HL7 FHIR JP Core ImplementationGuide
1.1.0 - release
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.0). See the Directory of published versions
Active as of 2022-10-24 |
Definitions for the jp-medicationrequest-injection resource profile.
1. MedicationRequest | |
Definition | 患者への薬の供給と注射や点滴の指示を共に提供するオーダ。ケアプランやワークフローパターンとハーモナイズし、入院や外来でも使えるようにするため、このリソースは"MedicationPrescription"や"MedicationOrder"ではなく、"MedicationRequest"と呼ばれる。JP_MedicationRequestBaseプロファイルからの派生プロファイルである。 患者への薬の供給と内服指示を共に提供するオーダ。ケアプランやワークフローパターンとハーモナイズし、入院や外来でも使えるようにするため、このリソースは"MedicationPrescription"や"MedicationOrder"ではなく、"MedicationRequest"と呼ばれる。 |
2. MedicationRequest.category | |
Binding | The codes SHOULD be taken from JP Core Medication Injection Category ValueSetFor example codes, see medicationRequest Category Codes |
3. MedicationRequest.medication[x] | |
Type | Choice of: (Medication)), CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Slicing | This element introduces a set of slices on MedicationRequest.medication[x]. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
4. MedicationRequest.medicationReference | |
Control | 1..1 |
Type | Reference(JP_Medication)) |
5. MedicationRequest.dosageInstruction | |
Type | Dosage(JP_MedicationDosage_Injection, JP_MedicationDosageBase) |
1. MedicationRequest | |
Definition | 患者への薬の供給と注射や点滴の指示を共に提供するオーダ。ケアプランやワークフローパターンとハーモナイズし、入院や外来でも使えるようにするため、このリソースは"MedicationPrescription"や"MedicationOrder"ではなく、"MedicationRequest"と呼ばれる。JP_MedicationRequestBaseプロファイルからの派生プロファイルである。 An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. |
Control | 0..* |
Alternate Names | Prescription, Order |
Invariants | Defined on this element dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.`div`.exists()) |
2. MedicationRequest.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
3. MedicationRequest.extension:preparation | |
SliceName | preparation |
Definition | 薬剤単位の調剤結果 |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(JP_MedicationDispense_Preparation) (Extension Type: Choice of: string, CodeableConcept) |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
4. MedicationRequest.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
5. MedicationRequest.identifier | |
Definition | このインスタンスが外部から参照されるために使われるIDである。処方箋全体としてのIDとしては使用しない。 処方箋内で同一の用法をまとめて表記されるRp番号はこのIdentifier elementの別スライスで表現する。それ以外に任意のIDを付与してもよい。 このIDは業務手順によって定められた処方オーダに対して、直接的なURL参照が適切でない場合も含めて関連付けるために使われる。この業務手順のIDは実施者によって割り当てられたものであり、リソースが更新されたりサーバからサーバに転送されたとしても固定のものとして存続する。 Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* |
Type | Identifier |
Comments | これは業務IDであって、リソースに対するIDではない。 This is a business identifier, not a resource identifier. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on MedicationRequest.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
6. MedicationRequest.identifier:rpNumber | |
SliceName | rpNumber |
Definition | 処方箋内で同一用法の薬剤を慣用的にまとめて、Rpに番号をつけて剤グループとして一括指定されることがある。このスライスでは剤グループに対して割り振られたRp番号を記録する。 Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..1* |
Type | Identifier |
Comments | 剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。 This is a business identifier, not a resource identifier. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
7. MedicationRequest.identifier:rpNumber.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
8. MedicationRequest.identifier:rpNumber.system | |
Definition | ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。 Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 10..1 |
Type | uri |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | Identifier.system is always case sensitive. |
Fixed Value | urn:oid:1.2.392.100495.20.3.81 |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
9. MedicationRequest.identifier:rpNumber.value | |
Definition | Rp番号(剤グループ番号)。"1"など。 The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 10..1 |
Type | string |
Comments | value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. MedicationRequest.identifier:requestIdentifier | |
SliceName | requestIdentifier |
Definition | 薬剤をオーダする単位としての処方箋に対するID。MedicationRequestは単一の薬剤でインスタンスが作成されるが、それの集合としての処方箋のID。 Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Comments | This is a business identifier, not a resource identifier. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
11. MedicationRequest.identifier:requestIdentifier.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
12. MedicationRequest.identifier:requestIdentifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 10..1 |
Type | uri |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Comments | Identifier.system is always case sensitive. |
Fixed Value | http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
13. MedicationRequest.identifier:requestIdentifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 10..1 |
