
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                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.

                ShortExtensionAdditional 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.

                Control0..0*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-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())
                SlicingThis 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:
                • value @ url
                • 131. MedicationDispense.dosageInstruction.additionalInstruction.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode 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.

                  Control0..*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

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

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis 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:
                  • value @ system
                  • 133. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI
                    Slice NameJAMI
                    Definition

                    A reference to a code defined by a terminology system.

                    ShortCode 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.

                    Control0..1*
                    BindingThe 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)
                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Requirements

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

                    Invariantsele-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.

                    ShortUnique id for inter-element referencing
                    Control0..01
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    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.

                    ShortExtensionAdditional 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.

                    Control0..0*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-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())
                    SlicingThis 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:
                    • value @ url
                    • 139. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.system
                      Definition

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

                      ShortIdentity 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.

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      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 Valueurn:oid:1.2.392.200250.2.2.20.22
                      Invariantsele-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.

                      ShortVersion 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.

                      NoteThis is a business versionId, not a resource version id (see discussion)
                      Control0..01
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-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).

                      ShortSymbol in syntax defined by the system (用法の補足情報を表すコード値)
                      Control10..1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Alternate Namesコード, Code
                      Invariantsele-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.

                      ShortRepresentation defined by the system (用法の補足情報の表示名)
                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      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
                      Invariantsele-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).

                      ShortIf 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.

                      Control0..01
                      Typeboolean
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      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.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      149. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode
                      Slice NameUSCode
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode 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.

                      Control0..1*
                      BindingThe codes SHALL be taken from For codes, see SNOMEDCTAdditionalDosageInstructions
                      (required to http://hl7.org/fhir/ValueSet/additional-instruction-codes)
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

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

                      Invariantsele-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.

                      ShortUnique id for inter-element referencing
                      Control0..01
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      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.

                      ShortExtensionAdditional 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.

                      Control0..0*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      SlicingThis 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:
                      • value @ url
                      • 155. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.system
                        Definition

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

                        ShortIdentity 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.

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        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 Valuehttp://snomed.info/sct
                        Invariantsele-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.

                        ShortVersion 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.

                        NoteThis is a business versionId, not a resource version id (see discussion)
                        Control0..01
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-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).

                        ShortSymbol in syntax defined by the system (用法の補足情報を表すコード値)
                        Control10..1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        Alternate Namesコード, Code
                        Invariantsele-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.

                        ShortRepresentation defined by the system (用法の補足情報の表示名)
                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        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
                        Invariantsele-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).

                        ShortIf 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.

                        Control0..01
                        Typeboolean
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        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.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        165. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent
                        Slice NameAbsent
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode 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.

                        Control0..*
                        BindingThe codes SHALL be taken from For codes, see DataAbsentReason
                        (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                        TypeCoding
                        Is Modifierfalse
                        Summarytrue
                        Requirements

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

                        Invariantsele-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.

                        ShortUnique id for inter-element referencing
                        Control0..01
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        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.

                        ShortExtensionAdditional 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.

                        Control0..0*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        SlicingThis 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:
                        • value @ url
                        • 171. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.system
                          Definition

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

                          ShortIdentity 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.

                          Control10..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          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 Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
                          Invariantsele-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.

                          ShortVersion 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.

                          NoteThis is a business versionId, not a resource version id (see discussion)
                          Control0..01
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-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).

                          ShortSymbol in syntax defined by the system (欠損を表すコード値)
                          Control10..1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Alternate Namesコード, Code
                          Invariantsele-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.

                          ShortRepresentation defined by the system (欠損の表示名)
                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          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
                          Invariantsele-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).

                          ShortIf 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.

                          Control0..01
                          Typeboolean
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          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.

                          Invariantsele-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.

                          ShortPlain 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.

                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          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.

                          Invariantsele-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)。

                          Control0..01
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-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.

                          ShortWhen 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.

                          Control0..1
                          TypeTiming(JP Core Medication Timing DataType)
                          Is Modifierfalse
                          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.

                          Invariantsele-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.

                          ShortUnique id for inter-element referencing
                          Control0..01
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          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.

                          ShortExtensionAdditional 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.

                          Control0..0*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-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())
                          SlicingThis 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:
                          • value @ url
                          • 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).

                            ShortExtensionExtensions 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.

                            Control0..0*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            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 Namesextensions, user content, modifiers
                            Invariantsele-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.

                            ShortWhen the event occurs (投与イベント)
                            Control0..0*
                            TypedateTime
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

                            Invariantsele-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.

                            ShortWhen the event is to occur (投与日時)
                            Control0..1
                            TypeElement
                            Is Modifierfalse
                            Summarytrue
                            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.

                            Invariantsele-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.

                            ShortUnique id for inter-element referencing
                            Control0..01
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            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.

                            ShortExtensionAdditional 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.

                            Control0..0*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-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())
                            SlicingThis 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:
                            • value @ url
                            • 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.

                              ShortTime range defined by start and end date/time (投与日時)Length/Range of lengths, or (Start and/or end) limits
                              Control0..1
                              TypePeriod, Duration, Range
                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-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.

                              ShortStarting 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.

                              Control0..1
                              This element is affected by the following invariants: per-1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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.

                              ShortEnd 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.

                              Control0..1
                              This element is affected by the following invariants: per-1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                              Invariantsele-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.

                              Control0..01
                              TypepositiveInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Repetitions may be limited by end time or total occurrences.

                              Invariantsele-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。

                              Control0..01
                              TypepositiveInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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).

                              Control0..01
                              Typedecimal
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              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.

                              Invariantsele-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).

                              Control0..01
                              Typedecimal
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              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.

                              Invariantsele-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.

                              Shorts | 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)。

                              Control0..01
                              BindingThe 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).

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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。

                              Control0..01
                              TypepositiveInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
                              Invariantsele-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。

                              Control0..01
                              TypepositiveInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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)。

                              Control0..01
                              Typedecimal
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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)。

                              Control0..01
                              Typedecimal
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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.

                              Shorts | 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)。

                              Control0..01
                              BindingThe 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).

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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).

                              Shortmon | 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.

                              Control0..0*
                              BindingThe 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)
                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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.

                              Control0..0*
                              Typetime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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.

                              Control0..0*
                              BindingThe 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.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              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.

                              Invariantsele-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。

                              Control0..01
                              TypeunsignedInt
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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".

                              Control0..01
                              Typeboolean, CodeableConcept
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-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。
                              【JP Core仕様】JAMI外用部位3桁コードを使用することが望ましいが、ローカルコードも使用可能。


                              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.

                              Control0..01
                              BindingThe 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)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              A coded specification of the anatomic site where the medication first enters the body.

                              Invariantsele-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。
                              【JP Core仕様】HL7表0162をベースにした投与経路コードを使用することが望ましいが、ローカルコードも使用可能。

                              Control0..01
                              BindingThe 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)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.

                              Invariantsele-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.

                              ShortTechnique 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.

                              Control0..1
                              BindingFor 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.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              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.

                              Invariantsele-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.

                              ShortUnique id for inter-element referencing
                              Control0..01
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              248. MedicationDispense.dosageInstruction.method.extension:methodComment
                              Slice NamemethodComment
                              Definition

                              手技コメントを格納するための拡張

                              Short手技コメント
                              Control0..*
                              TypeExtension(JP Core Medication Dosage MethodComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-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.

                              ShortCode 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.

                              Control0..*
                              TypeCoding
                              Is Modifierfalse
                              Summarytrue
                              Requirements

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

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis 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:
                              • value @ system
                              • 252. MedicationDispense.dosageInstruction.method.coding:unitDigit1
                                Slice NameunitDigit1
                                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.

                                ShortCode 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.

                                Control0..1*
                                BindingThe 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)
                                TypeCoding
                                Is Modifierfalse
                                Summarytrue
                                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.

                                Invariantsele-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.

                                ShortUnique id for inter-element referencing
                                Control0..01
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                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.

                                ShortExtensionAdditional 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.

