Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: Fujitsu MedicationRequest Profile

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

Copyright/Legal: Copyright 2022 FUJITSU LIMITED

This profile defines a prescription request.
このプロファイルは、内服・外用薬処方を定義します。

Usage:

Formal Views of Profile Content

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

This structure is derived from JP_MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)
... 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 0..* Resource Contained, inline Resources (リソース内リソース)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... modifierExtension 0..0
... identifier 2..* 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:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... system 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
.... value 1..1 string RP番号内（剤グループ内）の連番
.... period 0..0
.... assigner 0..0
... 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] C 1..1 CodeableConcept Medication to be taken (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode HOT9 ValueSet (preferred)
fujitsu-4: Medication Code or Data Absent Reason
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:HOT9 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:US 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject 1..1 Reference(Fujitsu Patient Profile) Who 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
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication (処方理由のコード)
... reasonReference 0..* Reference(Fujitsu Condition Profile | Fujitsu Observation Common Profile) Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)
.... 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
... 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 How the medication should be taken (用法や投与量を含む処方指示)
.... id 0..0
.... extension 0..* Extension Extension
.... extension:periodOfUse 0..1 JP_MedicationDosage_PeriodOfUse Period of use(服用開始日)
.... extension:usageDuration 0..1 JP_MedicationDosage_UsageDuration 実投与日数
.... 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 (服用タイミング)
..... id 0..0
..... extension 0..0
..... modifierExtension 0..0
..... event 0..0
..... repeat 0..1 Element When the event is to occur (定時用法)
...... id 0..0
...... extension 0..0
...... bounds[x] 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
...... bounds[x]:boundsDuration 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (日数)
....... comparator 0..0
....... unit 1..1 string Unit representation (日数の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
...... count 0..0
...... countMax 0..0
...... duration 0..0
...... durationMax 0..0
...... durationUnit 0..0
...... frequency 0..0
...... frequencyMax 0..0
...... period 0..0
...... periodMax 0..0
...... periodUnit 0..0
...... dayOfWeek 0..0
...... timeOfDay 0..0
...... when 0..0
...... offset 0..0
..... code 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
...... id 0..0
...... extension 0..0
...... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:USCode 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display 1..1 string Representation defined by the system (欠損の表示名)
........ userSelected 0..0
...... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... asNeeded[x] 0..0
.... site 0..0
.... route 0..0
.... method 0..1 CodeableConcept Technique for administering medication (投与方法)
..... id 0..0
..... extension 0..0
..... coding 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
..... extension 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 Amount of medication per dose (1回量)
...... value Numerical value (with implicit precision) (1回量)
...... unit 1.. Unit representation (1回量の単位)
...... system 1.. System that defines coded unit form (単位形式を定義するコード体系)
...... code Coded form of the unit (単位を表すコード値)
...... id 0..0
...... extension 0..0
..... rate[x] 0..1 Ratio, Range, SimpleQuantity 薬剤の投与量速度
..... rate[x]:rateRatio 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
...... id 0..0
...... extension 0..0
...... numerator 1..1 JP_MedicationQuantity Numerator value (1日投与量)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日投与量)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日投与量の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
...... denominator 1..1 Quantity Denominator value (1日投与を表す値)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... 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.medication[x]preferredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationRequest.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationRequest.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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