Type | string |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
14. MedicationRequest.status | |
Definition | オーダの現在の状態を示すコード。一般的には active か completed の状態であるだろう。 A code specifying the current state of the order. Generally, this will be active or completed state. |
Control | 1..1 |
Binding | The codes SHALL be taken from medicationrequest Status A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
Type | code |
Is Modifier | true |
Comments | このエレメントはmodifierとされている。StatusとはこのResourceが現在妥当な状態ではないことも示すからである。 This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
15. MedicationRequest.intent | |
Definition | 投薬指示の意図 が提案(proposal)、計画(plan)、あるいは他の要求によるものかを示す。 Whether the request is a proposal, plan, or an original order. |
Control | 1..1 |
Binding | The codes SHALL be taken from medicationRequest Intent The kind of medication order. |
Type | code |
Is Modifier | true |
Comments | 処方をオーダする場合、MedicationRequestのどの段階でオーダしたのかについて、この項目を指定することが期待される。たとえば、proposalであれば患者、関係者、医師あるいは機器からの提案として作成される。"plan"であれば、医師、患者、関係者そして機器からの提案として生成される。"original-order"は医師にしか作成できない。 instance-orderはリクエストあるいはオーダをインスタンス化する段階であり、MedicationAdministrationレコードにも使われる。 intentはこのresourceが実際に適応される時に変化するため、このエレメントはmodifierとしてラベルされる。 It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
16. MedicationRequest.category | |
Definition | このMedicationRequest Resourceが使用される区分を示す。日本では「院外」「院内」「入院」「外来」などの区分を想定する。 一般的には、外来や入院などどこでこの薬剤が投与、内服されるかを想定した区分である。 処方病棟や処方した診療科をOrganization resourceで表現することが冗長である場合にはこの区分が用いられることもある。 HL7 FHIRではvalue setとして http://terminology.hl7.org/CodeSystem/medicationrequest-category がデフォルトで用いられるが、日本での使用の場合持参薬をカバーする必要があり、JAHIS処方データ規約V3.0Cに記載されているMERIT-9処方オーダ表7とJHSP0007表を組み合わせて持ちいることとする。 Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). |
Control | 0..* |
Binding | The codes SHOULD be taken from JP Core Medication Injection Category ValueSetFor example codes, see medicationRequest Category Codes |
Type | CodeableConcept |
Comments | 薬剤が投与あるいはその他の用途で利用されると想定される場面についての区分である。 The category can be used to include where the medication is expected to be consumed or other types of requests. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
17. MedicationRequest.doNotPerform | |
Definition | このオーダが実施していけないものであればTrueを表示される If true indicates that the provider is asking for the medication request not to occur. |
Control | 0..1 |
Type | boolean |
Is Modifier | true |
Comments | もし、doNotPerformに指定がなければ、オーダは実施してもよいものである。(たとえば、「実施せよ」) If do not perform is not specified, the request is a positive request e.g. "do perform". |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
18. MedicationRequest.medication[x] | |
Definition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。 Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. |
Control | 1..1 |
Type | Choice of: Reference(Medication)), CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。 厚生労働省標準であるHOT9コード(販社指定が不要な場合にはHOT7コード)または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素(コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる)で記述する。 なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位(最少包装単位、個別包装単位)14桁を使用する。 ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。 ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。 また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード(ハウスコード、ローカルコード)の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on MedicationRequest.medication[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
|
19. MedicationRequest.medication[x]:medicationReference | |
SliceName | medicationReference |
Definition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。 Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. |
Control | 1..1 |
Type | Choice of: Reference(JP_Medication|Medication)), CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。 厚生労働省標準であるHOT9コード(販社指定が不要な場合にはHOT7コード)または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素(コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる)で記述する。 なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位(最少包装単位、個別包装単位)14桁を使用する。 ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。 ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。 また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード(ハウスコード、ローカルコード)の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
20. MedicationRequest.subject | |
Definition | JP Coreでは患者を表すPatientリソースへの参照。 一般には薬剤が投与される対象となる人(あるいはグループ)を表現するResourceに対するリンク。 A link to a resource representing the person or set of individuals to whom the medication will be given. |
Control | 1..1 |
Type | Reference(JP_Patient|Patient|Group)) |
Comments | 処方オーダの対象は必須項目である。 二次利用のためにどこに実際の対象がいるのかについての情報は提供されない。特定の対象に対して匿名化することも必要である。 The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. MedicationRequest.authoredOn | |