                                Control0..0*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-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())
                                SlicingThis 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:
                                • value @ url
                                • 258. MedicationDispense.dosageInstruction.method.coding:unitDigit1.system
                                  Definition

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

                                  ShortIdentity 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.

                                  Control10..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  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 Valueurn:oid:1.2.392.200250.2.2.20.30
                                  Invariantsele-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.

                                  ShortVersion 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.

                                  NoteThis is a business versionId, not a resource version id (see discussion)
                                  Control0..01
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-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).

                                  ShortSymbol in syntax defined by the system (投与方法を表すコード値)
                                  Control10..1
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to refer to a particular code in the system.

                                  Alternate Namesコード, Code
                                  Invariantsele-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.

                                  ShortRepresentation defined by the system (投与方法の表示名)
                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  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
                                  Invariantsele-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).

                                  ShortIf 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.

                                  Control0..01
                                  Typeboolean
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  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.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  268. MedicationDispense.dosageInstruction.method.coding:unitDigit2
                                  Slice NameunitDigit2
                                  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.

                                  ShortCode 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.

                                  Control0..1*
                                  BindingThe 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)
                                  TypeCoding
                                  Is Modifierfalse
                                  Summarytrue
                                  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.

                                  Invariantsele-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.

                                  ShortUnique id for inter-element referencing
                                  Control0..01
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  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.

                                  ShortExtensionAdditional 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.

                                  Control0..0*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-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())
                                  SlicingThis 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:
                                  • value @ url
                                  • 274. MedicationDispense.dosageInstruction.method.coding:unitDigit2.system
                                    Definition

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

                                    ShortIdentity 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.

                                    Control10..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    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 Valueurn:oid:1.2.392.200250.2.2.20.40
                                    Invariantsele-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.

                                    ShortVersion 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.

                                    NoteThis is a business versionId, not a resource version id (see discussion)
                                    Control0..01
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-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).

                                    ShortSymbol in syntax defined by the system (投与方法を表すコード値)
                                    Control10..1
                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to refer to a particular code in the system.

                                    Alternate Namesコード, Code
                                    Invariantsele-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.

                                    ShortRepresentation defined by the system (投与方法の表示名)
                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    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
                                    Invariantsele-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).

                                    ShortIf 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.

                                    Control0..01
                                    Typeboolean
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    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.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    284. MedicationDispense.dosageInstruction.method.coding:USCode
                                    Slice NameUSCode
                                    Definition

                                    A reference to a code defined by a terminology system.

                                    ShortCode 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.

                                    Control0..*
                                    BindingFor example codes, see For codes, see SNOMEDCTAdministrationMethodCodes
                                    (example to http://hl7.org/fhir/ValueSet/administration-method-codes)
                                    TypeCoding
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

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

                                    Invariantsele-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.

                                    ShortUnique id for inter-element referencing
                                    Control0..01
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    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.

                                    ShortExtensionAdditional 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.

                                    Control0..0*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-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())
                                    SlicingThis 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:
                                    • value @ url
                                    • 290. MedicationDispense.dosageInstruction.method.coding:USCode.system
                                      Definition

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

                                      ShortIdentity 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.

                                      Control10..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      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 Valuehttp://snomed.info/sct
                                      Invariantsele-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.

                                      ShortVersion 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.

                                      NoteThis is a business versionId, not a resource version id (see discussion)
                                      Control0..01
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-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).

                                      ShortSymbol in syntax defined by the system (投与方法を表すコード値)
                                      Control10..1
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to refer to a particular code in the system.

                                      Alternate Namesコード, Code
                                      Invariantsele-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.

                                      ShortRepresentation defined by the system (投与方法の表示名)
                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      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
                                      Invariantsele-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).

                                      ShortIf 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.

                                      Control0..01
                                      Typeboolean
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      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.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      300. MedicationDispense.dosageInstruction.method.coding:Absent
                                      Slice NameAbsent
                                      Definition

                                      A reference to a code defined by a terminology system.

                                      ShortCode 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.

                                      Control0..*
                                      BindingThe codes SHALL be taken from For codes, see DataAbsentReason
                                      (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                                      TypeCoding
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

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

                                      Invariantsele-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.

                                      ShortUnique id for inter-element referencing
                                      Control0..01
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      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.

                                      ShortExtensionAdditional 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.

                                      Control0..0*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-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())
                                      SlicingThis 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:
                                      • value @ url
                                      • 306. MedicationDispense.dosageInstruction.method.coding:Absent.system
                                        Definition

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

                                        ShortIdentity 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.

                                        Control10..1
                                        Typeuri
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        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 Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
                                        Invariantsele-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.

                                        ShortVersion 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.

                                        NoteThis is a business versionId, not a resource version id (see discussion)
                                        Control0..01
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-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).

                                        ShortSymbol in syntax defined by the system (欠損を表すコード値)
                                        Control10..1
                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to refer to a particular code in the system.

                                        Alternate Namesコード, Code
                                        Invariantsele-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.

                                        ShortRepresentation defined by the system (欠損の表示名)
                                        Control10..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        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
                                        Invariantsele-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).

                                        ShortIf 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.

                                        Control0..01
                                        Typeboolean
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        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.

                                        Invariantsele-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.

                                        ShortPlain 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.

                                        Control10..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        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.

                                        Invariantsele-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.

                                        ShortAmount of medication administered (投与量)
                                        Control0..*
                                        TypeElement
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-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.

                                        ShortUnique id for inter-element referencing
                                        Control0..01
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        322. MedicationDispense.dosageInstruction.doseAndRate.extension:rateComment
                                        Slice NamerateComment
                                        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
                                        Control0..*
                                        TypeExtension(JP Core Medication Dosage RateComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-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.

                                        ShortThe 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。

                                        Control0..1
                                        BindingThe 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)
                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summarytrue
                                        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".

                                        Invariantsele-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.

                                        ShortUnique id for inter-element referencing
                                        Control0..01
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        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.

                                        ShortExtensionAdditional 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.

                                        Control0..0*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-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())
                                        SlicingThis 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:
                                        • value @ url
                                        • 330. MedicationDispense.dosageInstruction.doseAndRate.type.coding
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode 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.

                                          Control0..*
                                          TypeCoding
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

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

                                          Invariantsele-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.

                                          ShortUnique id for inter-element referencing
                                          Control0..01
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          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.

                                          ShortExtensionAdditional 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.

                                          Control0..0*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-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())
                                          SlicingThis 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:
                                          • value @ url
                                          • 336. MedicationDispense.dosageInstruction.doseAndRate.type.coding.system
                                            Definition

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

                                            ShortIdentity 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.

                                            Control10..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            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 Valueurn:oid:1.2.392.100495.20.2.22
                                            Invariantsele-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.

                                            ShortVersion 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.

                                            NoteThis is a business versionId, not a resource version id (see discussion)
                                            Control0..01
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-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).

                                            ShortSymbol in syntax defined by the system (力価区分を表すコード値)
                                            Control10..1
                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to refer to a particular code in the system.

                                            Alternate Namesコード, Code
                                            Invariantsele-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.

                                            ShortRepresentation defined by the system (力価区分の表示名)
                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            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
                                            Invariantsele-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).

                                            ShortIf 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.

                                            Control0..01
                                            Typeboolean
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            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.

                                            Invariantsele-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.

                                            ShortAmount 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。
                                            【JP Core仕様】1回の投与量(体積)を指定する。単位はUCUMを使用する。


                                            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.

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity), Range
                                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                                            Is Modifierfalse
                                            Requirements

                                            The amount of therapeutic or other substance given at one administration event.

                                            Invariantsele-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.

                                            Control0..1
                                            TypeRatio, Quantity(SimpleQuantity), Range
                                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                                            Is Modifierfalse
                                            Summarytrue
                                            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.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis 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:
                                            • type @ $this
                                            • 350. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio
                                              Slice NamerateRatio
                                              Definition

                                              単位時間内での薬剤の容量


                                              Amount of medication per unit of time.

