HL7 FHIR JP Core ImplementationGuide
2.0.0-dev - ci-build Japan flag

HL7 FHIR JP Core ImplementationGuide - Local Development build (v2.0.0-dev) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: JP_Medication - Detailed Descriptions

Active as of 2023-10-31

Definitions for the jp-medication resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Medication
Definition

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.
このResourceは薬剤を処方し、払い出し(調剤)、その投与を定義し、IDを付与するためにまず利用され、薬剤の使用状態を示すためにも使われる。


This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

ShortMedication Resourceの定義Definition of a Medication
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-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.exists() and ('#'+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(uri) = '#').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. Medication.id
Definition

リソースに対するURLとして使われるリソースの論理ID。この値は一度割り当てられたら変更されることはない。


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Shortこのアーチファクトに対する論理IDLogical id of this artifact
Comments

ResourceにIDがない時期は、create操作のためにサーバにResourceが送信されている時期だけである。


The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
4. Medication.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.

ShortA set of rules under which this content was created
Comments

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

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Medication.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).

ShortExtensions that cannot be ignored
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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summaryfalse
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 Namesextensions, user content
Invariantsele-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())
8. Medication.identifier
Definition

この薬剤に関する業務用のID


Business identifier for this medication.

Shortこの薬剤に関する業務用のIDBusiness identifier for this medication
Comments

IDとしてシリアルナンバーを使うこともできる。


The serial number could be included as an identifier.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Medication.code
Definition

A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.
この薬剤を指定するコード。該当するコードがない場合はテキスト表記。
使用法について注記:日本ではHOTコードを利用することが推奨される。一般的な薬剤コードとしてRxNorm、SNOMD CT, IDMPなど標準的な医薬品コードを使うことができる。国や地域に特有のローカルコードも使うことができ、他のコードに変換することもできる。


A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

Shortこの薬剤を特定するコードCodes that identify this medication
Comments

使われるコンテキストによるが、ユーザ(処方や調剤などを行った人)によって実際にコードが選択されたのであれば、coding.userSelectedはtrueとすることとなる。Codingのデータ型で説明されているように、「ユーザインターフェース(たとえば、選択肢から特定の項目をユーザが選択するような形式)で特定のコードをユーザが選択したのであれば、"userSelected"に記録されてもよい」
ユーザが選択したコードがあれば、その選択がコード変換などで優先される。そのほかのコードは代替のコードシステムか低粒度のコード(たとえば、ベンダー固有の初期値のための一般的なコード)に文字列変換変換するしかない。


Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

Control0..1
BindingThe codes SHOULD be taken from For example codes, see JP Core MedicationCode ValueSethttp://hl7.org/fhir/ValueSet/medication-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS)

薬品の種類を規定するコード化された概念


A coded concept that defines the type of a medication.

TypeCodeableConcept
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Medication.status
Definition

薬剤が有効に使われているかどうかを指定するコード。


A code to indicate if the medication is in active use.

Shortactive | inactive | entered-in-error
Comments

このステータスは薬剤がローカルにあるシステム内で薬剤データベースや棚卸表で有効とされているかどうかを識別するためのものである。たとえば、薬剤システムで「ABC病院特製クリーム」といった製剤のために新しい薬剤ファイルを作成されるような場合もある。未来のある時点では、薬剤記録を作成した時にエラーが発生し、ステータスが「entered-in-error」に変化することもありうる。このステータスは薬剤が特定の処方集に記載されているかどうかを指定するためのものではない。薬剤記録が複数の処方集やカタログを参照することも可能であり、それぞれの記録が異なるステータスを持つこともある。


This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

Control10..1
BindingThe codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.3.0
(required to http://hl7.org/fhir/ValueSet/medication-status|4.3.0)

A coded concept defining if the medication is in active use.

Typecode
Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Medication.manufacturer
Definition

Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.
医薬品の製造元の詳細を説明する。これは、医薬品の販売業者を表すことを意図したものではない。


Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

Short製品の製造者Manufacturer of the item
Control0..1
TypeReference(JP Core Organization Profile, Organization)
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Medication.form
Definition

TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + 製品の剤型についての説明。散剤、ドライシロップ(PWD)、錠剤(TAB)、カプセル(CAP)など。


Describes the form of the item. Powder; tablets; capsule.

ShortTAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ +powder | tablets | capsule +
Comments

もし、Medication ResourceがMedicationRequest Resourceから参照された場合は、これはオーダされた剤型である。Medication ResourceがMedicationDispense Resourceから参照された場合は、払い出された剤型である。MedicationAdministration ResourceからMedication Resourceが参照されていれば、投与された剤型である。


When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

Control0..1
BindingThe codes SHOULD be taken from For example codes, see JP Core Medication MERIT9 Form ValueSethttp://hl7.org/fhir/ValueSet/medication-form-codes
(preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationFormMERIT9_VS)
TypeCodeableConcept
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Medication.amount
Definition

パッケージされた製品に含まれる薬剤固有の量。たとえば、同じ力価の製品を指定すれば(たとえば、インスリングラルギン10単位/mL注射液)、この値はパッケージ内での薬剤量(たとえば、3mL, 10mLなど)を明示することになる。


Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

Shortパッケージ中の薬剤の量Amount of drug in package
Comments

比率(Ratio)を表すデータ型は、量(Quantity)と共通単位を使って適切に表現できないときのみに使われるべきである。分母が"1"に固定されているとわかっているような場合は、量(Quantity)を比率(Ratio)の代わりに使うべきである。

Control0..1
TypeRatio(JP Core Medication Ratio Amount DataType)
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Medication.ingredient
Definition

この薬剤を構成する特定の重要成分を識別する


Identifies a particular constituent of interest in the product.

Short薬効がある、あるいは薬効を伴わない成分Active or inactive ingredient
Comments

すべての成分を含む必要はない。もし、ある成分が記載されていなくてもその成分が含有されているかどうかを必ずしも意味しない。特定の成分が記載されていても、すべての成分が記載されていると言うことを意味しない。有効成分であるか、有効成分ではないかを指定することは可能である。


The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
22. Medication.ingredient.extension
Definition

An Extension


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

ShortExtensionAdditional content defined by implementations
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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Medication.ingredient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 24. Medication.ingredient.extension:drugNo
    Slice NamedrugNo
    Definition

    RP内の薬剤の連番

    ShortRP内の薬剤の連番
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(JP Core Medication Ingredient DrugNo Extension) (Extension Type: integer)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    26. Medication.ingredient.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).

    ShortExtensions that cannot be ignored even if unrecognized
    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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())
    28. Medication.ingredient.item[x]
    Definition

    有効成分。物質(単純成分)あるいは他の薬剤や処方。


    The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

    Short有効な成分あるいは含有物The actual ingredient or content
    Comments

    すべての用語集はこの一般的な様式を満たさない。場合によっては、情報モデルとしてCodeableConceptや直接Codingを使うべきではなく、テキストやコード、翻訳や事前条件と事後条件でのエレメントの関係などを示すことも適切ではない。

    Control1..1
    TypeCodeableConcept, Reference(Substance, Medication)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Requirements

    成分は物質(たとえば、アモキシシリン)や、他の薬剤(たとえば、Glaxal Baseなどの合成製品)を参照されることもある。


    The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Medication.ingredient.isActive
    Definition

    この成分が薬剤の治療効果に影響するかどうかの指標
    Indication of whether this ingredient affects the therapeutic action of the drug.


    Indication of whether this ingredient affects the therapeutic action of the drug.

    Short有効成分の指標Active ingredient indicator
    Control0..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Requirements

    Trueであれば、この成分が薬剤の治療効果に影響がある(たとえば有効)ということを示す。
    Falseであれば、この成分が薬剤の治療効果に影響がない(たとえば無効)ということを示す。


    True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Medication.ingredient.strength
    Definition

    この薬剤中にどの程度の物質が含まれているかを示す。たとえば、1錠あたり250mgなど。これは分子が250mgで分母が1錠である比率を表現している。


    Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

    Short成分の活性量Quantity of ingredient present
    Comments

    Ratioデータ型は2つの数字の関係で示され、Quantityや一般的な単位で適切に表現できない関係を表すときにのみ用いられる。分母の値が「1」で固定されているような値であれば、QuantityがRatioの代わりに用いられるべきである。

    Control10..1
    TypeRatio(JP Core Medication Ratio Amount DataType)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Medication.ingredient.strength.extension:strengthType
    Slice NamestrengthType
    Definition

    投与量が製剤単位か成分単位かを格納する拡張

    Short力価区分
    Control0..*
    TypeExtension(JP Core Medication IngredientStrength StrengthType Extension) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-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())
    36. Medication.batch
    Definition

    薬剤のパッケージ(薬品そのものではない)についての情報。


    Information that only applies to packages (not products).

    Short分包された薬剤についての詳細な解説Details about packaged medications
    Control0..1
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    38. Medication.batch.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).

