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Resource Profile: Fujitsu MedicationDispense Injection Profile

This profile defines dispensing a medication.
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。

Usage:

• Examples for this Resource Profile: MedicationDispense/MedicationDispenseInjectionExample

Formal Views of Profile Content

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

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

This structure is derived from JP_MedicationDispense_Injection

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	JP_MedicationDispense_Injection	Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..0
extension:preparation		0..0
modifierExtension		0..0
identifier		1..*	Identifier	Business Identifier for observation (識別子)
identifier:rpNumber		1..1	Identifier	External identifier (外部から参照されるID)
id		0..0
extension		0..0
use		0..0
type		0..0
system		1..1	uri	Rp番号(剤グループ番号)についてのsystem値
value		1..1	string	Rp番号(剤グループ番号)
period		0..0
assigner		0..0
identifier:requestIdentifier		0..0
partOf		0..0
status		1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態)
statusReason[x]		0..0
category		0..0
medication[x]		1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
subject		1..1	Reference(Fujitsu Patient Profile)	Who the dispense is for (投与対象患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
supportingInformation		0..0
performer		0..0
location		0..0
authorizingPrescription		0..0
type		0..0
quantity		1..1	JP_MedicationSimpleQuantity	Amount dispensed (払い出される薬剤の量)
daysSupply		0..1	JP_MedicationSimpleQuantity	Amount of medication expressed as a timing amount (タイミングとして表される投薬量)
whenPrepared		0..0
whenHandedOver		1..1	dateTime	When product was given out (調剤がパッケージ化され、レビューされた日時)
destination		0..0
receiver		0..0
note		0..0
dosageInstruction		0..*	JP_MedicationDosage_Injection	How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法)
id		0..0
modifierExtension		0..0
sequence		0..0
text		0..1	string	Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現)
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
id		0..0
extension		0..0
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI		0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display		1..1	string	Representation defined by the system (用法の補足情報の表示名)
userSelected		0..0
coding:USCode		0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: SNOMEDCTAdditionalDosageInstructions (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display		1..1	string	Representation defined by the system (用法の補足情報の表示名)
userSelected		0..0
coding:Absent		0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version		0..0
code		1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display		1..1	string	Representation defined by the system (欠損の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
patientInstruction		0..0
timing		0..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
id		0..0
extension		0..0
modifierExtension		0..0
event		0..0
repeat		0..1	Element	When the event is to occur (投与日時)
id		0..0
extension		0..0
bounds[x]		0..1	Period	Time range defined by start and end date/time (投与日時)
start		0..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end		0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
count		0..0
countMax		0..0
duration		0..0
durationMax		0..0
durationUnit		0..0
frequency		0..0
frequencyMax		0..0
period		0..0
periodMax		0..0
periodUnit		0..0
dayOfWeek		0..0
timeOfDay		0..0
when		0..0
offset		0..0
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI		0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: JP Core Medication JAMI Usage ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display		1..1	string	Representation defined by the system (用法の表示名)
userSelected		0..0
coding:USCode		0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: TimingAbbreviation (preferred)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display		1..1	string	Representation defined by the system (用法の表示名)
userSelected		0..0
coding:Absent		0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version		0..0
code		1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display		1..1	string	Representation defined by the system (欠損の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..1	CodeableConcept	Technique for administering medication (投与方法)
id		0..0
coding:unitDigit1		0..1	Coding	Code defined by a terminology system (投与方法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (投与方法を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display		1..1	string	Representation defined by the system (投与方法の表示名)
userSelected		0..0
coding:unitDigit2		0..1	Coding	Code defined by a terminology system (投与方法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (投与方法を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display		1..1	string	Representation defined by the system (投与方法の表示名)
userSelected		0..0
coding:USCode		0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display		1..1	string	Representation defined by the system (投与方法の表示名)
userSelected		0..0
coding:Absent		0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version		0..0
code		1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display		1..1	string	Representation defined by the system (欠損の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate		0..*	Element	Amount of medication administered (投与量)
id		0..0
type		0..1	CodeableConcept	The kind of dose or rate specified (力価区分コード)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (力価区分を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (力価区分を定義するコード体系) Fixed Value: urn:oid:1.2.392.100495.20.2.22
version		0..0
code		1..1	code	Symbol in syntax defined by the system (力価区分を表すコード値)
display		1..1	string	Representation defined by the system (力価区分の表示名)
userSelected		0..0
dose[x]		0..1	JP_MedicationSimpleQuantity	Amount of medication per dose (1回量)
rate[x]		0..1	Ratio	薬剤の投与量速度
rate[x]:rateRatio		0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度)
id		0..0
extension		0..0
numerator		0..1	JP_MedicationQuantity	Numerator value (投与量)
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (投与量)
comparator		0..0
unit		1..1	string	Unit representation (投与量の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code		1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード)
denominator		0..1	Quantity	Denominator value (投与時間)
