HL7 FHIR JP Core ImplementationGuide
2.0.0-dev - ci-build
HL7 FHIR JP Core ImplementationGuide
2.0.0-dev - ci-build
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
| 項目 | 内容 |
| 定義URL | http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication |
| Version | 2.0.0-dev |
| Name | JP_Medication |
| Title | JP Core Medication Profile |
| Status | Active ( 2023-10-31 ) |
| Copyright | Copyright FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会NeXEHRS課題研究会FHIR日本実装検討WG |
このプロファイルはMedicationリソースに対して、主に薬剤データを送受信するための基礎となる制約と拡張を定めたものである。
本プロファイルは薬剤のリストを表現する。注射ではしばしば複数の薬剤が混注して用いられ、不可分であることからMedicationリソースを利用して処方を表現することとした。
主に注射薬剤処方の一部としてMedicationRequest, MedicationDispense, MedicationAdministrationリソースと組み合わせて利用する。薬剤リストに使用する用語集は諸外国と日本では異なっており、日本国内で規格を運用するためにExtensionの追加や用語集の追加・変更を行った。現在、日本での注射関連規格として利用されているJAHIS 注射データ交換規約 Ver 2.1CおよびSS-MIX2 Ver.1.2hを参考にした。
本プロファイルは、以下のようなユースケースを想定している。
本プロファイルの対象は注射、注入で使われる薬剤リストを電子的に連携するためのメッセージを記述することである。
本プロファイルは注射、注入の薬剤で使用される薬剤リストに関するものであり、内服、外用の薬剤については対象としない。
また、このリソースは単独で用いられることはない。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Medication
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Medication |
0..* | Medication | Medication Resourceの定義 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  id |
Σ | 0..1 | id | このアーチファクトに対する論理ID |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 identifier |
Σ | 0..* | Identifier | この薬剤に関する業務用のID ele-1: All FHIR elements must have a @value or children |
| code |
Σ | 0..1 | CodeableConcept | この薬剤を特定するコード Binding: JP Core MedicationCode ValueSet (preferred): 薬品の種類を規定するコード化された概念 ele-1: All FHIR elements must have a @value or children |
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children |
 manufacturer |
Σ | 0..1 | Reference(JP Core Organization Profile) | 製品の製造者 ele-1: All FHIR elements must have a @value or children |
| form |
0..1 | CodeableConcept | TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + Binding: JP Core Medication MERIT9 Form ValueSet (preferred) ele-1: All FHIR elements must have a @value or children | |
| amount |
Σ | 0..1 | JP_MedicationRatio_Amount | パッケージ中の薬剤の量 ele-1: All FHIR elements must have a @value or children |
| ingredient |
0..* | BackboneElement | 薬効がある、あるいは薬効を伴わない成分 ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
  extension:drugNo |
0..* | integer | RP内の薬剤の連番 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_Ingredient_DrugNo ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| item[x] |
1..1 | CodeableConcept | 有効な成分あるいは含有物 ele-1: All FHIR elements must have a @value or children | |
| isActive |
0..1 | boolean | 有効成分の指標 ele-1: All FHIR elements must have a @value or children | |
 strength |
1..1 | JP_MedicationRatio_Amount | 成分の活性量 ele-1: All FHIR elements must have a @value or children | |
  Slices for extension |
Content/Rules for all slices | |||
| extension:strengthType |
0..* | CodeableConcept | 力価区分 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType Binding: JP Core Medication IngredientStrength StrengthType ValueSet (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| batch |
0..1 | BackboneElement | 分包された薬剤についての詳細な解説 ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| lotNumber |
0..1 | string | バッチのID ele-1: All FHIR elements must have a @value or children | |
| expirationDate |
0..1 | dateTime | このバッチの期限が切れるとき ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | Medication | Medication Resourceの定義 | |||||
| id |
Σ | 0..1 | id | このアーチファクトに対する論理ID | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | この薬剤に関する業務用のID | ||||
| code |
Σ | 0..1 | CodeableConcept | この薬剤を特定するコード Binding: JP Core MedicationCode ValueSet (preferred): 薬品の種類を規定するコード化された概念 | ||||
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. | ||||
| manufacturer |
Σ | 0..1 | Reference(JP Core Organization Profile) | 製品の製造者 | ||||
| form |
0..1 | CodeableConcept | TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + Binding: JP Core Medication MERIT9 Form ValueSet (preferred) | |||||
| amount |
Σ | 0..1 | JP_MedicationRatio_Amount | パッケージ中の薬剤の量 | ||||
| ingredient |
0..* | BackboneElement | 薬効がある、あるいは薬効を伴わない成分 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:drugNo |
