FHIR.FUJITSU.HEALTHY-LIVING\Fujitsu MedicationRequest Profile - Definitions

idstring

Is Modifier false

Summary true

Alternate Names 論理ID, Logical id

4. MedicationRequest.meta

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short Metadata about the resource (リソースのメタデータ)

Control 0..1

Meta

Is Modifier false

Summary true

Alternate Names メタデータ, Meta data

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. MedicationRequest.implicitRules

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short A set of rules under which this content was created

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control 0..01

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

8. MedicationRequest.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control 0..01

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

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

10. MedicationRequest.text

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Short Text summary of the resource, for human interpretation (リソースの概要)

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control 0..1

Narrative

Is Modifier false

Summary false

Alternate Names narrative, html, xhtml, display, 概要, Summary

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. MedicationRequest.contained

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Short Contained, inline Resources (リソース内リソース)

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources, 内包リソース, CContained

14. MedicationRequest.extension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short Additional content defined by implementations (要素の拡張)

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control 0..*

Is Modifier false

Summary false

Alternate Names 拡張, Extension, extensions, user content

This element introduces a set of slices on MedicationRequest.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

16. MedicationRequest.extension:preparation

Slice Name preparation

Definition

薬剤単位の調剤結果

Short 調剤結果

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(JP Core MedicationDispense Preparation Extension) (Extension Type: Choice of: string, CodeableConcept)

Is Modifier false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

18. MedicationRequest.modifierExtension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short ExtensionExtensions that cannot be ignored

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Names extensions, user content

20. MedicationRequest.identifier

Definition

このインスタンスが外部から参照されるために使われるIDである。処方箋全体としてのIDとしては使用しない。処方箋内で同一の用法をまとめて表記されるRp番号はこのIdentifier elementの別スライスで表現する。それ以外に任意のIDを付与してもよい。このIDは業務手順によって定められた処方オーダに対して、直接的なURL参照が適切でない場合も含めて関連付けるために使われる。この業務手順のIDは実施者によって割り当てられたものであり、リソースが更新されたりサーバからサーバに転送されたとしても固定のものとして存続する。

Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

Short External ids for this request (識別子)

Comments

これは業務IDであって、リソースに対するIDではない。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 20..*

Is Modifier false

Summary false

Alternate Names 識別子, Identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

22. MedicationRequest.identifier:rpNumber

Slice Name rpNumber

Definition

処方箋内で同一用法の薬剤を慣用的にまとめて、Rpに番号をつけて剤グループとして一括指定されることがある。このスライスでは剤グループに対して割り振られたRp番号を記録する。

Short 処方箋内部の剤グループとしてのRp番号External ids for this request

Comments

剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1*

Is Modifier false

Summary false

Alternate Names Rp番号, Rp Number

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

24. MedicationRequest.identifier:rpNumber.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Alternate Names Rp番号ID, Rp Number ID

26. MedicationRequest.identifier:rpNumber.extension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names Rｐ番号の拡張, Rp Number extension, extensions, user content

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

28. MedicationRequest.identifier:rpNumber.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

30. MedicationRequest.identifier:rpNumber.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

32. MedicationRequest.identifier:rpNumber.system

Definition

ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short Rp番号(剤グループ番号)についてのsystem値The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alternate Names Rp番号のコード体系, Rp Number code system

Fixed Value urn:oid:1.2.392.100495.20.3.81

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

34. MedicationRequest.identifier:rpNumber.value

Definition

Rp番号(剤グループ番号)。"1"など。

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Rp番号(剤グループ番号)The value that is unique

Comments

value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names Rp番号, Rp Number value

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

36. MedicationRequest.identifier:rpNumber.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

38. MedicationRequest.identifier:rpNumber.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

40. MedicationRequest.identifier:orderInRp

Slice Name orderInRp

Definition

同一剤グループでの薬剤を表記する際の順番。XML形式と異なりJSON形式の場合、表記順は項目の順序を意味しない。したがって、薬剤の記載順を別に規定する必要があるためIDを用いて表現する。

Short 同一RP番号（剤グループ）での薬剤の表記順External ids for this request

Comments

同一剤グループ内での薬剤の順番を1から順の番号で示す。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1*

Is Modifier false

Summary false

Alternate Names Rp番号の表記順, Order in Rp

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

42. MedicationRequest.identifier:orderInRp.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Alternate Names Rp番号の表記順ID, Order in Rp ID

44. MedicationRequest.identifier:orderInRp.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names Rp番号の表記順の拡張, Extension of order in Rp, extensions, user content

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

46. MedicationRequest.identifier:orderInRp.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

48. MedicationRequest.identifier:orderInRp.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

50. MedicationRequest.identifier:orderInRp.system

Definition

剤グループ内番号の名前空間を識別するURI。固定値urn:oid:1.2.392.100495.20.3.82

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short RP番号内（剤グループ内）の連番を示すsystem値The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alternate Names Rp番号の表記順のコード体系, Code system of order in Rp

Fixed Value urn:oid:1.2.392.100495.20.3.82

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

52. MedicationRequest.identifier:orderInRp.value

Definition

剤グループ内連番。

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short RP番号内（剤グループ内）の連番The value that is unique

Comments

value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names Rp番号の表記順番号, Value of order in Rp

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

54. MedicationRequest.identifier:orderInRp.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

56. MedicationRequest.identifier:orderInRp.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

58. MedicationRequest.identifier:requestIdentifierCommon

Slice Name requestIdentifierCommon

Definition

薬剤をオーダする単位としての処方箋に対するID。MedicationRequestは単一の薬剤でインスタンスが作成されるが、それの集合としての処方箋のID。system 要素には、保険医療機関番号を含む処方箋ID（urn:oid:1.2.392.100495.20.3.11.1[保険医療機関コード(10 桁)]）を指定する。全国で⼀意になる発番ルールにもとづく場合には urn:oid:1.2.392.100495.20.3.11 とする。

Short 処方箋に対するIDExternal ids for this request

Comments

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. MedicationRequest.identifier:requestIdentifierCommon.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..1

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

62. MedicationRequest.identifier:requestIdentifierCommon.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value urn:oid:1.2.392.100495.20.3.11

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

64. MedicationRequest.identifier:requestIdentifierCommon.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

66. MedicationRequest.identifier:requestIdentifier

Slice Name requestIdentifier

Definition

薬剤をオーダする単位としての処方依頼に対するID。MedicationRequestは単一の薬剤でインスタンスが作成される。

Short 処方オーダに対するIDExternal ids for this request

Comments

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Is Modifier false

Summary false

Alternate Names 処方オーダーID, Request Identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

68. MedicationRequest.identifier:requestIdentifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

70. MedicationRequest.identifier:requestIdentifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

72. MedicationRequest.identifier:requestIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

74. MedicationRequest.identifier:requestIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

76. MedicationRequest.identifier:requestIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

78. MedicationRequest.identifier:requestIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

80. MedicationRequest.identifier:requestIdentifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

82. MedicationRequest.identifier:requestIdentifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

84. MedicationRequest.identifier:emr

Slice Name emr

Definition

Short External ids for this request (電子カルテの識別子)

Comments

これは業務IDであって、リソースに対するIDではない。

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

86. MedicationRequest.identifier:emr.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

88. MedicationRequest.identifier:emr.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

90. MedicationRequest.identifier:emr.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

92. MedicationRequest.identifier:emr.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier (識別子の種類)

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Alternate Names 種類, Type

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

94. MedicationRequest.identifier:emr.type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

96. MedicationRequest.identifier:emr.type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

98. MedicationRequest.identifier:emr.type.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (識別子のコード)

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names コード, Coding

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

100. MedicationRequest.identifier:emr.type.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept (識別子のテキスト)

Comments

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

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Alternate Names テキスト, Text

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

102. MedicationRequest.identifier:emr.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value (識別子のネームスペース)

Comments

Identifier.system is always case sensitive.

Control 10..1

Binding The codes SHALL be taken from For codes, see Fujitsu Internal Identifier URI
(required to http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alternate Names ネームスペース, System

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

104. MedicationRequest.identifier:emr.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short 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]

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 値, Value

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

106. MedicationRequest.identifier:emr.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

108. MedicationRequest.identifier:emr.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

110. MedicationRequest.status

Definition

オーダの現在の状態を示すコード。一般的には active か completed の状態であるだろう。

A code specifying the current state of the order. Generally, this will be active or completed state.

Comments

このエレメントはmodifierとされている。StatusとはこのResourceが現在妥当な状態ではないことも示すからである。

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Control 1..1

The codes SHALL be taken from medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1)

A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

Is Modifier true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 状態, Status

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

112. MedicationRequest.intent

Definition

投薬指示の意図が提案(proposal)、計画(plan)、あるいは他の要求によるものかを示す。

Whether the request is a proposal, plan, or an original order.

Comments

処方をオーダする場合、MedicationRequestのどの段階でオーダしたのかについて、この項目を指定することが期待される。たとえば、proposalであれば患者、関係者、医師あるいは機器からの提案として作成される。"plan"であれば、医師、患者、関係者そして機器からの提案として生成される。"original-order"は医師にしか作成できない。

instance-orderはリクエストあるいはオーダをインスタンス化する段階であり、MedicationAdministrationレコードにも使われる。

intentはこのresourceが実際に適応される時に変化するため、このエレメントはmodifierとしてラベルされる。

It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.

An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.

This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

Control 1..1

The codes SHALL be taken from medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
(required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1)

The kind of medication order.

Is Modifier true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 意図, Intent

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

114. MedicationRequest.priority

Definition

このMedicationRequestオーダの優先度。他のオーダと比較して表現される。

Indicates how quickly the Medication Request should be addressed with respect to other requests.

Short オーダの優先度routine | urgent | asap | stat

Comments

FHIRでは文字列の大きさが1MBを超えてはならない(SHALL NOT)。

Control 0..01

The codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1
(required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

Identifies the level of importance to be assigned to actioning the request.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

116. MedicationRequest.doNotPerform

Definition

このオーダが実施していけないものであればTrueを表示される

If true indicates that the provider is asking for the medication request not to occur.

Short 要求が禁止された行為であればTrueTrue if request is prohibiting action

Comments

もし、doNotPerformに指定がなければ、オーダは実施してもよいものである。(たとえば、「実施せよ」)

If do not perform is not specified, the request is a positive request e.g. "do perform".

Control 0..01

Is Modifier true because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

118. MedicationRequest.medication[x]

Definition

Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.

投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。

Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

Short Medication to be taken (医薬品コードと医薬品名称)

Comments

If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。

厚生労働省標準であるHOT9コード（販社指定が不要な場合にはHOT7コード）または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素（コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる）で記述する。

なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位（最少包装単位、個別包装単位）14桁を使用する。

ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード（ハウスコード、ローカルコード）の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。

If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

Control 1..1

Binding The codes SHOULD be taken from For example codes, see JP Core MedicationCode HOT9 ValueSethttp://hl7.org/fhir/ValueSet/medication-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)

Type CodeableConcept, Reference(Medication)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 医薬品, Medication

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
fujitsu-4: Medication Code or Data Absent Reason (coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason'))

120. MedicationRequest.medication[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

122. MedicationRequest.medication[x].extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.medication[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

124. MedicationRequest.medication[x].coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 医薬品コード定義, Medication code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.medication[x].coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

126. MedicationRequest.medication[x].coding:YJ

Slice Name YJ

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see JP Core Medication YJ ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names YJコード定義, YJ code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

128. MedicationRequest.medication[x].coding:YJ.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

130. MedicationRequest.medication[x].coding:YJ.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

132. MedicationRequest.medication[x].coding:YJ.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, YJ code system

Fixed Value urn:oid:1.2.392.100495.20.1.73

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

134. MedicationRequest.medication[x].coding:YJ.version

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Short Version of the system - if relevant

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

136. MedicationRequest.medication[x].coding:YJ.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, YJ code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

138. MedicationRequest.medication[x].coding:YJ.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, YJ code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

140. MedicationRequest.medication[x].coding:YJ.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

142. MedicationRequest.medication[x].coding:HOT9

Slice Name HOT9

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see JP Core MedicationCode HOT9 ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names HOT9コード定義, HOT9 code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

144. MedicationRequest.medication[x].coding:HOT9.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

146. MedicationRequest.medication[x].coding:HOT9.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

148. MedicationRequest.medication[x].coding:HOT9.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, HOT9 code system

Fixed Value urn:oid:1.2.392.200119.4.403.1

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

150. MedicationRequest.medication[x].coding:HOT9.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

152. MedicationRequest.medication[x].coding:HOT9.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, HOT9 code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

154. MedicationRequest.medication[x].coding:HOT9.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, HOT9 code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

156. MedicationRequest.medication[x].coding:HOT9.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

158. MedicationRequest.medication[x].coding:US

Slice Name US

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..1*

Binding Unless not suitable, these codes SHALL be taken from For codes, see https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
(extensible to https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion)

Is Modifier false

Summary true

Requirements

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

Alternate Names USコード, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

160. MedicationRequest.medication[x].coding:US.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

162. MedicationRequest.medication[x].coding:US.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

164. MedicationRequest.medication[x].coding:US.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, US code system

Fixed Value http://www.nlm.nih.gov/research/umls/rxnorm

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

166. MedicationRequest.medication[x].coding:US.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

168. MedicationRequest.medication[x].coding:US.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

170. MedicationRequest.medication[x].coding:US.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (医薬品の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, US code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

172. MedicationRequest.medication[x].coding:US.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

174. MedicationRequest.medication[x].coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Alternate Names データ欠損理由コード定義, Data loss reason code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

176. MedicationRequest.medication[x].coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

178. MedicationRequest.medication[x].coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

180. MedicationRequest.medication[x].coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, Data loss reason code system

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

182. MedicationRequest.medication[x].coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

184. MedicationRequest.medication[x].coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, Data loss reason code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

186. MedicationRequest.medication[x].coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, Data loss reason code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

188. MedicationRequest.medication[x].coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

190. MedicationRequest.medication[x].text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)

Comments

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 医薬品の概念説明, Explanation of medication concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

192. MedicationRequest.subject

Definition

JP Coreでは患者を表すPatientリソースへの参照。一般には薬剤が投与される対象となる人（あるいはグループ)を表現するResourceに対するリンク。

A link to a resource representing the person or set of individuals to whom the medication will be given.