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
comparator		0..0
unit		1..1	string	Unit representation (投与の単位時間の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit (単位を表すコード値) Fixed Value: h
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
substitution		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:JAMI	required	JP_MedicationUsageJAMI_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCode	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	JP_MedicationDispense_Injection	Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル) mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..0
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	External identifier (外部から参照されるID)
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who the dispense is for (投与対象患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
quantity	C	1..1	JP_MedicationSimpleQuantity	Amount dispensed (払い出される薬剤の量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
daysSupply	C	0..1	JP_MedicationSimpleQuantity	Amount of medication expressed as a timing amount (タイミングとして表される投薬量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
whenHandedOver		1..1	dateTime	When product was given out (調剤がパッケージ化され、レビューされた日時)
dosageInstruction		0..*	JP_MedicationDosage_Injection	How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法)
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
text	Σ	0..1	string	Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現)
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: SNOMEDCTAdditionalDosageInstructions (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
timing		0..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
repeat	ΣC	0..1	Element	When the event is to occur (投与日時) tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
extension		0..0
bounds[x]	Σ	0..1	Period	Time range defined by start and end date/time (投与日時)
start	ΣC	0..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
method	Σ	0..1	CodeableConcept	Technique for administering medication (投与方法) Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:unitDigit2	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:USCode	Σ	0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate	Σ	0..*	Element	Amount of medication administered (投与量)
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified (力価区分コード) Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (力価区分を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (力価区分を定義するコード体系) Fixed Value: urn:oid:1.2.392.100495.20.2.22
code	Σ	1..1	code	Symbol in syntax defined by the system (力価区分を表すコード値)
display	Σ	1..1	string	Representation defined by the system (力価区分の表示名)
dose[x]	C	0..1	JP_MedicationSimpleQuantity	Amount of medication per dose (1回量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	0..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	0..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction	preferred	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	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	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	JP_MedicationDispense_Injection	Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル) mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..0
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	External identifier (外部から参照されるID)
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who the dispense is for (投与対象患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
context		0..1	Reference(JP Core Encounter Profile | EpisodeOfCare)	Encounter / Episode associated with event　調剤ベントに関連するEncounterやエピソード
quantity	C	1..1	JP_MedicationSimpleQuantity	Amount dispensed (払い出される薬剤の量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
daysSupply	C	0..1	JP_MedicationSimpleQuantity	Amount of medication expressed as a timing amount (タイミングとして表される投薬量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
whenHandedOver		1..1	dateTime	When product was given out (調剤がパッケージ化され、レビューされた日時)
dosageInstruction		0..*	JP_MedicationDosage_Injection	How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
text	Σ	0..1	string	Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現)
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: SNOMEDCTAdditionalDosageInstructions (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
timing		0..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
repeat	ΣC	0..1	Element	When the event is to occur (投与日時) tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
extension		0..0
bounds[x]	Σ	0..1	Period	Time range defined by start and end date/time (投与日時)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: JP Core Medication JAMI Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: TimingAbbreviation (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
method	Σ	0..1	CodeableConcept	Technique for administering medication (投与方法) Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:unitDigit2	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:USCode	Σ	0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate	Σ	0..*	Element	Amount of medication administered (投与量)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified (力価区分コード) Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (力価区分を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (力価区分を定義するコード体系) Fixed Value: urn:oid:1.2.392.100495.20.2.22
code	Σ	1..1	code	Symbol in syntax defined by the system (力価区分を表すコード値)
display	Σ	1..1	string	Representation defined by the system (力価区分の表示名)
text	Σ	0..1	string	Plain text representation of the concept
dose[x]	C	0..1	JP_MedicationSimpleQuantity	Amount of medication per dose (1回量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	0..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	0..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.identifier:requestIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction	preferred	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code	preferred	JP_MedicationUsageInjection_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationDispense.dosageInstruction.timing.code.coding:JAMI	required	JP_MedicationUsageJAMI_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCode	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	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	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from JP_MedicationDispense_Injection

