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_MedicationAdministrationBase |
| Version | 2.0.0-dev |
| Name | JP_MedicationAdministrationBase |
| Title | JP Core MedicationAdministrationBase 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MedicationAdministrationリソースに対して、投薬実施情報の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。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration |
0..* | MedicationAdministration | 患者への薬剤投与記録 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 | |
  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 |
 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:requestDepartment |
0..1 | CodeableConcept | 依頼科 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment Binding: JP Core Department SS-MIX ValueSet (preferred) 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 | |
| extension:requestAuthoredOn |
0..1 | dateTime | 依頼日時 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestAuthoredOn 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 | |
| extension:location |
0..1 | Reference(JP Core Location Profile) | 実施場所 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Location 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 | |
 extension:requester |
0..* | Reference(JP Core Practitioner Profile) | 依頼医 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester 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 |
?! | 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 |
 Slices for identifier |
1..* | Identifier | 外部から参照されるID Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children | |
| identifier:rpNumber |
1..1 | Identifier | 処方箋内部の剤グループとしてのRp番号 ele-1: All FHIR elements must have a @value or children | |
  use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Rp番号(剤グループ番号)についてのsystem値 ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:1.2.392.100495.20.3.81 |
 value |
Σ | 1..1 | string | Rp番号(剤グループ番号) ele-1: All FHIR elements must have a @value or children Example General: 123456 |
| identifier:requestIdentifier |
0..* | Identifier | 処方オーダに対するID(MedicationRequestからの継承) ele-1: All FHIR elements must have a @value or children | |
 use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
| value |
Σ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
| instantiates |
Σ | 0..* | uri | プロトコルや定義のインスタンス化 ele-1: All FHIR elements must have a @value or children |
 partOf |
Σ | 0..* | Reference(MedicationAdministration | Procedure) | 親イベントへの参照 ele-1: All FHIR elements must have a @value or children |
| status |
?!Σ | 1..1 | code | completed | stopped Binding: MedicationAdministration Status Codes (required): 患者への投与状況 ele-1: All FHIR elements must have a @value or children |
 statusReason |
0..* | CodeableConcept | 実施されていない理由 Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. ele-1: All FHIR elements must have a @value or children | |
| category |
0..1 | CodeableConcept | 薬が使用される区分 Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children | |
 medication[x] |
Σ | 1..1 | 医薬品 Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children | |
| medicationCodeableConcept |
CodeableConcept | |||
 medicationReference |
Reference(Medication) | |||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who received medication ele-1: All FHIR elements must have a @value or children |
| effective[x] |
Σ | 1..1 | Start and end time of administration ele-1: All FHIR elements must have a @value or children | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | 患者への薬剤投与記録 | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:requestDepartment |
0..1 | CodeableConcept | 依頼科 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment Binding: JP Core Department SS-MIX ValueSet (preferred) | |||||
| extension:requestAuthoredOn |
0..1 | dateTime | 依頼日時 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestAuthoredOn | |||||
| extension:location |
0..1 | Reference(JP Core Location Profile) | 実施場所 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Location | |||||
| extension:requester |
0..* | Reference(JP Core Practitioner Profile) | 依頼医 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
1..* | Identifier | 外部から参照されるID Slice: Unordered, Open by value:system | |||||
| identifier:rpNumber |
1..1 | Identifier | 処方箋内部の剤グループとしてのRp番号 | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) | ||||
| system |
Σ | 1..1 | uri | Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81 | ||||
| value |
Σ | 1..1 | string | Rp番号(剤グループ番号) Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:requestIdentifier |
0..* | Identifier | 処方オーダに対するID(MedicationRequestからの継承) | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier | ||||
| value |
Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| instantiates |
Σ | 0..* | uri | プロトコルや定義のインスタンス化 | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | Procedure) | 親イベントへの参照 | ||||
| status |
?!Σ | 1..1 | code | completed | stopped Binding: MedicationAdministration Status Codes (required): 患者への投与状況 | ||||
| statusReason |
0..* | CodeableConcept | 実施されていない理由 Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |||||
| category |
0..1 | CodeableConcept | 薬が使用される区分 Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
| medication[x] |
Σ | 1..1 | 医薬品 Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who received medication | ||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] |
Σ | 1..1 | Start and end time of administration | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| performer |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
| 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 | ||||
| function |
0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
| reasonCode |
0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request |
0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device |
0..* | Reference(Device) | Device used to administer | |||||
| note |
0..* | Annotation | Information about the administration | |||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] | ||||
| 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 | ||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| site |
0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
| method |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| dose |
0..1 | SimpleQuantity | Amount of medication per dose | |||||
| rate[x] |
0..1 | Dose quantity per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| MedicationAdministration.identifier:rpNumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.3.0from the FHIR Standard | ||||
| MedicationAdministration.identifier:rpNumber.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationAdministration.identifier:requestIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.3.0from the FHIR Standard | ||||