Definition | JP Coreでは必須。処方指示が最初に作成された日時。秒の精度まで記録する。タイムゾーンも付与しなければならない。 The date (and perhaps time) when the prescription was initially written or authored on. |
Control | 10..1 |
Type | dateTime |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
22. MedicationRequest.dosageInstruction | |
Definition | 薬の服用方法・服用した方法、または服用すべき方法 Indicates how the medication is to be used by the patient. |
Control | 0..* |
Type | Dosage(JP_MedicationDosage_Injection) |
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
1. MedicationRequest | |||||
Definition | 患者への薬の供給と注射や点滴の指示を共に提供するオーダ。ケアプランやワークフローパターンとハーモナイズし、入院や外来でも使えるようにするため、このリソースは"MedicationPrescription"や"MedicationOrder"ではなく、"MedicationRequest"と呼ばれる。JP_MedicationRequestBaseプロファイルからの派生プロファイルである。 | ||||
Control | 0..* | ||||
Alternate Names | PrescriptionOrder | ||||
2. MedicationRequest.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Control | 0..1 | ||||
Type | id | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
3. MedicationRequest.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
4. MedicationRequest.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
5. MedicationRequest.language | |||||
Definition | The base language in which the resource is written. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages
A human language
| ||||
Type | code | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
6. MedicationRequest.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Alternate Names | narrativehtmlxhtmldisplay | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
7. MedicationRequest.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Alternate Names | inline resourcesanonymous resourcescontained resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
8. MedicationRequest.extension | |||||
Definition | An Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
9. MedicationRequest.extension:preparation | |||||
SliceName | preparation | ||||
Definition | 薬剤単位の調剤結果 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP_MedicationDispense_Preparation) (Extension Type: Choice of: string, CodeableConcept) | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
10. MedicationRequest.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
11. MedicationRequest.identifier | |||||
Definition | このインスタンスが外部から参照されるために使われるIDである。処方箋全体としてのIDとしては使用しない。 処方箋内で同一の用法をまとめて表記されるRp番号はこのIdentifier elementの別スライスで表現する。それ以外に任意のIDを付与してもよい。 このIDは業務手順によって定められた処方オーダに対して、直接的なURL参照が適切でない場合も含めて関連付けるために使われる。この業務手順のIDは実施者によって割り当てられたものであり、リソースが更新されたりサーバからサーバに転送されたとしても固定のものとして存続する。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..* | ||||
Type | Identifier | ||||
Comments | これは業務IDであって、リソースに対するIDではない。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
12. MedicationRequest.identifier:rpNumber | |||||
SliceName | rpNumber | ||||
Definition | 処方箋内で同一用法の薬剤を慣用的にまとめて、Rpに番号をつけて剤グループとして一括指定されることがある。このスライスでは剤グループに対して割り振られたRp番号を記録する。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..1 | ||||
Type | Identifier | ||||
Comments | 剤グループに複数の薬剤が含まれる場合、このグループ内の薬剤には同じRp番号が割り振られる。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
13. MedicationRequest.identifier:rpNumber.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
14. MedicationRequest.identifier:rpNumber.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
15. MedicationRequest.identifier:rpNumber.use | |||||
Definition | The purpose of this identifier. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known | ||||
Type | code | ||||
Is Modifier | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
16. MedicationRequest.identifier:rpNumber.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable A coded type for an identifier that can be used to determine which identifier to use for a specific purpose | ||||
Type | CodeableConcept | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
17. MedicationRequest.identifier:rpNumber.system | |||||
Definition | ここで付番されたIDがRp番号であることを明示するためにOIDとして定義された。urn:oid:1.2.392.100495.20.3.81で固定される。 | ||||
Control | 1..1 | ||||
Type | uri | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Comments | Identifier.system is always case sensitive. | ||||
Fixed Value | urn:oid:1.2.392.100495.20.3.81 | ||||
Example | General:http://www.acme.com/identifiers/patient | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
18. MedicationRequest.identifier:rpNumber.value | |||||
Definition | Rp番号(剤グループ番号)。"1"など。 | ||||
Control | 1..1 | ||||
Type | string | ||||
Comments | value は string型であり、数値はゼロサプレス、つまり、'01'でなく'1'と指定すること。 | ||||
Example | General:123456 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
19. MedicationRequest.identifier:rpNumber.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
20. MedicationRequest.identifier:rpNumber.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Control | 0..1 | ||||