                                              ShortAmount 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.

                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypeRatio(JP Core Medication Rate Ratio DataType), Quantity(SimpleQuantity), Range
                                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                                              Is Modifierfalse
                                              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.

                                              Invariantsele-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.

                                              ShortUnique id for inter-element referencing
                                              Control0..01
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              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.

                                              ShortExtensionAdditional 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.

                                              Control0..0*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-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())
                                              SlicingThis 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:
                                              • value @ url
                                              • 356. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator
                                                Definition

                                                投与量


                                                The value of the numerator.

                                                ShortNumerator 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)

                                                Control0..1
                                                This element is affected by the following invariants: ele-1
                                                TypeQuantity(JP Core Medication Quantity DataType)
                                                Is Modifierfalse
                                                Invariantsele-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.

                                                ShortUnique id for inter-element referencing
                                                Control0..01
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                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.

                                                ShortExtensionAdditional 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.

                                                Control0..0*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-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())
                                                SlicingThis 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:
                                                • value @ url
                                                • 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.

                                                  ShortNumerical 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).

                                                  Control10..1
                                                  Typedecimal
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Precision is handled implicitly in almost all cases of measurement.

                                                  Alternate Names値, Value
                                                  Invariantsele-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)。

                                                  Control0..01
                                                  BindingThe 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.

                                                  Typecode
                                                  Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  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 MissingIf there is no comparator, then there is no modification of the value
                                                  Invariantsele-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.

                                                  ShortUnit 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)。

                                                  Control10..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  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
                                                  Invariantsele-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.

                                                  ShortSystem 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

                                                  Control10..1
                                                  This element is affected by the following invariants: qty-3
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  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
                                                  Invariantsele-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.

                                                  ShortSymbol 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.

                                                  Control10..1
                                                  BindingThe 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)
                                                  Typecode
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  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
                                                  Invariantsele-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.

                                                  ShortDenominator value (投与時間)
                                                  Control0..1
                                                  TypeQuantity
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-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.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..01
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  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.

                                                  ShortExtensionAdditional 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.

                                                  Control0..0*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-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())
                                                  SlicingThis 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:
                                                  • value @ url
                                                  • 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.

                                                    ShortNumerical 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).

                                                    Control10..1
                                                    Typedecimal
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Precision is handled implicitly in almost all cases of measurement.

                                                    Alternate Names値, Value
                                                    Fixed Value1
                                                    Invariantsele-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
                                                    Control0..01
                                                    BindingThe 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.

                                                    Typecode
                                                    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    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 MissingIf there is no comparator, then there is no modification of the value
                                                    Invariantsele-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.

                                                    ShortUnit representation (投与の単位時間の単位)
                                                    Control10..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    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
                                                    Invariantsele-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.

                                                    ShortSystem that defines coded unit form (単位形式を定義するコード体系)
                                                    Control10..1
                                                    This element is affected by the following invariants: qty-3
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    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 Valuehttp://unitsofmeasure.org
                                                    Invariantsele-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.

                                                    ShortCoded 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.

                                                    Control10..1
                                                    BindingThe codes SHOULD be taken from For codes, see UnitsOfTime
                                                    (preferred to http://hl7.org/fhir/ValueSet/units-of-time)
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    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 Valueh
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    388. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange
                                                    Slice NamerateRange
                                                    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.

                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypeRange(JP Core Medication Range DataType), Quantity(SimpleQuantity), Ratio
                                                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                    Is Modifierfalse
                                                    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.

                                                    Invariantsele-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 NamerateQuantity
                                                    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.

                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypeQuantity(SimpleQuantity), Ratio, Range
                                                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                    Is Modifierfalse
                                                    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.

                                                    Invariantsele-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".

                                                    Control0..01
                                                    This element is affected by the following invariants: ele-1
                                                    TypeRatio(JP Core Medication Rate Ratio DataType)
                                                    Is Modifierfalse
                                                    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.

                                                    Invariantsele-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.

                                                    Short1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.

                                                    Control0..01
                                                    This element is affected by the following invariants: ele-1
                                                    TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity)
                                                    Is Modifierfalse
                                                    Requirements

                                                    The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.

                                                    Invariantsele-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)

                                                    Control0..01
                                                    This element is affected by the following invariants: ele-1
                                                    TypeQuantity(JP Core Medication Quantity DataType, SimpleQuantity)
                                                    Is Modifierfalse
                                                    Requirements

                                                    The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.

                                                    Invariantsele-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.

                                                    ShortWhether a substitution was performed on the dispense 調剤で置換が実行されたかどうか
                                                    Control0..01
                                                    TypeBackboneElement
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-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.

                                                    ShortClinical 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.

                                                    Control0..0*
                                                    TypeReference(DetectedIssue)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate NamesContraindication, Drug Utilization Review (DUR), Alert
                                                    Invariantsele-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.

                                                    ShortA 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.).

                                                    Control0..0*
                                                    TypeReference(Provenance)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-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。

                                                    ShortFujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル)
                                                    Control0..*
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Names内服・外用薬処方調剤・払い出し, Medication Dispense
                                                    Invariantsdom-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.

                                                    ShortLogical 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.

                                                    Control0..1
                                                    Typeid
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    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.

                                                    ShortMetadata about the resource (リソースのメタデータ)
                                                    Control0..1
                                                    TypeMeta
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Alternate Namesメタデータ, Meta data
                                                    Invariantsele-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.

                                                    ShortA 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.

                                                    Control0..0
                                                    Typeuri
                                                    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-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.

                                                    ShortLanguage 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).

                                                    Control0..0
                                                    BindingThe codes SHOULD be taken from CommonLanguages
                                                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                    A human language.

                                                    Additional BindingsPurpose
                                                    AllLanguagesMax Binding
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summaryfalse
                                                    Invariantsele-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.

                                                    ShortText 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.

                                                    Control0..1
                                                    TypeNarrative
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesnarrative, html, xhtml, display, 概要, Summary
                                                    Invariantsele-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.

                                                    ShortContained, 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.

                                                    Control0..*
                                                    TypeResource
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesinline 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

                                                    ShortAdditional content defined by implementations (要素の拡張)
                                                    Control0..0
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Names拡張, Extension
                                                    Invariantsele-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())
                                                    SlicingThis element introduces a set of slices on MedicationDispense.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 16. MedicationDispense.extension:preparation
                                                      Slice Namepreparation
                                                      Definition

                                                      薬剤単位の調剤結果

                                                      Short調剤結果
                                                      Control0..0
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(JP Core MedicationDispense Preparation Extension) (Extension Type: Choice of: string, CodeableConcept)
                                                      Is Modifierfalse
                                                      Invariantsele-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

                                                      ShortExtension
                                                      Control0..0
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                      Summaryfalse
                                                      Invariantsele-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。

                                                      ShortBusiness 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。

                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Control1..*
                                                      TypeIdentifier
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Names識別子, Identifier
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on MedicationDispense.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ system
                                                      • 22. MedicationDispense.identifier:rpNumber
                                                        Slice NamerpNumber
                                                        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。

                                                        ShortExternal 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。

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control1..1
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate NamesRp番号, Rp Number
                                                        Invariantsele-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.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..0
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        26. MedicationDispense.identifier:rpNumber.extension
                                                        Definition

                                                        An Extension

                                                        ShortExtension
                                                        Control0..0
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-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())
                                                        SlicingThis element introduces a set of slices on MedicationDispense.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 28. MedicationDispense.identifier:rpNumber.use
                                                          Definition

                                                          The purpose of this identifier.

                                                          Shortusual | official | temp | secondary | old (If known)
                                                          Comments

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

                                                          Control0..0
                                                          BindingThe 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 .

                                                          Typecode
                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

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

                                                          Invariantsele-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.

                                                          ShortDescription 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.

                                                          Control0..0
                                                          BindingUnless 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.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

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

                                                          Invariantsele-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。

                                                          ShortRp番号(剤グループ番号)についてのsystem値
                                                          Comments

                                                          Identifier.system is always case sensitive.