Short Who received medication (患者)Who or group medication request is for

Comments

処方オーダの対象は必須項目である。二次利用のためにどこに実際の対象がいるのかについての情報は提供されない。特定の対象に対して匿名化することも必要である。

The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.

Control 1..1

Type Reference(Fujitsu Patient Profile, Patient, Group)

Is Modifier false

Summary true

Alternate Names 患者, Patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

194. MedicationRequest.subject.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

196. MedicationRequest.subject.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

198. MedicationRequest.subject.reference

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 参照患者, Patient reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

200. MedicationRequest.subject.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Short Type the reference refers to (e.g. "Patient")

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

202. MedicationRequest.subject.identifier

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 患者識別子, Patient identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

204. MedicationRequest.subject.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

206. MedicationRequest.encounter

Definition

JP Coreでの使用は規定されていない。この対象となるリソース[x]が作成される間やこの記録が作成される対象のencounterは密接に関連している。

The Encounter during which this [x] was created or to which the creation of this record is tightly associated.

Short 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)

Comments

このエレメントは一般的には外来でのイベントに対応するが、診察が公式に終わる前や後にこの診察についてのコンテキストに対応して開始される活動についても対応する。もし、診療のエピソードに関連させる必要があれば、extensionとして扱われることがある。

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.

Control 10..1

Type Reference(Fujitsu Encounter Profile, Encounter)

Is Modifier false

Summary false

Alternate Names 入外区分, Encounter

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

208. MedicationRequest.encounter.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

210. MedicationRequest.encounter.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.encounter.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

212. MedicationRequest.encounter.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 入外区分の参照, Encounter reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

214. MedicationRequest.encounter.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

216. MedicationRequest.encounter.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 入外区分の識別子, Encounter identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

218. MedicationRequest.encounter.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

220. MedicationRequest.supportingInformation

Definition

薬剤をオーダするときに補助的となる追加情報（たとえば、患者の身長や体重））を含む。

Include additional information (for example, patient height and weight) that supports the ordering of the medication.

Short 薬剤オーダについて補助的情報Information to support ordering of the medication

Comments

参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ／リポジトリから参照することができるかである。

Control 0..0*

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

222. MedicationRequest.authoredOn

Definition

JP Coreでは必須。処方指示が最初に作成された日時。秒の精度まで記録する。タイムゾーンも付与しなければならない。

The date (and perhaps time) when the prescription was initially written or authored on.

Short この処方オーダが最初に記述された日When request was initially authored

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 作成日時, Creation datetime

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

224. MedicationRequest.requester

Definition

JP Coreではこのエレメントに対する規定はない。このオーダを発行した責任のある人、組織、機器。

The individual, organization, or device that initiated the request and has responsibility for its activation.

Short Who/What requested the Request (医師や医療機関)

Comments

Control 0..1

Type Reference(Fujitsu Practitioner Profile, Fujitsu PractitionerRole Profile, Fujitsu Organization Profile, Fujitsu Patient Profile, RelatedPerson, Device, Practitioner, PractitionerRole, Organization, Patient)

Is Modifier false

Summary true

Alternate Names 依頼者, Requester

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

226. MedicationRequest.requester.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

228. MedicationRequest.requester.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.requester.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

230. MedicationRequest.requester.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 依頼者の参照, Requester reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

232. MedicationRequest.requester.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

234. MedicationRequest.requester.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 依頼者の識別子, Requester identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

236. MedicationRequest.requester.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

238. MedicationRequest.performer

Definition

薬物治療を実施すると予定された者。（たとえば、薬剤投与を行った者）

The specified desired performer of the medication treatment (e.g. the performer of the medication administration).

Short 薬剤投与・管理を行った者Intended performer of administration

Comments

Control 0..01

Type Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, JP Core Patient Profile, Device, RelatedPerson, CareTeam, Practitioner, PractitionerRole, Organization, Patient)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

240. MedicationRequest.performerType

Definition

薬剤の投与・管理を行った職種を示す。

Indicates the type of performer of the administration of the medication.

Short 薬剤投与を行った職種Desired kind of performer of the medication administration

Comments

Performerを示さずにこのエレメントが指定された場合は、このエレメントは薬剤の投与／管理が指定の職種でなければならないと言うことを示している。Performerと共に指定された場合は、もし指定されたPerformerが実施できない場合に薬剤投与・管理を行うものについての要件が示されたことを意味する。

If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.

Control 0..01

Binding For example codes, see JP Core PractitionerRole ValueSethttp://hl7.org/fhir/ValueSet/performer-role
(example to http://jpfhir.jp/fhir/core/ValueSet/JP_PractitionerRole_VS)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

242. MedicationRequest.recorder

Definition

JP Coreではこのエレメントに対する規定はない。たとえば口答指示や電話でのオーダにより、他の人の代理で処方を入力した人。

The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.

Short 投薬オーダの入力者Person who entered the request

Comments

Control 0..01

Type Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, Practitioner, PractitionerRole)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

244. MedicationRequest.reasonCode

Definition

このエレメントに対するJP Coreの規定はない。薬剤をオーダするあるいはしないことを示した理由。

The reason or the indication for ordering or not ordering the medication.

Short Reason or indication for ordering or not ordering the medication (処方理由のコード)

Comments

このエレメントは病名コードであってもよい。もし、すべての条件を示す記録があって他の詳細な記録が必要であれば、reasonReferenceを使用すること。

This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.

Control 0..*

For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code
(example to http://hl7.org/fhir/ValueSet/condition-code)

A coded concept indicating why the medication was ordered.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

246. MedicationRequest.reasonReference

Definition

薬剤がなぜオーダされたのかを説明する条件や観察。

Condition or observation that supports why the medication was ordered.

Short Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)

Comments

薬剤オーダの理由を示すこれは条件や観察についての参照である。もし、コードだけであればreasonCodeを使用すること。

This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.

Control 0..*

Type Reference(Fujitsu Condition Profile, Fujitsu Observation Common Profile, Condition, Observation)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

248. MedicationRequest.reasonReference.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

250. MedicationRequest.reasonReference.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.reasonReference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

252. MedicationRequest.reasonReference.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

254. MedicationRequest.reasonReference.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

256. MedicationRequest.reasonReference.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

258. MedicationRequest.reasonReference.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

260. MedicationRequest.instantiatesCanonical

Definition

このMedicationRequestの一部あるいは全部が遵守するprotocolやguideline, ordersetなど他の定義を示すURL。

The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.

Short FHIRプロトコルまたは定義のインスタンスInstantiates FHIR protocol or definition

Comments

Canonical Referencesを参照すること。

Control 0..0*

canonical

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

262. MedicationRequest.instantiatesUri

Definition

このMedicationRequestの一部あるいは全部が遵守するprotocolやguideline, ordersetなど他の定義を示すURL。

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.

Short 外部プロトコルまたは定義のインスタンスInstantiates external protocol or definition

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 0..0*

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

264. MedicationRequest.basedOn

Definition

このMedicationRequestの全部あるいは一部を満たす計画やオーダ。

A plan or request that is fulfilled in whole or in part by this medication request.

Short オーダが実施される根拠What request fulfills

Comments

Control 0..0*

Type Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

266. MedicationRequest.groupIdentifier

Definition

一人の処方者が同時期に前後して作成した全てのリクエストに共通するIDで、処方や薬品請求のIDを示す。

A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.

Short このRequestを一部とする複数のオーダを構成するIDComposite request this is part of

Control 0..01

Is Modifier false

Summary true

Requirements

リクエストは"basedOn"での関連付け（たとえば、あるリクエストが他のリクエストを満たす）か、あるいは共通の請求伝票に書かれているを示すことで関連付けられる。同じ請求伝票にあるリクエストは最初に作成されてからは変更や維持などについては独立したものと見なされる。

Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

268. MedicationRequest.courseOfTherapyType

Definition

患者が内服する薬剤についての管理の全体的なパターンについての記載。

The description of the overall patte3rn of the administration of the medication to the patient.

Short 薬剤投与の全体的なパターンOverall pattern of medication administration

Comments

この属性は薬剤プロトコールと混同してはならない。

This attribute should not be confused with the protocol of the medication.

Control 0..01

For example codes, see medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
(example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy)

Identifies the overall pattern of medication administratio.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

270. MedicationRequest.insurance

Definition

リクエストされたサービスについて支払いが求め裸得ることになる、保険のプランや適応範囲の拡大、事前の権限付与、かつ/または事前の判定。

Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.

Short 適用される保険Associated insurance coverage

Comments

Control 0..0*

Type Reference(JP Core Coverage Profile, ClaimResponse, Coverage)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

272. MedicationRequest.note

Definition

他の属性では伝えることができなかったMedicationRequestについての付加的情報。

Extra information about the prescription that could not be conveyed by the other attributes.

Short 薬剤単位の備考Information about the prescription

Comments

構造化されたアノテーションが内システムでは、作成者や記録時間のない一つのアノテーションで情報を伝達している。このエレメントに情報の修正を要する可能性があるためにナラティブな情報も必要としている。Annotationsには機械処理が可能で修正される（"modifying")情報を伝達することに使うべきではない(SHOULD NOT)。これがSHOULDである理由はユーザの行動を強制することはほぼ不可能であるからである。

Control 0..0*

Annotation

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

274. MedicationRequest.dosageInstruction

Definition

薬の服用方法・服用した方法、または服用すべき方法

Indicates how the medication is to be used by the patient.

Short How the medication should be taken (用法や投与量を含む処方指示)

Comments

There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.

Control 10..1*

Type Dosage(JP Core MedicationDosage DataType)

Is Modifier false

Alternate Names 処方指示, Dosage instruction

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

276. MedicationRequest.dosageInstruction.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

278. MedicationRequest.dosageInstruction.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names 処方指示の拡張, Dosage instrauction extension, extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

280. MedicationRequest.dosageInstruction.extension:periodOfUse

Slice Name periodOfUse

Definition

MedicationRequestの投与期間の開始日を明示するための拡張

Short Period of use(服用開始日)

Control 0..1

Type Extension(JP Core Medication Dosage PeriodOfUse Extension) (Extension Type: Period)

Is Modifier false

Summary false

Alternate Names 服用期間, Period of use

282. MedicationRequest.dosageInstruction.extension:usageDuration

Slice Name usageDuration

Definition

隔日投与などで実投与日数と処方期間が異なる場合に用いられる。

Short 実投与日数

Control 0..1

Type Extension(JP Core Medication Dosage UsageDuration Extension) (Extension Type: Duration)

Is Modifier false

Summary false

Alternate Names 実投与日数, Usage Duration

284. MedicationRequest.dosageInstruction.modifierExtension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short ExtensionExtensions that cannot be ignored even if unrecognized

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

286. MedicationRequest.dosageInstruction.sequence

Definition

どの服用指示を適応するか判断するかについての順序を示したもの

Indicates the order in which the dosage instructions should be applied or interpreted.

Short 服用指示の順番The order of the dosage instructions

Comments

32 bitの数値。これ以上の値であれば10進数を使うこと。

Control 0..01

integer

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

もし、複数の服用法(Dosage)でsequenceの数値が同じであれば、その指示が同時に扱われることを示している。sequenceの数値が異なれば、服用指示(Dosage)の順番を意図している。

If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

288. MedicationRequest.dosageInstruction.text

Definition

投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。

Free text dosage instructions e.g. SIG.

Short 投与⽅法のテキスト表現Free text dosage instructions e.g. SIG

Comments

textエレメントはcodingのdisplayNameエレメントと一致することがよくある。

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。

Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.

Alternate Names 処方指示の概念説明, Explanation of dosage instruction

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

290. MedicationRequest.dosageInstruction.additionalInstruction

Definition

どのように薬剤を内服するかについての患者への補足指示（たとえば、「食事と一緒に」や「30分から1時間前に内服」）や薬剤についての注意書き（たとえば、「眠くなることがある」や「日光や紫外線が皮膚にあたららないようにすること」）

Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").

Short Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)

Comments

薬剤投与や調剤についての情報（たとえば、「腹膜内ポートに可能な限り迅速に注入」や「薬剤Xの直後に」）であり、dosage.textにも複製されるべきである。

Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.

Control 0..*

Binding The codes SHOULD be taken from For example codes, see JP Core Medication JAMI Additional Usage ValueSethttp://hl7.org/fhir/ValueSet/additional-instruction-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS)

Is Modifier false

Summary true

Requirements

補足指示はコード化されるように意図されているが、コードがない場合はエレメントはテキストだけで表現することができる。たとえば、「大量の水で服用する」という指示はコード化されていることもあれば、されていないことおある。

Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

292. MedicationRequest.dosageInstruction.additionalInstruction.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

294. MedicationRequest.dosageInstruction.additionalInstruction.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.additionalInstruction.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

296. MedicationRequest.dosageInstruction.additionalInstruction.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.additionalInstruction.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

298. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI

Slice Name JAMI

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法の補足情報を表すコード)

Comments

Control 0..1*

Binding The codes SHALL be taken from For codes, see JP Core Medication JAMI Additional Usage ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

300. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

302. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.additionalInstruction.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

304. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.system

Definition

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

Short Identity of the terminology system (用法の補足情報を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value urn:oid:1.2.392.200250.2.2.20.22

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

306. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

308. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法の補足情報を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

310. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の補足情報の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

312. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

314. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法の補足情報を表すコード)

Comments

Control 0..1*

Binding The codes SHALL be taken from For codes, see SNOMEDCTAdditionalDosageInstructions
(required to http://hl7.org/fhir/ValueSet/additional-instruction-codes)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

316. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

318. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

320. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.system

Definition

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

Short Identity of the terminology system (用法の補足情報を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

322. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

324. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法の補足情報を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

326. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の補足情報の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

328. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

330. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

332. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

334. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

336. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

340. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

342. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

344. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

346. MedicationRequest.dosageInstruction.additionalInstruction.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Comments

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

348. MedicationRequest.dosageInstruction.patientInstruction

Definition

患者あるいは消費者に理解してもらうための指示。

Instructions in terms that are understood by the patient or consumer.