    ShortExtensions that cannot be ignored even if unrecognized
    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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())
    40. Medication.batch.lotNumber
    Definition

    特定の薬品を含むバッチに割り当てられたロット番号


    The assigned lot number of a batch of the specified product.

    ShortバッチのIDIdentifier assigned to batch
    Comments

    FHIRの文字列は1MBを超えるサイズであってはならない(SHALL NOT)。

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Medication.batch.expirationDate
    Definition

    この特定のバッチの薬剤の期限が切れるとき


    When this specific batch of product will expire.

    Shortこのバッチの期限が切れるときWhen batch will expire
    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be found here

    0. Medication
    Definition

    This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.
    このResourceは薬剤を処方し、払い出し(調剤)、その投与を定義し、IDを付与するためにまず利用され、薬剤の使用状態を示すためにも使われる。

    ShortMedication Resourceの定義
    2. Medication.id
    Definition

    リソースに対するURLとして使われるリソースの論理ID。この値は一度割り当てられたら変更されることはない。

    Shortこのアーチファクトに対する論理ID
    Comments

    ResourceにIDがない時期は、create操作のためにサーバにResourceが送信されている時期だけである。

    4. Medication.identifier
    Definition

    この薬剤に関する業務用のID

    Shortこの薬剤に関する業務用のID
    Comments

    IDとしてシリアルナンバーを使うこともできる。

    NoteThis is a business identifier, not a resource identifier (see discussion)
    6. Medication.code
    Definition

    A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.
    この薬剤を指定するコード。該当するコードがない場合はテキスト表記。
    使用法について注記:日本ではHOTコードを利用することが推奨される。一般的な薬剤コードとしてRxNorm、SNOMD CT, IDMPなど標準的な医薬品コードを使うことができる。国や地域に特有のローカルコードも使うことができ、他のコードに変換することもできる。

    Shortこの薬剤を特定するコード
    Comments

    使われるコンテキストによるが、ユーザ(処方や調剤などを行った人)によって実際にコードが選択されたのであれば、coding.userSelectedはtrueとすることとなる。Codingのデータ型で説明されているように、「ユーザインターフェース(たとえば、選択肢から特定の項目をユーザが選択するような形式)で特定のコードをユーザが選択したのであれば、"userSelected"に記録されてもよい」
    ユーザが選択したコードがあれば、その選択がコード変換などで優先される。そのほかのコードは代替のコードシステムか低粒度のコード(たとえば、ベンダー固有の初期値のための一般的なコード)に文字列変換変換するしかない。

    BindingThe codes SHOULD be taken from JP Core MedicationCode ValueSet
    (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS)

    薬品の種類を規定するコード化された概念

    8. Medication.status
    Definition

    薬剤が有効に使われているかどうかを指定するコード。

    Comments

    このステータスは薬剤がローカルにあるシステム内で薬剤データベースや棚卸表で有効とされているかどうかを識別するためのものである。たとえば、薬剤システムで「ABC病院特製クリーム」といった製剤のために新しい薬剤ファイルを作成されるような場合もある。未来のある時点では、薬剤記録を作成した時にエラーが発生し、ステータスが「entered-in-error」に変化することもありうる。このステータスは薬剤が特定の処方集に記載されているかどうかを指定するためのものではない。薬剤記録が複数の処方集やカタログを参照することも可能であり、それぞれの記録が異なるステータスを持つこともある。

    Control1..?
    10. Medication.manufacturer
    Definition

    Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.
    医薬品の製造元の詳細を説明する。これは、医薬品の販売業者を表すことを意図したものではない。

    Short製品の製造者
    TypeReference(JP Core Organization Profile)
    12. Medication.form
    Definition

    TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + 製品の剤型についての説明。散剤、ドライシロップ(PWD)、錠剤(TAB)、カプセル(CAP)など。

    ShortTAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ +
    Comments

    もし、Medication ResourceがMedicationRequest Resourceから参照された場合は、これはオーダされた剤型である。Medication ResourceがMedicationDispense Resourceから参照された場合は、払い出された剤型である。MedicationAdministration ResourceからMedication Resourceが参照されていれば、投与された剤型である。

    BindingThe codes SHOULD be taken from JP Core Medication MERIT9 Form ValueSet
    (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationFormMERIT9_VS)
    14. Medication.amount
    Definition

    パッケージされた製品に含まれる薬剤固有の量。たとえば、同じ力価の製品を指定すれば(たとえば、インスリングラルギン10単位/mL注射液)、この値はパッケージ内での薬剤量(たとえば、3mL, 10mLなど)を明示することになる。