                                                          Control1..1
                                                          Typeuri
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          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 NamesRp番号のコード体系, Rp Number code system
                                                          Fixed Valueurn:oid:1.2.392.100495.20.3.81
                                                          Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                          Invariantsele-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。

                                                          ShortRp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。

                                                          Control1..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Alternate NamesRp番号, Rp Number value
                                                          Example<br/><b>General</b>:123456
                                                          Invariantsele-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.

                                                          ShortTime period when id is/was valid for use
                                                          Control0..0
                                                          TypePeriod
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Invariantsele-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.

                                                          ShortOrganization 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.

                                                          Control0..0
                                                          TypeReference(Organization)
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          40. MedicationDispense.identifier:requestIdentifier
                                                          Slice NamerequestIdentifier
                                                          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.

                                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                                          Control0..0
                                                          TypeIdentifier
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Names処方オーダーID, Request Identifier
                                                          Invariantsele-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。

                                                          ShortEvent that dispense is part of 親イベントへの参照
                                                          Control0..0
                                                          TypeReference(JP Core Procedure Profile)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-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。

                                                          Shortpreparation | 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.

                                                          Control1..1
                                                          BindingThe 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.

                                                          Typecode
                                                          Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Alternate Names状態, Status
                                                          Invariantsele-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。

                                                          ShortWhy a dispense was not performed 調剤が実行されなかった理由
                                                          Control0..0
                                                          BindingFor 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.

                                                          TypeChoice of: CodeableConcept, Reference(DetectedIssue)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-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。

                                                          ShortType 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.

                                                          Control0..0
                                                          BindingThe 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.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-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。

                                                          ShortWhat 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。

                                                          Control1..1
                                                          TypeReference(Fujitsu Medication Profile)
                                                          [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Alternate Names医薬品の参照, Medication reference
                                                          Invariantsele-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.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..0
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          62. MedicationDispense.medication[x].extension
                                                          Definition

                                                          An Extension

                                                          ShortExtension
                                                          Control0..0
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-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())
                                                          SlicingThis 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:
                                                          • value @ url
                                                          • 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.

                                                            ShortLiteral 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.

                                                            Control1..1
                                                            This element is affected by the following invariants: ref-1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Alternate Names医薬品の参照, Medication reference
                                                            Fixed Value#medication
                                                            Invariantsele-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).

                                                            ShortType 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.

                                                            Control0..0
                                                            BindingUnless 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).

                                                            Typeuri
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-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.

                                                            ShortLogical 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).

                                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                                            Control0..1
                                                            TypeIdentifier
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Alternate Names参照医薬品の識別子, Medication reference identifier
                                                            Invariantsele-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.

                                                            ShortText 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.

                                                            Control0..0
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-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

                                                            ShortWho 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。

                                                            Control1..1
                                                            TypeReference(Fujitsu Patient Profile)
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Alternate Names患者, Patient
                                                            Invariantsele-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.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..0
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            76. MedicationDispense.subject.extension
                                                            Definition

                                                            An Extension

                                                            ShortExtension
                                                            Control0..0
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-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())
                                                            SlicingThis element introduces a set of slices on MedicationDispense.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 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.

                                                              ShortLiteral 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.

                                                              Control1..1
                                                              This element is affected by the following invariants: ref-1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Alternate Names参照患者, Patient reference
                                                              Invariantsele-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).

                                                              ShortType 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.

                                                              Control0..0
                                                              BindingUnless 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).

                                                              Typeuri
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Invariantsele-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.

                                                              ShortLogical 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).

                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                              Control0..1
                                                              TypeIdentifier
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Alternate Names患者識別子, Patient identifier
                                                              Invariantsele-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.

                                                              ShortText 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.

                                                              Control0..0
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Invariantsele-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。

                                                              ShortEncounter / 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。

                                                              Control0..1
                                                              TypeReference(JP Core Encounter Profile, EpisodeOfCare)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              ShortInformation 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。

                                                              Control0..0
                                                              TypeReference(Resource)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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

                                                              ShortWho performed event 調剤を実施した人
                                                              Control0..0
                                                              TypeBackboneElement
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              ShortWhere 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。

                                                              Control0..0
                                                              TypeReference(JP Core Location Profile)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              ShortMedication 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.

                                                              Control0..0
                                                              TypeReference(JP Core MedicationRequest Injection Profile)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              Control0..0
                                                              BindingFor 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.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              ShortAmount 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。

                                                              Control1..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeQuantity(JP Core Medication Quantity DataType)
                                                              Is Modifierfalse
                                                              Alternate Names払い出される薬剤の量, Amount of medication
                                                              Invariantsele-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。

                                                              ShortAmount 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。

                                                              Control0..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeQuantity(JP Core Medication Quantity DataType)
                                                              Is Modifierfalse
                                                              Alternate Names1回投薬量, Amount of medication at the right time
                                                              Invariantsele-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

                                                              ShortWhen 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
                                                              Control0..0
                                                              TypedateTime
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Invariantsele-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。

                                                              ShortWhen product was given out (調剤がパッケージ化され、レビューされた日時)
                                                              Control1..1
                                                              TypedateTime
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summaryfalse
                                                              Alternate Names払い出し日時, Handed Over Datetime
                                                              Invariantsele-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。

                                                              ShortWhere 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。

                                                              Control0..0
                                                              TypeReference(JP Core Location Profile)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              ShortWho 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。

                                                              Control0..0
                                                              TypeReference(JP Core Patient Profile, JP Core Practitioner Profile)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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。

                                                              ShortInformation 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)。

                                                              Control0..0
                                                              TypeAnnotation
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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

                                                              ShortHow 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.

                                                              Control0..*
                                                              TypeDosage(JP Core MedicationDosage Injection DataType)
                                                              Is Modifierfalse
                                                              Alternate Names処方指示, Dosage instruction
                                                              Invariantsele-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.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..0
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              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.

                                                              ShortAdditional 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.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-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())
                                                              SlicingThis element introduces a set of slices on MedicationDispense.dosageInstruction.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 123. MedicationDispense.dosageInstruction.extension:dosageComment
                                                                Slice NamedosageComment
                                                                Definition

                                                                用法コメントを格納するための拡張

                                                                Short用法コメント
                                                                Control0..*
                                                                TypeExtension(JP Core Medication Dosage DosageComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-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 Namedevice
                                                                Definition

                                                                投与装置を格納する拡張

                                                                Short投与装置
                                                                Control0..*
                                                                TypeExtension(JP Core Medication Dosage Device Extension) (Extension Type: Reference(Device))
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-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 Nameline
                                                                Definition

                                                                指示ラインを格納する拡張

                                                                Short指示ライン
                                                                Control0..*
                                                                TypeExtension(JP Core Medication Dosage Line Extension) (Extension Type: CodeableConcept)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-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 NamelineComment
                                                                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
                                                                Control0..*
                                                                TypeExtension(JP Core Medication Dosage LineComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-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

                                                                ShortExtension
                                                                Control0..0
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Invariantsele-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。

                                                                Control0..0
                                                                Typeinteger
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                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。

                                                                Invariantsele-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。

                                                                ShortFree 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。

                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                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
                                                                Invariantsele-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」)

                                                                ShortSupplemental 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。

                                                                Control0..*
                                                                BindingThe codes SHOULD be taken from JP Core Medication JAMI Additional Usage ValueSet
                                                                (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS)
                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                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。

                                                                Invariantsele-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.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..0
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                141. MedicationDispense.dosageInstruction.additionalInstruction.extension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control0..0
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-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())
                                                                SlicingThis 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:
                                                                • value @ url
                                                                • 143. MedicationDispense.dosageInstruction.additionalInstruction.coding
                                                                  Definition

                                                                  A reference to a code defined by a terminology system.

                                                                  ShortCode 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.

                                                                  Control0..*
                                                                  TypeCoding
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Requirements

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

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis 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:
                                                                  • value @ system
                                                                  • 145. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI
                                                                    Slice NameJAMI
                                                                    Definition

                                                                    A reference to a code defined by a terminology system.

