Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu MedicationRequest Injection Profile

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

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines an injection request.
このプロファイルは、注射薬剤処方を定義します。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_MedicationRequest_Injection

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest_Injection Fujitsu MedicationRequest Injection Profile (注射薬剤処方プロファイル)
... id 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta 0..1 Meta Metadata about the resource (リソースのメタデータ)
... implicitRules 0..0
... language 0..0
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... contained 1..1 Resource Contained, inline Resources (参照で使用するインラインのリソース)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... modifierExtension 0..0
... identifier 1..* Identifier External ids for this request (識別子)
... identifier:rpNumber 1..1 Identifier 処方箋内部の剤グループとしてのRp番号
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... system 1..1 uri Rp番号(剤グループ番号)についてのsystem値
.... value 1..1 string Rp番号(剤グループ番号)
.... period 0..0
.... assigner 0..0
... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..1 CodeableConcept Description of identifier (識別子の種類)
..... id 0..0
..... extension 0..0
..... coding 0..* Coding Code defined by a terminology system (識別子のコード)
..... text 0..1 string Plain text representation of the concept (識別子のテキスト)
.... system 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
.... value 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]
.... period 0..0
.... assigner 0..0
... status 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図)
... priority 0..0
... doNotPerform 0..0
... medication[x] 1..1 Reference(Fujitsu Medication Profile) What was administered (医薬品の参照)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Fixed Value: #medication
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... subject 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... supportingInformation 0..0
... authoredOn 1..1 dateTime この処方オーダが最初に記述された日
... requester 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... performer 0..0
... performerType 0..0
... recorder 0..0
... instantiatesCanonical 0..0
... instantiatesUri 0..0
... basedOn 0..0
... groupIdentifier 0..0
... courseOfTherapyType 0..0
... insurance 0..0
... note 0..0
... dosageInstruction 1..1 JP_MedicationDosage_Injection Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
.... id 0..0
.... extension 0..* Extension Extension
.... modifierExtension 0..0
.... sequence 0..0
.... text 0..1 string 投与⽅法のテキスト表現
.... additionalInstruction 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
..... id 0..0
..... extension 0..0
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JAMI 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display 1..1 string Representation defined by the system (用法の補足情報の表示名)
....... userSelected 0..0
...... coding:USCode 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: SNOMEDCTAdditionalDosageInstructions (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display 1..1 string Representation defined by the system (用法の補足情報の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... patientInstruction 0..0
.... timing 1..1 JP_MedicationTiming When medication should be administered (投与タイミング)
..... id 0..0
..... extension 0..0
..... modifierExtension 0..0
..... event 0..1 dateTime When the event occurs (投与イベント)
..... repeat 0..1 Element When the event is to occur (投与日時)
...... id 0..0
...... extension 0..0
...... bounds[x] 0..1 Period Time range defined by start and end date/time (投与日時)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Extension
....... start 1..1 dateTime Starting time with inclusive boundary (投与開始日時)
....... end 0..1 dateTime End time with inclusive boundary, if not ongoing (投与終了日時)
...... count 0..0
...... countMax 0..0
...... duration 0..0
...... durationMax 0..0
...... durationUnit 0..0
...... frequency 0..0
...... frequencyMax 0..0
...... period 0..0
...... periodMax 0..0
...... periodUnit 0..0
...... dayOfWeek 0..0
...... timeOfDay 0..0
...... when 0..0
...... offset 0..0
..... code 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Extension
...... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:USCode 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display 1..1 string Representation defined by the system (欠損の表示名)
........ userSelected 0..0
...... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... asNeeded[x] 0..0
.... site 0..0
.... route 0..0
.... method 0..1 CodeableConcept Technique for administering medication (投与方法)
..... id 0..0
..... coding 0..* Coding Code defined by a terminology system
..... coding:unitDigit1 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
...... display 1..1 string Representation defined by the system (投与方法の表示名)
...... userSelected 0..0
..... coding:unitDigit2 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
...... display 1..1 string Representation defined by the system (投与方法の表示名)
...... userSelected 0..0
..... coding:USCode 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
...... display 1..1 string Representation defined by the system (投与方法の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
..... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate 1..1 Element Amount of medication administered (投与量)
..... id 0..0
..... type 1..1 CodeableConcept The kind of dose or rate specified (力価区分コード)
...... id 0..0
...... extension 0..0
...... coding 1..1 Coding Code defined by a terminology system (力価区分を表すコード)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (力価区分を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.2.22
