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Resource Profile: Fujitsu Cancer-Related Medication Request Injection Profile

This profile defines the patient’s cancer related medication request injection.
このプロファイルは、患者のがん関連処方を定義します。

Usage:

• Examples for this Resource Profile: MedicationRequest/cancer-related-medication-request-cyclophosphamide

Formal Views of Profile Content

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

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

This structure is derived from FujitsuMedicationRequestInjection

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	FujitsuMedicationRequestInjection	Fujitsu Cancer-Related Medication Request Profile (がん関連処方プロファイル)
treatmentIntent		0..1	CodeableConcept	Procedure Intent Extension (処方の意図) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent Binding: Procedure Intent Qualifier ValueSet (required)
statusReason		0..1	CodeableConcept	現在のステータスの理由 Binding: Treatment Termination Reason ValueSet (extensible)
coding		0..*	Coding	Code defined by a terminology system (状態の理由を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (状態の理由を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (状態の理由を表すコード値)
display		1..1	string	Representation defined by the system (状態の理由の表示名)
userSelected		0..0
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication (薬のオーダ理由または指示) Binding: Cancer Disorder ValueSet (extensible)
coding		0..*	Coding	Code defined by a terminology system (処方の理由を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (処方の理由を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (処方の理由を表すコード値)
display		1..1	string	Representation defined by the system (処方の理由の表示名)
userSelected		0..0
reasonReference		0..*	Reference(Fujitsu Primary Cancer Condition Profile | Fujitsu Secondary Cancer Condition Profile)	Condition or observation that supports why the prescription is being written (処方箋の理由を裏付ける所見)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.statusReason	extensible	TreatmentTerminationReasonValueSet (a valid code from Treatment Termination Reason ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/treatment-termination-reason from this IG
MedicationRequest.reasonCode	extensible	CancerDisorderValueSet http://ig.fujitsu.com/healthy-living/ValueSet/cancer-disorder from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	FujitsuMedicationRequestInjection	Fujitsu Cancer-Related Medication Request Profile (がん関連処方プロファイル)
contained		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
preparation		0..*	CodeableConcept	調剤結果 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
treatmentIntent		0..1	CodeableConcept	Procedure Intent Extension (処方の意図) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent Binding: Procedure Intent Qualifier ValueSet (required)
Slices for identifier		1..*	Identifier	External ids for this request (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
identifier:requestIdentifierCommon		0..1	Identifier	処方箋に対するID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.11
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:requestIdentifier		0..*	Identifier	処方オーダに対するID
extension		0..0
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:emr		0..*	Identifier	External ids for this request (電子カルテの識別子)
extension		0..0
system	Σ	1..1	uri	The namespace for the identifier value (識別子のネームスペース) Binding: Fujitsu Internal Identifier URI (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態) Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	現在のステータスの理由 Binding: Treatment Termination Reason ValueSet (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system (状態の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (状態の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (状態の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (状態の理由の表示名)
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図) Binding: medicationRequest Intent (required): The kind of medication order.
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
encounter		1..1	Reference(Fujitsu Encounter Profile)	Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
authoredOn	Σ	1..1	dateTime	この処方オーダが最初に記述された日
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication (薬のオーダ理由または指示) Binding: Cancer Disorder ValueSet (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system (処方の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (処方の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (処方の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (処方の理由の表示名)
reasonReference		0..*	Reference(Fujitsu Primary Cancer Condition Profile | Fujitsu Secondary Cancer Condition Profile)	Condition or observation that supports why the prescription is being written (処方箋の理由を裏付ける所見)
dosageInstruction		1..1	JP_MedicationDosage_Injection	Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
timing		1..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
event	Σ	0..1	dateTime	When the event occurs (投与イベント)
doseAndRate	Σ	1..1	Element	Amount of medication administered (投与量)
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	1..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	1..1	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)
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	1..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	1..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier:requestIdentifierCommon.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	extensible	TreatmentTerminationReasonValueSet (a valid code from Treatment Termination Reason ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/treatment-termination-reason from this IG
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.reasonCode	extensible	CancerDisorderValueSet http://ig.fujitsu.com/healthy-living/ValueSet/cancer-disorder from this IG
MedicationRequest.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
MedicationRequest.substitution.allowed[x]	preferred	JP_MedicationSubstitutionNotAllowedReason_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	FujitsuMedicationRequestInjection	Fujitsu Cancer-Related Medication Request Profile (がん関連処方プロファイル)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