Summary

Mandatory: 2 elements(40 nested mandatory elements)
Fixed: 13 elements
Prohibited: 123 elements

Structures

This structure refers to these other structures:

• Fujitsu Medication Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-medication)
• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• JP Core Medication Rate Ratio DataType (http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationRatio_DosePerPeriod)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.dosageInstruction.additionalInstruction.coding
• The element 1 is sliced based on the value of MedicationDispense.dosageInstruction.timing.code.coding

Differential View

This structure is derived from JP_MedicationDispense_Injection

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	JP_MedicationDispense_Injection	Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..0
extension:preparation		0..0
modifierExtension		0..0
identifier		1..*	Identifier	Business Identifier for observation (識別子)
identifier:rpNumber		1..1	Identifier	External identifier (外部から参照されるID)
id		0..0
extension		0..0
use		0..0
type		0..0
system		1..1	uri	Rp番号(剤グループ番号)についてのsystem値
value		1..1	string	Rp番号(剤グループ番号)
period		0..0
assigner		0..0
identifier:requestIdentifier		0..0
partOf		0..0
status		1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態)
statusReason[x]		0..0
category		0..0
medication[x]		1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
subject		1..1	Reference(Fujitsu Patient Profile)	Who the dispense is for (投与対象患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
supportingInformation		0..0
performer		0..0
location		0..0
authorizingPrescription		0..0
type		0..0
quantity		1..1	JP_MedicationSimpleQuantity	Amount dispensed (払い出される薬剤の量)
daysSupply		0..1	JP_MedicationSimpleQuantity	Amount of medication expressed as a timing amount (タイミングとして表される投薬量)
whenPrepared		0..0
whenHandedOver		1..1	dateTime	When product was given out (調剤がパッケージ化され、レビューされた日時)
destination		0..0
receiver		0..0
note		0..0
dosageInstruction		0..*	JP_MedicationDosage_Injection	How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法)
id		0..0
modifierExtension		0..0
sequence		0..0
text		0..1	string	Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現)
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
id		0..0
extension		0..0
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI		0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display		1..1	string	Representation defined by the system (用法の補足情報の表示名)
userSelected		0..0
coding:USCode		0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: SNOMEDCTAdditionalDosageInstructions (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display		1..1	string	Representation defined by the system (用法の補足情報の表示名)
userSelected		0..0
coding:Absent		0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version		0..0
code		1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display		1..1	string	Representation defined by the system (欠損の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
patientInstruction		0..0
timing		0..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
id		0..0
extension		0..0
modifierExtension		0..0
event		0..0
repeat		0..1	Element	When the event is to occur (投与日時)
id		0..0
extension		0..0
bounds[x]		0..1	Period	Time range defined by start and end date/time (投与日時)
start		0..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end		0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
count		0..0
countMax		0..0
duration		0..0
durationMax		0..0
durationUnit		0..0
frequency		0..0
frequencyMax		0..0
period		0..0
periodMax		0..0
periodUnit		0..0
dayOfWeek		0..0
timeOfDay		0..0
when		0..0
offset		0..0
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI		0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: JP Core Medication JAMI Usage ValueSet (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display		1..1	string	Representation defined by the system (用法の表示名)
userSelected		0..0
coding:USCode		0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: TimingAbbreviation (preferred)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
version		0..0
code		1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display		1..1	string	Representation defined by the system (用法の表示名)
userSelected		0..0
coding:Absent		0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version		0..0
code		1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display		1..1	string	Representation defined by the system (欠損の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
asNeeded[x]		0..0
site		0..0
route		0..0
method		0..1	CodeableConcept	Technique for administering medication (投与方法)
id		0..0
coding:unitDigit1		0..1	Coding	Code defined by a terminology system (投与方法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (投与方法を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display		1..1	string	Representation defined by the system (投与方法の表示名)
userSelected		0..0