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (力価区分を表すコード値)
....... display 1..1 string Representation defined by the system (力価区分の表示名)
....... userSelected 0..0
...... text 0..1 string Plain text representation of the concept
..... dose[x] 0..1 JP_MedicationSimpleQuantity 1回投与量（体積）
..... rate[x] 0..1 Ratio 薬剤の投与量速度
..... rate[x]:rateRatio 0..1 JP_MedicationRatio_DosePerPeriod Amount of medication per unit of time (投与速度)
...... id 0..0
...... extension 0..0
...... numerator 1..1 JP_MedicationQuantity Numerator value (投与量)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (投与量)
....... comparator 0..0
....... unit 1..1 string Unit representation (投与量の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Symbol in syntax defined by the system (投与量を表す単位コード)
...... denominator 1..1 Quantity Denominator value (投与時間)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (投与の単位時間)
Fixed Value: 1
....... comparator 0..0
....... unit 1..1 string Unit representation (投与の単位時間の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
....... code 1..1 code Coded form of the unit (単位を表すコード値)
Fixed Value: h
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... dispenseRequest 0..0
... substitution 0..0
... priorPrescription 0..0
... detectedIssue 0..0
... eventHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest_Injection Fujitsu MedicationRequest Injection Profile (注射薬剤処方プロファイル)
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... preparation 0..* CodeableConcept 調剤結果
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation
Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
... Slices for identifier 1..* Identifier External ids for this request (識別子)
Slice: Unordered, Open by value:system
.... identifier:rpNumber 1..1 Identifier 処方箋内部の剤グループとしてのRp番号
..... extension 0..0
..... system Σ 1..1 uri Rp番号(剤グループ番号)についてのsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.81
..... value Σ 1..1 string Rp番号(剤グループ番号)
Example General: 123456
.... identifier:requestIdentifierCommon 0..1 Identifier 処方箋に対するID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.11
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図)
Binding: medicationRequest Intent (required): The kind of medication order.

... medication[x] Σ 1..1 Reference(Fujitsu Medication Profile) What was administered (医薬品の参照)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Fixed Value: #medication
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... dosageInstruction 1..1 JP_MedicationDosage_Injection Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dosageComment 0..* CodeableConcept 用法コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment
Binding: JP Core Medication Example DosageComment ValueSet (example)
.... device 0..* Reference(Device) 投与装置
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
.... line 0..* CodeableConcept 指示ライン
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
.... lineComment 0..* CodeableConcept ラインコメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment
Binding: JP Core Medication Example LineComment ValueSet (example)
.... text Σ 0..1 string 投与⽅法のテキスト表現
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: SNOMEDCTAdditionalDosageInstructions (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... timing 1..1 JP_MedicationTiming When medication should be administered (投与タイミング)
..... extension 0..0
..... event Σ 0..1 dateTime When the event occurs (投与イベント)
..... repeat ΣC 0..1 Element When the event is to occur (投与日時)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... bounds[x] Σ 0..1 Period Time range defined by start and end date/time (投与日時)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... start ΣC 1..1 dateTime Starting time with inclusive boundary (投与開始日時)
....... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing (投与終了日時)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... methodComment 0..* CodeableConcept 手技コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment
Binding: JP Core Medication Example MethodComment ValueSet (example)
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... rateComment 0..* CodeableConcept 投与速度コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment
Binding: JP Core Medication Example RateComment ValueSet (example)
..... type Σ 1..1 CodeableConcept The kind of dose or rate specified (力価区分コード)
Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
...... extension 0..0
...... coding Σ 1..1 Coding Code defined by a terminology system (力価区分を表すコード)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (力価区分を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.2.22
....... code Σ 1..1 code Symbol in syntax defined by the system (力価区分を表すコード値)
....... display Σ 1..1 string Representation defined by the system (力価区分の表示名)
...... text Σ 0..1 string Plain text representation of the concept
..... dose[x] C 0..1 JP_MedicationSimpleQuantity 1回投与量（体積）
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... Slices for rate[x] Σ 0..1 Ratio 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerPeriod Amount of medication per unit of time (投与速度)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与量)
........ unit Σ 1..1 string Unit representation (投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Symbol in syntax defined by the system (投与量を表す単位コード)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (投与時間)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与の単位時間)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (投与の単位時間の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (preferred)