Short 患者あるいは消費者向けの指示Patient or consumer oriented instructions

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

350. MedicationRequest.dosageInstruction.timing

Definition

投与日時

When medication should be administered.

Short When medication should be administered (服用タイミング)

Comments

Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events.

A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.

This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.

Control 10..1

Type Timing(JP Core Medication Timing DataType)

Is Modifier false

Requirements

The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

Alternate Names 服用タイミング, Administration timing

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

352. MedicationRequest.dosageInstruction.timing.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

354. MedicationRequest.dosageInstruction.timing.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

356. MedicationRequest.dosageInstruction.timing.modifierExtension

Definition

An Extension

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short ExtensionExtensions that cannot be ignored even if unrecognized

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

Requirements

Alternate Names extensions, user content, modifiers

358. MedicationRequest.dosageInstruction.timing.event

Definition

服用タイミングを具体的な日時で指定する場合に使用する

Identifies specific times when the event occurs.

Short 服用もしくは注射を行なうタイミングを示す時刻When the event occurs

Control 0..0*

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

360. MedicationRequest.dosageInstruction.timing.repeat

Definition

イベントがスケジュールされたルールについての記述。

A set of rules that describe when the event is scheduled.

Short When the event is to occur (定時用法)

Control 0..1

Is Modifier false

Summary true

Requirements

スケジュールされたタイミングの多くは規則的な繰り返しで決定されている。

Many timing schedules are determined by regular repetitions.

Alternate Names 定時用法, Regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())

362. MedicationRequest.dosageInstruction.timing.repeat.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

364. MedicationRequest.dosageInstruction.timing.repeat.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

366. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]

Definition

服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。

Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

Short 服用・注射開始日から服用・注射終了日までの全日数Length/Range of lengths, or (Start and/or end) limits

Control 0..1

Type Duration, Period, Range

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 定時用法の繰り返し期間, Repeated period of regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:

type @ $this

368. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration

Slice Name boundsDuration

Definition

服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。

Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

Short Length/Range of lengths, or (Start and/or end) limits (定時用法)

Control 0..1

Type Duration, Period, Range

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 定時用法の繰り返し期間, Repeated period of regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

370. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

372. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

374. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value

Definition

投薬日数

The value of the measured amount. The value includes an implicit precision in the presentation of the value.

Short Numerical value (with implicit precision) (日数)

Comments

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 定時用法の繰り返し期間, Repeated period of regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

376. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator

Definition

How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

Short < | <= | >= | > - how to understand the value

Control 0..01

The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Is Modifier true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

378. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit

Definition

投薬日数の単位文字列。日で固定される

A human-readable form of the unit.

Short Unit representation (日数の単位)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Alternate Names 単位, Unit, 定時用法の繰り返し期間単位, Unit of repeated period of regular usage

Fixed Value 日

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

380. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system

Definition

単位コード UCUMを識別するURI。固定値。

The identification of the system that provides the coded form of the unit.

Short System that defines coded unit form (単位形式を定義するコード体系)

Control 10..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to know the system that defines the coded form of the unit.

Alternate Names 単位のコードシステム, System, 定時用法の繰り返し期間単位コード体系, Unit code system of repeated period of regular usage

Fixed Value http://unitsofmeasure.org

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

382. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code

Definition

単位コードUCUMにおける投与日数の単位。dで固定される。

A computer processable form of the unit in some unit representation system.

Short Coded form of the unit (単位を表すコード値)

Comments

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 定時用法の繰り返し期間単位コード, Unit code of repeated period of regular usage

Fixed Value d

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

384. MedicationRequest.dosageInstruction.timing.repeat.count

Definition

Timing仕様の全てにおいて、特定の期間に繰り返されるように指定された総回数。もし、countMaxが設定されていれば、このエレメントは許容される最低限度の回数を示す。

A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.

Short 繰り返し服用もしくは注射回数Number of times to repeat

Comments

回数に上限、下限の範囲がある場合は、このcountで示される回数が起きるまでは、エレメントは範囲の中にあると解釈されるべきである。

If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Repetitions may be limited by end time or total occurrences.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

386. MedicationRequest.dosageInstruction.timing.repeat.countMax

Definition

このエレメントが設定されている場合は、回数に範囲があることを示している。したがって、[count]から[countmax]までの回数で繰り返される。

If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.

Short 繰り返しの最大回数Maximum number of times to repeat

Comments

32bit整数。もし、値がこれを超える場合はdecimalで記録される。

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

388. MedicationRequest.dosageInstruction.timing.repeat.duration

Definition

投与されるタイミングが発生している時間。もし、durationMaxが設定されていれば、このエレメントは許容される継続時間の下限を示す。

How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.

Short 継続時間How long when it happens

Comments

継続時間はイベントの定義の一部（たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部（たとえば、運動）として示されることもある。

For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

アクティビティによっては即時的なものではなく、その期間において維持される必要がある。

Some activities are not instantaneous and need to be maintained for a period of time.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

390. MedicationRequest.dosageInstruction.timing.repeat.durationMax

Definition

もし、このエレメントに値が設定されていれば、durationには範囲があることを示している。したがって、[duration]から[durationMax]までの継続時間の範囲で投与される。

If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.

Short 継続時間(最大値)How long when it happens (Max)

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

アクティビティによっては即時的なものではなく、その期間において維持される必要がある。

Some activities are not instantaneous and need to be maintained for a period of time.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

392. MedicationRequest.dosageInstruction.timing.repeat.durationUnit

Definition

UCUM単位で表される継続時間についての単位。

The units of time for the duration, in UCUM units.

Short s | min | h | d | wk | mo | a - unit of time (UCUM)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..01

The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
(required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

A unit of time (units from UCUM).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

394. MedicationRequest.dosageInstruction.timing.repeat.frequency

Definition

特定の期間に繰り返して発生した行為の回数。もし、frequencyMaxが設定されていれば、このエレメントはfrequencyとして認められた下限を示す。

The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.

Short 期間内にイベントが発生する回数、頻度Event occurs frequency times per period

Comments

32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Meaning if Missing If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

396. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax

Definition

このエレメントに値が設定されていれば、frequencyには範囲が指定されている。つまり、期間あるいは期間の範囲内に[frequency]から[frequencyMax]回繰り返されることを示している。

If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.

Short 期間内にイベントが発生する最大回数、最大頻度Event occurs up to frequencyMax times per period

Comments

32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

398. MedicationRequest.dosageInstruction.timing.repeat.period

Definition

繰り返し投与が行われる期間を示す。たとえば、「1日3回」であれば、3は繰り返しの頻度(frequency)であり、「1日」が期間(period)である。もし、periodMaxに値が設定されていれば、このエレメントは期間として認められた範囲の下限を示す。

Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.

Short イベントが発生する頻度に対応する期間Event occurs frequency times per period

Comments

IEEEの浮動小数点型を使わずに、小数点も含むdecimal型のようなものを利用すること（たとえばJavaのBigInteger)。

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

400. MedicationRequest.dosageInstruction.timing.repeat.periodMax

Definition

もし、この値が設定されていれば、期間は[period]から[periodMax]までであることを示し、「3-5日に1回投与」のような表現が認められる。

If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.

Short 期間の上限（3-4時間）Upper limit of period (3-4 hours)

Comments

IEEEの浮動小数点型を使わずに、小数点の制度も示すdecimal型のようなものを利用すること（たとえばJavaのBigInteger)。

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

402. MedicationRequest.dosageInstruction.timing.repeat.periodUnit

Definition

期間を表すUCUM単位。

The units of time for the period in UCUM units.

Short s | min | h | d | wk | mo | a - unit of time (UCUM)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..01

The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
(required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

A unit of time (units from UCUM).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

404. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek

Definition

期間として1週間以上が指定されていれば、指定された曜日のみで投与が行われる。

If one or more days of week is provided, then the action happens only on the specified day(s).

Short mon | tue | wed | thu | fri | sat | sun

Comments

曜日が指定されていなければ、他に指定された日には毎日投与されると想定される。frequencyとperiodエレメントはdayOfWeekと同じように使うことはできない。

If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.

Control 0..0*

Binding The codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
(required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

406. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay

Definition

一日の間で指定された投与される時刻。

Specified time of day for action to take place.

Short 一日の間で投与される時刻Time of day for action

Comments

もし、このtimeOfDayに値が指定されていれば、毎日（daysOfWeekでフィルタされた曜日の）指定された時刻に投与されると推定される。whenやfrequency, periodエレメントはtimeOfDayとは同様に使うことはできない。

When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.

Control 0..0*

time

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

408. MedicationRequest.dosageInstruction.timing.repeat.when

Definition

一日の間のおおよその時間帯で投与すべきタイミングを示す。日常のイベントに関連付けられていることもある。

An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.

Short 投薬期間についてのコードCode for time period of occurrence

Comments

一つ以上のイベントが記載されている場合、そのイベントは特定のイベントの組み合わせと結びついている。

When more than one event is listed, the event is tied to the union of the specified events.

Control 0..0*

The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1
(required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

Real world event relating to the schedule.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

タイミングはしばしば起床や食事、睡眠などのできごとによってしばしば決定されている。

Timings are frequently determined by occurrences such as waking, eating and sleep.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

410. MedicationRequest.dosageInstruction.timing.repeat.offset

Definition

イベントからの時間(分)。もし、分で示される時間がイベントのコードが前か後かを示していない場合、offsetはイベントの後であることが想定される。

The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.

Short イベントからの時間(分、前後）Minutes from event (before or after)

Comments

32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。

Control 0..01

unsignedInt

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

412. MedicationRequest.dosageInstruction.timing.code

Definition

スケジュール上のタイミングを表すコード（あるいはcode.text内のテキスト）。BID(1日2回)のようなコードはどこにでもあるが、多くの医療機関は付加的なコードを定義している。もし、コードが示されていれば、構造化されたタイミングで完全に示されたデータであると解釈され、コードまたはTimingを解釈するためのデータであると解釈される。しかし、例外的に.repeat.bounds（コードは含まれない)はコードを上書きして適用される。

A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).

Short BID | TID | QID | AM | PM | QD | QOD | +

Comments

BIDなどは「施設特有の時間」として定義される。たとえば、施設がBIDを「つねに朝7時と夕方6時」であると指定することがある。この指定が不適切であれば、BIDというコードは使うべきではない。その代わり、HL7が定義したBIDのコードではなく、その施設特有のコードで明示的に示すべきであり、構造化された表現を使うべきである（この場合、2回のイベントの時刻を指定する必要がある）。
【JP Core仕様】JAMI標準用法コード(16桁)を使用することが望ましいが、ローカルコードも使用可能。

BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).

Control 0..1

Binding The codes SHOULD be taken from JP Core Medication JAMI Usage ValueSethttp://hl7.org/fhir/ValueSet/timing-abbreviation
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS)

Is Modifier false

Summary true

Alternate Names 服薬タイミングコード, Administration timing code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

414. MedicationRequest.dosageInstruction.timing.code.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

416. MedicationRequest.dosageInstruction.timing.code.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

418. MedicationRequest.dosageInstruction.timing.code.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 服薬タイミングコード定義, Administration timing code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.code.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

420. MedicationRequest.dosageInstruction.timing.code.coding:JAMI

Slice Name JAMI

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法を表すコード)

Comments

Control 0..1*

Binding The codes SHALL be taken from For codes, see JP Core Medication JAMI Usage ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names JAMIコード定義, JAMI code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

422. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

424. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.code.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

426. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.system

Definition

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

Short Identity of the terminology system (用法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, JAMI code system

Fixed Value urn:oid:1.2.392.200250.2.2.20

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

428. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

430. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, JAMI code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

432. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, JAMI code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

434. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

436. MedicationRequest.dosageInstruction.timing.code.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法を表すコード)

Comments

Control 0..1*

Binding The codes SHOULD be taken from For codes, see TimingAbbreviation
(preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)

Is Modifier false

Summary true

Requirements

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

Alternate Names USコード定義, US code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

438. MedicationRequest.dosageInstruction.timing.code.coding:USCode.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

440. MedicationRequest.dosageInstruction.timing.code.coding:USCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

442. MedicationRequest.dosageInstruction.timing.code.coding:USCode.system

Definition

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

Short Identity of the terminology system (用法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, US code system

Fixed Value http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

444. MedicationRequest.dosageInstruction.timing.code.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

446. MedicationRequest.dosageInstruction.timing.code.coding:USCode.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

448. MedicationRequest.dosageInstruction.timing.code.coding:USCode.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, US code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

450. MedicationRequest.dosageInstruction.timing.code.coding:USCode.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

452. MedicationRequest.dosageInstruction.timing.code.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

454. MedicationRequest.dosageInstruction.timing.code.coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

456. MedicationRequest.dosageInstruction.timing.code.coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

458. MedicationRequest.dosageInstruction.timing.code.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

460. MedicationRequest.dosageInstruction.timing.code.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

462. MedicationRequest.dosageInstruction.timing.code.coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

464. MedicationRequest.dosageInstruction.timing.code.coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

466. MedicationRequest.dosageInstruction.timing.code.coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

468. MedicationRequest.dosageInstruction.timing.code.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Comments

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names USコードの概念説明, Explanation of US code concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

470. MedicationRequest.dosageInstruction.asNeeded[x]

Definition

【JP Core仕様】頓用型の用法を指定する場合に”true”を指定し、そのコードを指定する場合は用法コードとして指定する。 Medication(薬剤)が必要なときに指定された量とスケジュールのみで投薬するか（Booleanで選択される）、投薬する前提条件はTiming.Code(CodeableConcept)を示している。

Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).

Short 「頓用」指示Take "as needed" (for x)

Comments

Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".

Control 0..01

Type boolean, CodeableConcept

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

472. MedicationRequest.dosageInstruction.site

Definition

投与される身体部位。外用薬で部位を指定する場合に使用する。

Body site to administer to.