coding:unitDigit2		0..1	Coding	Code defined by a terminology system (投与方法を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (投与方法を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display		1..1	string	Representation defined by the system (投与方法の表示名)
userSelected		0..0
coding:USCode		0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display		1..1	string	Representation defined by the system (投与方法の表示名)
userSelected		0..0
coding:Absent		0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version		0..0
code		1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display		1..1	string	Representation defined by the system (欠損の表示名)
userSelected		0..0
text		1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate		0..*	Element	Amount of medication administered (投与量)
id		0..0
type		0..1	CodeableConcept	The kind of dose or rate specified (力価区分コード)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (力価区分を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (力価区分を定義するコード体系) Fixed Value: urn:oid:1.2.392.100495.20.2.22
version		0..0
code		1..1	code	Symbol in syntax defined by the system (力価区分を表すコード値)
display		1..1	string	Representation defined by the system (力価区分の表示名)
userSelected		0..0
dose[x]		0..1	JP_MedicationSimpleQuantity	Amount of medication per dose (1回量)
rate[x]		0..1	Ratio	薬剤の投与量速度
rate[x]:rateRatio		0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度)
id		0..0
extension		0..0
numerator		0..1	JP_MedicationQuantity	Numerator value (投与量)
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (投与量)
comparator		0..0
unit		1..1	string	Unit representation (投与量の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code		1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード)
denominator		0..1	Quantity	Denominator value (投与時間)
id		0..0
extension		0..0
value		1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
comparator		0..0
unit		1..1	string	Unit representation (投与の単位時間の単位)
system		1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit (単位を表すコード値) Fixed Value: h
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
substitution		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:JAMI	required	JP_MedicationUsageJAMI_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCode	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	JP_MedicationDispense_Injection	Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル) mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..0
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	External identifier (外部から参照されるID)
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who the dispense is for (投与対象患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
quantity	C	1..1	JP_MedicationSimpleQuantity	Amount dispensed (払い出される薬剤の量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
daysSupply	C	0..1	JP_MedicationSimpleQuantity	Amount of medication expressed as a timing amount (タイミングとして表される投薬量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
whenHandedOver		1..1	dateTime	When product was given out (調剤がパッケージ化され、レビューされた日時)
dosageInstruction		0..*	JP_MedicationDosage_Injection	How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法)
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
text	Σ	0..1	string	Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現)
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: SNOMEDCTAdditionalDosageInstructions (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
timing		0..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
repeat	ΣC	0..1	Element	When the event is to occur (投与日時) tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
extension		0..0
bounds[x]	Σ	0..1	Period	Time range defined by start and end date/time (投与日時)
start	ΣC	0..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
method	Σ	0..1	CodeableConcept	Technique for administering medication (投与方法) Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:unitDigit2	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:USCode	Σ	0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate	Σ	0..*	Element	Amount of medication administered (投与量)
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified (力価区分コード) Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (力価区分を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (力価区分を定義するコード体系) Fixed Value: urn:oid:1.2.392.100495.20.2.22
code	Σ	1..1	code	Symbol in syntax defined by the system (力価区分を表すコード値)
display	Σ	1..1	string	Representation defined by the system (力価区分の表示名)
dose[x]	C	0..1	JP_MedicationSimpleQuantity	Amount of medication per dose (1回量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	0..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	0..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction	preferred	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	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	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	JP_MedicationDispense_Injection	Fujitsu MedicationDispense Injection Profile (注射薬剤処方調剤・払い出しプロファイル) mdd-1: whenHandedOver cannot be before whenPrepared