Slices for extension		0..*	Extension	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
preparation		0..*	CodeableConcept	調剤結果 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
treatmentIntent		0..1	CodeableConcept	Procedure Intent Extension (処方の意図) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent Binding: Procedure Intent Qualifier ValueSet (required)
Slices for identifier		1..*	Identifier	External ids for this request (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
identifier:requestIdentifierCommon		0..1	Identifier	処方箋に対するID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.11
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:requestIdentifier		0..*	Identifier	処方オーダに対するID
extension		0..0
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:emr		0..*	Identifier	External ids for this request (電子カルテの識別子)
extension		0..0
type	Σ	0..1	CodeableConcept	Description of identifier (識別子の種類) Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (識別子のコード)
text	Σ	0..1	string	Plain text representation of the concept (識別子のテキスト)
system	Σ	1..1	uri	The namespace for the identifier value (識別子のネームスペース) Binding: Fujitsu Internal Identifier URI (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態) Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	現在のステータスの理由 Binding: Treatment Termination Reason ValueSet (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (状態の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (状態の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (状態の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (状態の理由の表示名)
text	Σ	0..1	string	Plain text representation of the concept
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図) Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	薬剤使用区分 Binding: JP Core Medication Injection Category ValueSet (preferred)
reported[x]	Σ	0..1		初期記録にはない報告
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter		1..1	Reference(Fujitsu Encounter Profile)	Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
authoredOn	Σ	1..1	dateTime	この処方オーダが最初に記述された日
requester	Σ	0..1	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device)	Who/What requested the Request (医師や医療機関)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication (薬のオーダ理由または指示) Binding: Cancer Disorder ValueSet (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (処方の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (処方の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (処方の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (処方の理由の表示名)
text	Σ	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(Fujitsu Primary Cancer Condition Profile | Fujitsu Secondary Cancer Condition Profile)	Condition or observation that supports why the prescription is being written (処方箋の理由を裏付ける所見)
dosageInstruction		1..1	JP_MedicationDosage_Injection	Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
text	Σ	0..1	string	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		1..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
event	Σ	0..1	dateTime	When the event occurs (投与イベント)
repeat	ΣC	0..1	Element	When the event is to occur (投与日時) tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
extension		0..0
bounds[x]	Σ	0..1	Period	Time range defined by start and end date/time (投与日時)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: JP Core Medication JAMI Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: TimingAbbreviation (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
method	Σ	0..1	CodeableConcept	Technique for administering medication (投与方法) Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:unitDigit2	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:USCode	Σ	0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate	Σ	1..1	Element	Amount of medication administered (投与量)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	1..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	1..1	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	1回投与量（体積） qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	1..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	1..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier:requestIdentifierCommon.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier:requestIdentifierCommon.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.identifier:emr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	extensible	TreatmentTerminationReasonValueSet (a valid code from Treatment Termination Reason ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/treatment-termination-reason from this IG
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	preferred	JP_MedicationCategoryInjection_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategoryInjeciton_VS
MedicationRequest.reasonCode	extensible	CancerDisorderValueSet http://ig.fujitsu.com/healthy-living/ValueSet/cancer-disorder from this IG
MedicationRequest.dosageInstruction.additionalInstruction	preferred	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	preferred	JP_MedicationUsageInjection_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationRequest.dosageInstruction.timing.code.coding:JAMI	required	JP_MedicationUsageJAMI_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCode	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationRequest.dosageInstruction.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationRequest.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MedicationRequest.substitution.allowed[x]	preferred	JP_MedicationSubstitutionNotAllowedReason_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from FujitsuMedicationRequestInjection

Summary

Mandatory: 0 element(6 nested mandatory elements)
Prohibited: 8 elements

Structures

This structure refers to these other structures:

• Fujitsu Primary Cancer Condition Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-primary-cancer)
• Fujitsu Secondary Cancer Condition Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-secondary-cancer)