Short 投与される身体部位Body site to administer to

Comments

もし、BodySite resourceの属性が必要な場合(たとえば、部位の指定や別々に投与経路を設定する場合)は、bodySiteの標準拡張を使うこと。要約コードや非常に正確な位置の定義へのreferenceを使用することもできる。
【JP Core仕様】JAMI外用部位３桁コードを使用することが望ましいが、ローカルコードも使用可能。

If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

Control 0..01

Binding The codes SHOULD be taken from For example codes, see JP Core Medication JAMI External Body Site ValueSethttp://hl7.org/fhir/ValueSet/approach-site-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

474. MedicationRequest.dosageInstruction.route

Definition

投与経路

How drug should enter body.

Short 投与経路How drug should enter body

Comments

投与経路の一般的パターンに全てのターミノロジが適応しているわけではない。情報モデルはCodeableConceptではなく、直接Codingをを使用してテキストやコーディング、翻訳、そしてエレメントと事前条件、事後条件の関係について管理するためにその構造を提示する必要がある。
【JP Core仕様】HL7表0162をベースにした投与経路コードを使用することが望ましいが、ローカルコードも使用可能。

Control 0..01

Binding The codes SHOULD be taken from For example codes, see JP Core Medication HL70162-based Route ValueSethttp://hl7.org/fhir/ValueSet/route-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与経路, Dosage route

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

478. MedicationRequest.dosageInstruction.method

Definition

投与方法

Technique for administering medication.

Short Technique for administering medication (投与方法)

Comments

ターミノロジは投与する経路あるいは剤型をあらかじめ指定するために用いられる。

Terminologies used often pre-coordinate this term with the route and or form of administration.

Control 0..1

For example codes, see SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes
(example to http://hl7.org/fhir/ValueSet/administration-method-codes)

A coded concept describing the technique by which the medicine is administered.

Is Modifier false

Summary true

Requirements

コード化された値は体内に薬剤が投与される方法を示している。注射ではよく使われる。たとえば、緩徐に注入、深部に静注など。

A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.

Alternate Names 投与方法, Dosage method

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

480. MedicationRequest.dosageInstruction.method.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

482. MedicationRequest.dosageInstruction.method.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.method.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

484. MedicationRequest.dosageInstruction.method.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与方法コード定義, Dosage method code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.method.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

486. MedicationRequest.dosageInstruction.method.coding:unitDigit1

Slice Name unitDigit1

Definition

投与⽅法に対応するJAMI 用法コード表基本用法１桁コードを識別するURI。

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与方法を表すコード)

Comments

コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである（HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。

Control 0..1*

Binding The codes SHOULD be taken from For codes, see JP Core Medication JAMI Basic Usage Type ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS)

Is Modifier false

Summary true

Requirements

他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

488. MedicationRequest.dosageInstruction.method.coding:unitDigit1.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

490. MedicationRequest.dosageInstruction.method.coding:unitDigit1.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.method.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

492. MedicationRequest.dosageInstruction.method.coding:unitDigit1.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, Dosage method code system

Fixed Value urn:oid:1.2.392.200250.2.2.20.30

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

494. MedicationRequest.dosageInstruction.method.coding:unitDigit1.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

496. MedicationRequest.dosageInstruction.method.coding:unitDigit1.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, Dosage method code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

498. MedicationRequest.dosageInstruction.method.coding:unitDigit1.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (投与方法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, Dosage method code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

500. MedicationRequest.dosageInstruction.method.coding:unitDigit1.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

502. MedicationRequest.dosageInstruction.method.coding:unitDigit2

Slice Name unitDigit2

Definition

投与⽅法に対応するJAMI 用法コード表基本用法2桁コードを識別するURI。２桁コードurn:oid:1.2.392.200250.2.2.20.40

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与方法を表すコード)

Comments

Control 0..1*

Binding The codes SHOULD be taken from For codes, see JP Core Medication JAMI Detail Usage ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS)

Is Modifier false

Summary true

Requirements

他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

504. MedicationRequest.dosageInstruction.method.coding:unitDigit2.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

506. MedicationRequest.dosageInstruction.method.coding:unitDigit2.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

508. MedicationRequest.dosageInstruction.method.coding:unitDigit2.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value urn:oid:1.2.392.200250.2.2.20.40

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

510. MedicationRequest.dosageInstruction.method.coding:unitDigit2.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

512. MedicationRequest.dosageInstruction.method.coding:unitDigit2.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

514. MedicationRequest.dosageInstruction.method.coding:unitDigit2.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (投与方法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

516. MedicationRequest.dosageInstruction.method.coding:unitDigit2.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

518. MedicationRequest.dosageInstruction.method.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与方法を表すコード)

Comments

Control 0..*

Binding For example codes, see For codes, see SNOMEDCTAdministrationMethodCodes
(example to http://hl7.org/fhir/ValueSet/administration-method-codes)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

520. MedicationRequest.dosageInstruction.method.coding:USCode.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

522. MedicationRequest.dosageInstruction.method.coding:USCode.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

524. MedicationRequest.dosageInstruction.method.coding:USCode.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

526. MedicationRequest.dosageInstruction.method.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

528. MedicationRequest.dosageInstruction.method.coding:USCode.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

530. MedicationRequest.dosageInstruction.method.coding:USCode.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (投与方法の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

532. MedicationRequest.dosageInstruction.method.coding:USCode.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

534. MedicationRequest.dosageInstruction.method.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from For codes, see DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

536. MedicationRequest.dosageInstruction.method.coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

538. MedicationRequest.dosageInstruction.method.coding:Absent.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

540. MedicationRequest.dosageInstruction.method.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

542. MedicationRequest.dosageInstruction.method.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

544. MedicationRequest.dosageInstruction.method.coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

546. MedicationRequest.dosageInstruction.method.coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

548. MedicationRequest.dosageInstruction.method.coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

550. MedicationRequest.dosageInstruction.method.text

Definition

投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Comments

textエレメントはcodingのdisplayNameエレメントと一致することがよくある。

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

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 投与方法の概念説明, Explanation of dosage method concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

552. MedicationRequest.dosageInstruction.doseAndRate

Definition

薬剤が投与される量

The amount of medication administered.

Short Amount of medication administered (投与量)

Control 10..1*

Is Modifier false

Summary true

Alternate Names 投与量, Dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

554. MedicationRequest.dosageInstruction.doseAndRate.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

556. MedicationRequest.dosageInstruction.doseAndRate.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

558. MedicationRequest.dosageInstruction.doseAndRate.type

Definition

力価区分

The kind of dose or rate specified, for example, ordered or calculated.

Short The kind of dose or rate specified (力価区分コード)

Comments

本要素は、安全性のため省略せずに必須とする。

Control 10..1

Binding The codes SHOULD be taken from For example codes, see JP Core Medication IngredientStrength StrengthType ValueSethttp://hl7.org/fhir/ValueSet/dose-rate-type
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS)

Is Modifier false

Summary true

Requirements

このtypeに値が指定されていなければ、"ordered"であることが想定される。

If the type is not populated, assume to be "ordered".

Alternate Names 投与量のタイプ, Dose type

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

560. MedicationRequest.dosageInstruction.doseAndRate.type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

562. MedicationRequest.dosageInstruction.doseAndRate.type.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

564. MedicationRequest.dosageInstruction.doseAndRate.type.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (力価区分を表すコード)

Comments

Control 10..1*

Is Modifier false

Summary true

Requirements

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

Alternate Names 力価区分コード定義, Titer classification code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

566. MedicationRequest.dosageInstruction.doseAndRate.type.coding.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

568. MedicationRequest.dosageInstruction.doseAndRate.type.coding.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.type.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

570. MedicationRequest.dosageInstruction.doseAndRate.type.coding.system

Definition

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

Short Identity of the terminology system (力価区分を定義するコード体系)

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, Titer classification code system

Fixed Value urn:oid:1.2.392.100495.20.2.22

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

572. MedicationRequest.dosageInstruction.doseAndRate.type.coding.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

574. MedicationRequest.dosageInstruction.doseAndRate.type.coding.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (力価区分を表すコード値)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, Titer classification code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

576. MedicationRequest.dosageInstruction.doseAndRate.type.coding.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (力価区分の表示名)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, Titer classification code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

578. MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

580. MedicationRequest.dosageInstruction.doseAndRate.type.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept

Comments

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

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 投与量タイプの概念説明, Explanation of dose type concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

582. MedicationRequest.dosageInstruction.doseAndRate.dose[x]

Definition

1回投与量

Amount of medication per dose.

Short Amount of medication per dose (1回量)

Comments

この量は指定された薬剤の量を指定するものであって、各有効成分の量を指定するものではない。各成分の量はMedication resourceで伝えることができる。たとえば、有効成分が375mgである錠剤を1錠投与することを伝えたい場合、Medication resourceを利用して、XYZ成分が375mg含有しているという錠剤であることを文書化することができる。あるいは1回投与量が375mgであることを伝えるのであれば、Medication resourceをつかって単にそれが錠剤であることを示せばよい。もし、ドーパミンの静注を例に挙げて、400mgのドーパミンを500mlの注射溶液に混ぜて使うことを伝えたいのであれば、それをすべてMedication resourceで伝えることができる。もし、投与について即時に伝達することを意図していない（たとえば投与速度が示されていたり、投与時期に範囲があるような場合）のであれば、たとえば1回500mlを4時間以上かけて投与する予定を伝える場合にもMedication resourceで伝えることができる。
【JP Core仕様】1回の投与量を指定する。単位は医薬品単位略号を使用することが望ましい。

Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.

Control 0..1
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType, SimpleQuantity), Range

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

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

Alternate Names 投与量, Dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists())
sqty-1: The comparator is not used on a SimpleQuantity (comparator.empty())

584. MedicationRequest.dosageInstruction.doseAndRate.dose[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

586. MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

588. MedicationRequest.dosageInstruction.doseAndRate.dose[x].value

Definition

計測された量。精度を含めた値が暗示される。

The value of the measured amount. The value includes an implicit precision in the presentation of the value.

Short （精度が暗示された）数値Numerical value (with implicit precision)

Comments

暗示された精度については常に尊重すべきである。貨幣計算では制度に関する独自のルールがある（会計についての標準的な教科書を参照すること）。

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

590. MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator

Definition

Not allowed to be used in this context

Short < | <= | >= | > - how to understand the value

Control 0..01

The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

592. MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit

Definition

人間にも可読な単位表現

A human-readable form of the unit.

Short 単位表現Unit representation

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

594. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system

Definition

単位をコード化して表現するシステムについてのID。

The identification of the system that provides the coded form of the unit.

Short コード化された単位表現を規定するシステムSystem that defines coded unit form

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 0..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

システムによって定義される単位のコードを把握しておく必要がある。

Need to know the system that defines the coded form of the unit.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

596. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code

Definition

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)

A computer processable form of the unit in some unit representation system.

Short 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Coded form of the unit

Comments

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)されるが、ローカルコード等を利用することも可能とする

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 10..1

Binding The codes SHOULD be taken from For codes, see JP Core Medication MERIT9 Unit ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

598. MedicationRequest.dosageInstruction.doseAndRate.rate[x]

Definition

薬剤が投与される量の速度

Amount of medication per unit of time.

Short 薬剤の投与量速度Amount of medication per unit of time

Comments

It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.

It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.

Control 0..1

Type Choice of: Ratio, Range, Quantity(SimpleQuantity)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Requirements

Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

Alternate Names 単位時間当たりの投与量, Dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:

type @ $this

600. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio

Slice Name rateRatio

Definition

１日当たりでの薬剤の投入量

Amount of medication per unit of time.

Short Amount of medication per unit of time (1日量)

Comments

The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.

Control 0..1
This element is affected by the following invariants: ele-1

Type Ratio(JP Core Medication Rate Ratio DosePerDay DataType), Quantity(SimpleQuantity), Range

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

Alternate Names 単位時間当たりの投与量, Dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ((numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()))

602. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

604. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

606. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator

Definition

投与量

The value of the numerator.

Short Numerator value (1日投与量)

Comments

薬剤に関する数量と単位を定めている。ValueおよびCodeを必須としている。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD)

Control 10..1
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType)

Is Modifier false

Alternate Names 単位時間当たりの投与量, Dosage per unit time

608. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

610. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x].numerator.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

612. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value

Definition

投与量

The value of the measured amount. The value includes an implicit precision in the presentation of the value.

Short Numerical value (with implicit precision) (1日投与量)

Comments

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 単位時間当たりの投与量, Dosage per unit time

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

614. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.comparator

Definition

実際の値が計測して示された値よりも大きいのか小さいのかなど、値がどのように解釈され、表現されるのかを示している。たとえば、もし、comparatorエレメントが"<"であれば、実際の値は示された値よりも小さい(<)。

Short < | <= | >= | > - 値の解釈法< | <= | >= | > - how to understand the value

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..01

The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

計測法に制限があって値が<5ug/L や >400mg/L として示されるような場合でも値を扱えるようなフレームワークが必要である。

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

616. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.unit

Definition

投与量の単位。

A human-readable form of the unit.

Short Unit representation (1日投与量の単位)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Alternate Names 単位, Unit, 単位時間当たりの投与量の単位, Unit of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

618. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.system

Definition

単位をコード化して表現するシステムについてのID。

The identification of the system that provides the coded form of the unit.

Short System that defines coded unit form (単位形式を定義するコード体系)

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 10..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

システムによって定義される単位のコードを把握しておく必要がある。

Need to know the system that defines the coded form of the unit.

Alternate Names 単位のコードシステム, System, 単位時間当たりの投与量の単位コード体系, Unit code system of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

620. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code

Definition

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)

A computer processable form of the unit in some unit representation system.

Short Coded form of the unit (単位を表すコード値)

Comments

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 10..1

Binding The codes SHOULD be taken from For codes, see JP Core Medication MERIT9 Unit ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 単位時間当たりの投与量の単位コード, Unit code of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

622. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator

Definition

単位時間

The value of the denominator.

Short Denominator value (1日投与を表す値)

Control 10..1

Quantity

Is Modifier false

Summary true

Alternate Names 単位時間当たりの投与量の分母, Denominator of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

624. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

626. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x].denominator.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

628. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value

Definition

単位時間(１日)固定

The value of the measured amount. The value includes an implicit precision in the presentation of the value.

