HL7 FHIR JP Core ImplementationGuide
1.1.1 - release
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.1). See the Directory of published versions
Active as of 2022-10-24 |
Definitions for the jp-medicationdosage data type profile.
1. Dosage | |
2. Dosage.extension:periodOfUse | |
SliceName | periodOfUse |
Control | 0..1 |
Type | Extension(JP_MedicationDosage_PeriodOfUse) (Extension Type: Period) |
3. Dosage.extension:usageDuration | |
SliceName | usageDuration |
Control | 0..1 |
Type | Extension(JP_MedicationDosage_UsageDuration) (Extension Type: Duration) |
4. Dosage.timing | |
Control | 0..? |
5. Dosage.timing.repeat | |
Control | 0..? |
6. Dosage.timing.repeat.boundsDuration | |
Control | 0..1 |
Type | Duration |
7. Dosage.timing.repeat.boundsDuration.value | |
Definition | 投薬日数 |
Control | 0..? |
8. Dosage.timing.repeat.boundsDuration.unit | |
Definition | 投薬日数の単位文字列。日で固定される |
Control | 0..? |
Fixed Value | 日 |
9. Dosage.timing.repeat.boundsDuration.system | |
Definition | 単位コード UCUMを識別するURI。固定値。 |
Control | 0..? |
Fixed Value | http://unitsofmeasure.org |
10. Dosage.timing.repeat.boundsDuration.code | |
Definition | 単位コードUCUMにおける投与日数の単位。dで固定される。 |
Control | 0..? |
Fixed Value | d |
11. Dosage.timing.code | |
Control | 0..? |
Binding | The codes SHOULD be taken from JP Core Medication JAMI Usage ValueSet |
Comments | BIDなどは「施設特有の時間」として定義される。たとえば、施設がBIDを「つねに朝7時と夕方6時」であると指定することがある。この指定が不適切であれば、BIDというコードは使うべきではない。その代わり、HL7が定義したBIDのコードではなく、その施設特有のコードで明示的に示すべきであり、構造化された表現を使うべきである(この場合、2回のイベントの時刻を指定する必要がある)。 |
12. Dosage.doseAndRate | |
Control | 0..? |
13. Dosage.doseAndRate.doseQuantity | |
Definition | 1回投与量 |
Control | 0..1 |
Type | Quantity(JP_MedicationSimpleQuantity) |
Comments | この量は指定された薬剤の量を指定するものであって、各有効成分の量を指定するものではない。各成分の量はMedication resourceで伝えることができる。たとえば、有効成分が375mgである錠剤を1錠投与することを伝えたい場合、Medication resourceを利用して、XYZ成分が375mg含有しているという錠剤であることを文書化することができる。あるいは1回投与量が375mgであることを伝えるのであれば、Medication resourceをつかって単にそれが錠剤であることを示せばよい。もし、ドーパミンの静注を例に挙げて、400mgのドーパミンを500mlの注射溶液に混ぜて使うことを伝えたいのであれば、それをすべてMedication resourceで伝えることができる。もし、投与について即時に伝達することを意図していない(たとえば投与速度が示されていたり、投与時期に範囲があるような場合)のであれば、たとえば1回500mlを4時間以上かけて投与する予定を伝える場合にもMedication resourceで伝えることができる。 |
14. Dosage.doseAndRate.rateRatio | |
Control | 0..1 |
Type | Ratio(JP_MedicationRatio_DosePerDay) |
15. Dosage.doseAndRate.rateRange | |
Control | 0..1 |
Type | Range(JP_MedicationRange_UnitOfTime) |
16. Dosage.doseAndRate.rateQuantity | |
Definition | 投与速度(量/時間)を指定する |
Control | 0..1 |
Type | Quantity(SimpleQuantity) |
1. Dosage | |
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/was taken or should be taken by the patient. |
Control | 0..* |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
2. Dosage.extension:periodOfUse | |
SliceName | periodOfUse |
Definition | MedicationRequestの投与期間の開始日を明示するための拡張 |
Control | 0..1 |
Type | Extension(JP_MedicationDosage_PeriodOfUse) (Extension Type: Period) |
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()) |
3. Dosage.extension:usageDuration | |
SliceName | usageDuration |
Definition | 隔日投与などで実投与日数と処方期間が異なる場合に用いられる。 |
Control | 0..1 |
Type | Extension(JP_MedicationDosage_UsageDuration) (Extension Type: Duration) |
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. Dosage.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 | extensions, user content, modifiers |
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()) |
1. Dosage | |
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..* |
2. Dosage.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. |
3. Dosage.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 Dosage.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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4. Dosage.extension:periodOfUse | |
SliceName | periodOfUse |
Definition | MedicationRequestの投与期間の開始日を明示するための拡張 |
Control | 0..1 |
Type | Extension(JP_MedicationDosage_PeriodOfUse) (Extension Type: Period) |
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. Dosage.extension:usageDuration | |
SliceName | usageDuration |
Definition | 隔日投与などで実投与日数と処方期間が異なる場合に用いられる。 |
Control | 0..1 |