0..* | integer | RP内の薬剤の連番 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_Ingredient_DrugNo | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| item[x] |
1..1 | CodeableConcept | 有効な成分あるいは含有物 | |||||
| isActive |
0..1 | boolean | 有効成分の指標 | |||||
| strength |
1..1 | JP_MedicationRatio_Amount | 成分の活性量 | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:strengthType |
0..* | CodeableConcept | 力価区分 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType Binding: JP Core Medication IngredientStrength StrengthType ValueSet (example) | |||||
| numerator |
Σ | 0..1 | JP_MedicationQuantity | 投与量 | ||||
| denominator |
Σ | 0..1 | JP_MedicationQuantity | パッケージ量 | ||||
| batch |
0..1 | BackboneElement | 分包された薬剤についての詳細な解説 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| lotNumber |
0..1 | string | バッチのID | |||||
| expirationDate |
0..1 | dateTime | このバッチの期限が切れるとき | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI | |||
| Medication.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Medication.code | preferred | JP_MedicationCode_VShttp://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS | ||||
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.3.0from the FHIR Standard | ||||
| Medication.form | preferred | JP_MedicationFormMERIT9_VShttp://jpfhir.jp/fhir/core/ValueSet/JP_MedicationFormMERIT9_VS |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Medication | 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 | error | Medication | 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 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Medication | A resource should have narrative for robust management : text.`div`.exists() | |
| dom-r4b | warning | Medication.contained | 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) | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Medication
Summary
Mandatory: 1 element(1 nested mandatory element)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Medication
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Medication |
0..* | Medication | Medication Resourceの定義 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| id |
Σ | 0..1 | id | このアーチファクトに対する論理ID |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| identifier |
Σ | 0..* | Identifier | この薬剤に関する業務用のID ele-1: All FHIR elements must have a @value or children |
| code |
Σ | 0..1 | CodeableConcept | この薬剤を特定するコード Binding: JP Core MedicationCode ValueSet (preferred): 薬品の種類を規定するコード化された概念 ele-1: All FHIR elements must have a @value or children |
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children |
| manufacturer |
Σ | 0..1 | Reference(JP Core Organization Profile) | 製品の製造者 ele-1: All FHIR elements must have a @value or children |
| form |
0..1 | CodeableConcept | TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + Binding: JP Core Medication MERIT9 Form ValueSet (preferred) ele-1: All FHIR elements must have a @value or children | |
| amount |
Σ | 0..1 | JP_MedicationRatio_Amount | パッケージ中の薬剤の量 ele-1: All FHIR elements must have a @value or children |
| ingredient |
0..* | BackboneElement | 薬効がある、あるいは薬効を伴わない成分 ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:drugNo |
0..* | integer | RP内の薬剤の連番 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_Ingredient_DrugNo ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| item[x] |
1..1 | CodeableConcept | 有効な成分あるいは含有物 ele-1: All FHIR elements must have a @value or children | |
| isActive |
0..1 | boolean | 有効成分の指標 ele-1: All FHIR elements must have a @value or children | |
| strength |
1..1 | JP_MedicationRatio_Amount | 成分の活性量 ele-1: All FHIR elements must have a @value or children | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:strengthType |
0..* | CodeableConcept | 力価区分 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType Binding: JP Core Medication IngredientStrength StrengthType ValueSet (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| batch |
0..1 | BackboneElement | 分包された薬剤についての詳細な解説 ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| lotNumber |
0..1 | string | バッチのID ele-1: All FHIR elements must have a @value or children | |