Type | Reference(Organization)) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
21. MedicationRequest.identifier:requestIdentifier | |||||
SliceName | requestIdentifier | ||||
Definition | 薬剤をオーダする単位としての処方箋に対するID。MedicationRequestは単一の薬剤でインスタンスが作成されるが、それの集合としての処方箋のID。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Comments | This is a business identifier, not a resource identifier. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
22. MedicationRequest.identifier:requestIdentifier.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
23. MedicationRequest.identifier:requestIdentifier.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
24. MedicationRequest.identifier:requestIdentifier.use | |||||
Definition | The purpose of this identifier. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known | ||||
Type | code | ||||
Is Modifier | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
25. MedicationRequest.identifier:requestIdentifier.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable A coded type for an identifier that can be used to determine which identifier to use for a specific purpose | ||||
Type | CodeableConcept | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
26. MedicationRequest.identifier:requestIdentifier.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Comments | Identifier.system is always case sensitive. | ||||
Fixed Value | http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier | ||||
Example | General:http://www.acme.com/identifiers/patient | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
27. MedicationRequest.identifier:requestIdentifier.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Control | 1..1 | ||||
Type | string | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Example | General:123456 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
28. MedicationRequest.identifier:requestIdentifier.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
29. MedicationRequest.identifier:requestIdentifier.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Control | 0..1 | ||||
Type | Reference(Organization)) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
30. MedicationRequest.status | |||||
Definition | オーダの現在の状態を示すコード。一般的には active か completed の状態であるだろう。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from medicationrequest Status A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription | ||||
Type | code | ||||
Is Modifier | true | ||||
Comments | このエレメントはmodifierとされている。StatusとはこのResourceが現在妥当な状態ではないことも示すからである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
31. MedicationRequest.statusReason | |||||
Definition | 現在のステータスの理由 | ||||
Control | 0..1 | ||||
Binding | For example codes, see medicationRequest Status Reason Codes Identifies the reasons for a given status | ||||
Type | CodeableConcept | ||||
Comments | 一般的には「保留(suspended)」や「中止(cancelled)」といった例外的状態を示すために持ちいられる。MedicationRequestオーダが発生した理由についてはreasonCodeに記載され、この項目は用いられない。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
32. MedicationRequest.intent | |||||
Definition | 投薬指示の意図 が提案(proposal)、計画(plan)、あるいは他の要求によるものかを示す。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from medicationRequest Intent The kind of medication order | ||||
Type | code | ||||
Is Modifier | true | ||||
Comments | 処方をオーダする場合、MedicationRequestのどの段階でオーダしたのかについて、この項目を指定することが期待される。たとえば、proposalであれば患者、関係者、医師あるいは機器からの提案として作成される。"plan"であれば、医師、患者、関係者そして機器からの提案として生成される。"original-order"は医師にしか作成できない。 instance-orderはリクエストあるいはオーダをインスタンス化する段階であり、MedicationAdministrationレコードにも使われる。 intentはこのresourceが実際に適応される時に変化するため、このエレメントはmodifierとしてラベルされる。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
33. MedicationRequest.category | |||||
Definition | このMedicationRequest Resourceが使用される区分を示す。日本では「院外」「院内」「入院」「外来」などの区分を想定する。 一般的には、外来や入院などどこでこの薬剤が投与、内服されるかを想定した区分である。 処方病棟や処方した診療科をOrganization resourceで表現することが冗長である場合にはこの区分が用いられることもある。 HL7 FHIRではvalue setとして http://terminology.hl7.org/CodeSystem/medicationrequest-category がデフォルトで用いられるが、日本での使用の場合持参薬をカバーする必要があり、JAHIS処方データ規約V3.0Cに記載されているMERIT-9処方オーダ表7とJHSP0007表を組み合わせて持ちいることとする。 | ||||
Control | 0..* | ||||
Binding | The codes SHOULD be taken from JP Core Medication Injection Category ValueSet | ||||
Type | CodeableConcept | ||||
Comments | 薬剤が投与あるいはその他の用途で利用されると想定される場面についての区分である。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
34. MedicationRequest.priority | |||||
Definition | このMedicationRequestオーダの優先度。他のオーダと比較して表現される。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from RequestPriority Identifies the level of importance to be assigned to actioning the request | ||||
Type | code | ||||
Comments | FHIRでは文字列の大きさが1MBを超えてはならない(SHALL NOT)。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