    Shortパッケージ中の薬剤の量
    Comments

    比率(Ratio)を表すデータ型は、量(Quantity)と共通単位を使って適切に表現できないときのみに使われるべきである。分母が"1"に固定されているとわかっているような場合は、量(Quantity)を比率(Ratio)の代わりに使うべきである。

    TypeRatio(JP Core Medication Ratio Amount DataType)
    16. Medication.ingredient
    Definition

    この薬剤を構成する特定の重要成分を識別する

    Short薬効がある、あるいは薬効を伴わない成分
    Comments

    すべての成分を含む必要はない。もし、ある成分が記載されていなくてもその成分が含有されているかどうかを必ずしも意味しない。特定の成分が記載されていても、すべての成分が記載されていると言うことを意味しない。有効成分であるか、有効成分ではないかを指定することは可能である。

    18. Medication.ingredient.extension
    SlicingThis element introduces a set of slices on Medication.ingredient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 20. Medication.ingredient.extension:drugNo
      Slice NamedrugNo
      Control0..*
      TypeExtension(JP Core Medication Ingredient DrugNo Extension) (Extension Type: integer)
      22. Medication.ingredient.item[x]
      Definition

      有効成分。物質(単純成分)あるいは他の薬剤や処方。

      Short有効な成分あるいは含有物
      Comments

      すべての用語集はこの一般的な様式を満たさない。場合によっては、情報モデルとしてCodeableConceptや直接Codingを使うべきではなく、テキストやコード、翻訳や事前条件と事後条件でのエレメントの関係などを示すことも適切ではない。

      TypeCodeableConcept, Reference(Substance, Medication)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Requirements

      成分は物質(たとえば、アモキシシリン)や、他の薬剤(たとえば、Glaxal Baseなどの合成製品)を参照されることもある。

      24. Medication.ingredient.isActive
      Definition

      この成分が薬剤の治療効果に影響するかどうかの指標
      Indication of whether this ingredient affects the therapeutic action of the drug.

      Short有効成分の指標
      Requirements

      Trueであれば、この成分が薬剤の治療効果に影響がある(たとえば有効)ということを示す。
      Falseであれば、この成分が薬剤の治療効果に影響がない(たとえば無効)ということを示す。

      26. Medication.ingredient.strength
      Definition

      この薬剤中にどの程度の物質が含まれているかを示す。たとえば、1錠あたり250mgなど。これは分子が250mgで分母が1錠である比率を表現している。

      Short成分の活性量
      Comments

      Ratioデータ型は2つの数字の関係で示され、Quantityや一般的な単位で適切に表現できない関係を表すときにのみ用いられる。分母の値が「1」で固定されているような値であれば、QuantityがRatioの代わりに用いられるべきである。

      Control1..?
      TypeRatio(JP Core Medication Ratio Amount DataType)
      28. Medication.ingredient.strength.extension:strengthType
      Slice NamestrengthType
      Definition

      投与量が製剤単位か成分単位かを格納する拡張

      Control0..*
      TypeExtension(JP Core Medication IngredientStrength StrengthType Extension) (Extension Type: CodeableConcept)
      30. Medication.batch
      Definition

      薬剤のパッケージ(薬品そのものではない)についての情報。

      Short分包された薬剤についての詳細な解説
      32. Medication.batch.lotNumber
      Definition

      特定の薬品を含むバッチに割り当てられたロット番号

      ShortバッチのID
      Comments

      FHIRの文字列は1MBを超えるサイズであってはならない(SHALL NOT)。

      34. Medication.batch.expirationDate
      Definition

      この特定のバッチの薬剤の期限が切れるとき

      Shortこのバッチの期限が切れるとき

      Guidance on how to interpret the contents of this table can be found here

      0. Medication
      Definition

      This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.
      このResourceは薬剤を処方し、払い出し(調剤)、その投与を定義し、IDを付与するためにまず利用され、薬剤の使用状態を示すためにも使われる。

      ShortMedication Resourceの定義
      Control0..*
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsdom-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.exists() and ('#'+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(uri) = '#').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. Medication.id
      Definition

      リソースに対するURLとして使われるリソースの論理ID。この値は一度割り当てられたら変更されることはない。

      Shortこのアーチファクトに対する論理ID
      Comments

      ResourceにIDがない時期は、create操作のためにサーバにResourceが送信されている時期だけである。

      Control0..1
      Typeid
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      4. Medication.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.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Medication.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.