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
Slices for extension		0..0
Slices for identifier		1..*	Identifier	Business Identifier for observation (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	External identifier (外部から参照されるID)
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
status	?!Σ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown (一連の調剤イベントの状態) Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who the dispense is for (投与対象患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
context		0..1	Reference(JP Core Encounter Profile | EpisodeOfCare)	Encounter / Episode associated with event　調剤ベントに関連するEncounterやエピソード
quantity	C	1..1	JP_MedicationSimpleQuantity	Amount dispensed (払い出される薬剤の量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
daysSupply	C	0..1	JP_MedicationSimpleQuantity	Amount of medication expressed as a timing amount (タイミングとして表される投薬量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
whenHandedOver		1..1	dateTime	When product was given out (調剤がパッケージ化され、レビューされた日時)
dosageInstruction		0..*	JP_MedicationDosage_Injection	How the medication is to be used by the patient or administered by the caregiver (薬の服用方法・服用した方法、または服用すべき方法)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
text	Σ	0..1	string	Free text dosage instructions e.g. SIG (投与⽅法のテキスト表現)
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報) Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
extension		0..0
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法の補足情報を表すコード) Binding: SNOMEDCTAdditionalDosageInstructions (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法の補足情報を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (用法の補足情報を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の補足情報の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
timing		0..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
repeat	ΣC	0..1	Element	When the event is to occur (投与日時) tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
extension		0..0
bounds[x]	Σ	0..1	Period	Time range defined by start and end date/time (投与日時)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: JP Core Medication JAMI Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: TimingAbbreviation (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
method	Σ	0..1	CodeableConcept	Technique for administering medication (投与方法) Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:unitDigit2	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:USCode	Σ	0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate	Σ	0..*	Element	Amount of medication administered (投与量)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified (力価区分コード) Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (力価区分を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (力価区分を定義するコード体系) Fixed Value: urn:oid:1.2.392.100495.20.2.22
code	Σ	1..1	code	Symbol in syntax defined by the system (力価区分を表すコード値)
display	Σ	1..1	string	Representation defined by the system (力価区分の表示名)
text	Σ	0..1	string	Plain text representation of the concept
dose[x]	C	0..1	JP_MedicationSimpleQuantity	Amount of medication per dose (1回量) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	0..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	0..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationDispense.identifier:requestIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationDispense.identifier:requestIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationDispense.status	required	MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 from the FHIR Standard
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes http://hl7.org/fhir/ValueSet/medicationdispense-performer-function from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction	preferred	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code	preferred	JP_MedicationUsageInjection_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationDispense.dosageInstruction.timing.code.coding:JAMI	required	JP_MedicationUsageJAMI_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCode	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	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	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from JP_MedicationDispense_Injection

Summary

Mandatory: 2 elements(40 nested mandatory elements)
Fixed: 13 elements
Prohibited: 123 elements

Structures

This structure refers to these other structures:

• Fujitsu Medication Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-medication)
• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• JP Core Medication Rate Ratio DataType (http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationRatio_DosePerPeriod)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationDispense.dosageInstruction.additionalInstruction.coding
• The element 1 is sliced based on the value of MedicationDispense.dosageInstruction.timing.code.coding