35. MedicationRequest.doNotPerform | |||||
Definition | このオーダが実施していけないものであればTrueを表示される | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true | ||||
Comments | もし、doNotPerformに指定がなければ、オーダは実施してもよいものである。(たとえば、「実施せよ」) | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
36. MedicationRequest.reported[x] | |||||
Definition | このレコードは元々の一次記録から報告されたものか、二次的に「報告された」資料から取り込まれたものかを示す。報告の情報源についても示される。 | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, Reference(PatientPractitionerPractitionerRoleRelatedPersonOrganization)) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
37. MedicationRequest.medication[x] | |||||
Definition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。 | ||||
Control | 1..1 | ||||
Type | Reference(Medication)) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。 厚生労働省標準であるHOT9コード(販社指定が不要な場合にはHOT7コード)または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素(コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる)で記述する。 なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位(最少包装単位、個別包装単位)14桁を使用する。 ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。 ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。 また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード(ハウスコード、ローカルコード)の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.medication[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
| ||||
38. MedicationRequest.medication[x]:medicationReference | |||||
SliceName | medicationReference | ||||
Definition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. 投与された薬剤を識別する。既知の薬のリストから薬を識別するコード情報を設定する。 | ||||
Control | 1..1 | ||||
Type | Reference(JP_Medication)) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. ひとつのtext要素と、複数のcoding 要素を記述できる。処方オーダ時に選択または入力し、実際に処方箋に印字される文字列を必ずtext要素に格納した上で、それをコード化した情報を1個以上のcoding 要素に記述する。 厚生労働省標準であるHOT9コード(販社指定が不要な場合にはHOT7コード)または広く流通しているYJコードを用いるか、一般名処方の場合には厚生労働省保険局一般名処方マスタのコードを使用して、Coding要素(コードsystemを識別するURI、医薬品のコード、そのコード表における医薬品の名称の3つからなる)で記述する。 なお、上記のいずれの標準的コードも付番されていない医薬品や医療材料の場合には、薬機法の下で使用されているGS1標準の識別コードであるGTIN(Global Trade Item Number)の調剤包装単位(最少包装単位、個別包装単位)14桁を使用する。 ひとつの処方薬、医療材料を複数のコード体系のコードで記述してもよく、その場合にcoding 要素を繰り返して記述する。 ただし、ひとつの処方薬を複数のコードで繰り返し記述する場合には、それらのコードが指し示す処方薬、医療材料は当然同一でなければならない。 また、処方を発行した医療機関内でのデータ利用のために、医療機関固有コード体系によるコード(ハウスコード、ローカルコード)の記述を含めてもよいが、その場合でも上述したいずれかの標準コードを同時に記述することが必要である。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
39. MedicationRequest.subject | |||||
Definition | JP Coreでは患者を表すPatientリソースへの参照。 一般には薬剤が投与される対象となる人(あるいはグループ)を表現するResourceに対するリンク。 | ||||
Control | 1..1 | ||||
Type | Reference(JP_Patient)) | ||||
Comments | 処方オーダの対象は必須項目である。 二次利用のためにどこに実際の対象がいるのかについての情報は提供されない。特定の対象に対して匿名化することも必要である。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
40. MedicationRequest.encounter | |||||
Definition | JP Coreでの使用は規定されていない。 この対象となるリソース[x]が作成される間やこの記録が作成される対象のencounterは密接に関連している。 | ||||
Control | 0..1 | ||||
Type | Reference(JP_Encounter)) | ||||
Comments | このエレメントは一般的には外来でのイベントに対応するが、診察が公式に終わる前や後にこの診察についてのコンテキストに対応して開始される活動についても対応する。もし、診療のエピソードに関連させる必要があれば、extensionとして扱われることがある。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
41. MedicationRequest.supportingInformation | |||||
Definition | 薬剤をオーダするときに補助的となる追加情報(たとえば、患者の身長や体重))を含む。 | ||||
Control | 0..* | ||||
Type | Reference(Resource)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
42. MedicationRequest.authoredOn | |||||
Definition | JP Coreでは必須。処方指示が最初に作成された日時。秒の精度まで記録する。タイムゾーンも付与しなければならない。 | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
43. MedicationRequest.requester | |||||
Definition | JP Coreではこのエレメントに対する規定はない。 このオーダを発行した責任のある人、組織、機器。 | ||||
Control | 0..1 | ||||
Type | Reference(JP_PractitionerJP_PractitionerRoleJP_OrganizationJP_PatientRelatedPersonDevice)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
44. MedicationRequest.performer | |||||
Definition | 薬物治療を実施すると予定された者。(たとえば、薬剤投与を行った者) | ||||
Control | 0..1 | ||||
Type | Reference(JP_PractitionerJP_PractitionerRoleJP_OrganizationJP_PatientDeviceRelatedPersonCareTeam)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
45. MedicationRequest.performerType | |||||
Definition | 薬剤の投与・管理を行った職種を示す。 | ||||
Control | 0..1 | ||||
Binding | For example codes, see JP Core PractitionerRole ValueSet | ||||
Type | CodeableConcept | ||||
Comments | Performerを示さずにこのエレメントが指定された場合は、このエレメントは薬剤の投与/管理が指定の職種でなければならないと言うことを示している。Performerと共に指定された場合は、もし指定されたPerformerが実施できない場合に薬剤投与・管理を行うものについての要件が示されたことを意味する。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
46. MedicationRequest.recorder | |||||
Definition | JP Coreではこのエレメントに対する規定はない。 たとえば口答指示や電話でのオーダにより、他の人の代理で処方を入力した人。 | ||||
Control | 0..1 | ||||
Type | Reference(JP_PractitionerJP_PractitionerRole)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
47. MedicationRequest.reasonCode | |||||
