Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu MedicationDispense Profile

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

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines dispensing a medication.
このプロファイルは、内服・外用薬剤処方調剤・払い出しを定義します。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..* JP_MedicationDispense Fujitsu MedicationDispense Profile (内服・外用薬剤処方調剤・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..0
... extension 0..0
... extension:preparation 0..0
... modifierExtension 0..0
... identifier 2..* 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
... identifier:orderInRp 1..1 Identifier External identifier (同一RP番号(剤グループ)での薬剤の表記順)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... system 1..1 uri RP番号内(剤グループ内)の連番を示すsystem値
.... value 1..1 string RP番号内(剤グループ内)の連番
.... period 0..0
.... assigner 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 CodeableConcept What medication was supplied (医薬品コード)
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:HOT9 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:US 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject 1..1 Reference(Fujitsu Patient Profile) Who 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..* Reference(Fujitsu MedicationRequest Profile) Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ
.... 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
... 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 1..* JP_MedicationDosage 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
.... extension:periodOfUse 0..1 JP_MedicationDosage_PeriodOfUse Period of use(服用開始日)
.... 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 (服用タイミング)
..... id 0..0
..... extension 0..0
..... modifierExtension 0..0
..... event 0..0
..... repeat 0..1 Element When the event is to occur (定時用法)
...... id 0..0
...... extension 0..0
...... bounds[x] 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
...... bounds[x]:boundsDuration 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (日数)
....... comparator 0..0
....... unit 1..1 string Unit representation (日数の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
...... 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
...... 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
..... extension 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
..... extension 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)
...... id 0..0
...... extension 0..0
..... rate[x]:rateRatio 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
...... id 0..0
...... extension 0..0
...... numerator 0..1 JP_MedicationQuantity Numerator value (1日投与量)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日投与量)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日投与量の単位)
....... 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 Coded form of the unit (単位を表すコード値)
...... denominator 0..1 Quantity Denominator value (1日投与を表す値)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... substitution 0..0
... detectedIssue 0..0
... eventHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationDispense.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationDispense.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationDispense.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationDispense.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* JP_MedicationDispense Fujitsu MedicationDispense Profile (内服・外用薬剤処方調剤・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)
... Slices for identifier 2..* 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
.... identifier:orderInRp 1..1 Identifier External identifier (同一RP番号(剤グループ)での薬剤の表記順)
..... extension 0..0
..... system Σ 1..1 uri RP番号内(剤グループ内)の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内(剤グループ内)の連番
Example General: 123456
... 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 CodeableConcept What medication was supplied (医薬品コード)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who 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)
... authorizingPrescription 0..* Reference(Fujitsu MedicationRequest Profile) Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ
.... 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 1..* JP_MedicationDosage 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)
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
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
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value:
........ 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)
Fixed Value: d
.... 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.

..... extension 0..0
..... 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)
..... extension 0..0
..... 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
...... extension 0..0
...... value Σ 1..1 decimal (精度が暗示された)数値
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
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 (1日投与量)
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) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ 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 Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 0..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value:
........ 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 (required)
Fixed Value: d
...... 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(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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.identifier:requestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationDispense.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationDispense.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationDispense.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationDispense.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.coderequiredFixed Value: d
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator 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-2errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]The comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationDispense.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationDispense.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationDispense.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationDispense.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationDispense.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationDispense.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationDispense.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationDispense.dosageInstruction.timing.repeatIf 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-10errorMedicationDispense.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* JP_MedicationDispense Fujitsu MedicationDispense Profile (内服・外用薬剤処方調剤・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)
... Slices for identifier 2..* 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
.... identifier:orderInRp 1..1 Identifier External identifier (同一RP番号(剤グループ)での薬剤の表記順)
..... extension 0..0
..... system Σ 1..1 uri RP番号内(剤グループ内)の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内(剤グループ内)の連番
Example General: 123456
... 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 CodeableConcept What medication was supplied (医薬品コード)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who 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
... authorizingPrescription 0..* Reference(Fujitsu MedicationRequest Profile) Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ
.... 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 1..* JP_MedicationDosage 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
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
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
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value:
........ 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)
Fixed Value: d
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core Medication JAMI 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.

..... extension 0..0
..... 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)
..... extension 0..0
..... 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
...... extension 0..0
...... value Σ 1..1 decimal (精度が暗示された)数値
...... unit Σ 0..1 string 単位表現
...... system ΣC 0..1 uri コード化された単位表現を規定するシステム
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
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 (1日投与量)
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) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ 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 Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 0..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value:
........ 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 (required)
Fixed Value: d
...... 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(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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.identifier:requestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.identifier:requestIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationDispense.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationDispense.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationDispense.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationDispense.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.codepreferredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.coderequiredFixed Value: d
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator 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-2errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]The comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationDispense.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationDispense.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationDispense.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationDispense.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationDispense.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationDispense.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationDispense.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationDispense.dosageInstruction.timing.repeatIf 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-10errorMedicationDispense.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from JP_MedicationDispense