Type | Extension(JP_MedicationDosage_UsageDuration) (Extension Type: Duration) |
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()) |
6. Dosage.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()) |
7. Dosage.sequence | |
Definition | どの服用指示を適応するか判断するかについての順序を示したもの |
Control | 0..1 |
Type | integer |
Requirements | もし、複数の服用法(Dosage)でsequenceの数値が同じであれば、その指示が同時に扱われることを示している。sequenceの数値が異なれば、服用指示(Dosage)の順番を意図している。 |
Comments | 32 bitの数値。これ以上の値であれば10進数を使うこと。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
8. Dosage.text | |
Definition | 投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。 |
Control | 0..1 |
Type | string |
Requirements | ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。 |
Comments | textエレメントはcodingのdisplayNameエレメントと一致することがよくある。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
9. Dosage.additionalInstruction | |
Definition | どのように薬剤を内服するかについての患者への補足指示(たとえば、「食事と一緒に」や「30分から1時間前に内服」)や薬剤についての注意書き(たとえば、「眠くなることがある」や「日光や紫外線が皮膚にあたららないようにすること」) |
Control | 0..* |
Binding | The codes SHOULD be taken from JP Core Medication JAMI Additional Usage ValueSet |
Type | CodeableConcept |
Requirements | 補足指示はコード化されるように意図されているが、コードがない場合はエレメントはテキストだけで表現することができる。たとえば、「大量の水で服用する」という指示はコード化されていることもあれば、されていないことおある。 |
Comments | 薬剤投与や調剤についての情報(たとえば、「腹膜内ポートに可能な限り迅速に注入」や「薬剤Xの直後に」)であり、dosage.textにも複製されるべきである。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. Dosage.patientInstruction | |
Definition | 患者あるいは消費者に理解してもらうための指示。 |
Control | 0..1 |
Type | string |
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
11. Dosage.timing | |
Definition | 投与日時 |
Control | 0..1 |
Type | Timing(JP_MedicationTiming) |
Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
12. Dosage.timing.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
13. Dosage.timing.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 Dosage.timing.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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14. Dosage.timing.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()) |
15. Dosage.timing.event | |
Definition | 服用タイミングを具体的な日時で指定する場合に使用する |
Control | 0..* |
Type | dateTime |
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
16. Dosage.timing.repeat | |
Definition | イベントがスケジュールされたルールについての記述。 |
Control | 0..1 |
Type | Element |
Requirements | スケジュールされたタイミングの多くは規則的な繰り返しで決定されている。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (: duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (: period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (: duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (: period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (: periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (: durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (: countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (: timeOfDay.empty() or when.empty()) |
17. Dosage.timing.repeat.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
18. Dosage.timing.repeat.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 Dosage.timing.repeat.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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19. Dosage.timing.repeat.bounds[x] | |
Definition | 服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。 |
Control | 0..1 |
Type | Choice of: Duration, Range, Period |
[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())) |
Slicing | This element introduces a set of slices on Dosage.timing.repeat.bounds[x]. The slices are unordered and Open, and can be differentiated using the following discriminators:
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20. Dosage.timing.repeat.bounds[x]:boundsDuration | |
SliceName | boundsDuration |
Definition | 服用・注射開始日から服用・注射終了日までの全日数。実投与日数ではないことに注意する。 |
Control | 0..1 |
Type | Duration |
[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())) |
21. Dosage.timing.repeat.bounds[x]:boundsDuration.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
22. Dosage.timing.repeat.bounds[x]:boundsDuration.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 Dosage.timing.repeat.bounds[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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23. Dosage.timing.repeat.bounds[x]:boundsDuration.value | |