Short Numerical value (with implicit precision) (1日)

Comments

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 単位時間当たりの投与量の分母の値, Value of denominator of dose rate

Fixed Value 1

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

630. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.comparator

Definition

Short < | <= | >= | > - how to understand the value

Control 0..01

The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

632. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.unit

Definition

単位時間の単位。UCUMを使用する。

A human-readable form of the unit.

Short Unit representation (1日の単位)

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Alternate Names 単位, Unit, 単位時間当たりの投与量の分母の単位, Unit of denominator of dose rate

Fixed Value 日

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

634. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.system

Definition

UCUMを識別するURL。固定値。

The identification of the system that provides the coded form of the unit.

Short System that defines coded unit form (単位形式を定義するコード体系)

Control 10..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to know the system that defines the coded form of the unit.

Alternate Names 単位のコードシステム, System, 単位時間当たりの投与量の分母の単位コード体系, Unit code system of denominator of dose rate

Fixed Value http://unitsofmeasure.org

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

636. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code

Definition

A computer processable form of the unit in some unit representation system.

Short Coded form of the unit (単位を表すコード値)

Comments

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 10..1

Binding The codes SHALL be taken from For codes, see UnitsOfTime
(required to http://hl7.org/fhir/ValueSet/units-of-time)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 単位時間当たりの投与量の分母の単位コード, Unit code of denominator of dose rate

Fixed Value d

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

638. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange

Slice Name rateRange

Definition

範囲指定された時間の上限下限

Amount of medication per unit of time.

Short 範囲指定された時間の上限下限Amount of medication per unit of time

Comments

時間の上限量、下限量の範囲を持っている。単位指定された数量を割り当てている。Low,Highの値は時間の単位当てはめる。

Control 0..1
This element is affected by the following invariants: ele-1

Type Range(JP Core Medication Range DataType), Quantity(SimpleQuantity), Ratio

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
rng-2: If present, low SHALL have a lower value than high (low.empty() or high.empty() or (low <= high))

640. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity

Slice Name rateQuantity

Definition

投与速度(量/時間)を指定する

Amount of medication per unit of time.

Short 投与速度(量/時間)を指定するAmount of medication per unit of time

Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

Control 0..1
This element is affected by the following invariants: ele-1

Type Quantity(SimpleQuantity), Ratio, Range

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

642. MedicationRequest.dosageInstruction.maxDosePerPeriod

Definition

単位時間当たりの投薬量の上限

Upper limit on medication per unit of time.

Short 単位時間当たりの投薬量の上限Upper limit on medication per unit of time

Comments

This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".

Control 0..01
This element is affected by the following invariants: ele-1

Type Ratio(JP Core Medication Rate Ratio DataType)

Is Modifier false

Requirements

The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

644. MedicationRequest.dosageInstruction.maxDosePerAdministration

Definition

1回あたりの投薬量の上限

Upper limit on medication per administration.

Short 1回あたりの投薬量の上限Upper limit on medication per administration

Comments

薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD)

This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.

Control 0..01
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType, SimpleQuantity)

Is Modifier false

Requirements

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

646. MedicationRequest.dosageInstruction.maxDosePerLifetime

Definition

生涯の投薬量の上限

Upper limit on medication per lifetime of the patient.

Short 生涯の投薬量の上限Upper limit on medication per lifetime of the patient

Comments

Control 0..01
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType, SimpleQuantity)

Is Modifier false

Requirements

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

648. MedicationRequest.dispenseRequest

Definition

薬剤オーダ(MedicationRequest, Medication Prescription, Medication Orderなどとしても表現される）や薬剤オーダとの一部としての薬剤の払い出しあるいは提供。この情報はオーダとしてかならず伝えられるというわけではないことに注意。薬剤部門で調剤・払い出しを完了するための施設（たとえば病院）やシステムでのサポートに関する設定をしてもよい。

Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.

Short 調剤・払い出しについての承認事項Medication supply authorization

Control 0..01

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

653. MedicationRequest.substitution

Definition

後発医薬品への変更可否情報。代替薬剤を払い出してよいかどうかを示している。代替薬剤を使用しなければいけない場合もあれば、使用しない場合もある。このブロックでは処方者の意図が示される。もし、何も指定されていなければ代替薬品を用いてもよい。

Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.

Short 後発医薬品への変更可否情報Any restrictions on medication substitution

Control 0..01

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

657. MedicationRequest.priorPrescription

Definition

関連する先行オーダや処方を表現するMedicationRequest Resourceへのリンク。

A link to a resource representing an earlier order related order or prescription.

Short 前回のオーダ/処方An order/prescription that is being replaced

Comments

Control 0..01

Type Reference(MedicationRequest)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

659. MedicationRequest.detectedIssue

Definition

患者に対して1回以上の実施されたか提案された診療行為によって、実際に起きたあるいは起きる可能性のある臨床的問題。たとえば、薬剤官相互作用や重複治療、薬剤量についての警告など。DetectedIssueリソースへの参照。

Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.

Short 実施時の臨床的問題Clinical Issue with action

Comments

このエレメントは意思決定支援システムや臨床医によって指摘された問題点を扱うことができ、問題を表すためのステップについての情報を扱ってもよい。

This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.

Control 0..0*

Type Reference(DetectedIssue)

Is Modifier false

Summary false

Alternate Names Contraindication, Drug Utilization Review (DUR), Alert

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

661. MedicationRequest.eventHistory

Definition

このリソースの現在のバージョンをユーザから見て関係していそうなキーとなる更新や状態遷移と識別される過去のバージョンのこのリソースあるいは調剤請求あるいはEvent ResourceについてのProvenance resourceへの参照。

Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.

Short ライフサイクルで関心のあるイベントのリストA list of events of interest in the lifecycle

Comments

このエレメントには全てのバージョンのMedicationRequestについてのProvenanceが取り込まれているわけではない。「関連する」あるいは重要と思われたものだけである。現在のバージョンのResourceに関連したProvenance resourceを含めてはならない(SHALL NOT)。（もし、Provenanceとして「関連した」変化と思われれば、後の更新の一部として取り込まれる必要があるだろう。それまでは、このバージョンを_revincludeを使ってprovenanceとして指定して直接クエリーを発行することができる。全てのProvenanceがこのRequestについての履歴を対象として持つべきである。）

This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).

Control 0..0*

Type Reference(Provenance)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. MedicationRequest

Definition

このプロファイルは、内服・外用薬処方を定義します。

Short Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)

Control 0..*

Is Modifier false

Summary false

Alternate Names Prescription, Order, 内服・外用薬処方, Medication Request

Invariants dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())

2. MedicationRequest.id

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Short Logical id of this artifact (自動採番される論理ID)

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control 0..1

Is Modifier false

Summary true

Alternate Names 論理ID, Logical id

4. MedicationRequest.meta

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short Metadata about the resource (リソースのメタデータ)

Control 0..1

Meta

Is Modifier false

Summary true

Alternate Names メタデータ, Meta data

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. MedicationRequest.implicitRules

Definition

Short A set of rules under which this content was created

Comments

Control 0..0

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

8. MedicationRequest.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

Control 0..0

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

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

10. MedicationRequest.text

Definition

Short Text summary of the resource, for human interpretation (リソースの概要)

Comments

Control 0..1

Narrative

Is Modifier false

Summary false

Alternate Names narrative, html, xhtml, display, 概要, Summary

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. MedicationRequest.contained

Definition

Short Contained, inline Resources (リソース内リソース)

Comments

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources, 内包リソース, CContained

14. MedicationRequest.extension

Definition

An Extension

Short Additional content defined by implementations (要素の拡張)

Control 0..*

Is Modifier false

Summary false

Alternate Names 拡張, Extension

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

This element introduces a set of slices on MedicationRequest.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

16. MedicationRequest.extension:preparation

Slice Name preparation

Definition

薬剤単位の調剤結果

Short 調剤結果

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(JP Core MedicationDispense Preparation Extension) (Extension Type: Choice of: string, CodeableConcept)

Is Modifier false

18. MedicationRequest.modifierExtension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

20. MedicationRequest.identifier

Definition

Short External ids for this request (識別子)

Comments

これは業務IDであって、リソースに対するIDではない。

Note This is a business identifier, not a resource identifier (see discussion)

Control 2..*

Is Modifier false

Summary false

Alternate Names 識別子, Identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

22. MedicationRequest.identifier:rpNumber

Slice Name rpNumber

Definition

Short 処方箋内部の剤グループとしてのRp番号

Comments

剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。

Note This is a business identifier, not a resource identifier (see discussion)

Control 1..1

Is Modifier false

Summary false

Alternate Names Rp番号, Rp Number

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

24. MedicationRequest.identifier:rpNumber.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Alternate Names Rp番号ID, Rp Number ID

26. MedicationRequest.identifier:rpNumber.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

Alternate Names Rｐ番号の拡張, Rp Number extension

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

28. MedicationRequest.identifier:rpNumber.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..0

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

30. MedicationRequest.identifier:rpNumber.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

32. MedicationRequest.identifier:rpNumber.system

Definition

ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。

Short Rp番号(剤グループ番号)についてのsystem値

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alternate Names Rp番号のコード体系, Rp Number code system

Fixed Value urn:oid:1.2.392.100495.20.3.81

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

34. MedicationRequest.identifier:rpNumber.value

Definition

Rp番号(剤グループ番号)。"1"など。

Short Rp番号(剤グループ番号)

Comments

value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names Rp番号, Rp Number value

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

36. MedicationRequest.identifier:rpNumber.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..0

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

38. MedicationRequest.identifier:rpNumber.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..0

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

40. MedicationRequest.identifier:orderInRp

Slice Name orderInRp

Definition

Short 同一RP番号（剤グループ）での薬剤の表記順

Comments

同一剤グループ内での薬剤の順番を1から順の番号で示す。

Note This is a business identifier, not a resource identifier (see discussion)

Control 1..1

Is Modifier false

Summary false

Alternate Names Rp番号の表記順, Order in Rp

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

42. MedicationRequest.identifier:orderInRp.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Alternate Names Rp番号の表記順ID, Order in Rp ID

44. MedicationRequest.identifier:orderInRp.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

Alternate Names Rp番号の表記順の拡張, Extension of order in Rp

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

46. MedicationRequest.identifier:orderInRp.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..0

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

48. MedicationRequest.identifier:orderInRp.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

50. MedicationRequest.identifier:orderInRp.system

Definition

剤グループ内番号の名前空間を識別するURI。固定値urn:oid:1.2.392.100495.20.3.82

Short RP番号内（剤グループ内）の連番を示すsystem値

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alternate Names Rp番号の表記順のコード体系, Code system of order in Rp

Fixed Value urn:oid:1.2.392.100495.20.3.82

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

52. MedicationRequest.identifier:orderInRp.value

Definition

剤グループ内連番。

Short RP番号内（剤グループ内）の連番

Comments

value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names Rp番号の表記順番号, Value of order in Rp

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

54. MedicationRequest.identifier:orderInRp.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..0

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

56. MedicationRequest.identifier:orderInRp.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..0

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

58. MedicationRequest.identifier:requestIdentifierCommon

Slice Name requestIdentifierCommon

Definition

Short 処方箋に対するID

Comments

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. MedicationRequest.identifier:requestIdentifierCommon.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

62. MedicationRequest.identifier:requestIdentifierCommon.extension

Definition

Short Additional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

64. MedicationRequest.identifier:requestIdentifierCommon.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..1

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

66. MedicationRequest.identifier:requestIdentifierCommon.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

68. MedicationRequest.identifier:requestIdentifierCommon.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value urn:oid:1.2.392.100495.20.3.11

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

70. MedicationRequest.identifier:requestIdentifierCommon.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

72. MedicationRequest.identifier:requestIdentifierCommon.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

74. MedicationRequest.identifier:requestIdentifierCommon.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..1

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

76. MedicationRequest.identifier:requestIdentifier

Slice Name requestIdentifier

Definition

薬剤をオーダする単位としての処方依頼に対するID。MedicationRequestは単一の薬剤でインスタンスが作成される。

Short 処方オーダに対するID

Comments

This is a business identifier, not a resource identifier.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Is Modifier false

Summary false

Alternate Names 処方オーダーID, Request Identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

78. MedicationRequest.identifier:requestIdentifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

80. MedicationRequest.identifier:requestIdentifier.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

82. MedicationRequest.identifier:requestIdentifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..0

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

84. MedicationRequest.identifier:requestIdentifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

86. MedicationRequest.identifier:requestIdentifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Value http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

88. MedicationRequest.identifier:requestIdentifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short The value that is unique

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

90. MedicationRequest.identifier:requestIdentifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..0

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

92. MedicationRequest.identifier:requestIdentifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..0

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

94. MedicationRequest.identifier:emr

Slice Name emr

Definition

Short External ids for this request (電子カルテの識別子)

Comments

これは業務IDであって、リソースに対するIDではない。

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

96. MedicationRequest.identifier:emr.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

98. MedicationRequest.identifier:emr.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

100. MedicationRequest.identifier:emr.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

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

Control 0..0

The codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

102. MedicationRequest.identifier:emr.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier (識別子の種類)

Comments

Control 0..1

Unless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

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

Alternate Names 種類, Type

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

104. MedicationRequest.identifier:emr.type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

106. MedicationRequest.identifier:emr.type.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

108. MedicationRequest.identifier:emr.type.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (識別子のコード)

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names コード, Coding

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

110. MedicationRequest.identifier:emr.type.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept (識別子のテキスト)

Comments

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

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names テキスト, Text

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

112. MedicationRequest.identifier:emr.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short The namespace for the identifier value (識別子のネームスペース)

Comments

Identifier.system is always case sensitive.