Extensions

This structure refers to these extensions:

• http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent

Differential View

This structure is derived from FujitsuMedicationRequestInjection

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	FujitsuMedicationRequestInjection	Fujitsu Cancer-Related Medication Request Profile (がん関連処方プロファイル)
treatmentIntent		0..1	CodeableConcept	Procedure Intent Extension (処方の意図) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent Binding: Procedure Intent Qualifier ValueSet (required)
statusReason		0..1	CodeableConcept	現在のステータスの理由 Binding: Treatment Termination Reason ValueSet (extensible)
coding		0..*	Coding	Code defined by a terminology system (状態の理由を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (状態の理由を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (状態の理由を表すコード値)
display		1..1	string	Representation defined by the system (状態の理由の表示名)
userSelected		0..0
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication (薬のオーダ理由または指示) Binding: Cancer Disorder ValueSet (extensible)
coding		0..*	Coding	Code defined by a terminology system (処方の理由を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (処方の理由を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (処方の理由を表すコード値)
display		1..1	string	Representation defined by the system (処方の理由の表示名)
userSelected		0..0
reasonReference		0..*	Reference(Fujitsu Primary Cancer Condition Profile | Fujitsu Secondary Cancer Condition Profile)	Condition or observation that supports why the prescription is being written (処方箋の理由を裏付ける所見)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.statusReason	extensible	TreatmentTerminationReasonValueSet (a valid code from Treatment Termination Reason ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/treatment-termination-reason from this IG
MedicationRequest.reasonCode	extensible	CancerDisorderValueSet http://ig.fujitsu.com/healthy-living/ValueSet/cancer-disorder from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	FujitsuMedicationRequestInjection	Fujitsu Cancer-Related Medication Request Profile (がん関連処方プロファイル)
contained		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
preparation		0..*	CodeableConcept	調剤結果 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
treatmentIntent		0..1	CodeableConcept	Procedure Intent Extension (処方の意図) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent Binding: Procedure Intent Qualifier ValueSet (required)
Slices for identifier		1..*	Identifier	External ids for this request (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
identifier:requestIdentifierCommon		0..1	Identifier	処方箋に対するID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.11
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:requestIdentifier		0..*	Identifier	処方オーダに対するID
extension		0..0
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:emr		0..*	Identifier	External ids for this request (電子カルテの識別子)
extension		0..0
system	Σ	1..1	uri	The namespace for the identifier value (識別子のネームスペース) Binding: Fujitsu Internal Identifier URI (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態) Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	現在のステータスの理由 Binding: Treatment Termination Reason ValueSet (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system (状態の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (状態の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (状態の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (状態の理由の表示名)
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図) Binding: medicationRequest Intent (required): The kind of medication order.
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
encounter		1..1	Reference(Fujitsu Encounter Profile)	Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
authoredOn	Σ	1..1	dateTime	この処方オーダが最初に記述された日
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication (薬のオーダ理由または指示) Binding: Cancer Disorder ValueSet (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system (処方の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (処方の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (処方の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (処方の理由の表示名)
reasonReference		0..*	Reference(Fujitsu Primary Cancer Condition Profile | Fujitsu Secondary Cancer Condition Profile)	Condition or observation that supports why the prescription is being written (処方箋の理由を裏付ける所見)
dosageInstruction		1..1	JP_MedicationDosage_Injection	Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
timing		1..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
event	Σ	0..1	dateTime	When the event occurs (投与イベント)
doseAndRate	Σ	1..1	Element	Amount of medication administered (投与量)
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	1..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	1..1	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)
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	1..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	1..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier:requestIdentifierCommon.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	extensible	TreatmentTerminationReasonValueSet (a valid code from Treatment Termination Reason ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/treatment-termination-reason from this IG
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.reasonCode	extensible	CancerDisorderValueSet http://ig.fujitsu.com/healthy-living/ValueSet/cancer-disorder from this IG
MedicationRequest.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