Definition | 投薬日数 |
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())) |
24. Dosage.timing.repeat.bounds[x]:boundsDuration.comparator | |
Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
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())) |
25. Dosage.timing.repeat.bounds[x]:boundsDuration.unit | |
Definition | 投薬日数の単位文字列。日で固定される |
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())) |
26. Dosage.timing.repeat.bounds[x]:boundsDuration.system | |
Definition | 単位コード UCUMを識別するURI。固定値。 |
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())) |
27. Dosage.timing.repeat.bounds[x]:boundsDuration.code | |
Definition | 単位コードUCUMにおける投与日数の単位。dで固定される。 |
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())) |
28. Dosage.timing.repeat.count | |
Definition | Timing仕様の全てにおいて、特定の期間に繰り返されるように指定された総回数。もし、countMaxが設定されていれば、このエレメントは許容される最低限度の回数を示す。 |
Control | 0..1 |
Type | positiveInt |
Requirements | Repetitions may be limited by end time or total occurrences. |
Comments | 回数に上限、下限の範囲がある場合は、このcountで示される回数が起きるまでは、エレメントは範囲の中にあると解釈されるべきである。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
29. Dosage.timing.repeat.countMax | |
Definition | このエレメントが設定されている場合は、回数に範囲があることを示している。したがって、[count]から[countmax]までの回数で繰り返される。 |
Control | 0..1 |
Type | positiveInt |
Comments | 32bit整数。もし、値がこれを超える場合はdecimalで記録される。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
30. Dosage.timing.repeat.duration | |
Definition | 投与されるタイミングが発生している時間。もし、durationMaxが設定されていれば、このエレメントは許容される継続時間の下限を示す。 |
Control | 0..1 |
Type | decimal |
Requirements | アクティビティによっては即時的なものではなく、その期間において維持される必要がある。 |
Comments | 継続時間はイベントの定義の一部(たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部(たとえば、運動)として示されることもある。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
31. Dosage.timing.repeat.durationMax | |
Definition | もし、このエレメントに値が設定されていれば、durationには範囲があることを示している。したがって、[duration]から[durationMax]までの継続時間の範囲で投与される。 |
Control | 0..1 |
Type | decimal |
Requirements | アクティビティによっては即時的なものではなく、その期間において維持される必要がある。 |
Comments | 継続時間はイベントの定義の一部(たとえば、静脈注射(IV)では特定の量と速度が明示される)として示されることがある。その他、Timing仕様の一部(たとえば、運動)として示されることもある。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
32. Dosage.timing.repeat.durationUnit | |
Definition | UCUM単位で表される継続時間についての単位。 |
Control | 0..1 |
Binding | The codes SHALL be taken from UnitsOfTime A unit of time (units from UCUM) |
Type | code |
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
33. Dosage.timing.repeat.frequency | |
Definition | 特定の期間に繰り返して発生した行為の回数。もし、frequencyMaxが設定されていれば、このエレメントはfrequencyとして認められた下限を示す。 |
Control | 0..1 |
Type | positiveInt |
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 |
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
34. Dosage.timing.repeat.frequencyMax | |
Definition | このエレメントに値が設定されていれば、frequencyには範囲が指定されている。つまり、期間あるいは期間の範囲内に[frequency]から[frequencyMax]回繰り返されることを示している。 |
Control | 0..1 |
Type | positiveInt |
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
35. Dosage.timing.repeat.period | |
Definition | 繰り返し投与が行われる期間を示す。たとえば、「1日3回」であれば、3は繰り返しの頻度(frequency)であり、「1日」が期間(period)である。もし、periodMaxに値が設定されていれば、このエレメントは期間として認められた範囲の下限を示す。 |
Control | 0..1 |
Type | decimal |
Comments | IEEEの浮動小数点型を使わずに、小数点も含むdecimal型のようなものを利用すること(たとえばJavaのBigInteger)。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
36. Dosage.timing.repeat.periodMax | |
Definition | もし、この値が設定されていれば、期間は[period]から[periodMax]までであることを示し、「3-5日に1回投与」のような表現が認められる。 |
Control | 0..1 |
Type | decimal |
Comments | IEEEの浮動小数点型を使わずに、小数点の制度も示すdecimal型のようなものを利用すること(たとえばJavaのBigInteger)。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
37. Dosage.timing.repeat.periodUnit | |
Definition | 期間を表すUCUM単位。 |
Control | 0..1 |
Binding | The codes SHALL be taken from UnitsOfTime A unit of time (units from UCUM) |
Type | code |
Comments | FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
38. Dosage.timing.repeat.dayOfWeek | |
Definition | 期間として1週間以上が指定されていれば、指定された曜日のみで投与が行われる。 |
Control | 0..* |
Binding | The codes SHALL be taken from DaysOfWeek |
Type | code |