Fixed Value: h
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.identifier:requestIdentifierCommon.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredJP_MedicationUsageInjection_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationRequest.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationRequest.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationRequest.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.codepreferredFixed Value: h
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredJP_MedicationSubstitutionNotAllowedReason_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]The comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest_Injection Fujitsu MedicationRequest Injection Profile (注射薬剤処方プロファイル)
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... preparation 0..* CodeableConcept 調剤結果
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation
Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
... Slices for identifier 1..* Identifier External ids for this request (識別子)
Slice: Unordered, Open by value:system
.... identifier:rpNumber 1..1 Identifier 処方箋内部の剤グループとしてのRp番号
..... extension 0..0
..... system Σ 1..1 uri Rp番号(剤グループ番号)についてのsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.81
..... value Σ 1..1 string Rp番号(剤グループ番号)
Example General: 123456
.... identifier:requestIdentifierCommon 0..1 Identifier 処方箋に対するID
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.11
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept 現在のステータスの理由
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図)
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept 薬剤使用区分
Binding: JP Core Medication Injection Category ValueSet (preferred)
... reported[x] Σ 0..1 初期記録にはない報告
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Reference(Fujitsu Medication Profile) What was administered (医薬品の参照)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Fixed Value: #medication
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... reasonCode 0..* CodeableConcept 薬を注文するあるいは注文しない理由や適応
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(JP Core Condition Profile | JP Core Observation Common Profile) 処方箋が書かれた理由について補足するCondition ResourceまたはObservation Resource
... dosageInstruction 1..1 JP_MedicationDosage_Injection Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dosageComment 0..* CodeableConcept 用法コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment
Binding: JP Core Medication Example DosageComment ValueSet (example)
.... device 0..* Reference(Device) 投与装置
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
.... line 0..* CodeableConcept 指示ライン
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
.... lineComment 0..* CodeableConcept ラインコメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment
Binding: JP Core Medication Example LineComment ValueSet (example)
.... text Σ 0..1 string 投与⽅法のテキスト表現
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: SNOMEDCTAdditionalDosageInstructions (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... timing 1..1 JP_MedicationTiming When medication should be administered (投与タイミング)
..... extension 0..0
..... event Σ 0..1 dateTime When the event occurs (投与イベント)
..... repeat ΣC 0..1 Element When the event is to occur (投与日時)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... bounds[x] Σ 0..1 Period Time range defined by start and end date/time (投与日時)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... start ΣC 1..1 dateTime Starting time with inclusive boundary (投与開始日時)
....... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing (投与終了日時)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... methodComment 0..* CodeableConcept 手技コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment
Binding: JP Core Medication Example MethodComment ValueSet (example)
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... rateComment 0..* CodeableConcept 投与速度コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment
Binding: JP Core Medication Example RateComment ValueSet (example)
..... type Σ 1..1 CodeableConcept The kind of dose or rate specified (力価区分コード)
Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
...... extension 0..0
...... coding Σ 1..1 Coding Code defined by a terminology system (力価区分を表すコード)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (力価区分を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.2.22
....... code Σ 1..1 code Symbol in syntax defined by the system (力価区分を表すコード値)
....... display Σ 1..1 string Representation defined by the system (力価区分の表示名)
...... text Σ 0..1 string Plain text representation of the concept
..... dose[x] C 0..1 JP_MedicationSimpleQuantity 1回投与量（体積）
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... Slices for rate[x] Σ 0..1 Ratio 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerPeriod Amount of medication per unit of time (投与速度)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与量)
........ unit Σ 1..1 string Unit representation (投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Symbol in syntax defined by the system (投与量を表す単位コード)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (投与時間)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与の単位時間)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (投与の単位時間の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (preferred)
Fixed Value: h
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.identifier:requestIdentifierCommon.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier:requestIdentifierCommon.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categorypreferredJP_MedicationCategoryInjection_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategoryInjeciton_VS