Constraints

IdGradePath(s)DetailsRequirements
fujitsu-4errorMedicationRequest.medication[x]Medication Code or Data Absent Reason
: coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)
... 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 2..* 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:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... 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] ΣC 1..1 CodeableConcept Medication to be taken (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode HOT9 ValueSet (preferred)
fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication (処方理由のコード)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Fujitsu Condition Profile | Fujitsu Observation Common Profile) Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)
.... 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 How the medication should be taken (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
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... text Σ 0..1 string 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Fixed Value: d
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core Medication JAMI Usage ValueSet (preferred)
...... extension 0..0
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... extension 0..0
..... 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 Amount of medication per dose (1回量)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
...... extension 0..0
...... value Σ 1..1 decimal （精度が暗示された）数値
...... unit Σ 0..1 string 単位表現
...... system ΣC 0..1 uri コード化された単位表現を規定するシステム
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (1日投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (required)
Fixed Value: d
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
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.medication[x]preferredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationRequest.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationRequest.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_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.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_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.coderequiredFixed Value: d
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()
fujitsu-4errorMedicationRequest.medication[x]Medication Code or Data Absent Reason
: coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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 Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)
... 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 2..* 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:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... 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 Oral/External 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] ΣC 1..1 CodeableConcept Medication to be taken (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode HOT9 ValueSet (preferred)
fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication (処方理由のコード)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Fujitsu Condition Profile | Fujitsu Observation Common Profile) Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)
.... 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 How the medication should be taken (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
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... text Σ 0..1 string 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Fixed Value: d
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core Medication JAMI Usage ValueSet (preferred)
...... extension 0..0
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... extension 0..0
..... 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 Amount of medication per dose (1回量)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
...... extension 0..0
...... value Σ 1..1 decimal （精度が暗示された）数値
...... unit Σ 0..1 string 単位表現
...... system ΣC 0..1 uri コード化された単位表現を規定するシステム
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (1日投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (required)
Fixed Value: d
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
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_MedicationCategory_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategory_VS
MedicationRequest.medication[x]preferredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationRequest.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationRequest.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_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.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_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.coderequiredFixed Value: d
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()
fujitsu-4errorMedicationRequest.medication[x]Medication Code or Data Absent Reason
: coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)
... 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 0..* Resource Contained, inline Resources (リソース内リソース)
... extension 0..* Extension Additional content defined by implementations (要素の拡張)
... modifierExtension 0..0
... identifier 2..* 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:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
.... id 0..0
.... extension 0..0
.... use 0..0
.... type 0..0
.... system 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
.... value 1..1 string RP番号内（剤グループ内）の連番
.... period 0..0
.... assigner 0..0
... 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] C 1..1 CodeableConcept Medication to be taken (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode HOT9 ValueSet (preferred)
fujitsu-4: Medication Code or Data Absent Reason
.... id 0..0
.... extension 0..0
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:HOT9 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:US 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display 1..1 string Representation defined by the system (医薬品の表示名)
...... userSelected 0..0
..... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... id 0..0
...... extension 0..0
...... system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display 1..1 string Representation defined by the system (欠損の表示名)
...... userSelected 0..0
.... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject 1..1 Reference(Fujitsu Patient Profile) Who 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
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication (処方理由のコード)
... reasonReference 0..* Reference(Fujitsu Condition Profile | Fujitsu Observation Common Profile) Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)
.... 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
... 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 How the medication should be taken (用法や投与量を含む処方指示)
.... id 0..0
.... extension 0..* Extension Extension
.... extension:periodOfUse 0..1 JP_MedicationDosage_PeriodOfUse Period of use(服用開始日)
.... extension:usageDuration 0..1 JP_MedicationDosage_UsageDuration 実投与日数
.... 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 (服用タイミング)
..... id 0..0
..... extension 0..0
..... modifierExtension 0..0
..... event 0..0
..... repeat 0..1 Element When the event is to occur (定時用法)
...... id 0..0
...... extension 0..0
...... bounds[x] 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
...... bounds[x]:boundsDuration 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (日数)
....... comparator 0..0
....... unit 1..1 string Unit representation (日数の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
...... count 0..0
...... countMax 0..0
...... duration 0..0
...... durationMax 0..0
...... durationUnit 0..0
...... frequency 0..0
...... frequencyMax 0..0
...... period 0..0
...... periodMax 0..0
...... periodUnit 0..0
...... dayOfWeek 0..0
...... timeOfDay 0..0
...... when 0..0
...... offset 0..0
..... code 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
...... id 0..0
...... extension 0..0
...... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:USCode 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display 1..1 string Representation defined by the system (用法の表示名)
........ userSelected 0..0
....... coding:Absent 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ id 0..0
........ extension 0..0
........ system 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ version 0..0
........ code 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display 1..1 string Representation defined by the system (欠損の表示名)
........ userSelected 0..0
...... text 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... asNeeded[x] 0..0
.... site 0..0
.... route 0..0
.... method 0..1 CodeableConcept Technique for administering medication (投与方法)
..... id 0..0
..... extension 0..0
..... coding 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
..... extension 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 Amount of medication per dose (1回量)
...... value Numerical value (with implicit precision) (1回量)
...... unit 1.. Unit representation (1回量の単位)
...... system 1.. System that defines coded unit form (単位形式を定義するコード体系)
...... code Coded form of the unit (単位を表すコード値)
...... id 0..0
...... extension 0..0
..... rate[x] 0..1 Ratio, Range, SimpleQuantity 薬剤の投与量速度
..... rate[x]:rateRatio 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
...... id 0..0
...... extension 0..0
...... numerator 1..1 JP_MedicationQuantity Numerator value (1日投与量)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日投与量)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日投与量の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
...... denominator 1..1 Quantity Denominator value (1日投与を表す値)
....... id 0..0
....... extension 0..0
....... value 1..1 decimal Numerical value (with implicit precision) (1日)
....... comparator 0..0
....... unit 1..1 string Unit representation (1日の単位)
....... system 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
....... code 1..1 code Coded form of the unit (単位を表すコード値)
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... 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.medication[x]preferredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationRequest.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationRequest.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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