Comments | 曜日が指定されていなければ、他に指定された日には毎日投与されると想定される。frequencyとperiodエレメントはdayOfWeekと同じように使うことはできない。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
39. Dosage.timing.repeat.timeOfDay | |
Definition | 一日の間で指定された投与される時刻。 |
Control | 0..* |
Type | time |
Comments | もし、このtimeOfDayに値が指定されていれば、毎日(daysOfWeekでフィルタされた曜日の)指定された時刻に投与されると推定される。whenやfrequency, periodエレメントはtimeOfDayとは同様に使うことはできない。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
40. Dosage.timing.repeat.when | |
Definition | 一日の間のおおよその時間帯で投与すべきタイミングを示す。日常のイベントに関連付けられていることもある。 |
Control | 0..* |
Binding | The codes SHALL be taken from EventTiming Real world event relating to the schedule |
Type | code |
Requirements | タイミングはしばしば起床や食事、睡眠などのできごとによってしばしば決定されている。 |
Comments | 一つ以上のイベントが記載されている場合、そのイベントは特定のイベントの組み合わせと結びついている。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
41. Dosage.timing.repeat.offset | |
Definition | イベントからの時間(分)。もし、分で示される時間がイベントのコードが前か後かを示していない場合、offsetはイベントの後であることが想定される。 |
Control | 0..1 |
Type | unsignedInt |
Comments | 32ビットの数値。もし、値がそれを上回るようであればdecimalを使用する。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
42. Dosage.timing.code | |
Definition | スケジュール上のタイミングを表すコード(あるいはcode.text内のテキスト)。BID(1日2回)のようなコードはどこにでもあるが、多くの医療機関は付加的なコードを定義している。もし、コードが示されていれば、構造化されたタイミングで完全に示されたデータであると解釈され、コードまたはTimingを解釈するためのデータであると解釈される。しかし、例外的に.repeat.bounds(コードは含まれない)はコードを上書きして適用される。 |
Control | 0..1 |
Binding | The codes SHOULD be taken from JP Core Medication JAMI Usage ValueSet |
Type | CodeableConcept |
Comments | BIDなどは「施設特有の時間」として定義される。たとえば、施設がBIDを「つねに朝7時と夕方6時」であると指定することがある。この指定が不適切であれば、BIDというコードは使うべきではない。その代わり、HL7が定義したBIDのコードではなく、その施設特有のコードで明示的に示すべきであり、構造化された表現を使うべきである(この場合、2回のイベントの時刻を指定する必要がある)。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
43. Dosage.asNeeded[x] | |
Definition | 【JP Core仕様】頓用型の用法を指定する場合に”true”を指定し、そのコードを指定する場合は用法コードとして指定する。 Medication(薬剤)が必要なときに指定された量とスケジュールのみで投薬するか(Booleanで選択される)、投薬する前提条件はTiming.Code(CodeableConcept)を示している。 |
Control | 0..1 |
Type | boolean |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
44. Dosage.site | |
Definition | 投与される身体部位。外用薬で部位を指定する場合に使用する。 |
Control | 0..1 |
Binding | The codes SHOULD be taken from JP Core Medication JAMI External Body Site ValueSet |
Type | CodeableConcept |
Requirements | A coded specification of the anatomic site where the medication first enters the body. |
Comments | もし、BodySite resourceの属性が必要な場合(たとえば、部位の指定や別々に投与経路を設定する場合)は、bodySiteの標準拡張を使うこと。要約コードや非常に正確な位置の定義へのreferenceを使用することもできる。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
45. Dosage.route | |
Definition | 投与経路 |
Control | 0..1 |
Binding | The codes SHOULD be taken from JP Core Medication HL70162-based Route ValueSet |
Type | CodeableConcept |
Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. |
Comments | 投与経路の一般的パターンに全てのターミノロジが適応しているわけではない。情報モデルはCodeableConceptではなく、直接Codingをを使用してテキストやコーディング、翻訳、そしてエレメントと事前条件、事後条件の関係について管理するためにその構造を提示する必要がある。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
46. Dosage.method | |
Definition | 投与方法 |
Control | 0..1 |
Binding | For example codes, see SNOMEDCTAdministrationMethodCodes A coded concept describing the technique by which the medicine is administered |
Type | CodeableConcept |
Requirements | コード化された値は体内に薬剤が投与される方法を示している。注射ではよく使われる。たとえば、緩徐に注入、深部に静注など。 |
Comments | ターミノロジは投与する経路あるいは剤型をあらかじめ指定するために用いられる。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
47. Dosage.method.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
48. Dosage.method.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 Dosage.method.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
49. Dosage.method.coding | |
Definition | A reference to a code defined by a terminology system. |
Control | 0..* |
Type | Coding |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
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 Dosage.method.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
50. Dosage.method.coding:unitDigit1 | |
SliceName | unitDigit1 |
Definition | 投与⽅法に対応するJAMI 用法コード表基本用法1桁コードを識別するURI。 |
Control | 0..1 |
Binding | The codes SHOULD be taken from JP Core Medication JAMI Basic Usage Type ValueSet |
Type | Coding |