Control 1..1

Binding The codes SHALL be taken from Fujitsu Internal Identifier URI
(required to http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Alternate Names ネームスペース, System

Example General:http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

114. MedicationRequest.identifier:emr.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short 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]

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 値, Value

Example General:123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

116. MedicationRequest.identifier:emr.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..0

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

118. MedicationRequest.identifier:emr.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..0

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

120. MedicationRequest.status

Definition

オーダの現在の状態を示すコード。一般的には active か completed の状態であるだろう。

Comments

このエレメントはmodifierとされている。StatusとはこのResourceが現在妥当な状態ではないことも示すからである。

Control 1..1

The codes SHALL be taken from medicationrequest Status
(required to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1)

A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

Is Modifier true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 状態, Status

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

122. MedicationRequest.statusReason

Definition

現在のステータスの理由

Short 現在のステータスの理由

Comments

一般的には「保留(suspended)」や「中止(cancelled)」といった例外的状態を示すために持ちいられる。MedicationRequestオーダが発生した理由についてはreasonCodeに記載され、この項目は用いられない。

Control 0..1

For example codes, see medicationRequest Status Reason Codes
(example to http://hl7.org/fhir/ValueSet/medicationrequest-status-reason)

Identifies the reasons for a given status.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

124. MedicationRequest.intent

Definition

投薬指示の意図が提案(proposal)、計画(plan)、あるいは他の要求によるものかを示す。

Comments

instance-orderはリクエストあるいはオーダをインスタンス化する段階であり、MedicationAdministrationレコードにも使われる。

intentはこのresourceが実際に適応される時に変化するため、このエレメントはmodifierとしてラベルされる。

Control 1..1

The codes SHALL be taken from medicationRequest Intent
(required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1)

The kind of medication order.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 意図, Intent

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

126. MedicationRequest.category

Definition

このMedicationRequest Resourceが使用される区分を示す。日本では「院外」「院内」「入院」「外来」などの区分を想定する。一般的には、外来や入院などどこでこの薬剤が投与、内服されるかを想定した区分である。処方病棟や処方した診療科をOrganization resourceで表現することが冗長である場合にはこの区分が用いられることもある。

HL7 FHIRではvalue setとして http://terminology.hl7.org/CodeSystem/medicationrequest-category がデフォルトで用いられるが、日本での使用の場合持参薬をカバーする必要があり、JAHIS処方データ規約V3.0Cに記載されているMERIT-9処方オーダ表7とJHSP0007表を組み合わせて持ちいることとする。

Short 薬剤使用区分

Comments

薬剤が投与あるいはその他の用途で利用されると想定される場面についての区分である。

Control 0..*

Binding The codes SHOULD be taken from JP Core Medication Oral/External Category ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategory_VS)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

128. MedicationRequest.priority

Definition

このMedicationRequestオーダの優先度。他のオーダと比較して表現される。

Short オーダの優先度

Comments

FHIRでは文字列の大きさが1MBを超えてはならない(SHALL NOT)。

Control 0..0

The codes SHALL be taken from RequestPriority
(required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

Identifies the level of importance to be assigned to actioning the request.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

130. MedicationRequest.doNotPerform

Definition

このオーダが実施していけないものであればTrueを表示される

Short 要求が禁止された行為であればTrue

Comments

もし、doNotPerformに指定がなければ、オーダは実施してもよいものである。(たとえば、「実施せよ」)

Control 0..0

Is Modifier true because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

132. MedicationRequest.reported[x]

Definition

このレコードは元々の一次記録から報告されたものか、二次的に「報告された」資料から取り込まれたものかを示す。報告の情報源についても示される。

Short 初期記録にはない報告

Control 0..1

Type Choice of: boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

134. MedicationRequest.medication[x]

Definition

投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。

Short Medication to be taken (医薬品コードと医薬品名称)

Comments

Control 1..1

Binding The codes SHOULD be taken from JP Core MedicationCode HOT9 ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 医薬品, Medication

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
fujitsu-4: Medication Code or Data Absent Reason (coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason'))

136. MedicationRequest.medication[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

138. MedicationRequest.medication[x].extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.medication[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

140. MedicationRequest.medication[x].coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 1..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 医薬品コード定義, Medication code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.medication[x].coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

142. MedicationRequest.medication[x].coding:YJ

Slice Name YJ

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from JP Core Medication YJ ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names YJコード定義, YJ code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

144. MedicationRequest.medication[x].coding:YJ.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

146. MedicationRequest.medication[x].coding:YJ.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

148. MedicationRequest.medication[x].coding:YJ.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, YJ code system

Fixed Value urn:oid:1.2.392.100495.20.1.73

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

150. MedicationRequest.medication[x].coding:YJ.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

152. MedicationRequest.medication[x].coding:YJ.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, YJ code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

154. MedicationRequest.medication[x].coding:YJ.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (医薬品の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, YJ code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

156. MedicationRequest.medication[x].coding:YJ.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

158. MedicationRequest.medication[x].coding:HOT9

Slice Name HOT9

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from JP Core MedicationCode HOT9 ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names HOT9コード定義, HOT9 code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

160. MedicationRequest.medication[x].coding:HOT9.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

162. MedicationRequest.medication[x].coding:HOT9.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

164. MedicationRequest.medication[x].coding:HOT9.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, HOT9 code system

Fixed Value urn:oid:1.2.392.200119.4.403.1

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

166. MedicationRequest.medication[x].coding:HOT9.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

168. MedicationRequest.medication[x].coding:HOT9.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, HOT9 code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

170. MedicationRequest.medication[x].coding:HOT9.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (医薬品の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, HOT9 code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

172. MedicationRequest.medication[x].coding:HOT9.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

174. MedicationRequest.medication[x].coding:US

Slice Name US

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (医薬品を表すコード)

Comments

Control 0..1

Binding Unless not suitable, these codes SHALL be taken from https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
(extensible to https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion)

Is Modifier false

Summary true

Requirements

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

Alternate Names USコード, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

176. MedicationRequest.medication[x].coding:US.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

178. MedicationRequest.medication[x].coding:US.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

180. MedicationRequest.medication[x].coding:US.system

Definition

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

Short Identity of the terminology system (医薬品を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, US code system

Fixed Value http://www.nlm.nih.gov/research/umls/rxnorm

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

182. MedicationRequest.medication[x].coding:US.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

184. MedicationRequest.medication[x].coding:US.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (医薬品を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

186. MedicationRequest.medication[x].coding:US.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (医薬品の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, US code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

188. MedicationRequest.medication[x].coding:US.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

190. MedicationRequest.medication[x].coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Alternate Names データ欠損理由コード定義, Data loss reason code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

192. MedicationRequest.medication[x].coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

194. MedicationRequest.medication[x].coding:Absent.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.medication[x].coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

196. MedicationRequest.medication[x].coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, Data loss reason code system

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

198. MedicationRequest.medication[x].coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

200. MedicationRequest.medication[x].coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, Data loss reason code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

202. MedicationRequest.medication[x].coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, Data loss reason code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

204. MedicationRequest.medication[x].coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

206. MedicationRequest.medication[x].text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Comments

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

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 医薬品の概念説明, Explanation of medication concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

208. MedicationRequest.subject

Definition

JP Coreでは患者を表すPatientリソースへの参照。一般には薬剤が投与される対象となる人（あるいはグループ)を表現するResourceに対するリンク。

Short Who received medication (患者)

Comments

Control 1..1

Type Reference(Fujitsu Patient Profile)

Is Modifier false

Summary true

Alternate Names 患者, Patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

210. MedicationRequest.subject.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

212. MedicationRequest.subject.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

214. MedicationRequest.subject.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 1..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 参照患者, Patient reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

216. MedicationRequest.subject.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from ResourceType
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

218. MedicationRequest.subject.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 患者識別子, Patient identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

220. MedicationRequest.subject.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

222. MedicationRequest.encounter

Definition

JP Coreでの使用は規定されていない。この対象となるリソース[x]が作成される間やこの記録が作成される対象のencounterは密接に関連している。

Short 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)

Comments

Control 1..1

Type Reference(Fujitsu Encounter Profile)

Is Modifier false

Summary false

Alternate Names 入外区分, Encounter

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

224. MedicationRequest.encounter.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

226. MedicationRequest.encounter.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.encounter.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

228. MedicationRequest.encounter.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 1..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 入外区分の参照, Encounter reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

230. MedicationRequest.encounter.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from ResourceType
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

232. MedicationRequest.encounter.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 入外区分の識別子, Encounter identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

234. MedicationRequest.encounter.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

236. MedicationRequest.supportingInformation

Definition

薬剤をオーダするときに補助的となる追加情報（たとえば、患者の身長や体重））を含む。

Short 薬剤オーダについて補助的情報

Comments

Control 0..0

Type Reference(Resource)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

238. MedicationRequest.authoredOn

Definition

JP Coreでは必須。処方指示が最初に作成された日時。秒の精度まで記録する。タイムゾーンも付与しなければならない。

Short この処方オーダが最初に記述された日

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 作成日時, Creation datetime

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

240. MedicationRequest.requester

Definition

JP Coreではこのエレメントに対する規定はない。このオーダを発行した責任のある人、組織、機器。

Short Who/What requested the Request (医師や医療機関)

Comments

Control 0..1

Type Reference(Fujitsu Practitioner Profile, Fujitsu PractitionerRole Profile, Fujitsu Organization Profile, Fujitsu Patient Profile, RelatedPerson, Device)

Is Modifier false

Summary true

Alternate Names 依頼者, Requester

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

242. MedicationRequest.requester.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

244. MedicationRequest.requester.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.requester.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

246. MedicationRequest.requester.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 1..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names 依頼者の参照, Requester reference

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

248. MedicationRequest.requester.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from ResourceType
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

250. MedicationRequest.requester.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Alternate Names 依頼者の識別子, Requester identifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

252. MedicationRequest.requester.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

254. MedicationRequest.performer

Definition

薬物治療を実施すると予定された者。（たとえば、薬剤投与を行った者）

Short 薬剤投与・管理を行った者

Comments

Control 0..0

Type Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile, JP Core Organization Profile, JP Core Patient Profile, Device, RelatedPerson, CareTeam)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

256. MedicationRequest.performerType

Definition

薬剤の投与・管理を行った職種を示す。

Short 薬剤投与を行った職種

Comments

Control 0..0

Binding For example codes, see JP Core PractitionerRole ValueSet
(example to http://jpfhir.jp/fhir/core/ValueSet/JP_PractitionerRole_VS)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

258. MedicationRequest.recorder

Definition

JP Coreではこのエレメントに対する規定はない。たとえば口答指示や電話でのオーダにより、他の人の代理で処方を入力した人。

Short 投薬オーダの入力者

Comments

Control 0..0

Type Reference(JP Core Practitioner Profile, JP Core PractitionerRole Profile)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

260. MedicationRequest.reasonCode

Definition

このエレメントに対するJP Coreの規定はない。薬剤をオーダするあるいはしないことを示した理由。

Short Reason or indication for ordering or not ordering the medication (処方理由のコード)

Comments

Control 0..*

For example codes, see Condition/Problem/DiagnosisCodes
(example to http://hl7.org/fhir/ValueSet/condition-code)

A coded concept indicating why the medication was ordered.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

262. MedicationRequest.reasonReference

Definition

薬剤がなぜオーダされたのかを説明する条件や観察。

Short Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)

Comments

薬剤オーダの理由を示すこれは条件や観察についての参照である。もし、コードだけであればreasonCodeを使用すること。

Control 0..*

Type Reference(Fujitsu Condition Profile, Fujitsu Observation Common Profile)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

264. MedicationRequest.reasonReference.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

266. MedicationRequest.reasonReference.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.reasonReference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

268. MedicationRequest.reasonReference.reference

Definition

Short Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)

Comments

Control 1..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

270. MedicationRequest.reasonReference.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..0

Unless not suitable, these codes SHALL be taken from ResourceType
(extensible to http://hl7.org/fhir/ValueSet/resource-types)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

272. MedicationRequest.reasonReference.identifier

Definition

Short Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

274. MedicationRequest.reasonReference.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

276. MedicationRequest.instantiatesCanonical

Definition

このMedicationRequestの一部あるいは全部が遵守するprotocolやguideline, ordersetなど他の定義を示すURL。

Short FHIRプロトコルまたは定義のインスタンス

Comments

Canonical Referencesを参照すること。

Control 0..0

canonical

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

278. MedicationRequest.instantiatesUri

Definition

このMedicationRequestの一部あるいは全部が遵守するprotocolやguideline, ordersetなど他の定義を示すURL。

Short 外部プロトコルまたは定義のインスタンス

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

280. MedicationRequest.basedOn

Definition

このMedicationRequestの全部あるいは一部を満たす計画やオーダ。

Short オーダが実施される根拠

Comments

Control 0..0

Type Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

282. MedicationRequest.groupIdentifier

Definition

一人の処方者が同時期に前後して作成した全てのリクエストに共通するIDで、処方や薬品請求のIDを示す。

Short このRequestを一部とする複数のオーダを構成するID

Control 0..0

Is Modifier false

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

284. MedicationRequest.courseOfTherapyType

Definition

患者が内服する薬剤についての管理の全体的なパターンについての記載。

Short 薬剤投与の全体的なパターン

Comments

この属性は薬剤プロトコールと混同してはならない。

Control 0..0

For example codes, see medicationRequest Course of Therapy Codes
(example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy)

Identifies the overall pattern of medication administratio.