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredJP_MedicationUsageInjection_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationRequest.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationRequest.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationRequest.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.codepreferredFixed Value: h
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredJP_MedicationSubstitutionNotAllowedReason_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

Differential View

This structure is derived from JP_MedicationRequest_Injection

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest_Injection Fujitsu MedicationRequest Injection Profile (注射薬剤処方プロファイル)
... id 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta 0..1 Meta Metadata about the resource (リソースのメタデータ)
... implicitRules 0..0
... language 0..0
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... contained 1..1 Resource Contained, inline Resources (参照で使用するインラインのリソース)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... modifierExtension 0..0
... identifier 1..* Identifier External ids for this request (識別子)
... identifier:rpNumber 1..1 Identifier 処方箋内部の剤グループとしてのRp番号
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... system 1..1 uri Rp番号(剤グループ番号)についてのsystem値
.... value 1..1 string Rp番号(剤グループ番号)
.... period 0..0
.... assigner 0..0
... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... period 0..0
.... assigner 0..0
... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..1 CodeableConcept Description of identifier (識別子の種類)
..... id 0..0
..... extension 0..0
..... coding 0..* Coding Code defined by a terminology system (識別子のコード)
..... text 0..1 string Plain text representation of the concept (識別子のテキスト)
.... system 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
.... value 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]
.... period 0..0
.... assigner 0..0
... status 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図)
... priority 0..0
... doNotPerform 0..0
... medication[x] 1..1 Reference(Fujitsu Medication Profile) What was administered (医薬品の参照)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Fixed Value: #medication
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... subject 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... supportingInformation 0..0
... authoredOn 1..1 dateTime この処方オーダが最初に記述された日
... requester 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... id 0..0
.... extension 0..0
.... reference 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... type 0..0
.... identifier 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
.... display 0..0
... performer 0..0
... performerType 0..0
... recorder 0..0
... instantiatesCanonical 0..0
... instantiatesUri 0..0
... basedOn 0..0
... groupIdentifier 0..0
... courseOfTherapyType 0..0
... insurance 0..0
... note 0..0
... dosageInstruction 1..1 JP_MedicationDosage_Injection Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
.... id 0..0
.... extension 0..* Extension Extension
.... modifierExtension 0..0
.... sequence 0..0
.... text 0..1 string 投与⽅法のテキスト表現
.... additionalInstruction 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
..... id 0..0
..... extension 0..0
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JAMI 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display 1..1 string Representation defined by the system (用法の補足情報の表示名)
....... userSelected 0..0
...... coding:USCode 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: SNOMEDCTAdditionalDosageInstructions (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display 1..1 string Representation defined by the system (用法の補足情報の表示名)
....... userSelected 0..0
...... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display 1..1 string Representation defined by the system (欠損の表示名)
....... userSelected 0..0
..... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... patientInstruction 0..0
.... timing 1..1 JP_MedicationTiming When medication should be administered (投与タイミング)
..... id 0..0
..... extension 0..0
..... modifierExtension 0..0
..... event 0..1 dateTime When the event occurs (投与イベント)
..... repeat 0..1 Element When the event is to occur (投与日時)
...... id 0..0
...... extension 0..0
...... bounds[x] 0..1 Period Time range defined by start and end date/time (投与日時)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Extension
....... start 1..1 dateTime Starting time with inclusive boundary (投与開始日時)
....... end 0..1 dateTime End time with inclusive boundary, if not ongoing (投与終了日時)
...... count 0..0
...... countMax 0..0
...... duration 0..0
...... durationMax 0..0
...... durationUnit 0..0
...... frequency 0..0
...... frequencyMax 0..0
...... period 0..0
...... periodMax 0..0
...... periodUnit 0..0
...... dayOfWeek 0..0
...... timeOfDay 0..0
...... when 0..0
...... offset 0..0
..... code 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Extension
...... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:USCode 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display 1..1 string Representation defined by the system (欠損の表示名)
........ userSelected 0..0
...... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... asNeeded[x] 0..0
.... site 0..0
.... route 0..0
.... method 0..1 CodeableConcept Technique for administering medication (投与方法)
..... id 0..0
..... coding 0..* Coding Code defined by a terminology system