Requirements | 他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。 |
Comments | コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである(HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
51. Dosage.method.coding:unitDigit1.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
52. Dosage.method.coding:unitDigit1.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 Dosage.method.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
53. Dosage.method.coding:unitDigit1.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Control | 1..1 |
Type | uri |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Fixed Value | urn:oid:1.2.392.200250.2.2.20.30 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
54. Dosage.method.coding:unitDigit1.version | |
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
55. Dosage.method.coding:unitDigit1.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Control | 0..1 |
Type | code |
Requirements | Need to refer to a particular code in the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
56. Dosage.method.coding:unitDigit1.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Control | 0..1 |
Type | string |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
57. Dosage.method.coding:unitDigit1.userSelected | |
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
Control | 0..1 |
Type | boolean |
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
58. Dosage.method.coding:unitDigit2 | |
SliceName | unitDigit2 |
Definition | 投与⽅法に対応するJAMI 用法コード表基本用法2桁コードを識別するURI。2桁コードurn:oid:1.2.392.200250.2.2.20.40 |
Control | 0..1 |
Binding | The codes SHOULD be taken from JP Core Medication JAMI Detail Usage ValueSet |
Type | Coding |
Requirements | 他のコードシステムへの変換や代替のコードシステムを使ってエンコードしてもよい。 |
Comments | コードは臨時で列記したものや、コードのリストからSNOMED CTのように公式に定義されたものまである(HL7 v3 core principle を参照)。FHIR自体ではコーディング規約を定めてはいないし、意味を暗示するために利用されない(SHALL NOT)。一般的に UserSelected = trueの場合には一つのコードシステムが使われる。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
59. Dosage.method.coding:unitDigit2.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
60. Dosage.method.coding:unitDigit2.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 Dosage.method.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
61. Dosage.method.coding:unitDigit2.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Control | 1..1 |
Type | uri |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Fixed Value | urn:oid:1.2.392.200250.2.2.20.40 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
62. Dosage.method.coding:unitDigit2.version | |
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
63. Dosage.method.coding:unitDigit2.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Control | 0..1 |
Type | code |
Requirements | Need to refer to a particular code in the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
64. Dosage.method.coding:unitDigit2.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Control | 0..1 |
Type | string |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
65. Dosage.method.coding:unitDigit2.userSelected | |
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
Control | 0..1 |
Type | boolean |
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
66. Dosage.method.text | |
Definition | 投与⽅法のテキスト表現。コードで指定できない場合、本要素で文字列として指定してもよい。 |
Control | 0..1 |
Type | string |
Requirements | ターミノロジ由来のコードは必ずしも人間が使う言葉の全てのニュアンスを含めた正確な意味を捉えているわけではなく、適切なコードが見つからない場合もある。そのような場合でもtextエレメントは元々の意味のすべてを捉えるために使うことができる。 |
Comments | textエレメントはcodingのdisplayNameエレメントと一致することがよくある。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
67. Dosage.doseAndRate | |
Definition | 薬剤が投与される量 |
Control | 0..* |
Type | Element |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
68. Dosage.doseAndRate.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
69. Dosage.doseAndRate.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 Dosage.doseAndRate.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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70. Dosage.doseAndRate.type | |
Definition | 力価区分 |
Control | 0..1 |
Binding | The codes SHOULD be taken from JP Core Medication IngredientStrength StrengthType ValueSet |