Definition | このエレメントに対するJP Coreの規定はない。 薬剤をオーダするあるいはしないことを示した理由。 | ||||
Control | 0..* | ||||
Binding | For example codes, see Condition/Problem/DiagnosisCodes A coded concept indicating why the medication was ordered | ||||
Type | CodeableConcept | ||||
Comments | このエレメントは病名コードであってもよい。もし、すべての条件を示す記録があって他の詳細な記録が必要であれば、reasonReferenceを使用すること。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
48. MedicationRequest.reasonReference | |||||
Definition | 薬剤がなぜオーダされたのかを説明する条件や観察。 | ||||
Control | 0..* | ||||
Type | Reference(JP_ConditionJP_Observation_Common)) | ||||
Comments | 薬剤オーダの理由を示すこれは条件や観察についての参照である。もし、コードだけであればreasonCodeを使用すること。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
49. MedicationRequest.instantiatesCanonical | |||||
Definition | このMedicationRequestの一部あるいは全部が遵守するprotocolやguideline, ordersetなど他の定義を示すURL。 | ||||
Control | 0..* | ||||
Type | canonical | ||||
Comments | Canonical Referencesを参照すること。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
50. MedicationRequest.instantiatesUri | |||||
Definition | このMedicationRequestの一部あるいは全部が遵守するprotocolやguideline, ordersetなど他の定義を示すURL。 | ||||
Control | 0..* | ||||
Type | uri | ||||
Comments | 以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
51. MedicationRequest.basedOn | |||||
Definition | このMedicationRequestの全部あるいは一部を満たす計画やオーダ。 | ||||
Control | 0..* | ||||
Type | Reference(CarePlanMedicationRequestServiceRequestImmunizationRecommendation)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
52. MedicationRequest.groupIdentifier | |||||
Definition | 一人の処方者が同時期に前後して作成した全てのリクエストに共通するIDで、処方や薬品請求のIDを示す。 | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Requirements | リクエストは"basedOn"での関連付け(たとえば、あるリクエストが他のリクエストを満たす)か、あるいは共通の請求伝票に書かれているを示すことで関連付けられる。同じ請求伝票にあるリクエストは最初に作成されてからは変更や維持などについては独立したものと見なされる。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
53. MedicationRequest.courseOfTherapyType | |||||
Definition | 患者が内服する薬剤についての管理の全体的なパターンについての記載。 | ||||
Control | 0..1 | ||||
Binding | For example codes, see medicationRequest Course of Therapy Codes Identifies the overall pattern of medication administratio | ||||
Type | CodeableConcept | ||||
Comments | この属性は薬剤プロトコールと混同してはならない。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
54. MedicationRequest.insurance | |||||
Definition | リクエストされたサービスについて支払いが求め裸得ることになる、保険のプランや適応範囲の拡大、事前の権限付与、かつ/または事前の判定。 | ||||
Control | 0..* | ||||
Type | Reference(JP_CoverageClaimResponse)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
55. MedicationRequest.note | |||||
Definition | 他の属性では伝えることができなかったMedicationRequestについての付加的情報。 | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Comments | 構造化されたアノテーションが内システムでは、作成者や記録時間のない一つのアノテーションで情報を伝達している。このエレメントに情報の修正を要する可能性があるためにナラティブな情報も必要としている。Annotationsには機械処理が可能で修正される("modifying")情報を伝達することに使うべきではない(SHOULD NOT)。これがSHOULDである理由はユーザの行動を強制することはほぼ不可能であるからである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
56. MedicationRequest.dosageInstruction | |||||
Definition | 薬の服用方法・服用した方法、または服用すべき方法 | ||||
Control | 0..* | ||||
Type | Dosage(JP_MedicationDosage_Injection) | ||||
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
57. MedicationRequest.dispenseRequest | |||||
Definition | 薬剤オーダ(MedicationRequest, Medication Prescription, Medication Orderなどとしても表現される)や薬剤オーダとの一部としての薬剤の払い出しあるいは提供。この情報はオーダとしてかならず伝えられるというわけではないことに注意。薬剤部門で調剤・払い出しを完了するための施設(たとえば病院)やシステムでのサポートに関する設定をしてもよい。 | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
58. MedicationRequest.dispenseRequest.id | |||||
Definition | エレメント間参照のためのユニークID。空白を含まない全ての文字を使ってもよい(MAY)。 | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
59. MedicationRequest.dispenseRequest.extension | |||||
Definition | An Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.dispenseRequest.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
60. MedicationRequest.dispenseRequest.extension:instructionForDispense | |||||
SliceName | instructionForDispense | ||||
Definition | 薬剤単位の調剤指示を格納する | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP_MedicationRequest_DispenseRequest_InstructionForDispense) (Extension Type: CodeableConcept) | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
61. MedicationRequest.dispenseRequest.extension:expectedRepeatCount | |||||
SliceName | expectedRepeatCount | ||||
Definition | 頓用回数を表現する拡張 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(JP_MedicationRequest_DispenseRequest_ExpectedRepeatCount) (Extension Type: integer) | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
62. MedicationRequest.dispenseRequest.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensionsuser contentmodifiers | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
63. MedicationRequest.dispenseRequest.initialFill | |||||