      ShortA set of rules under which this content was created
      Comments

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

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Medication.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

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

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      IETF language tag

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Medication.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.

      ShortText summary of the resource, for human interpretation
      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.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Medication.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.

      ShortContained, inline 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.

      Control0..*
      TypeResource
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      Invariantsdom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic))
      14. Medication.extension
      Definition

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

      ShortAdditional content defined by implementations
      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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())
      16. Medication.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).

      ShortExtensions that cannot be ignored
      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Must Supportfalse
      Summaryfalse
      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 Namesextensions, user content
      Invariantsele-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())
      18. Medication.identifier
      Definition

      この薬剤に関する業務用のID

      Shortこの薬剤に関する業務用のID
      Comments

      IDとしてシリアルナンバーを使うこともできる。

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Medication.code
      Definition

      A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.
      この薬剤を指定するコード。該当するコードがない場合はテキスト表記。
      使用法について注記:日本ではHOTコードを利用することが推奨される。一般的な薬剤コードとしてRxNorm、SNOMD CT, IDMPなど標準的な医薬品コードを使うことができる。国や地域に特有のローカルコードも使うことができ、他のコードに変換することもできる。

      Shortこの薬剤を特定するコード
      Comments

      使われるコンテキストによるが、ユーザ(処方や調剤などを行った人)によって実際にコードが選択されたのであれば、coding.userSelectedはtrueとすることとなる。Codingのデータ型で説明されているように、「ユーザインターフェース(たとえば、選択肢から特定の項目をユーザが選択するような形式)で特定のコードをユーザが選択したのであれば、"userSelected"に記録されてもよい」
      ユーザが選択したコードがあれば、その選択がコード変換などで優先される。そのほかのコードは代替のコードシステムか低粒度のコード(たとえば、ベンダー固有の初期値のための一般的なコード)に文字列変換変換するしかない。

      Control0..1
      BindingThe codes SHOULD be taken from JP Core MedicationCode ValueSet
      (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS)

      薬品の種類を規定するコード化された概念

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Medication.status
      Definition

      薬剤が有効に使われているかどうかを指定するコード。

      Shortactive | inactive | entered-in-error
      Comments

      このステータスは薬剤がローカルにあるシステム内で薬剤データベースや棚卸表で有効とされているかどうかを識別するためのものである。たとえば、薬剤システムで「ABC病院特製クリーム」といった製剤のために新しい薬剤ファイルを作成されるような場合もある。未来のある時点では、薬剤記録を作成した時にエラーが発生し、ステータスが「entered-in-error」に変化することもありうる。このステータスは薬剤が特定の処方集に記載されているかどうかを指定するためのものではない。薬剤記録が複数の処方集やカタログを参照することも可能であり、それぞれの記録が異なるステータスを持つこともある。

      Control1..1
      BindingThe codes SHALL be taken from Medication Status Codes
      (required to http://hl7.org/fhir/ValueSet/medication-status|4.3.0)

      A coded concept defining if the medication is in active use.

      Typecode
      Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Medication.manufacturer
      Definition

      Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.
      医薬品の製造元の詳細を説明する。これは、医薬品の販売業者を表すことを意図したものではない。

      Short製品の製造者
      Control0..1
      TypeReference(JP Core Organization Profile)
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Medication.form
      Definition

      TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + 製品の剤型についての説明。散剤、ドライシロップ(PWD)、錠剤(TAB)、カプセル(CAP)など。

      ShortTAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ +
      Comments

      もし、Medication ResourceがMedicationRequest Resourceから参照された場合は、これはオーダされた剤型である。Medication ResourceがMedicationDispense Resourceから参照された場合は、払い出された剤型である。MedicationAdministration ResourceからMedication Resourceが参照されていれば、投与された剤型である。

      Control0..1
      BindingThe codes SHOULD be taken from JP Core Medication MERIT9 Form ValueSet
      (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationFormMERIT9_VS)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Medication.amount
      Definition

      パッケージされた製品に含まれる薬剤固有の量。たとえば、同じ力価の製品を指定すれば(たとえば、インスリングラルギン10単位/mL注射液)、この値はパッケージ内での薬剤量(たとえば、3mL, 10mLなど)を明示することになる。

      Shortパッケージ中の薬剤の量
      Comments

      比率(Ratio)を表すデータ型は、量(Quantity)と共通単位を使って適切に表現できないときのみに使われるべきである。分母が"1"に固定されているとわかっているような場合は、量(Quantity)を比率(Ratio)の代わりに使うべきである。