Constraints

IdGradePath(s)DetailsRequirements
fujitsu-4errorMedicationRequest.medication[x]Medication Code or Data Absent Reason
: coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* JP_MedicationRequest Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)
... 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 2..* 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:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... 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] ΣC 1..1 CodeableConcept Medication to be taken (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode HOT9 ValueSet (preferred)
fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication (処方理由のコード)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Fujitsu Condition Profile | Fujitsu Observation Common Profile) Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)
.... 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 How the medication should be taken (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
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... text Σ 0..1 string 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Fixed Value: d
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core Medication JAMI Usage ValueSet (preferred)
...... extension 0..0
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... extension 0..0
..... 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 Amount of medication per dose (1回量)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
...... extension 0..0
...... value Σ 1..1 decimal （精度が暗示された）数値
...... unit Σ 0..1 string 単位表現
...... system ΣC 0..1 uri コード化された単位表現を規定するシステム
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (1日投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (required)
Fixed Value: d
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
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.medication[x]preferredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationRequest.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationRequest.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_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.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_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.coderequiredFixed Value: d
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()
fujitsu-4errorMedicationRequest.medication[x]Medication Code or Data Absent Reason
: coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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 Fujitsu MedicationRequest Profile (内服・外用薬処方プロファイル)
... 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 2..* 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:orderInRp 1..1 Identifier 同一RP番号（剤グループ）での薬剤の表記順
..... extension 0..0
..... system Σ 1..1 uri RP番号内（剤グループ内）の連番を示すsystem値
Fixed Value: urn:oid:1.2.392.100495.20.3.82
..... value Σ 1..1 string RP番号内（剤グループ内）の連番
Example General: 123456
.... 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 Oral/External 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] ΣC 1..1 CodeableConcept Medication to be taken (医薬品コードと医薬品名称)
Binding: JP Core MedicationCode HOT9 ValueSet (preferred)
fujitsu-4: Medication Code or Data Absent Reason
.... extension 0..0
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:YJ Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core Medication YJ ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.100495.20.1.73
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:HOT9 Σ 0..* Coding Code defined by a terminology system (医薬品を表すコード)
Binding: JP Core MedicationCode HOT9 ValueSet (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200119.4.403.1
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:US Σ 0..1 Coding Code defined by a terminology system (医薬品を表すコード)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion (extensible)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (医薬品を定義するコード体系)
Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm
...... code Σ 1..1 code Symbol in syntax defined by the system (医薬品を表すコード値)
...... display Σ 1..1 string Representation defined by the system (医薬品の表示名)
..... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
...... extension 0..0
...... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
...... display Σ 1..1 string Representation defined by the system (欠損の表示名)
.... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
... subject Σ 1..1 Reference(Fujitsu Patient Profile) Who received medication (患者)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... encounter 1..1 Reference(Fujitsu Encounter Profile) Encounter created as part of encounter/admission/stay (この測定が作成されたタイミングの外来または入院)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... authoredOn Σ 1..1 dateTime この処方オーダが最初に記述された日
... requester Σ 0..1 Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Organization Profile | Fujitsu Patient Profile | RelatedPerson | Device) Who/What requested the Request (医師や医療機関)
.... extension 0..0
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication (処方理由のコード)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Fujitsu Condition Profile | Fujitsu Observation Common Profile) Condition or observation that supports why the prescription is being written (処置を実施した理由のとなった情報)
.... 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 How the medication should be taken (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
.... periodOfUse 0..1 Period Period of use(服用開始日)
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse
.... usageDuration 0..1 Duration 実投与日数
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration
.... text Σ 0..1 string 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 (服用タイミング)
..... extension 0..0
..... repeat ΣC 0..1 Element When the event is to occur (定時用法)
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... extension 0..0
...... Slices for bounds[x] Σ 0..1 Duration 服用・注射開始日から服用・注射終了日までの全日数
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsDuration Σ 0..1 Duration Length/Range of lengths, or (Start and/or end) limits (定時用法)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (日数)
........ unit Σ 1..1 string Unit representation (日数の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Fixed Value: d
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: JP Core Medication JAMI Usage ValueSet (preferred)
...... extension 0..0
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:JAMI Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: JP Core Medication JAMI Usage ValueSet (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:USCode Σ 0..1 Coding Code defined by a terminology system (用法を表すコード)
Binding: TimingAbbreviation (preferred)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (用法を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
........ code Σ 1..1 code Symbol in syntax defined by the system (用法を表すコード値)
........ display Σ 1..1 string Representation defined by the system (用法の表示名)
....... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
........ extension 0..0
........ system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
........ display Σ 1..1 string Representation defined by the system (欠損の表示名)
...... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... method Σ 0..1 CodeableConcept Technique for administering medication (投与方法)
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