| expirationDate |
0..1 | dateTime | このバッチの期限が切れるとき ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | Medication | Medication Resourceの定義 | |||||
| id |
Σ | 0..1 | id | このアーチファクトに対する論理ID | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | この薬剤に関する業務用のID | ||||
| code |
Σ | 0..1 | CodeableConcept | この薬剤を特定するコード Binding: JP Core MedicationCode ValueSet (preferred): 薬品の種類を規定するコード化された概念 | ||||
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. | ||||
| manufacturer |
Σ | 0..1 | Reference(JP Core Organization Profile) | 製品の製造者 | ||||
| form |
0..1 | CodeableConcept | TAB | CAP | PWD | SYR | SUP | LQD | OIT | CRM | TPE | INJ + Binding: JP Core Medication MERIT9 Form ValueSet (preferred) | |||||
| amount |
Σ | 0..1 | JP_MedicationRatio_Amount | パッケージ中の薬剤の量 | ||||
| ingredient |
0..* | BackboneElement | 薬効がある、あるいは薬効を伴わない成分 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:drugNo |
0..* | integer | RP内の薬剤の連番 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_Ingredient_DrugNo | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| item[x] |
1..1 | CodeableConcept | 有効な成分あるいは含有物 | |||||
| isActive |
0..1 | boolean | 有効成分の指標 | |||||
| strength |
1..1 | JP_MedicationRatio_Amount | 成分の活性量 | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:strengthType |
0..* | CodeableConcept | 力価区分 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType Binding: JP Core Medication IngredientStrength StrengthType ValueSet (example) | |||||
| numerator |
Σ | 0..1 | JP_MedicationQuantity | 投与量 | ||||
| denominator |
Σ | 0..1 | JP_MedicationQuantity | パッケージ量 | ||||
| batch |
0..1 | BackboneElement | 分包された薬剤についての詳細な解説 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| lotNumber |
0..1 | string | バッチのID | |||||
| expirationDate |
0..1 | dateTime | このバッチの期限が切れるとき | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI | |||
| Medication.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Medication.code | preferred | JP_MedicationCode_VShttp://jpfhir.jp/fhir/core/ValueSet/JP_MedicationCode_VS | ||||
| Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.3.0from the FHIR Standard | ||||
| Medication.form | preferred | JP_MedicationFormMERIT9_VShttp://jpfhir.jp/fhir/core/ValueSet/JP_MedicationFormMERIT9_VS |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Medication | 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 | error | Medication | 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 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Medication | A resource should have narrative for robust management : text.`div`.exists() | |
| dom-r4b | warning | Medication.contained | 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) | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Medication
Summary
Mandatory: 1 element(1 nested mandatory element)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
次のデータ項目は必須である。
Medication リソースは、次の要素を持たなければならない。
Medicationリソースでは、次の要素をサポートしなければならない。
Medication リソースで使用される拡張は次の通りである。
| 拡張 | 説明 | 定義 | 値型 |
|---|---|---|---|
| RP内薬剤番号 | RP内の薬剤の連番を格納する拡張 | JP_Medication_Ingredient_DrugNo | integer |
| 力価区分 | 投与量が製剤単位か成分単位かを格納する拡張 | JP_Medication_IngredientStrength_StrengthType | CodeableConcept |
HL7 FHIRの基底規格では、薬剤コードをはじめとして、剤形などでSNOMED CTが使われているが、国としてライセンスを取得していない。代替としてJAHIS注射データ交換規約やSS-MIX2で使われている用語集を採用した。
HL7 ver 2系では用語集を識別するコーディングシステム名(以下、「CS名」）は文字列であったが、FHIRではURIを指定する必要があるため、それぞれにURIを割り当てた。以下に使用する用語集のCS名とURI表記を列記する。
| 分類 | CS名 | URI |
|---|---|---|
| 医薬品 | HOT7 | urn:oid:1.2.392.200119.4.403.2 |
| 医薬品 | HOT9 | urn:oid:1.2.392.200119.4.403.1 |
| 医薬品 | HOT13 | urn:oid:1.2.392.200119.4.402.1 |
| 医薬品 | YJコード | urn:oid:1.2.392.100495.20.1.73 |
| 剤形 | MERIT-9(剤形) | http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationFormMERIT9_CS |
| 薬品単位 | MERIT-9(単位） | urn:oid:1.2.392.100495.20.2.101 |
| 力価区分 | 処方情報 HL7FHIR 記述仕様(力価区分) | urn:oid:1.2.392.100495.20.2.22 |
日本国内の電子カルテシステムでの注射オーダの運用に合わせ、以下の項目を追加した。
Medication リソースは単体として用いられないため、検索などはMedicationRequest_Injectionなどの一部として行われる。
注射関係のMedicationRequest_Injection、MedicationDispense_Injection、MedicationAdministration_Injectionリソースから参照されるサンプルを示す。
Medicationリソースを参照する上位のリソースに記述される。