| MedicationAdministration.identifier:requestIdentifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.3.0from the FHIR Standard | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionfrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| dom-r4b | warning | MedicationAdministration.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() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationAdministration
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | 患者への薬剤投与記録 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 | |
| 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 |
| 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:requestDepartment |
0..1 | CodeableConcept | 依頼科 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment Binding: JP Core Department SS-MIX ValueSet (preferred) 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 | |
| extension:requestAuthoredOn |
0..1 | dateTime | 依頼日時 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestAuthoredOn 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 | |
| extension:location |
0..1 | Reference(JP Core Location Profile) | 実施場所 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Location 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 | |
| extension:requester |
0..* | Reference(JP Core Practitioner Profile) | 依頼医 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester 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 |
?! | 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 |
| Slices for identifier |
1..* | Identifier | 外部から参照されるID Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children | |
| identifier:rpNumber |
1..1 | Identifier | 処方箋内部の剤グループとしてのRp番号 ele-1: All FHIR elements must have a @value or children | |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Rp番号(剤グループ番号)についてのsystem値 ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:1.2.392.100495.20.3.81 |
| value |
Σ | 1..1 | string | Rp番号(剤グループ番号) ele-1: All FHIR elements must have a @value or children Example General: 123456 |
| identifier:requestIdentifier |
0..* | Identifier | 処方オーダに対するID(MedicationRequestからの継承) ele-1: All FHIR elements must have a @value or children | |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier |
| value |
Σ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
| instantiates |
Σ | 0..* | uri | プロトコルや定義のインスタンス化 ele-1: All FHIR elements must have a @value or children |
| partOf |
Σ | 0..* | Reference(MedicationAdministration | Procedure) | 親イベントへの参照 ele-1: All FHIR elements must have a @value or children |
| status |
?!Σ | 1..1 | code | completed | stopped Binding: MedicationAdministration Status Codes (required): 患者への投与状況 ele-1: All FHIR elements must have a @value or children |
| statusReason |
0..* | CodeableConcept | 実施されていない理由 Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. ele-1: All FHIR elements must have a @value or children | |
| category |
0..1 | CodeableConcept | 薬が使用される区分 Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children | |
| medication[x] |
Σ | 1..1 | 医薬品 Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication) | |||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who received medication ele-1: All FHIR elements must have a @value or children |
| effective[x] |
Σ | 1..1 | Start and end time of administration ele-1: All FHIR elements must have a @value or children | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | 患者への薬剤投与記録 | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:requestDepartment |
0..1 | CodeableConcept | 依頼科 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment Binding: JP Core Department SS-MIX ValueSet (preferred) | |||||
| extension:requestAuthoredOn |
0..1 | dateTime | 依頼日時 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestAuthoredOn | |||||
| extension:location |
0..1 | Reference(JP Core Location Profile) | 実施場所 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Location | |||||
| extension:requester |
0..* | Reference(JP Core Practitioner Profile) | 依頼医 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
1..* | Identifier | 外部から参照されるID Slice: Unordered, Open by value:system | |||||
| identifier:rpNumber |
1..1 | Identifier | 処方箋内部の剤グループとしてのRp番号 | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) | ||||
| system |
Σ | 1..1 | uri | Rp番号(剤グループ番号)についてのsystem値 Fixed Value: urn:oid:1.2.392.100495.20.3.81 | ||||
| value |
Σ | 1..1 | string | Rp番号(剤グループ番号) Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:requestIdentifier |
0..* | Identifier | 処方オーダに対するID(MedicationRequestからの継承) | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier | ||||
| value |
Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| instantiates |
Σ | 0..* | uri | プロトコルや定義のインスタンス化 | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | Procedure) | 親イベントへの参照 | ||||
| status |
?!Σ | 1..1 | code | completed | stopped Binding: MedicationAdministration Status Codes (required): 患者への投与状況 | ||||
| statusReason |
0..* | CodeableConcept | 実施されていない理由 Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |||||
| category |
0..1 | CodeableConcept | 薬が使用される区分 Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
| medication[x] |
Σ | 1..1 | 医薬品 Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who received medication | ||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] |
Σ | 1..1 | Start and end time of administration | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| performer |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
| 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 | ||||
| function |
0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
| reasonCode |
0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request |
0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device |
0..* | Reference(Device) | Device used to administer | |||||
| note |
0..* | Annotation | Information about the administration | |||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] | ||||
| 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 | ||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| site |
0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
| method |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| dose |
0..1 | SimpleQuantity | Amount of medication per dose | |||||
| rate[x] |
0..1 | Dose quantity per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| MedicationAdministration.identifier:rpNumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.3.0from the FHIR Standard | ||||
| MedicationAdministration.identifier:rpNumber.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationAdministration.identifier:requestIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.3.0from the FHIR Standard | ||||
| MedicationAdministration.identifier:requestIdentifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.3.0from the FHIR Standard | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionfrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| dom-r4b | warning | MedicationAdministration.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() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