..... extension 0..0
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:unitDigit1 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Basic Usage Type ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.30
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:unitDigit2 Σ 0..1 Coding Code defined by a terminology system (投与方法を表すコード)
Binding: JP Core Medication JAMI Detail Usage ValueSet (preferred)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: urn:oid:1.2.392.200250.2.2.20.40
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:USCode Σ 0..* Coding Code defined by a terminology system (投与方法を表すコード)
Binding: SNOMEDCTAdministrationMethodCodes (example)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (投与方法を定義するコード体系)
Fixed Value: http://snomed.info/sct
....... code Σ 1..1 code Symbol in syntax defined by the system (投与方法を表すコード値)
....... display Σ 1..1 string Representation defined by the system (投与方法の表示名)
...... coding:Absent Σ 0..* Coding Code defined by a terminology system (欠損を表すコード)
Binding: DataAbsentReason (required)
....... extension 0..0
....... system Σ 1..1 uri Identity of the terminology system (欠損を定義するコード体系)
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code Σ 1..1 code Symbol in syntax defined by the system (欠損を表すコード値)
....... display Σ 1..1 string Representation defined by the system (欠損の表示名)
..... text Σ 1..1 string Plain text representation of the concept (このコンセプトのテキスト表現。データの元となる電子カルテなどで入力されているテキストが入ります。コードで表現しきれないものはこのテキスト表現を参考にします。)
.... doseAndRate Σ 1..1 Element Amount of medication administered (投与量)
..... extension 0..0
..... 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 Amount of medication per dose (1回量)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
...... extension 0..0
...... value Σ 1..1 decimal （精度が暗示された）数値
...... unit Σ 0..1 string 単位表現
...... system ΣC 0..1 uri コード化された単位表現を規定するシステム
...... code Σ 1..1 code 単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
..... Slices for rate[x] Σ 0..1 薬剤の投与量速度
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio C 0..1 JP_MedicationRatio_DosePerDay Amount of medication per unit of time (1日量)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
....... extension 0..0
....... numerator C 1..1 JP_MedicationQuantity Numerator value (1日投与量)
qty-3: If a code for the unit is present, the system SHALL also be present
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日投与量)
........ unit Σ 1..1 string Unit representation (1日投与量の単位)
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: JP Core Medication MERIT9 Unit ValueSet (preferred)
....... denominator Σ 1..1 Quantity Denominator value (1日投与を表す値)
........ extension 0..0
........ value Σ 1..1 decimal Numerical value (with implicit precision) (1日)
Fixed Value: 1
........ unit Σ 1..1 string Unit representation (1日の単位)
Fixed Value: 日
........ system ΣC 1..1 uri System that defines coded unit form (単位形式を定義するコード体系)
Fixed Value: http://unitsofmeasure.org
........ code Σ 1..1 code Coded form of the unit (単位を表すコード値)
Binding: UnitsOfTime (required)
Fixed Value: d
...... rate[x]:rateRange C 0..1 JP_MedicationRange_UnitOfTime 範囲指定された時間の上限下限
rng-2: If present, low SHALL have a lower value than high
...... rate[x]:rateQuantity C 0..1 SimpleQuantity 投与速度(量/時間)を指定する
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
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_MedicationCategory_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCategory_VS
MedicationRequest.medication[x]preferredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:YJrequiredJP_MedicationCodeYJ_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeYJ_VS
MedicationRequest.medication[x].coding:HOT9requiredJP_MedicationCodeHOT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCodeHOT9_VS
MedicationRequest.medication[x].coding:USextensiblehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion
MedicationRequest.medication[x].coding:AbsentrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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_MedicationUsageJAMI_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUsageJAMI_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.dose[x].codepreferredJP_MedicationUnitMERIT9_VS
http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_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.coderequiredFixed Value: d
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()
fujitsu-4errorMedicationRequest.medication[x]Medication Code or Data Absent Reason
: coding.exists(system = 'urn:oid:1.2.392.200119.4.403.1') or coding.exists(system = 'urn:oid:1.2.392.100495.20.1.73') or coding.exists(system = 'http://terminology.hl7.org/CodeSystem/data-absent-reason')
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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