..... coding:unitDigit1 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
...... display 1..1 string Representation defined by the system (投与方法の表示名)
...... userSelected 0..0
..... coding:unitDigit2 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
...... display 1..1 string Representation defined by the system (投与方法の表示名)
...... userSelected 0..0
..... coding:USCode 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
...... display 1..1 string Representation defined by the system (投与方法の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
..... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate 1..1 Element Amount of medication administered (投与量)
..... id 0..0
..... type 1..1 CodeableConcept The kind of dose or rate specified (力価区分コード)
...... id 0..0
...... extension 0..0
...... coding 1..1 Coding Code defined by a terminology system (力価区分を表すコード)
....... id 0..0
....... extension 0..0
....... system 1..1 uri Identity of the terminology system (力価区分を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.2.22
....... version 0..0
....... code 1..1 code Symbol in syntax defined by the system (力価区分を表すコード値)
....... display 1..1 string Representation defined by the system (力価区分の表示名)
....... userSelected 0..0
...... text 0..1 string Plain text representation of the concept
..... dose[x] 0..1 JP_MedicationSimpleQuantity 1回投与量（体積）
..... rate[x] 0..1 Ratio 薬剤の投与量速度
..... rate[x]:rateRatio 0..1 JP_MedicationRatio_DosePerPeriod Amount of medication per unit of time (投与速度)
...... id 0..0
...... extension 0..0
...... numerator 1..1 JP_MedicationQuantity Numerator value (投与量)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (投与量)
....... comparator 0..0
....... unit 1..1 string Unit representation (投与量の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Symbol in syntax defined by the system (投与量を表す単位コード)
...... denominator 1..1 Quantity Denominator value (投与時間)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (投与の単位時間)
Fixed Value: 1
....... comparator 0..0
....... unit 1..1 string Unit representation (投与の単位時間の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
....... code 1..1 code Coded form of the unit (単位を表すコード値)
Fixed Value: h
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... dispenseRequest 0..0
... substitution 0..0
... priorPrescription 0..0
... detectedIssue 0..0
... eventHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest_Injection Fujitsu MedicationRequest Injection Profile (注射薬剤処方プロファイル)
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... preparation 0..* CodeableConcept 調剤結果
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation
Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
... Slices for identifier 1..* Identifier External ids for this request (識別子)
Slice: Unordered, Open by value:system
.... identifier:rpNumber 1..1 Identifier 処方箋内部の剤グループとしてのRp番号
..... extension 0..0
..... system Σ 1..1 uri Rp番号(剤グループ番号)についてのsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.81
..... value Σ 1..1 string Rp番号(剤グループ番号)
Example General: 123456
.... identifier:requestIdentifierCommon 0..1 Identifier 処方箋に対するID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.11
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図)
Binding: medicationRequest Intent (required): The kind of medication order.

... medication[x] Σ 1..1 Reference(Fujitsu Medication Profile) What was administered (医薬品の参照)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Fixed Value: #medication
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... dosageInstruction 1..1 JP_MedicationDosage_Injection Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dosageComment 0..* CodeableConcept 用法コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment
Binding: JP Core Medication Example DosageComment ValueSet (example)
.... device 0..* Reference(Device) 投与装置
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
.... line 0..* CodeableConcept 指示ライン
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
.... lineComment 0..* CodeableConcept ラインコメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment
Binding: JP Core Medication Example LineComment ValueSet (example)
.... text Σ 0..1 string 投与⽅法のテキスト表現
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: SNOMEDCTAdditionalDosageInstructions (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... timing 1..1 JP_MedicationTiming When medication should be administered (投与タイミング)
..... extension 0..0
..... event Σ 0..1 dateTime When the event occurs (投与イベント)
..... repeat ΣC 0..1 Element When the event is to occur (投与日時)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... bounds[x] Σ 0..1 Period Time range defined by start and end date/time (投与日時)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... start ΣC 1..1 dateTime Starting time with inclusive boundary (投与開始日時)
....... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing (投与終了日時)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... methodComment 0..* CodeableConcept 手技コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment
Binding: JP Core Medication Example MethodComment ValueSet (example)
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... rateComment 0..* CodeableConcept 投与速度コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment
Binding: JP Core Medication Example RateComment ValueSet (example)
..... type Σ 1..1 CodeableConcept The kind of dose or rate specified (力価区分コード)
Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
...... extension 0..0
...... coding Σ 1..1 Coding Code defined by a terminology system (力価区分を表すコード)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (力価区分を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.2.22