                                                                    ShortCode 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.

                                                                    Control0..1
                                                                    BindingThe codes SHALL be taken from JP Core Medication JAMI Additional Usage ValueSet
                                                                    (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS)
                                                                    TypeCoding
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Requirements

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

                                                                    Invariantsele-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.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..0
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    149. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.extension
                                                                    Definition

                                                                    An Extension

                                                                    ShortExtension
                                                                    Control0..0
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-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())
                                                                    SlicingThis 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:
                                                                    • value @ url
                                                                    • 151. MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI.system
                                                                      Definition

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

                                                                      ShortIdentity 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.

                                                                      Control1..1
                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      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 Valueurn:oid:1.2.392.200250.2.2.20.22
                                                                      Invariantsele-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.

                                                                      ShortVersion 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.

                                                                      NoteThis is a business versionId, not a resource version id (see discussion)
                                                                      Control0..0
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-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).

                                                                      ShortSymbol in syntax defined by the system (用法の補足情報を表すコード値)
                                                                      Control1..1
                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to refer to a particular code in the system.

                                                                      Alternate Namesコード, Code
                                                                      Invariantsele-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.

                                                                      ShortRepresentation defined by the system (用法の補足情報の表示名)
                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      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
                                                                      Invariantsele-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).

                                                                      ShortIf 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.

                                                                      Control0..0
                                                                      Typeboolean
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      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.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      161. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode
                                                                      Slice NameUSCode
                                                                      Definition

                                                                      A reference to a code defined by a terminology system.

                                                                      ShortCode 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.

                                                                      Control0..1
                                                                      BindingThe codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions
                                                                      (required to http://hl7.org/fhir/ValueSet/additional-instruction-codes)
                                                                      TypeCoding
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

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

                                                                      Invariantsele-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.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..0
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      165. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.extension
                                                                      Definition

                                                                      An Extension

                                                                      ShortExtension
                                                                      Control0..0
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-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())
                                                                      SlicingThis 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:
                                                                      • value @ url
                                                                      • 167. MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode.system
                                                                        Definition

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

                                                                        ShortIdentity 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.

                                                                        Control1..1
                                                                        Typeuri
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        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 Valuehttp://snomed.info/sct
                                                                        Invariantsele-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.

                                                                        ShortVersion 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.

                                                                        NoteThis is a business versionId, not a resource version id (see discussion)
                                                                        Control0..0
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Invariantsele-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).

                                                                        ShortSymbol in syntax defined by the system (用法の補足情報を表すコード値)
                                                                        Control1..1
                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Requirements

                                                                        Need to refer to a particular code in the system.

                                                                        Alternate Namesコード, Code
                                                                        Invariantsele-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.

                                                                        ShortRepresentation defined by the system (用法の補足情報の表示名)
                                                                        Control1..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        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
                                                                        Invariantsele-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).

                                                                        ShortIf 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.

                                                                        Control0..0
                                                                        Typeboolean
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        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.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        177. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent
                                                                        Slice NameAbsent
                                                                        Definition

                                                                        A reference to a code defined by a terminology system.

                                                                        ShortCode 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.

                                                                        Control0..*
                                                                        BindingThe codes SHALL be taken from DataAbsentReason
                                                                        (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                                                                        TypeCoding
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

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

                                                                        Invariantsele-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.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..0
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        181. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.extension
                                                                        Definition

                                                                        An Extension

                                                                        ShortExtension
                                                                        Control0..0
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-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())
                                                                        SlicingThis 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:
                                                                        • value @ url
                                                                        • 183. MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent.system
                                                                          Definition

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

                                                                          ShortIdentity 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.

                                                                          Control1..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          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 Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
                                                                          Invariantsele-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.

                                                                          ShortVersion 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.

                                                                          NoteThis is a business versionId, not a resource version id (see discussion)
                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Invariantsele-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).

                                                                          ShortSymbol in syntax defined by the system (欠損を表すコード値)
                                                                          Control1..1
                                                                          Typecode
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          Need to refer to a particular code in the system.

                                                                          Alternate Namesコード, Code
                                                                          Invariantsele-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.

                                                                          ShortRepresentation defined by the system (欠損の表示名)
                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          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
                                                                          Invariantsele-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).

                                                                          ShortIf 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.

                                                                          Control0..0
                                                                          Typeboolean
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          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.

                                                                          Invariantsele-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.

                                                                          ShortPlain 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.

                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          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.

                                                                          Invariantsele-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)。

                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Invariantsele-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。

                                                                          ShortWhen 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.

                                                                          Control0..1
                                                                          TypeTiming(JP Core Medication Timing DataType)
                                                                          Is Modifierfalse
                                                                          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.

                                                                          Invariantsele-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.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          201. MedicationDispense.dosageInstruction.timing.extension
                                                                          Definition

                                                                          An Extension

                                                                          ShortExtension
                                                                          Control0..0
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-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())
                                                                          SlicingThis 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:
                                                                          • value @ url
                                                                          • 203. MedicationDispense.dosageInstruction.timing.modifierExtension
                                                                            Definition

                                                                            An Extension

                                                                            ShortExtension
                                                                            Control0..0
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Invariantsele-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

                                                                            ShortWhen the event occurs (投与イベント)
                                                                            Control0..0
                                                                            TypedateTime
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

                                                                            Invariantsele-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。

                                                                            ShortWhen the event is to occur (投与日時)
                                                                            Control0..1
                                                                            TypeElement
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            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。

                                                                            Invariantsele-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.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..0
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            211. MedicationDispense.dosageInstruction.timing.repeat.extension
                                                                            Definition

                                                                            An Extension

                                                                            ShortExtension
                                                                            Control0..0
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-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())
                                                                            SlicingThis 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:
                                                                            • value @ url
                                                                            • 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。

                                                                              ShortTime range defined by start and end date/time (投与日時)
                                                                              Control0..1
                                                                              TypePeriod
                                                                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              Invariantsele-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.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              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.

                                                                              ShortAdditional 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.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-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())
                                                                              SlicingThis 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:
                                                                              • value @ url
                                                                              • 219. MedicationDispense.dosageInstruction.timing.repeat.bounds[x].start
                                                                                Definition

                                                                                The start of the period. The boundary is inclusive.

                                                                                ShortStarting 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.

                                                                                Control0..1
                                                                                This element is affected by the following invariants: per-1
                                                                                TypedateTime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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.

                                                                                ShortEnd 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.

                                                                                Control0..1
                                                                                This element is affected by the following invariants: per-1
                                                                                TypedateTime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Repetitions may be limited by end time or total occurrences.

                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                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。

                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                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。

                                                                                Invariantsele-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。

                                                                                Shorts | 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)。

                                                                                Control0..0
                                                                                BindingThe 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).

                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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)。

                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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)。

                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                Shorts | 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)。

                                                                                Control0..0
                                                                                BindingThe 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).

                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                Shortmon | 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。

                                                                                Control0..0
                                                                                BindingThe codes SHALL be taken from DaysOfWeek
                                                                                (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                Typetime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                BindingThe 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.

                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                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。

                                                                                Invariantsele-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。

                                                                                Control0..0
                                                                                TypeunsignedInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-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。

                                                                                ShortBID | 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)。
                                                                                【JP Core仕様】頓用指示時にはJAMI処方・注射オーダ標準用法規格の表6 イベント区分、イベント詳細区分(“http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationAsNeededConditionJAMI_CS”)を推奨するが、MERIT-9 処方オーダ 表5 頓用指示(“http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationAsNeededConditionMERIT9_CS”) を使用してもよい。

                                                                                Control0..1
                                                                                BindingThe codes SHOULD be taken from JP Core MedicationReuqest Injection Usage ValueSet
                                                                                (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS)
                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-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.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                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.

                                                                                ShortAdditional 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.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-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())
                                                                                SlicingThis 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:
                                                                                • value @ url
                                                                                • 257. MedicationDispense.dosageInstruction.timing.code.coding
                                                                                  Definition

                                                                                  A reference to a code defined by a terminology system.