MedicationRequest.substitution.allowed[x]	preferred	JP_MedicationSubstitutionNotAllowedReason_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	FujitsuMedicationRequestInjection	Fujitsu Cancer-Related Medication Request Profile (がん関連処方プロファイル)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		1..1	Resource	Contained, inline Resources (参照で使用するインラインのリソース)
Slices for extension		0..*	Extension	Additional content defined by implementations (要素の拡張) Slice: Unordered, Open by value:url
preparation		0..*	CodeableConcept	調剤結果 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
treatmentIntent		0..1	CodeableConcept	Procedure Intent Extension (処方の意図) URL: http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent Binding: Procedure Intent Qualifier ValueSet (required)
Slices for identifier		1..*	Identifier	External ids for this request (識別子) Slice: Unordered, Open by value:system
identifier:rpNumber		1..1	Identifier	処方箋内部の剤グループとしてのRp番号
extension		0..0
system	Σ	1..1	uri	Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81
value	Σ	1..1	string	Rp番号(剤グループ番号) Example General: 123456
identifier:requestIdentifierCommon		0..1	Identifier	処方箋に対するID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:1.2.392.100495.20.3.11
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:requestIdentifier		0..*	Identifier	処方オーダに対するID
extension		0..0
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:emr		0..*	Identifier	External ids for this request (電子カルテの識別子)
extension		0..0
type	Σ	0..1	CodeableConcept	Description of identifier (識別子の種類) Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (識別子のコード)
text	Σ	0..1	string	Plain text representation of the concept (識別子のテキスト)
system	Σ	1..1	uri	The namespace for the identifier value (識別子のネームスペース) Binding: Fujitsu Internal Identifier URI (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号] Example General: 123456
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態) Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	現在のステータスの理由 Binding: Treatment Termination Reason ValueSet (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (状態の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (状態の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (状態の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (状態の理由の表示名)
text	Σ	0..1	string	Plain text representation of the concept
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図) Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	薬剤使用区分 Binding: JP Core Medication Injection Category ValueSet (preferred)
reported[x]	Σ	0..1		初期記録にはない報告
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	Σ	1..1	Reference(Fujitsu Medication Profile)	What was administered (医薬品の参照)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照) Fixed Value: #medication
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
subject	Σ	1..1	Reference(Fujitsu Patient Profile)	Who received medication (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
encounter		1..1	Reference(Fujitsu Encounter Profile)	Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
authoredOn	Σ	1..1	dateTime	この処方オーダが最初に記述された日
requester	Σ	0..1	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device)	Who/What requested the Request (医師や医療機関)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication (薬のオーダ理由または指示) Binding: Cancer Disorder ValueSet (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (処方の理由を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (処方の理由を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (処方の理由を表すコード値)
display	Σ	1..1	string	Representation defined by the system (処方の理由の表示名)
text	Σ	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(Fujitsu Primary Cancer Condition Profile | Fujitsu Secondary Cancer Condition Profile)	Condition or observation that supports why the prescription is being written (処方箋の理由を裏付ける所見)
dosageInstruction		1..1	JP_MedicationDosage_Injection	Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dosageComment		0..*	CodeableConcept	用法コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment Binding: JP Core Medication Example DosageComment ValueSet (example)
device		0..*	Reference(Device)	投与装置 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
line		0..*	CodeableConcept	指示ライン URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
lineComment		0..*	CodeableConcept	ラインコメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment Binding: JP Core Medication Example LineComment ValueSet (example)
text	Σ	0..1	string	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		1..1	JP_MedicationTiming	When medication should be administered (投与タイミング)
extension		0..0
event	Σ	0..1	dateTime	When the event occurs (投与イベント)
repeat	ΣC	0..1	Element	When the event is to occur (投与日時) tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
extension		0..0
bounds[x]	Σ	0..1	Period	Time range defined by start and end date/time (投与日時)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary (投与開始日時)
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing (投与終了日時)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:JAMI	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: JP Core Medication JAMI Usage ValueSet (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:USCode	Σ	0..1	Coding	Code defined by a terminology system (用法を表すコード) Binding: TimingAbbreviation (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (用法を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
code	Σ	1..1	code	Symbol in syntax defined by the system (用法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (用法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
method	Σ	0..1	CodeableConcept	Technique for administering medication (投与方法) Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