....... code Σ 1..1 code Symbol in syntax defined by the system (力価区分を表すコード値)
....... display Σ 1..1 string Representation defined by the system (力価区分の表示名)
...... text Σ 0..1 string Plain text representation of the concept
..... dose[x] C 0..1 JP_MedicationSimpleQuantity 1回投与量（体積）
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... Slices for rate[x] Σ 0..1 Ratio 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerPeriod Amount of medication per unit of time (投与速度)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与量)
........ unit Σ 1..1 string Unit representation (投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Symbol in syntax defined by the system (投与量を表す単位コード)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (投与時間)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与の単位時間)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (投与の単位時間の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (preferred)
Fixed Value: h
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.identifier:requestIdentifierCommon.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredJP_MedicationUsageInjection_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationRequest.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationRequest.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationRequest.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.codepreferredFixed Value: h
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredJP_MedicationSubstitutionNotAllowedReason_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest_Injection Fujitsu MedicationRequest Injection Profile (注射薬剤処方プロファイル)
... id Σ 0..1 id Logical id of this artifact (自動採番される論理ID)
... meta Σ 0..1 Meta Metadata about the resource (リソースのメタデータ)
... text 0..1 Narrative Text summary of the resource, for human interpretation (リソースの概要)
... Slices for extension 0..* Extension Additional content defined by implementations (要素の拡張)
Slice: Unordered, Open by value:url
... preparation 0..* CodeableConcept 調剤結果
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation
Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example)
... Slices for identifier 1..* Identifier External ids for this request (識別子)
Slice: Unordered, Open by value:system
.... identifier:rpNumber 1..1 Identifier 処方箋内部の剤グループとしてのRp番号
..... extension 0..0
..... system Σ 1..1 uri Rp番号(剤グループ番号)についてのsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.81
..... value Σ 1..1 string Rp番号(剤グループ番号)
Example General: 123456
.... identifier:requestIdentifierCommon 0..1 Identifier 処方箋に対するID
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.392.100495.20.3.11
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:requestIdentifier 0..* Identifier 処方オーダに対するID
..... extension 0..0
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:emr 0..* Identifier External ids for this request (電子カルテの識別子)
..... extension 0..0
..... type Σ 0..1 CodeableConcept Description of identifier (識別子の種類)
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding Σ 0..* Coding Code defined by a terminology system (識別子のコード)
...... text Σ 0..1 string Plain text representation of the concept (識別子のテキスト)
..... system Σ 1..1 uri The namespace for the identifier value (識別子のネームスペース)
Binding: Fujitsu Internal Identifier URI (required)
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique (識別子の値 電子カルテの情報から次の値を生成して入る) - [患者ID]_[文書番号][文書シーケンス番号][項目シーケンス番号]
Example General: 123456
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown (このインスタンスの状態)
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept 現在のステータスの理由
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option (このインスタンスの意図)
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept 薬剤使用区分
Binding: JP Core Medication Injection Category ValueSet (preferred)
... reported[x] Σ 0..1 初期記録にはない報告
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Reference(Fujitsu Medication Profile) What was administered (医薬品の参照)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
Fixed Value: #medication
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... reasonCode 0..* CodeableConcept 薬を注文するあるいは注文しない理由や適応
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(JP Core Condition Profile | JP Core Observation Common Profile) 処方箋が書かれた理由について補足するCondition ResourceまたはObservation Resource
... dosageInstruction 1..1 JP_MedicationDosage_Injection Whether a substitution was performed on the dispense (用法や投与量を含む処方指示)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dosageComment 0..* CodeableConcept 用法コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment
Binding: JP Core Medication Example DosageComment ValueSet (example)
.... device 0..* Reference(Device) 投与装置
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device
.... line 0..* CodeableConcept 指示ライン
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line
.... lineComment 0..* CodeableConcept ラインコメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_LineComment
Binding: JP Core Medication Example LineComment ValueSet (example)
.... text Σ 0..1 string 投与⽅法のテキスト表現
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" (用法の補足情報)
Binding: JP Core Medication JAMI Additional Usage ValueSet (preferred)
..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: JP Core Medication JAMI Additional Usage ValueSet (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.22
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法の補足情報を表すコード)
Binding: SNOMEDCTAdditionalDosageInstructions (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (用法の補足情報を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (用法の補足情報を表すコード値)