Definition | 初回の薬剤払い出しでの期間や量への指示 | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Comments | このエレメントを設定するときには量あるいは期間が指定されていなければならない。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
64. MedicationRequest.dispenseRequest.initialFill.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
65. MedicationRequest.dispenseRequest.initialFill.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
66. MedicationRequest.dispenseRequest.initialFill.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensionsuser contentmodifiers | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
67. MedicationRequest.dispenseRequest.initialFill.quantity | |||||
Definition | 初回の払い出しとして提供される薬剤の量。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP_MedicationSimpleQuantity) | ||||
Comments | このエレメントはどのような量を表現するか定義するためにコンテキストにあわせてよく定義される。したがって、どのような単位でも利用することができる。使用されるコンテキストによってcomparatorエレメントで値が定義されることもある。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present (: code.empty() or system.exists()) sqty-1: The comparator is not used on a SimpleQuantity (: comparator.empty()) | ||||
68. MedicationRequest.dispenseRequest.initialFill.duration | |||||
Definition | 初回に行われる調剤、払い出しで予定される期間 | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Comments | このエレメントはどのような量を表現するか定義するためにコンテキストにあわせてよく定義される。したがって、どのような単位でも利用することができる。使用されるコンテキストによってcomparatorエレメントで値が定義されることもある。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
69. MedicationRequest.dispenseRequest.dispenseInterval | |||||
Definition | 再調剤、払い出しを行う予定までの最短の期間 | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Comments | このエレメントはどのような量を表現するか定義するためにコンテキストにあわせてよく定義される。したがって、どのような単位でも利用することができる。使用されるコンテキストによってcomparatorエレメントで値が定義されることもある。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
70. MedicationRequest.dispenseRequest.validityPeriod | |||||
Definition | このエレメントは処方の有効期間(処方が失効する日)を示す。 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Requirements | Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. | ||||
Comments | It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
71. MedicationRequest.dispenseRequest.validityPeriod.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
72. MedicationRequest.dispenseRequest.validityPeriod.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.dispenseRequest.validityPeriod.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
73. MedicationRequest.dispenseRequest.validityPeriod.start | |||||
Definition | 期間の開始を示す。境界も含まれる。 | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Comments | このエレメントが設定されていなければ、下限が不明であることを示す。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
74. MedicationRequest.dispenseRequest.validityPeriod.end | |||||
Definition | 期間の終了時刻。もし、期間の終了が示されていなければ、このインスタンスが生成された時点での終了時刻が不明であったか計画されていなかったかである。開始時刻(start)は過去であることもあり、終了時刻(end)は未来であることもあり、その時点での見込みあるいは予定された終了時刻を意味する。 | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Comments | 終了時刻は全ての日付・時刻に対応する。たとえば、2012-02-03T10:00:00は2012-02-03を終了時刻(end)の値とする期間を示す。 | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
75. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | |||||
Definition | リフィル回数を示す整数である。患者が処方された薬を最初の払い出しから追加で受け取ることができる回数である。使用上の注意:この整数には最初の払い出しが含まれない。オーダが「30錠に加えて3回リフィル可」であれば、このオーダで合計で最大4回、120錠が患者に受け渡される。この数字を0とすることで,処方者がリフィルを許可しないということを明示することができる。 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Comments | 許可された払い出し回数は,最大でこの数字に1を足したものである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
76. MedicationRequest.dispenseRequest.quantity | |||||
Definition | 1回の調剤で払い出される薬剤の量 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(JP_MedicationSimpleQuantity) | ||||
Comments | このエレメントはどのような量を表現するか定義するためにコンテキストにあわせてよく定義される。したがって、どのような単位でも利用することができる。使用されるコンテキストによってcomparatorエレメントで値が定義されることもある。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present (: code.empty() or system.exists()) sqty-1: The comparator is not used on a SimpleQuantity (: comparator.empty()) | ||||
77. MedicationRequest.dispenseRequest.expectedSupplyDuration | |||||
Definition | 供給される製品が使用されるか、あるいは払い出しが想定されている時間を指定する期間。 | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Comments | 状況によっては、この属性は物理的に供給される量というよりも、想定されている期間に供給される薬剤の量を指定する数量の代わりに使われることもある。たとえば、薬剤が90日間供給される(オーダされた量に基づいて)など。可能であれば、量も示した方がより正確になる。expectedSupplyDurationは外部要因に影響をうけることのある予測値である。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
78. MedicationRequest.dispenseRequest.expectedSupplyDuration.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
79. MedicationRequest.dispenseRequest.expectedSupplyDuration.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.dispenseRequest.expectedSupplyDuration.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
| ||||
80. MedicationRequest.dispenseRequest.expectedSupplyDuration.value | |||||
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
81. MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | |||||