      Control0..1
      TypeRatio(JP Core Medication Ratio Amount DataType)
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Medication.ingredient
      Definition

      この薬剤を構成する特定の重要成分を識別する

      Short薬効がある、あるいは薬効を伴わない成分
      Comments

      すべての成分を含む必要はない。もし、ある成分が記載されていなくてもその成分が含有されているかどうかを必ずしも意味しない。特定の成分が記載されていても、すべての成分が記載されていると言うことを意味しない。有効成分であるか、有効成分ではないかを指定することは可能である。

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
      32. Medication.ingredient.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      34. Medication.ingredient.extension
      Definition

      An Extension

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-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())
      SlicingThis element introduces a set of slices on Medication.ingredient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 36. Medication.ingredient.extension:drugNo
        Slice NamedrugNo
        Definition

        RP内の薬剤の連番

        ShortRP内の薬剤の連番
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(JP Core Medication Ingredient DrugNo Extension) (Extension Type: integer)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        38. Medication.ingredient.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).

        ShortExtensions that cannot be ignored even if unrecognized
        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        40. Medication.ingredient.item[x]
        Definition

        有効成分。物質(単純成分)あるいは他の薬剤や処方。

        Short有効な成分あるいは含有物
        Comments

        すべての用語集はこの一般的な様式を満たさない。場合によっては、情報モデルとしてCodeableConceptや直接Codingを使うべきではなく、テキストやコード、翻訳や事前条件と事後条件でのエレメントの関係などを示すことも適切ではない。

        Control1..1
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        成分は物質(たとえば、アモキシシリン)や、他の薬剤(たとえば、Glaxal Baseなどの合成製品)を参照されることもある。

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. Medication.ingredient.isActive
        Definition

        この成分が薬剤の治療効果に影響するかどうかの指標
        Indication of whether this ingredient affects the therapeutic action of the drug.

        Short有効成分の指標
        Control0..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Requirements

        Trueであれば、この成分が薬剤の治療効果に影響がある(たとえば有効)ということを示す。
        Falseであれば、この成分が薬剤の治療効果に影響がない(たとえば無効)ということを示す。

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. Medication.ingredient.strength
        Definition

        この薬剤中にどの程度の物質が含まれているかを示す。たとえば、1錠あたり250mgなど。これは分子が250mgで分母が1錠である比率を表現している。

        Short成分の活性量
        Comments

        Ratioデータ型は2つの数字の関係で示され、Quantityや一般的な単位で適切に表現できない関係を表すときにのみ用いられる。分母の値が「1」で固定されているような値であれば、QuantityがRatioの代わりに用いられるべきである。

        Control1..1
        TypeRatio(JP Core Medication Ratio Amount DataType)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Medication.ingredient.strength.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        Typeid
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        48. Medication.ingredient.strength.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.

        ShortAdditional content defined by implementations
        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on Medication.ingredient.strength.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 50. Medication.ingredient.strength.extension:strengthType
          Slice NamestrengthType
          Definition

          投与量が製剤単位か成分単位かを格納する拡張

          Short力価区分
          Control0..*
          TypeExtension(JP Core Medication IngredientStrength StrengthType Extension) (Extension Type: CodeableConcept)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-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())
          52. Medication.ingredient.strength.numerator
          Definition

          The value of the numerator.

          Short投与量
          Control0..1
          TypeQuantity(JP Core Medication Quantity DataType)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Medication.ingredient.strength.denominator
          Definition

          The value of the denominator.

          Shortパッケージ量
          Control0..1
          TypeQuantity(JP Core Medication Quantity DataType)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Medication.batch
          Definition

          薬剤のパッケージ(薬品そのものではない)についての情報。

          Short分包された薬剤についての詳細な解説
          Control0..1
          TypeBackboneElement
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
          58. Medication.batch.id
          Definition

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

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          60. Medication.batch.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.

          ShortAdditional content defined by implementations
          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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. Medication.batch.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).

          ShortExtensions that cannot be ignored even if unrecognized
          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          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 Namesextensions, user content, modifiers
          Invariantsele-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())
          64. Medication.batch.lotNumber
          Definition

          特定の薬品を含むバッチに割り当てられたロット番号

          ShortバッチのID
          Comments

          FHIRの文字列は1MBを超えるサイズであってはならない(SHALL NOT)。

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. Medication.batch.expirationDate
          Definition

          この特定のバッチの薬剤の期限が切れるとき

          Shortこのバッチの期限が切れるとき
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
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