methodComment		0..*	CodeableConcept	手技コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment Binding: JP Core Medication Example MethodComment ValueSet (example)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:unitDigit1	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:unitDigit2	Σ	0..1	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:USCode	Σ	0..*	Coding	Code defined by a terminology system (投与方法を表すコード) Binding: SNOMEDCTAdministrationMethodCodes (example)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (投与方法を定義するコード体系) Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system (投与方法を表すコード値)
display	Σ	1..1	string	Representation defined by the system (投与方法の表示名)
coding:Absent	Σ	0..*	Coding	Code defined by a terminology system (欠損を表すコード) Binding: DataAbsentReason (required)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (欠損を定義するコード体系) Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system (欠損を表すコード値)
display	Σ	1..1	string	Representation defined by the system (欠損の表示名)
text	Σ	1..1	string	Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
doseAndRate	Σ	1..1	Element	Amount of medication administered (投与量)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
rateComment		0..*	CodeableConcept	投与速度コメント URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment Binding: JP Core Medication Example RateComment ValueSet (example)
type	Σ	1..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	1..1	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	1回投与量（体積） qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	Σ	0..1	Ratio	薬剤の投与量速度 Slice: Unordered, Closed by type:$this
rate[x]:rateRatio	C	0..1	JP_MedicationRatio_DosePerPeriod	Amount of medication per unit of time (投与速度) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
extension		0..0
numerator	C	1..1	JP_MedicationQuantity	Numerator value (投与量) qty-3: If a code for the unit is present, the system SHALL also be present
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与量)
unit	Σ	1..1	string	Unit representation (投与量の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (投与量を表す単位コード) Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
denominator	Σ	1..1	Quantity	Denominator value (投与時間)
extension		0..0
value	Σ	1..1	decimal	Numerical value (with implicit precision) (投与の単位時間) Fixed Value: 1
unit	Σ	1..1	string	Unit representation (投与の単位時間の単位)
system	ΣC	1..1	uri	System that defines coded unit form (単位形式を定義するコード体系) Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit (単位を表すコード値) Binding: UnitsOfTime (preferred) Fixed Value: h
rate[x]:rateRange	C	0..1	JP_MedicationRange_UnitOfTime	範囲指定された時間の上限下限 rng-2: If present, low SHALL have a lower value than high
rate[x]:rateQuantity	C	0..1	SimpleQuantity	投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier:requestIdentifierCommon.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier:requestIdentifierCommon.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.identifier:emr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.identifier:emr.system	required	FujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI) http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri from this IG
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	extensible	TreatmentTerminationReasonValueSet (a valid code from Treatment Termination Reason ValueSet) http://ig.fujitsu.com/healthy-living/ValueSet/treatment-termination-reason from this IG
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	preferred	JP_MedicationCategoryInjection_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategoryInjeciton_VS
MedicationRequest.reasonCode	extensible	CancerDisorderValueSet http://ig.fujitsu.com/healthy-living/ValueSet/cancer-disorder from this IG
MedicationRequest.dosageInstruction.additionalInstruction	preferred	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI	required	JP_MedicationUsageJAMIAdditional_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode	required	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	preferred	JP_MedicationUsageInjection_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationRequest.dosageInstruction.timing.code.coding:JAMI	required	JP_MedicationUsageJAMI_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCode	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:unitDigit1	preferred	JP_MedicationMethodJAMIBasicUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationRequest.dosageInstruction.method.coding:unitDigit2	preferred	JP_MedicationMethodJAMIDetailUsage_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationRequest.dosageInstruction.method.coding:USCode	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:Absent	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	preferred	JP_MedicationIngredientStrengthStrengthType_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code	preferred	JP_MedicationUnitMERIT9_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code	preferred	Fixed Value: h http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
MedicationRequest.substitution.allowed[x]	preferred	JP_MedicationSubstitutionNotAllowedReason_VS http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from FujitsuMedicationRequestInjection

Summary

Mandatory: 0 element(6 nested mandatory elements)
Prohibited: 8 elements

Structures

This structure refers to these other structures:

• Fujitsu Primary Cancer Condition Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-primary-cancer)
• Fujitsu Secondary Cancer Condition Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-condition-secondary-cancer)

Extensions

This structure refers to these extensions:

• http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-extension-procedure-intent