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

286. MedicationRequest.insurance

Definition

リクエストされたサービスについて支払いが求め裸得ることになる、保険のプランや適応範囲の拡大、事前の権限付与、かつ/または事前の判定。

Short 適用される保険

Comments

Control 0..0

Type Reference(JP Core Coverage Profile, ClaimResponse)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

288. MedicationRequest.note

Definition

他の属性では伝えることができなかったMedicationRequestについての付加的情報。

Short 薬剤単位の備考

Comments

Control 0..0

Annotation

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

290. MedicationRequest.dosageInstruction

Definition

薬の服用方法・服用した方法、または服用すべき方法

Short How the medication should be taken (用法や投与量を含む処方指示)

Comments

Control 1..1

Type Dosage(JP Core MedicationDosage DataType)

Is Modifier false

Alternate Names 処方指示, Dosage instruction

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

292. MedicationRequest.dosageInstruction.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

294. MedicationRequest.dosageInstruction.extension

Definition

An Extension

Short Extension

Control 0..*

Is Modifier false

Summary false

Alternate Names 処方指示の拡張, Dosage instrauction extension

This element introduces a set of slices on MedicationRequest.dosageInstruction.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

296. MedicationRequest.dosageInstruction.extension:periodOfUse

Slice Name periodOfUse

Definition

MedicationRequestの投与期間の開始日を明示するための拡張

Short Period of use(服用開始日)

Control 0..1

Type Extension(JP Core Medication Dosage PeriodOfUse Extension) (Extension Type: Period)

Is Modifier false

Summary false

Alternate Names 服用期間, Period of use

298. MedicationRequest.dosageInstruction.extension:usageDuration

Slice Name usageDuration

Definition

隔日投与などで実投与日数と処方期間が異なる場合に用いられる。

Short 実投与日数

Control 0..1

Type Extension(JP Core Medication Dosage UsageDuration Extension) (Extension Type: Duration)

Is Modifier false

Summary false

Alternate Names 実投与日数, Usage Duration

300. MedicationRequest.dosageInstruction.modifierExtension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

302. MedicationRequest.dosageInstruction.sequence

Definition

どの服用指示を適応するか判断するかについての順序を示したもの

Short 服用指示の順番

Comments

32 bitの数値。これ以上の値であれば10進数を使うこと。

Control 0..0

integer

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

304. MedicationRequest.dosageInstruction.text

Definition

投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。

Short 投与⽅法のテキスト表現

Comments

textエレメントはcodingのdisplayNameエレメントと一致することがよくある。

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 処方指示の概念説明, Explanation of dosage instruction

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

306. MedicationRequest.dosageInstruction.additionalInstruction

Definition

Short Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)

Comments

Control 0..*

Binding The codes SHOULD be taken from JP Core Medication JAMI Additional Usage ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS)

Is Modifier false

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

308. MedicationRequest.dosageInstruction.additionalInstruction.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

310. MedicationRequest.dosageInstruction.additionalInstruction.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

312. MedicationRequest.dosageInstruction.additionalInstruction.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

value @ system

314. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI

Slice Name JAMI

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法の補足情報を表すコード)

Comments

Control 0..1

Binding The codes SHALL be taken from JP Core Medication JAMI Additional Usage ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

316. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

318. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

320. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.system

Definition

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

Short Identity of the terminology system (用法の補足情報を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value urn:oid:1.2.392.200250.2.2.20.22

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

322. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

324. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法の補足情報を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

326. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の補足情報の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

328. MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMI.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

330. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法の補足情報を表すコード)

Comments

Control 0..1

Binding The codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions
(required to http://hl7.org/fhir/ValueSet/additional-instruction-codes)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

332. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

334. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

336. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.system

Definition

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

Short Identity of the terminology system (用法の補足情報を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

340. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法の補足情報を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

342. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の補足情報の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

344. MedicationRequest.dosageInstruction.additionalInstruction.coding:USCode.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

346. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

348. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

350. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

352. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

354. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

356. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

358. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

360. MedicationRequest.dosageInstruction.additionalInstruction.coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

362. MedicationRequest.dosageInstruction.additionalInstruction.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Comments

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

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

364. MedicationRequest.dosageInstruction.patientInstruction

Definition

患者あるいは消費者に理解してもらうための指示。

Short 患者あるいは消費者向けの指示

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

366. MedicationRequest.dosageInstruction.timing

Definition

投与日時

Short When medication should be administered (服用タイミング)

Comments

Control 1..1

Type Timing(JP Core Medication Timing DataType)

Is Modifier false

Requirements

Alternate Names 服用タイミング, Administration timing

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

368. MedicationRequest.dosageInstruction.timing.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

370. MedicationRequest.dosageInstruction.timing.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

372. MedicationRequest.dosageInstruction.timing.modifierExtension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them

Summary true

374. MedicationRequest.dosageInstruction.timing.event

Definition

服用タイミングを具体的な日時で指定する場合に使用する

Short 服用もしくは注射を行なうタイミングを示す時刻

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

376. MedicationRequest.dosageInstruction.timing.repeat

Definition

イベントがスケジュールされたルールについての記述。

Short When the event is to occur (定時用法)

Control 0..1

Is Modifier false

Summary true

Requirements

スケジュールされたタイミングの多くは規則的な繰り返しで決定されている。

Alternate Names 定時用法, Regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())

378. MedicationRequest.dosageInstruction.timing.repeat.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

380. MedicationRequest.dosageInstruction.timing.repeat.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

382. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]

Definition

服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。

Short 服用・注射開始日から服用・注射終了日までの全日数

Control 0..1

Duration

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 定時用法の繰り返し期間, Repeated period of regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

type @ $this

384. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration

Slice Name boundsDuration

Definition

服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。

Short Length/Range of lengths, or (Start and/or end) limits (定時用法)

Control 0..1

Duration

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Alternate Names 定時用法の繰り返し期間, Repeated period of regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

386. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

388. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

390. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value

Definition

投薬日数

Short Numerical value (with implicit precision) (日数)

Comments

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 定時用法の繰り返し期間, Repeated period of regular usage

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

392. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator

Definition

Short < | <= | >= | > - how to understand the value

Control 0..0

The codes SHALL be taken from QuantityComparator
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

394. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit

Definition

投薬日数の単位文字列。日で固定される

Short Unit representation (日数の単位)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Alternate Names 単位, Unit, 定時用法の繰り返し期間単位, Unit of repeated period of regular usage

Fixed Value 日

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

396. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system

Definition

単位コード UCUMを識別するURI。固定値。

Short System that defines coded unit form (単位形式を定義するコード体系)

Control 1..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to know the system that defines the coded form of the unit.

Alternate Names 単位のコードシステム, System, 定時用法の繰り返し期間単位コード体系, Unit code system of repeated period of regular usage

Fixed Value http://unitsofmeasure.org

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

398. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code

Definition

単位コードUCUMにおける投与日数の単位。dで固定される。

Short Coded form of the unit (単位を表すコード値)

Comments

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 定時用法の繰り返し期間単位コード, Unit code of repeated period of regular usage

Fixed Value d

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

400. MedicationRequest.dosageInstruction.timing.repeat.count

Definition

Short 繰り返し服用もしくは注射回数

Comments

回数に上限、下限の範囲がある場合は、このcountで示される回数が起きるまでは、エレメントは範囲の中にあると解釈されるべきである。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Repetitions may be limited by end time or total occurrences.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

402. MedicationRequest.dosageInstruction.timing.repeat.countMax

Definition

このエレメントが設定されている場合は、回数に範囲があることを示している。したがって、[count]から[countmax]までの回数で繰り返される。

Short 繰り返しの最大回数

Comments

32bit整数。もし、値がこれを超える場合はdecimalで記録される。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

404. MedicationRequest.dosageInstruction.timing.repeat.duration

Definition

投与されるタイミングが発生している時間。もし、durationMaxが設定されていれば、このエレメントは許容される継続時間の下限を示す。

Short 継続時間

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

アクティビティによっては即時的なものではなく、その期間において維持される必要がある。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

406. MedicationRequest.dosageInstruction.timing.repeat.durationMax

Definition

Short 継続時間(最大値)

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

アクティビティによっては即時的なものではなく、その期間において維持される必要がある。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

408. MedicationRequest.dosageInstruction.timing.repeat.durationUnit

Definition

UCUM単位で表される継続時間についての単位。

Short s | min | h | d | wk | mo | a - unit of time (UCUM)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..0

The codes SHALL be taken from UnitsOfTime
(required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

A unit of time (units from UCUM).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

410. MedicationRequest.dosageInstruction.timing.repeat.frequency

Definition

特定の期間に繰り返して発生した行為の回数。もし、frequencyMaxが設定されていれば、このエレメントはfrequencyとして認められた下限を示す。

Short 期間内にイベントが発生する回数、頻度

Comments

32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Meaning if Missing If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

412. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax

Definition

Short 期間内にイベントが発生する最大回数、最大頻度

Comments

32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

414. MedicationRequest.dosageInstruction.timing.repeat.period

Definition

Short イベントが発生する頻度に対応する期間

Comments

IEEEの浮動小数点型を使わずに、小数点も含むdecimal型のようなものを利用すること（たとえばJavaのBigInteger)。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

416. MedicationRequest.dosageInstruction.timing.repeat.periodMax

Definition

もし、この値が設定されていれば、期間は[period]から[periodMax]までであることを示し、「3-5日に1回投与」のような表現が認められる。

Short 期間の上限（3-4時間）

Comments

IEEEの浮動小数点型を使わずに、小数点の制度も示すdecimal型のようなものを利用すること（たとえばJavaのBigInteger)。

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

418. MedicationRequest.dosageInstruction.timing.repeat.periodUnit

Definition

期間を表すUCUM単位。

Short s | min | h | d | wk | mo | a - unit of time (UCUM)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..0

The codes SHALL be taken from UnitsOfTime
(required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

A unit of time (units from UCUM).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

420. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek

Definition

期間として1週間以上が指定されていれば、指定された曜日のみで投与が行われる。

Short mon | tue | wed | thu | fri | sat | sun

Comments

Control 0..0

Binding The codes SHALL be taken from DaysOfWeek
(required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

422. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay

Definition

一日の間で指定された投与される時刻。

Short 一日の間で投与される時刻

Comments

Control 0..0

time

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

424. MedicationRequest.dosageInstruction.timing.repeat.when

Definition

一日の間のおおよその時間帯で投与すべきタイミングを示す。日常のイベントに関連付けられていることもある。

Short 投薬期間についてのコード

Comments

一つ以上のイベントが記載されている場合、そのイベントは特定のイベントの組み合わせと結びついている。

Control 0..0

The codes SHALL be taken from EventTiming
(required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

Real world event relating to the schedule.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

タイミングはしばしば起床や食事、睡眠などのできごとによってしばしば決定されている。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

426. MedicationRequest.dosageInstruction.timing.repeat.offset

Definition

Short イベントからの時間(分、前後）

Comments

32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。

Control 0..0

unsignedInt

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

428. MedicationRequest.dosageInstruction.timing.code

Definition

Short BID | TID | QID | AM | PM | QD | QOD | +

Comments

Control 0..1

Binding The codes SHOULD be taken from JP Core Medication JAMI Usage ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS)

Is Modifier false

Summary true

Alternate Names 服薬タイミングコード, Administration timing code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

430. MedicationRequest.dosageInstruction.timing.code.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

432. MedicationRequest.dosageInstruction.timing.code.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

434. MedicationRequest.dosageInstruction.timing.code.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 服薬タイミングコード定義, Administration timing code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.code.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

436. MedicationRequest.dosageInstruction.timing.code.coding:JAMI

Slice Name JAMI

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法を表すコード)

Comments

Control 0..1

Binding The codes SHALL be taken from JP Core Medication JAMI Usage ValueSet
(required to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names JAMIコード定義, JAMI code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

438. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

440. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

442. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.system

Definition

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

Short Identity of the terminology system (用法を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, JAMI code system

Fixed Value urn:oid:1.2.392.200250.2.2.20

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

444. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

446. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, JAMI code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

448. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, JAMI code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

450. MedicationRequest.dosageInstruction.timing.code.coding:JAMI.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

452. MedicationRequest.dosageInstruction.timing.code.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (用法を表すコード)

Comments

Control 0..1

Binding The codes SHOULD be taken from TimingAbbreviation
(preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)

Is Modifier false

Summary true

Requirements

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

Alternate Names USコード定義, US code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

454. MedicationRequest.dosageInstruction.timing.code.coding:USCode.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

456. MedicationRequest.dosageInstruction.timing.code.coding:USCode.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

458. MedicationRequest.dosageInstruction.timing.code.coding:USCode.system

Definition

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

Short Identity of the terminology system (用法を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, US code system

Fixed Value http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

460. MedicationRequest.dosageInstruction.timing.code.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

462. MedicationRequest.dosageInstruction.timing.code.coding:USCode.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (用法を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, US code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

464. MedicationRequest.dosageInstruction.timing.code.coding:USCode.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (用法の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, US code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

466. MedicationRequest.dosageInstruction.timing.code.coding:USCode.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

468. MedicationRequest.dosageInstruction.timing.code.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

470. MedicationRequest.dosageInstruction.timing.code.coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

472. MedicationRequest.dosageInstruction.timing.code.coding:Absent.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

474. MedicationRequest.dosageInstruction.timing.code.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

476. MedicationRequest.dosageInstruction.timing.code.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

478. MedicationRequest.dosageInstruction.timing.code.coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

480. MedicationRequest.dosageInstruction.timing.code.coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

482. MedicationRequest.dosageInstruction.timing.code.coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

484. MedicationRequest.dosageInstruction.timing.code.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Comments

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

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names USコードの概念説明, Explanation of US code concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

486. MedicationRequest.dosageInstruction.asNeeded[x]

Definition

Short 「頓用」指示

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

488. MedicationRequest.dosageInstruction.site

Definition

投与される身体部位。外用薬で部位を指定する場合に使用する。

Short 投与される身体部位

Comments

Control 0..0

Binding The codes SHOULD be taken from JP Core Medication JAMI External Body Site ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationBodySiteJAMIExternal_VS)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

490. MedicationRequest.dosageInstruction.route

Definition

投与経路

Short 投与経路

Comments

Control 0..0

Binding The codes SHOULD be taken from JP Core Medication HL70162-based Route ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationRouteHL70162_VS)

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与経路, Dosage route

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

496. MedicationRequest.dosageInstruction.method

Definition

投与方法

Short Technique for administering medication (投与方法)

Comments

ターミノロジは投与する経路あるいは剤型をあらかじめ指定するために用いられる。

Control 0..1

For example codes, see SNOMEDCTAdministrationMethodCodes
(example to http://hl7.org/fhir/ValueSet/administration-method-codes)

A coded concept describing the technique by which the medicine is administered.