Type | CodeableConcept |
Requirements | このtypeに値が指定されていなければ、"ordered"であることが想定される。 |
Comments | 投与速度・量の一般的パターンに全てのターミノロジが適応しているわけではない。情報モデルはCodeableConceptではなく、直接Codingをを使用してテキストやコーディング、翻訳、そしてエレメントと事前条件、事後条件の関係について管理するためにその構造を提示する必要がある。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
71. Dosage.doseAndRate.dose[x] | |
Definition | The comparator is not used on a SimpleQuantity |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Quantity(SimpleQuantity) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | The amount of therapeutic or other substance given at one administration event. |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
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()) |
Slicing | This element introduces a set of slices on Dosage.doseAndRate.dose[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
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72. Dosage.doseAndRate.dose[x]:doseQuantity | |
SliceName | doseQuantity |
Definition | 1回投与量 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Quantity(JP_MedicationSimpleQuantity) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | The amount of therapeutic or other substance given at one administration event. |
Comments | この量は指定された薬剤の量を指定するものであって、各有効成分の量を指定するものではない。各成分の量はMedication resourceで伝えることができる。たとえば、有効成分が375mgである錠剤を1錠投与することを伝えたい場合、Medication resourceを利用して、XYZ成分が375mg含有しているという錠剤であることを文書化することができる。あるいは1回投与量が375mgであることを伝えるのであれば、Medication resourceをつかって単にそれが錠剤であることを示せばよい。もし、ドーパミンの静注を例に挙げて、400mgのドーパミンを500mlの注射溶液に混ぜて使うことを伝えたいのであれば、それをすべてMedication resourceで伝えることができる。もし、投与について即時に伝達することを意図していない(たとえば投与速度が示されていたり、投与時期に範囲があるような場合)のであれば、たとえば1回500mlを4時間以上かけて投与する予定を伝える場合にもMedication resourceで伝えることができる。 |
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()) |
73. Dosage.doseAndRate.rate[x] | |
Definition | 薬剤が投与される量の速度 |
Control | 0..1 |
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. |
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 Dosage.doseAndRate.rate[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
|
74. Dosage.doseAndRate.rate[x]:rateRatio | |
SliceName | rateRatio |
Definition | 1日当たりでの薬剤の投入量 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Ratio(JP_MedicationRatio_DosePerDay) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())) |
75. Dosage.doseAndRate.rate[x]:rateRange | |
SliceName | rateRange |
Definition | 範囲指定された時間の上限下限 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Range(JP_MedicationRange_UnitOfTime) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | 時間の上限量、下限量の範囲を持っている。単位指定された数量を割り当てている。Low,Highの値は時間の単位当てはめる。 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) rng-2: If present, low SHALL have a lower value than high (: low.empty() or high.empty() or (low <= high)) |
76. Dosage.doseAndRate.rate[x]:rateQuantity | |
SliceName | rateQuantity |
Definition | 投与速度(量/時間)を指定する |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Quantity(SimpleQuantity) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
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. Dosage.maxDosePerPeriod | |
Definition | 単位時間当たりの投薬量の上限 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Ratio(JP_MedicationRatio_DosePerPeriod) |
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. |
Comments | The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present (: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())) |
78. Dosage.maxDosePerAdministration | |
Definition | 1回あたりの投薬量の上限 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Quantity(JP_MedicationSimpleQuantity) |
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. |
Comments | 薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) |
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()) |
79. Dosage.maxDosePerLifetime | |
Definition | 生涯の投薬量の上限 |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Quantity(JP_MedicationSimpleQuantity) |
Requirements | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. |
Comments | 薬剤に関する簡易的な数量と単位を定めている。ValueおよびCodeを必須とし、comparatorは記述不可。単位についてはMERIT9医薬品単位略号の利用を推進している。(SHOULD) |
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()) |