                                                                                  ShortCode 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.

                                                                                  Control0..*
                                                                                  TypeCoding
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Requirements

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

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  SlicingThis 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:
                                                                                  • value @ system
                                                                                  • 259. MedicationDispense.dosageInstruction.timing.code.coding:JAMI
                                                                                    Slice NameJAMI
                                                                                    Definition

                                                                                    A reference to a code defined by a terminology system.

                                                                                    ShortCode 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.

                                                                                    Control0..1
                                                                                    BindingThe codes SHALL be taken from JP Core Medication JAMI Usage ValueSet
                                                                                    (required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS)
                                                                                    TypeCoding
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Requirements

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

                                                                                    Invariantsele-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.

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control0..0
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    263. MedicationDispense.dosageInstruction.timing.code.coding:JAMI.extension
                                                                                    Definition

                                                                                    An Extension

                                                                                    ShortExtension
                                                                                    Control0..0
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-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())
                                                                                    SlicingThis 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:
                                                                                    • value @ url
                                                                                    • 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.

                                                                                      ShortIdentity 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.

                                                                                      Control1..1
                                                                                      Typeuri
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      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 Valueurn:oid:1.2.392.200250.2.2.20
                                                                                      Invariantsele-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.

                                                                                      ShortVersion 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.

                                                                                      NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                      Control0..0
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      Invariantsele-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).

                                                                                      ShortSymbol in syntax defined by the system (用法を表すコード値)
                                                                                      Control1..1
                                                                                      Typecode
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Need to refer to a particular code in the system.

                                                                                      Alternate Namesコード, Code
                                                                                      Invariantsele-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.

                                                                                      ShortRepresentation defined by the system (用法の表示名)
                                                                                      Control1..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      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
                                                                                      Invariantsele-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).

                                                                                      ShortIf 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.

                                                                                      Control0..0
                                                                                      Typeboolean
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summarytrue
                                                                                      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.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      275. MedicationDispense.dosageInstruction.timing.code.coding:USCode
                                                                                      Slice NameUSCode
                                                                                      Definition

                                                                                      A reference to a code defined by a terminology system.

                                                                                      ShortCode 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.

                                                                                      Control0..1
                                                                                      BindingThe codes SHOULD be taken from TimingAbbreviation
                                                                                      (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)
                                                                                      TypeCoding
                                                                                      Is Modifierfalse
                                                                                      Summarytrue
                                                                                      Requirements

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

                                                                                      Invariantsele-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.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..0
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      279. MedicationDispense.dosageInstruction.timing.code.coding:USCode.extension
                                                                                      Definition

                                                                                      An Extension

                                                                                      ShortExtension
                                                                                      Control0..0
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Invariantsele-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())
                                                                                      SlicingThis 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:
                                                                                      • value @ url
                                                                                      • 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.

                                                                                        ShortIdentity 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.

                                                                                        Control1..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        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 Valuehttp://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
                                                                                        Invariantsele-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.

                                                                                        ShortVersion 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.

                                                                                        NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                        Control0..0
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-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).

                                                                                        ShortSymbol in syntax defined by the system (用法を表すコード値)
                                                                                        Control1..1
                                                                                        Typecode
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to refer to a particular code in the system.

                                                                                        Alternate Namesコード, Code
                                                                                        Invariantsele-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.

                                                                                        ShortRepresentation defined by the system (用法の表示名)
                                                                                        Control1..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        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
                                                                                        Invariantsele-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).

                                                                                        ShortIf 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.

                                                                                        Control0..0
                                                                                        Typeboolean
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        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.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        291. MedicationDispense.dosageInstruction.timing.code.coding:Absent
                                                                                        Slice NameAbsent
                                                                                        Definition

                                                                                        A reference to a code defined by a terminology system.

                                                                                        ShortCode 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.

                                                                                        Control0..*
                                                                                        BindingThe codes SHALL be taken from DataAbsentReason
                                                                                        (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                                                                                        TypeCoding
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Requirements

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

                                                                                        Invariantsele-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.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..0
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        295. MedicationDispense.dosageInstruction.timing.code.coding:Absent.extension
                                                                                        Definition

                                                                                        An Extension

                                                                                        ShortExtension
                                                                                        Control0..0
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsele-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())
                                                                                        SlicingThis 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:
                                                                                        • value @ url
                                                                                        • 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.

                                                                                          ShortIdentity 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.

                                                                                          Control1..1
                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          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 Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
                                                                                          Invariantsele-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.

                                                                                          ShortVersion 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.

                                                                                          NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                          Control0..0
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Invariantsele-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).

                                                                                          ShortSymbol in syntax defined by the system (欠損を表すコード値)
                                                                                          Control1..1
                                                                                          Typecode
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to refer to a particular code in the system.

                                                                                          Alternate Namesコード, Code
                                                                                          Invariantsele-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.

                                                                                          ShortRepresentation defined by the system (欠損の表示名)
                                                                                          Control1..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          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
                                                                                          Invariantsele-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).

                                                                                          ShortIf 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.

                                                                                          Control0..0
                                                                                          Typeboolean
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          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.

                                                                                          Invariantsele-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.

                                                                                          ShortPlain 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.

                                                                                          Control1..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          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.

                                                                                          Invariantsele-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".

                                                                                          Control0..0
                                                                                          Typeboolean
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Invariantsele-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。
                                                                                          【JP Core仕様】JAMI外用部位3桁コードを使用することが望ましいが、ローカルコードも使用可能。

                                                                                          Control0..0
                                                                                          BindingThe codes SHOULD be taken from JP Core Medication JAMI External Body Site ValueSet
                                                                                          (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS)
                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          A coded specification of the anatomic site where the medication first enters the body.

                                                                                          Invariantsele-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。
                                                                                          【JP Core仕様】HL7表0162をベースにした投与経路コードを使用することが望ましいが、ローカルコードも使用可能。

                                                                                          Control0..0
                                                                                          BindingThe codes SHOULD be taken from JP Core Medication HL70162-based Route ValueSet
                                                                                          (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS)
                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.

                                                                                          Invariantsele-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

                                                                                          ShortTechnique 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。

                                                                                          Control0..1
                                                                                          BindingFor 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.

                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Summarytrue
                                                                                          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。

                                                                                          Invariantsele-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.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..0
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          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.

                                                                                          ShortAdditional 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.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-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())
                                                                                          SlicingThis 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:
                                                                                          • value @ url
                                                                                          • 332. MedicationDispense.dosageInstruction.method.extension:methodComment
                                                                                            Slice NamemethodComment
                                                                                            Definition

                                                                                            手技コメントを格納するための拡張

                                                                                            Short手技コメント
                                                                                            Control0..*
                                                                                            TypeExtension(JP Core Medication Dosage MethodComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-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.

                                                                                            ShortCode 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.

                                                                                            Control0..*
                                                                                            TypeCoding
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Requirements

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

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            SlicingThis 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:
                                                                                            • value @ system
                                                                                            • 336. MedicationDispense.dosageInstruction.method.coding:unitDigit1
                                                                                              Slice NameunitDigit1
                                                                                              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。

                                                                                              ShortCode 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。

                                                                                              Control0..1
                                                                                              BindingThe codes SHOULD be taken from JP Core Medication JAMI Basic Usage Type ValueSet
                                                                                              (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS)
                                                                                              TypeCoding
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              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。

                                                                                              Invariantsele-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.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..0
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              340. MedicationDispense.dosageInstruction.method.coding:unitDigit1.extension
                                                                                              Definition

                                                                                              An Extension

                                                                                              ShortExtension
                                                                                              Control0..0
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-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())
                                                                                              SlicingThis 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:
                                                                                              • value @ url
                                                                                              • 342. MedicationDispense.dosageInstruction.method.coding:unitDigit1.system
                                                                                                Definition

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

                                                                                                ShortIdentity 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.