....... display Σ 1..1 string Representation defined by the system (用法の補足情報の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... timing 1..1 JP_MedicationTiming When medication should be administered (投与タイミング)
..... extension 0..0
..... event Σ 0..1 dateTime When the event occurs (投与イベント)
..... repeat ΣC 0..1 Element When the event is to occur (投与日時)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... bounds[x] Σ 0..1 Period Time range defined by start and end date/time (投与日時)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... start ΣC 1..1 dateTime Starting time with inclusive boundary (投与開始日時)
....... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing (投与終了日時)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core MedicationReuqest Injection Usage ValueSet (preferred)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... methodComment 0..* CodeableConcept 手技コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment
Binding: JP Core Medication Example MethodComment ValueSet (example)
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... rateComment 0..* CodeableConcept 投与速度コメント
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_RateComment
Binding: JP Core Medication Example RateComment ValueSet (example)
..... type Σ 1..1 CodeableConcept The kind of dose or rate specified (力価区分コード)
Binding: JP Core Medication IngredientStrength StrengthType ValueSet (preferred)
...... extension 0..0
...... coding Σ 1..1 Coding Code defined by a terminology system (力価区分を表すコード)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (力価区分を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.2.22
....... code Σ 1..1 code Symbol in syntax defined by the system (力価区分を表すコード値)
....... display Σ 1..1 string Representation defined by the system (力価区分の表示名)
...... text Σ 0..1 string Plain text representation of the concept
..... dose[x] C 0..1 JP_MedicationSimpleQuantity 1回投与量（体積）
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... Slices for rate[x] Σ 0..1 Ratio 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerPeriod Amount of medication per unit of time (投与速度)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与量)
........ unit Σ 1..1 string Unit representation (投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Symbol in syntax defined by the system (投与量を表す単位コード)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (投与時間)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (投与の単位時間)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (投与の単位時間の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (preferred)
Fixed Value: h
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(流量)を指定する単位は流量を表す単位（e.g. 量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.identifier:requestIdentifierCommon.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier:requestIdentifierCommon.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier:emr.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier:emr.systemrequiredFujitsuInternalIdentifierURIValueSet (a valid code from Fujitsu Internal Identifier URI)
http://ig.fujitsu.com/healthy-living/ValueSet/fujitsu-internal-identifier-uri
from this IG
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categorypreferredJP_MedicationCategoryInjection_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategoryInjeciton_VS
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionpreferredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:JAMIrequiredJP_MedicationUsageJAMIAdditional_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMIAdditional_VS
MedicationRequest.dosageInstruction.additionalInstruction.coding:USCoderequiredSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredJP_MedicationUsageInjection_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageInjection_VS
MedicationRequest.dosageInstruction.timing.code.coding:JAMIrequiredJP_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_VS
MedicationRequest.dosageInstruction.timing.code.coding:USCodepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:unitDigit1preferredJP_MedicationMethodJAMIBasicUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIBasicUsage_VS
MedicationRequest.dosageInstruction.method.coding:unitDigit2preferredJP_MedicationMethodJAMIDetailUsage_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationMethodJAMIDetailUsage_VS
MedicationRequest.dosageInstruction.method.coding:USCodeexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.method.coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typepreferredJP_MedicationIngredientStrengthStrengthType_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationIngredientStrengthStrengthType_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator.codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS
MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator.codepreferredFixed Value: h
http://hl7.org/fhir/ValueSet/units-of-time
from the FHIR Standard
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredJP_MedicationSubstitutionNotAllowedReason_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationSubstitutionNotAllowedReason_VS
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatioNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
rng-2errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRangeIf present, low SHALL have a lower value than high
: low.empty() or high.empty() or (low <= high)
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

 

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