Is Modifier false

Summary true

Requirements

コード化された値は体内に薬剤が投与される方法を示している。注射ではよく使われる。たとえば、緩徐に注入、深部に静注など。

Alternate Names 投与方法, Dosage method

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

498. MedicationRequest.dosageInstruction.method.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

500. MedicationRequest.dosageInstruction.method.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

This element introduces a set of slices on MedicationRequest.dosageInstruction.method.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ url

502. MedicationRequest.dosageInstruction.method.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 0..*

Is Modifier false

Summary true

Requirements

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

Alternate Names 投与方法コード定義, Dosage method code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

This element introduces a set of slices on MedicationRequest.dosageInstruction.method.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:

value @ system

504. MedicationRequest.dosageInstruction.method.coding:unitDigit1

Slice Name unitDigit1

Definition

投与⽅法に対応するJAMI 用法コード表基本用法１桁コードを識別するURI。

Short Code defined by a terminology system (投与方法を表すコード)

Comments

Control 0..1

Binding The codes SHOULD be taken from JP Core Medication JAMI Basic Usage Type ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS)

Is Modifier false

Summary true

Requirements

他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

506. MedicationRequest.dosageInstruction.method.coding:unitDigit1.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

508. MedicationRequest.dosageInstruction.method.coding:unitDigit1.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

510. MedicationRequest.dosageInstruction.method.coding:unitDigit1.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, Dosage method code system

Fixed Value urn:oid:1.2.392.200250.2.2.20.30

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

512. MedicationRequest.dosageInstruction.method.coding:unitDigit1.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

514. MedicationRequest.dosageInstruction.method.coding:unitDigit1.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, Dosage method code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

516. MedicationRequest.dosageInstruction.method.coding:unitDigit1.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (投与方法の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, Dosage method code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

518. MedicationRequest.dosageInstruction.method.coding:unitDigit1.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

520. MedicationRequest.dosageInstruction.method.coding:unitDigit2

Slice Name unitDigit2

Definition

投与⽅法に対応するJAMI 用法コード表基本用法2桁コードを識別するURI。２桁コードurn:oid:1.2.392.200250.2.2.20.40

Short Code defined by a terminology system (投与方法を表すコード)

Comments

Control 0..1

Binding The codes SHOULD be taken from JP Core Medication JAMI Detail Usage ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS)

Is Modifier false

Summary true

Requirements

他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

522. MedicationRequest.dosageInstruction.method.coding:unitDigit2.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

524. MedicationRequest.dosageInstruction.method.coding:unitDigit2.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

526. MedicationRequest.dosageInstruction.method.coding:unitDigit2.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value urn:oid:1.2.392.200250.2.2.20.40

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

528. MedicationRequest.dosageInstruction.method.coding:unitDigit2.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

530. MedicationRequest.dosageInstruction.method.coding:unitDigit2.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

532. MedicationRequest.dosageInstruction.method.coding:unitDigit2.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (投与方法の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

534. MedicationRequest.dosageInstruction.method.coding:unitDigit2.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

536. MedicationRequest.dosageInstruction.method.coding:USCode

Slice Name USCode

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (投与方法を表すコード)

Comments

Control 0..*

Binding For example codes, see SNOMEDCTAdministrationMethodCodes
(example to http://hl7.org/fhir/ValueSet/administration-method-codes)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

538. MedicationRequest.dosageInstruction.method.coding:USCode.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

540. MedicationRequest.dosageInstruction.method.coding:USCode.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

542. MedicationRequest.dosageInstruction.method.coding:USCode.system

Definition

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

Short Identity of the terminology system (投与方法を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://snomed.info/sct

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

544. MedicationRequest.dosageInstruction.method.coding:USCode.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

546. MedicationRequest.dosageInstruction.method.coding:USCode.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (投与方法を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

548. MedicationRequest.dosageInstruction.method.coding:USCode.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (投与方法の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

550. MedicationRequest.dosageInstruction.method.coding:USCode.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

552. MedicationRequest.dosageInstruction.method.coding:Absent

Slice Name Absent

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (欠損を表すコード)

Comments

Control 0..*

Binding The codes SHALL be taken from DataAbsentReason
(required to http://hl7.org/fhir/ValueSet/data-absent-reason)

Is Modifier false

Summary true

Requirements

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

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

554. MedicationRequest.dosageInstruction.method.coding:Absent.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

556. MedicationRequest.dosageInstruction.method.coding:Absent.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

558. MedicationRequest.dosageInstruction.method.coding:Absent.system

Definition

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

Short Identity of the terminology system (欠損を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System

Fixed Value http://terminology.hl7.org/CodeSystem/data-absent-reason

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

560. MedicationRequest.dosageInstruction.method.coding:Absent.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

562. MedicationRequest.dosageInstruction.method.coding:Absent.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (欠損を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

564. MedicationRequest.dosageInstruction.method.coding:Absent.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (欠損の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

566. MedicationRequest.dosageInstruction.method.coding:Absent.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

568. MedicationRequest.dosageInstruction.method.text

Definition

投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。

Comments

textエレメントはcodingのdisplayNameエレメントと一致することがよくある。

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 投与方法の概念説明, Explanation of dosage method concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

570. MedicationRequest.dosageInstruction.doseAndRate

Definition

薬剤が投与される量

Short Amount of medication administered (投与量)

Control 1..1

Is Modifier false

Summary true

Alternate Names 投与量, Dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

572. MedicationRequest.dosageInstruction.doseAndRate.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

574. MedicationRequest.dosageInstruction.doseAndRate.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

576. MedicationRequest.dosageInstruction.doseAndRate.type

Definition

力価区分

Short The kind of dose or rate specified (力価区分コード)

Comments

本要素は、安全性のため省略せずに必須とする。

Control 1..1

Binding The codes SHOULD be taken from JP Core Medication IngredientStrength StrengthType ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS)

Is Modifier false

Summary true

Requirements

このtypeに値が指定されていなければ、"ordered"であることが想定される。

Alternate Names 投与量のタイプ, Dose type

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

578. MedicationRequest.dosageInstruction.doseAndRate.type.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

580. MedicationRequest.dosageInstruction.doseAndRate.type.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

582. MedicationRequest.dosageInstruction.doseAndRate.type.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system (力価区分を表すコード)

Comments

Control 1..1

Is Modifier false

Summary true

Requirements

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

Alternate Names 力価区分コード定義, Titer classification code definition

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

584. MedicationRequest.dosageInstruction.doseAndRate.type.coding.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

586. MedicationRequest.dosageInstruction.doseAndRate.type.coding.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

588. MedicationRequest.dosageInstruction.doseAndRate.type.coding.system

Definition

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

Short Identity of the terminology system (力価区分を定義するコード体系)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Alternate Names コードシステム, System, Titer classification code system

Fixed Value urn:oid:1.2.392.100495.20.2.22

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

590. MedicationRequest.dosageInstruction.doseAndRate.type.coding.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business versionId, not a resource version id (see discussion)

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

592. MedicationRequest.dosageInstruction.doseAndRate.type.coding.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short Symbol in syntax defined by the system (力価区分を表すコード値)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Alternate Names コード, Code, Titer classification code

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

594. MedicationRequest.dosageInstruction.doseAndRate.type.coding.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system (力価区分の表示名)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Alternate Names 表示名, Display, Titer classification code name

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

596. MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

598. MedicationRequest.dosageInstruction.doseAndRate.type.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept

Comments

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

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Alternate Names 投与量タイプの概念説明, Explanation of dose type concepts

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

600. MedicationRequest.dosageInstruction.doseAndRate.dose[x]

Definition

1回投与量

Short Amount of medication per dose (1回量)

Comments

Control 0..1
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

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

Alternate Names 投与量, Dose

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists())
sqty-1: The comparator is not used on a SimpleQuantity (comparator.empty())

602. MedicationRequest.dosageInstruction.doseAndRate.dose[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

604. MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

606. MedicationRequest.dosageInstruction.doseAndRate.dose[x].value

Definition

計測された量。精度を含めた値が暗示される。

Short （精度が暗示された）数値

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

608. MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator

Definition

Not allowed to be used in this context

Short < | <= | >= | > - how to understand the value

Control 0..0

The codes SHALL be taken from QuantityComparator
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

610. MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit

Definition

人間にも可読な単位表現

Short 単位表現

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

612. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system

Definition

単位をコード化して表現するシステムについてのID。

Short コード化された単位表現を規定するシステム

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 0..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

システムによって定義される単位のコードを把握しておく必要がある。

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

614. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code

Definition

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)

Short 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

Comments

Control 1..1

Binding The codes SHOULD be taken from JP Core Medication MERIT9 Unit ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

616. MedicationRequest.dosageInstruction.doseAndRate.rate[x]

Definition

薬剤が投与される量の速度

Short 薬剤の投与量速度

Comments

Control 0..1

Type Choice of: Ratio, Range, Quantity(SimpleQuantity)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Summary true

Requirements

Alternate Names 単位時間当たりの投与量, Dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

type @ $this

618. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio

Slice Name rateRatio

Definition

１日当たりでの薬剤の投入量

Short Amount of medication per unit of time (1日量)

Comments

Control 0..1
This element is affected by the following invariants: ele-1

Type Ratio(JP Core Medication Rate Ratio DosePerDay DataType)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

Alternate Names 単位時間当たりの投与量, Dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ((numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()))

620. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

622. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

624. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator

Definition

投与量

Short Numerator value (1日投与量)

Comments

薬剤に関する数量と単位を定めている。ValueおよびCodeを必須としている。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD)

Control 1..1
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType)

Is Modifier false

Alternate Names 単位時間当たりの投与量, Dosage per unit time

626. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

628. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

630. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.value

Definition

投与量

Short Numerical value (with implicit precision) (1日投与量)

Comments

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 単位時間当たりの投与量, Dosage per unit time

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

632. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.comparator

Definition

Short < | <= | >= | > - 値の解釈法

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 0..0

The codes SHALL be taken from QuantityComparator
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

計測法に制限があって値が<5ug/L や >400mg/L として示されるような場合でも値を扱えるようなフレームワークが必要である。

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

634. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.unit

Definition

投与量の単位。

Short Unit representation (1日投与量の単位)

Comments

FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。

Alternate Names 単位, Unit, 単位時間当たりの投与量の単位, Unit of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

636. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.system

Definition

単位をコード化して表現するシステムについてのID。

Short System that defines coded unit form (単位形式を定義するコード体系)

Comments

以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

Control 1..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

システムによって定義される単位のコードを把握しておく必要がある。

Alternate Names 単位のコードシステム, System, 単位時間当たりの投与量の単位コード体系, Unit code system of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

638. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.code

Definition

単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)

Short Coded form of the unit (単位を表すコード値)

Comments

Control 1..1

Binding The codes SHOULD be taken from JP Core Medication MERIT9 Unit ValueSet
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 単位時間当たりの投与量の単位コード, Unit code of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

640. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator

Definition

単位時間

Short Denominator value (1日投与を表す値)

Control 1..1

Quantity

Is Modifier false

Summary true

Alternate Names 単位時間当たりの投与量の分母, Denominator of dose rate

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

642. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..0

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

644. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.extension

Definition

An Extension

Short Extension

Control 0..0

Is Modifier false

Summary false

value @ url

646. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.value

Definition

単位時間(１日)固定

Short Numerical value (with implicit precision) (1日)

Comments

The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Precision is handled implicitly in almost all cases of measurement.

Alternate Names 値, Value, 単位時間当たりの投与量の分母の値, Value of denominator of dose rate

Fixed Value 1

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

648. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.comparator

Definition

Short < | <= | >= | > - how to understand the value

Control 0..0

The codes SHALL be taken from QuantityComparator
(required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

How the Quantity should be understood and represented.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

Meaning if Missing If there is no comparator, then there is no modification of the value

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

650. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.unit

Definition

単位時間の単位。UCUMを使用する。

Short Unit representation (1日の単位)

Control 1..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

Alternate Names 単位, Unit, 単位時間当たりの投与量の分母の単位, Unit of denominator of dose rate

Fixed Value 日

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

652. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.system

Definition

UCUMを識別するURL。固定値。

Short System that defines coded unit form (単位形式を定義するコード体系)

Control 1..1
This element is affected by the following invariants: qty-3

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to know the system that defines the coded form of the unit.

Alternate Names 単位のコードシステム, System, 単位時間当たりの投与量の分母の単位コード体系, Unit code system of denominator of dose rate

Fixed Value http://unitsofmeasure.org

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

654. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.code

Definition

A computer processable form of the unit in some unit representation system.

Short Coded form of the unit (単位を表すコード値)

Comments

The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

Control 1..1

Binding The codes SHALL be taken from UnitsOfTime
(required to http://hl7.org/fhir/ValueSet/units-of-time)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

Alternate Names 単位のコード, Code, 単位時間当たりの投与量の分母の単位コード, Unit code of denominator of dose rate

Fixed Value d

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

656. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange

Slice Name rateRange

Definition

範囲指定された時間の上限下限

Short 範囲指定された時間の上限下限

Comments

時間の上限量、下限量の範囲を持っている。単位指定された数量を割り当てている。Low,Highの値は時間の単位当てはめる。

Control 0..1
This element is affected by the following invariants: ele-1

Type Range(JP Core Medication Range DataType)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
rng-2: If present, low SHALL have a lower value than high (low.empty() or high.empty() or (low <= high))

658. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity

Slice Name rateQuantity

Definition

投与速度(量/時間)を指定する

Short 投与速度(量/時間)を指定する

Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

Control 0..1
This element is affected by the following invariants: ele-1

Type Quantity(SimpleQuantity)

[x] Note See Choice of Data Types for further information about how to use [x]

Is Modifier false

Requirements

660. MedicationRequest.dosageInstruction.maxDosePerPeriod

Definition

単位時間当たりの投薬量の上限

Short 単位時間当たりの投薬量の上限

Comments

Control 0..0
This element is affected by the following invariants: ele-1

Type Ratio(JP Core Medication Rate Ratio DataType)

Is Modifier false

Requirements

The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

662. MedicationRequest.dosageInstruction.maxDosePerAdministration

Definition

1回あたりの投薬量の上限

Short 1回あたりの投薬量の上限

Comments

Control 0..0
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType)

Is Modifier false

Requirements

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

664. MedicationRequest.dosageInstruction.maxDosePerLifetime

Definition

生涯の投薬量の上限

Short 生涯の投薬量の上限

Comments

Control 0..0
This element is affected by the following invariants: ele-1

Type Quantity(JP Core Medication Quantity DataType)

Is Modifier false

Requirements

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

666. MedicationRequest.dispenseRequest

Definition

Short 調剤・払い出しについての承認事項

Control 0..0

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

696. MedicationRequest.substitution

Definition

Short 後発医薬品への変更可否情報

Control 0..0