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                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 Valueurn:oid:1.2.392.200250.2.2.20.30
                                                                                                Invariantsele-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.

                                                                                                ShortVersion 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.

                                                                                                NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-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).

                                                                                                ShortSymbol in syntax defined by the system (投与方法を表すコード値)
                                                                                                Control1..1
                                                                                                Typecode
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Need to refer to a particular code in the system.

                                                                                                Alternate Namesコード, Code
                                                                                                Invariantsele-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.

                                                                                                ShortRepresentation defined by the system (投与方法の表示名)
                                                                                                Control1..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                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
                                                                                                Invariantsele-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).

                                                                                                ShortIf 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.

                                                                                                Control0..0
                                                                                                Typeboolean
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                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.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                352. MedicationDispense.dosageInstruction.method.coding:unitDigit2
                                                                                                Slice NameunitDigit2
                                                                                                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

                                                                                                ShortCode 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。

                                                                                                Control0..1
                                                                                                BindingThe codes SHOULD be taken from JP Core Medication JAMI Detail Usage ValueSet
                                                                                                (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS)
                                                                                                TypeCoding
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                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。

                                                                                                Invariantsele-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.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                356. MedicationDispense.dosageInstruction.method.coding:unitDigit2.extension
                                                                                                Definition

                                                                                                An Extension

                                                                                                ShortExtension
                                                                                                Control0..0
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Invariantsele-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())
                                                                                                SlicingThis 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:
                                                                                                • value @ url
                                                                                                • 358. MedicationDispense.dosageInstruction.method.coding:unitDigit2.system
                                                                                                  Definition

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

                                                                                                  ShortIdentity 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.

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  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 Valueurn:oid:1.2.392.200250.2.2.20.40
                                                                                                  Invariantsele-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.

                                                                                                  ShortVersion 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.

                                                                                                  NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                                  Control0..0
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Invariantsele-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).

                                                                                                  ShortSymbol in syntax defined by the system (投与方法を表すコード値)
                                                                                                  Control1..1
                                                                                                  Typecode
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to refer to a particular code in the system.

                                                                                                  Alternate Namesコード, Code
                                                                                                  Invariantsele-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.

                                                                                                  ShortRepresentation defined by the system (投与方法の表示名)
                                                                                                  Control1..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  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
                                                                                                  Invariantsele-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).

                                                                                                  ShortIf 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.

                                                                                                  Control0..0
                                                                                                  Typeboolean
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  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.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  368. MedicationDispense.dosageInstruction.method.coding:USCode
                                                                                                  Slice NameUSCode
                                                                                                  Definition

                                                                                                  A reference to a code defined by a terminology system.

                                                                                                  ShortCode 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.

                                                                                                  Control0..*
                                                                                                  BindingFor example codes, see SNOMEDCTAdministrationMethodCodes
                                                                                                  (example to http://hl7.org/fhir/ValueSet/administration-method-codes)
                                                                                                  TypeCoding
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Requirements

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

                                                                                                  Invariantsele-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.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..0
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  372. MedicationDispense.dosageInstruction.method.coding:USCode.extension
                                                                                                  Definition

                                                                                                  An Extension

                                                                                                  ShortExtension
                                                                                                  Control0..0
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-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())
                                                                                                  SlicingThis 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:
                                                                                                  • value @ url
                                                                                                  • 374. MedicationDispense.dosageInstruction.method.coding:USCode.system
                                                                                                    Definition

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

                                                                                                    ShortIdentity 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.

                                                                                                    Control1..1
                                                                                                    Typeuri
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    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 Valuehttp://snomed.info/sct
                                                                                                    Invariantsele-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.

                                                                                                    ShortVersion 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.

                                                                                                    NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                                    Control0..0
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Invariantsele-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).

                                                                                                    ShortSymbol in syntax defined by the system (投与方法を表すコード値)
                                                                                                    Control1..1
                                                                                                    Typecode
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Need to refer to a particular code in the system.

                                                                                                    Alternate Namesコード, Code
                                                                                                    Invariantsele-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.

                                                                                                    ShortRepresentation defined by the system (投与方法の表示名)
                                                                                                    Control1..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    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
                                                                                                    Invariantsele-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).

                                                                                                    ShortIf 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.

                                                                                                    Control0..0
                                                                                                    Typeboolean
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    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.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    384. MedicationDispense.dosageInstruction.method.coding:Absent
                                                                                                    Slice NameAbsent
                                                                                                    Definition

                                                                                                    A reference to a code defined by a terminology system.

                                                                                                    ShortCode 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.

                                                                                                    Control0..*
                                                                                                    BindingThe codes SHALL be taken from DataAbsentReason
                                                                                                    (required to http://hl7.org/fhir/ValueSet/data-absent-reason)
                                                                                                    TypeCoding
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Requirements

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

                                                                                                    Invariantsele-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.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..0
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    388. MedicationDispense.dosageInstruction.method.coding:Absent.extension
                                                                                                    Definition

                                                                                                    An Extension

                                                                                                    ShortExtension
                                                                                                    Control0..0
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-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())
                                                                                                    SlicingThis 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:
                                                                                                    • value @ url
                                                                                                    • 390. MedicationDispense.dosageInstruction.method.coding:Absent.system
                                                                                                      Definition

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

                                                                                                      ShortIdentity 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.

                                                                                                      Control1..1
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      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 Valuehttp://terminology.hl7.org/CodeSystem/data-absent-reason
                                                                                                      Invariantsele-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.

                                                                                                      ShortVersion 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.

                                                                                                      NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                                      Control0..0
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-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).

                                                                                                      ShortSymbol in syntax defined by the system (欠損を表すコード値)
                                                                                                      Control1..1
                                                                                                      Typecode
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Need to refer to a particular code in the system.

                                                                                                      Alternate Namesコード, Code
                                                                                                      Invariantsele-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.

                                                                                                      ShortRepresentation defined by the system (欠損の表示名)
                                                                                                      Control1..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      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
                                                                                                      Invariantsele-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).

                                                                                                      ShortIf 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.

                                                                                                      Control0..0
                                                                                                      Typeboolean
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      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.

                                                                                                      Invariantsele-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。

                                                                                                      ShortPlain 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。

                                                                                                      Control1..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      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。

                                                                                                      Invariantsele-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

                                                                                                      ShortAmount of medication administered (投与量)
                                                                                                      Control0..*
                                                                                                      TypeElement
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-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.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..0
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      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.

                                                                                                      ShortAdditional 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.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-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())
                                                                                                      SlicingThis 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:
                                                                                                      • value @ url
                                                                                                      • 408. MedicationDispense.dosageInstruction.doseAndRate.extension:rateComment
                                                                                                        Slice NamerateComment
                                                                                                        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
                                                                                                        Control0..*
                                                                                                        TypeExtension(JP Core Medication Dosage RateComment Extension) (Extension Type: Choice of: string, CodeableConcept)
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-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

                                                                                                        ShortThe 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。

                                                                                                        Control0..1
                                                                                                        BindingThe codes SHOULD be taken from JP Core Medication IngredientStrength StrengthType ValueSet
                                                                                                        (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS)
                                                                                                        TypeCodeableConcept
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        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。

                                                                                                        Invariantsele-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.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..0
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        414. MedicationDispense.dosageInstruction.doseAndRate.type.extension
                                                                                                        Definition

                                                                                                        An Extension

                                                                                                        ShortExtension
                                                                                                        Control0..0
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-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())
                                                                                                        SlicingThis 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:
                                                                                                        • value @ url
                                                                                                        • 416. MedicationDispense.dosageInstruction.doseAndRate.type.coding
                                                                                                          Definition

                                                                                                          A reference to a code defined by a terminology system.

                                                                                                          ShortCode 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.

                                                                                                          Control0..*
                                                                                                          TypeCoding
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Requirements

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

                                                                                                          Invariantsele-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.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..0
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          420. MedicationDispense.dosageInstruction.doseAndRate.type.coding.extension
                                                                                                          Definition

                                                                                                          An Extension

                                                                                                          ShortExtension
                                                                                                          Control0..0
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-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())
                                                                                                          SlicingThis 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:
                                                                                                          • value @ url
                                                                                                          • 422. MedicationDispense.dosageInstruction.doseAndRate.type.coding.system
                                                                                                            Definition

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

                                                                                                            ShortIdentity 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.

                                                                                                            Control1..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            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 Valueurn:oid:1.2.392.100495.20.2.22
                                                                                                            Invariantsele-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.

                                                                                                            ShortVersion 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.

                                                                                                            NoteThis is a business versionId, not a resource version id (see discussion)
                                                                                                            Control0..0
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Invariantsele-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).

                                                                                                            ShortSymbol in syntax defined by the system (力価区分を表すコード値)
                                                                                                            Control1..1
                                                                                                            Typecode
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to refer to a particular code in the system.

                                                                                                            Alternate Namesコード, Code
                                                                                                            Invariantsele-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.

                                                                                                            ShortRepresentation defined by the system (力価区分の表示名)
                                                                                                            Control1..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            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
                                                                                                            Invariantsele-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).

                                                                                                            ShortIf 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.

                                                                                                            Control0..0
                                                                                                            Typeboolean
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            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.

                                                                                                            Invariantsele-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.

                                                                                                            ShortPlain text representation of the concept
                                                                                                            Comments

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

                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            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.

                                                                                                            Invariantsele-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)

                                                                                                            ShortAmount 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。
                                                                                                            【JP Core仕様】1回の投与量(体積)を指定する。単位はUCUMを使用する。

                                                                                                            Control0..1
                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                            TypeQuantity(JP Core Medication Quantity DataType)
                                                                                                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                                                                            Is Modifierfalse
                                                                                                            Requirements

                                                                                                            The amount of therapeutic or other substance given at one administration event.

                                                                                                            Invariantsele-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.

                                                                                                            Control0..1
                                                                                                            TypeRatio
                                                                                                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            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.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            SlicingThis 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:
                                                                                                            • type @ $this
                                                                                                            • 438. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio
                                                                                                              Slice NamerateRatio
                                                                                                              Definition

                                                                                                              単位時間内での薬剤の容量

                                                                                                              ShortAmount 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.

                                                                                                              Control0..1
                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                              TypeRatio(JP Core Medication Rate Ratio DataType)
                                                                                                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                                                                              Is Modifierfalse
                                                                                                              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.

                                                                                                              Invariantsele-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.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..0
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              442. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension
                                                                                                              Definition

                                                                                                              An Extension

                                                                                                              ShortExtension
                                                                                                              Control0..0
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Invariantsele-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())
                                                                                                              SlicingThis 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:
                                                                                                              • value @ url
                                                                                                              • 444. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator
                                                                                                                Definition

                                                                                                                投与量

                                                                                                                ShortNumerator 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)

                                                                                                                Control0..1
                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                TypeQuantity(JP Core Medication Quantity DataType)
                                                                                                                Is Modifierfalse
                                                                                                                Invariantsele-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.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..0
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                448. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension
                                                                                                                Definition

                                                                                                                An Extension

                                                                                                                ShortExtension
                                                                                                                Control0..0
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-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())
                                                                                                                SlicingThis 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:
                                                                                                                • value @ url
                                                                                                                • 450. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value
                                                                                                                  Definition

                                                                                                                  投与量

                                                                                                                  ShortNumerical 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)。

                                                                                                                  Control1..1
                                                                                                                  Typedecimal
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Precision is handled implicitly in almost all cases of measurement.

                                                                                                                  Alternate Names値, Value
                                                                                                                  Invariantsele-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)。

                                                                                                                  Control0..0
                                                                                                                  BindingThe 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.

                                                                                                                  Typecode
                                                                                                                  Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  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 MissingIf there is no comparator, then there is no modification of the value
                                                                                                                  Invariantsele-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。

                                                                                                                  ShortUnit 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)。

                                                                                                                  Control1..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  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
                                                                                                                  Invariantsele-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。

                                                                                                                  ShortSystem 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

                                                                                                                  Control1..1
                                                                                                                  This element is affected by the following invariants: qty-3
                                                                                                                  Typeuri
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  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
                                                                                                                  Invariantsele-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)

                                                                                                                  ShortSymbol 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

                                                                                                                  Control1..1
                                                                                                                  BindingThe codes SHOULD be taken from JP Core Medication MERIT9 Unit ValueSet
                                                                                                                  (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)
                                                                                                                  Typecode
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  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
                                                                                                                  Invariantsele-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

                                                                                                                  ShortDenominator value (投与時間)
                                                                                                                  Control0..1
                                                                                                                  TypeQuantity
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-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.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..0
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  464. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension
                                                                                                                  Definition

                                                                                                                  An Extension

                                                                                                                  ShortExtension
                                                                                                                  Control0..0
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-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())
                                                                                                                  SlicingThis 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:
                                                                                                                  • value @ url
                                                                                                                  • 466. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value
                                                                                                                    Definition

                                                                                                                    単位時間

                                                                                                                    ShortNumerical 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).

                                                                                                                    Control1..1
                                                                                                                    Typedecimal
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Precision is handled implicitly in almost all cases of measurement.

                                                                                                                    Alternate Names値, Value
                                                                                                                    Fixed Value1
                                                                                                                    Invariantsele-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
                                                                                                                    Control0..0
                                                                                                                    BindingThe 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.

                                                                                                                    Typecode
                                                                                                                    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    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 MissingIf there is no comparator, then there is no modification of the value
                                                                                                                    Invariantsele-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。

                                                                                                                    ShortUnit representation (投与の単位時間の単位)
                                                                                                                    Control1..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    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
                                                                                                                    Invariantsele-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。

                                                                                                                    ShortSystem that defines coded unit form (単位形式を定義するコード体系)
                                                                                                                    Control1..1
                                                                                                                    This element is affected by the following invariants: qty-3
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    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 Valuehttp://unitsofmeasure.org
                                                                                                                    Invariantsele-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.

                                                                                                                    ShortCoded 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.

                                                                                                                    Control1..1
                                                                                                                    BindingThe codes SHOULD be taken from UnitsOfTime
                                                                                                                    (preferred to http://hl7.org/fhir/ValueSet/units-of-time)
                                                                                                                    Typecode
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    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 Valueh
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    476. MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange
                                                                                                                    Slice NamerateRange
                                                                                                                    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。

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeRange(JP Core Medication Range DataType)
                                                                                                                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                                                                                    Is Modifierfalse
                                                                                                                    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.

                                                                                                                    Invariantsele-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 NamerateQuantity
                                                                                                                    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.

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeQuantity(SimpleQuantity)
                                                                                                                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                                                                                                                    Is Modifierfalse
                                                                                                                    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.

                                                                                                                    Invariantsele-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.

                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeRatio(JP Core Medication Rate Ratio DataType)
                                                                                                                    Is Modifierfalse
                                                                                                                    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.

                                                                                                                    Invariantsele-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

                                                                                                                    Short1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)

                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeQuantity(JP Core Medication Quantity DataType)
                                                                                                                    Is Modifierfalse
                                                                                                                    Requirements

                                                                                                                    The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.

                                                                                                                    Invariantsele-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)

                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeQuantity(JP Core Medication Quantity DataType)
                                                                                                                    Is Modifierfalse
                                                                                                                    Requirements

                                                                                                                    The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.

                                                                                                                    Invariantsele-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。

                                                                                                                    ShortWhether a substitution was performed on the dispense 調剤で置換が実行されたかどうか
                                                                                                                    Control0..0
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-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。

                                                                                                                    ShortClinical 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.

                                                                                                                    Control0..0
                                                                                                                    TypeReference(DetectedIssue)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate NamesContraindication, Drug Utilization Review (DUR), Alert
                                                                                                                    Invariantsele-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。

                                                                                                                    ShortA 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.).

                                                                                                                    Control0..0
                                                                                                                    TypeReference(Provenance)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))