Summary

Mandatory: 4 elements(57 nested mandatory elements)
Fixed: 13 elements
Prohibited: 156 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
  • 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..* JP_MedicationDispense Fujitsu MedicationDispense Profile (内服・外用薬剤処方調剤・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..0
... extension 0..0
... extension:preparation 0..0
... modifierExtension 0..0
... identifier 2..* 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
... identifier:orderInRp 1..1 Identifier External identifier (同一RP番号(剤グループ)での薬剤の表記順)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... system 1..1 uri RP番号内(剤グループ内)の連番を示すsystem値
.... value 1..1 string RP番号内(剤グループ内)の連番
.... period 0..0
.... assigner 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 CodeableConcept What medication was supplied (医薬品コード)
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:HOT9 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:US 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject 1..1 Reference(Fujitsu Patient Profile) Who 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..* Reference(Fujitsu MedicationRequest Profile) Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ
.... 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
... 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 1..* JP_MedicationDosage 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
.... extension:periodOfUse 0..1 JP_MedicationDosage_PeriodOfUse Period of use(服用開始日)
.... 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 (服用タイミング)
..... id 0..0
..... extension 0..0
..... modifierExtension 0..0
..... event 0..0
..... repeat 0..1 Element When the event is to occur (定時用法)
...... id 0..0
...... extension 0..0
...... bounds[x] 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
...... bounds[x]:boundsDuration 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (日数)
....... comparator 0..0
....... unit 1..1 string Unit representation (日数の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
...... 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
...... 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
..... extension 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
..... extension 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)
...... id 0..0
...... extension 0..0
..... rate[x]:rateRatio 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
...... id 0..0
...... extension 0..0
...... numerator 0..1 JP_MedicationQuantity Numerator value (1日投与量)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日投与量)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日投与量の単位)
....... 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 Coded form of the unit (単位を表すコード値)
...... denominator 0..1 Quantity Denominator value (1日投与を表す値)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... substitution 0..0
... detectedIssue 0..0
... eventHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationDispense.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationDispense.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationDispense.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationDispense.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* JP_MedicationDispense Fujitsu MedicationDispense Profile (内服・外用薬剤処方調剤・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)
... Slices for identifier 2..* 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
.... identifier:orderInRp 1..1 Identifier External identifier (同一RP番号(剤グループ)での薬剤の表記順)
..... extension 0..0
..... system Σ 1..1 uri RP番号内(剤グループ内)の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内(剤グループ内)の連番
Example General: 123456
... 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 CodeableConcept What medication was supplied (医薬品コード)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who 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)
... authorizingPrescription 0..* Reference(Fujitsu MedicationRequest Profile) Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ
.... 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 1..* JP_MedicationDosage 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)
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
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
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value:
........ 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)
Fixed Value: d
.... 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.

..... extension 0..0
..... 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)
..... extension 0..0
..... 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
...... extension 0..0
...... value Σ 1..1 decimal (精度が暗示された)数値
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
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 (1日投与量)
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) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ 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 Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 0..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value:
........ 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 (required)
Fixed Value: d
...... 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(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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.identifier:requestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationDispense.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationDispense.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationDispense.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationDispense.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.coderequiredFixed Value: d
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator 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-2errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]The comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationDispense.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationDispense.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationDispense.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationDispense.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationDispense.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationDispense.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationDispense.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationDispense.dosageInstruction.timing.repeatIf 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-10errorMedicationDispense.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense C 0..* JP_MedicationDispense Fujitsu MedicationDispense Profile (内服・外用薬剤処方調剤・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)
... Slices for identifier 2..* 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
.... identifier:orderInRp 1..1 Identifier External identifier (同一RP番号(剤グループ)での薬剤の表記順)
..... extension 0..0
..... system Σ 1..1 uri RP番号内(剤グループ内)の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内(剤グループ内)の連番
Example General: 123456
... 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 CodeableConcept What medication was supplied (医薬品コード)
Binding: JP Core MedicationCode ValueSet (preferred): 処方する製剤を表すコード。

.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who 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
... authorizingPrescription 0..* Reference(Fujitsu MedicationRequest Profile) Medication order that authorizes the dispense 調剤を正当化する元の処方オーダ
.... 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 1..* JP_MedicationDosage 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
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
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
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value:
........ 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)
Fixed Value: d
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core Medication JAMI 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.

..... extension 0..0
..... 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)
..... extension 0..0
..... 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
...... extension 0..0
...... value Σ 1..1 decimal (精度が暗示された)数値
...... unit Σ 0..1 string 単位表現
...... system ΣC 0..1 uri コード化された単位表現を規定するシステム
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
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 (1日投与量)
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) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ 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 Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 0..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value:
........ 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 (required)
Fixed Value: d
...... 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(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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationDispense.identifier:requestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationDispense.identifier:requestIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationDispense.statusrequiredMedicationDispense Status Codes
http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1
from the FHIR Standard
MedicationDispense.medication[x]preferredJP_MedicationCode_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS
MedicationDispense.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationDispense.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationDispense.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationDispense.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
http://hl7.org/fhir/ValueSet/medicationdispense-performer-function
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationDispense.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.codepreferredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationDispense.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationDispense.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationDispense.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationDispense.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationDispense.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationDispense.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationDispense.dosageInstruction.doseAndRate.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.coderequiredFixed Value: d
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard
MedicationDispense.substitution.typeexampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationDispenseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationDispenseIf 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-4errorMedicationDispenseIf 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-5errorMedicationDispenseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationDispenseA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdd-1errorMedicationDispensewhenHandedOver cannot be before whenPrepared
: whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator 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-2errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.dosageInstruction.doseAndRate.dose[x]The comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationDispense.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationDispense.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationDispense.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationDispense.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationDispense.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationDispense.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationDispense.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationDispense.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationDispense.dosageInstruction.timing.repeatIf 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-10errorMedicationDispense.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from JP_MedicationDispense

Summary

Mandatory: 4 elements(57 nested mandatory elements)
Fixed: 13 elements
Prohibited: 156 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationDispense.medication[x].coding
  • 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

 

Other representations of profile: CSV, Excel, Schematron