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from QuantityComparator How the Quantity should be understood and represented | ||||
Type | code | ||||
Is Modifier | true | ||||
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
82. MedicationRequest.dispenseRequest.expectedSupplyDuration.unit | |||||
Definition | A human-readable form of the unit. | ||||
Control | 0..1 | ||||
Type | string | ||||
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
Fixed Value | 日 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
83. MedicationRequest.dispenseRequest.expectedSupplyDuration.system | |||||
Definition | The identification of the system that provides the coded form of the unit. | ||||
Control | 0..1 This element is affected by the following invariants: qty-3 | ||||
Type | uri | ||||
Requirements | Need to know the system that defines the coded form of the unit. | ||||
Fixed Value | http://unitsofmeasure.org | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
84. MedicationRequest.dispenseRequest.expectedSupplyDuration.code | |||||
Definition | A computer processable form of the unit in some unit representation system. | ||||
Control | 0..1 | ||||
Type | code | ||||
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
Fixed Value | d | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
85. MedicationRequest.dispenseRequest.performer | |||||
Definition | 処方者によって指定される調剤・払い出しを行うと想定されているOrganizationを示す。 Indicates the intended dispensing Organization specified by the prescriber. | ||||
Control | 0..1 | ||||
Type | Reference(JP_Organization)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
86. MedicationRequest.substitution | |||||
Definition | 後発医薬品への変更可否情報。代替薬剤を払い出してよいかどうかを示している。代替薬剤を使用しなければいけない場合もあれば、使用しない場合もある。このブロックでは処方者の意図が示される。もし、何も指定されていなければ代替薬品を用いてもよい。 | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
87. MedicationRequest.substitution.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Representation | In the XML format, this property is represented as an attribute. | ||||
88. MedicationRequest.substitution.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensionsuser content | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
89. MedicationRequest.substitution.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensionsuser contentmodifiers | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) | ||||
90. MedicationRequest.substitution.allowed[x] | |||||
Definition | 後発医薬品への変更可否情報。 | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from JP Core Medication Substitution Not Allowed Reason ValueSet | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Comments | 代替品が許可されるかどうかは無視できないので、このエレメントはmodifierとしてラベルされる。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
91. MedicationRequest.substitution.reason | |||||
Definition | 代替品にしなければならなかった、あるいは代替品が認められなかった理由を示す。 | ||||
Control | 0..1 | ||||
Binding | For example codes, see SubstanceAdminSubstitutionReason A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed | ||||
Type | CodeableConcept | ||||
Comments | 代替品の理由を表す一般的パターンに全てのターミノロジが適応しているわけではない。情報モデルはCodeableConceptではなく、直接Codingをを使用してテキストやコーディング、翻訳、そしてエレメントと事前条件、事後条件の関係について管理するためにその構造を提示する必要がある。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
92. MedicationRequest.priorPrescription | |||||
Definition | 関連する先行オーダや処方を表現するMedicationRequest Resourceへのリンク。 | ||||
Control | 0..1 | ||||
Type | Reference(JP_MedicationRequestBase)) | ||||
Comments | 参照先は実存するFHIR Resourceでなければならず(SHALL)、解決可能(アクセスコントロールや、一時的に利用不可であることなどは許容される)でなければならない(SHALL)。解決の方法はURLから取得可能であるか、Resource型が適応できるかどうか、正規のURLとして絶対的参照を扱うことができるか、ローカルのレジストリ/リポジトリから参照することができるかである。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
93. MedicationRequest.detectedIssue | |||||
Definition | 患者に対して1回以上の実施されたか提案された診療行為によって、実際に起きたあるいは起きる可能性のある臨床的問題。たとえば、薬剤官相互作用や重複治療、薬剤量についての警告など。DetectedIssueリソースへの参照。 | ||||
Control | 0..* | ||||
Type | Reference(DetectedIssue)) | ||||
Alternate Names | ContraindicationDrug Utilization Review (DUR)Alert | ||||
Comments | このエレメントは意思決定支援システムや臨床医によって指摘された問題点を扱うことができ、問題を表すためのステップについての情報を扱ってもよい。 | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) | ||||
94. MedicationRequest.eventHistory | |||||
Definition | このリソースの現在のバージョンをユーザから見て関係していそうなキーとなる更新や状態遷移と識別される過去のバージョンのこのリソースあるいは調剤請求あるいはEvent ResourceについてのProvenance resourceへの参照。 | ||||
Control | 0..* | ||||
Type | Reference(Provenance)) | ||||
Comments | このエレメントには全てのバージョンのMedicationRequestについてのProvenanceが取り込まれているわけではない。「関連する」あるいは重要と思われたものだけである。現在のバージョンのResourceに関連したProvenance resourceを含めてはならない(SHALL NOT)。(もし、Provenanceとして「関連した」変化と思われれば、後の更新の一部として取り込まれる必要があるだろう。それまでは、このバージョンを_revincludeを使ってprovenanceとして指定して直接クエリーを発行することができる。全てのProvenanceがこのRequestについての履歴を対象として持つべきである。) | ||||
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |