HL7 FHIR JP Core ImplementationGuide
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Data Type Profile: JP_MedicationRatio_DosePerDay - Detailed Descriptions

Active as of 2023-10-31

Definitions for the jp-medicationratio-doseperday data type profile.

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

0. Ratio
Definition

1日当たりでの薬剤の投入量


A relationship of two Quantity values - expressed as a numerator and a denominator.

Short1日当たりでの薬剤の投入量A ratio of two Quantity values - a numerator and a denominator
Comments

The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.

Control0..*
This element is affected by the following invariants: ele-1
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)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ((numerator.exists() and denominator.exists()) or (numerator.empty() and denominator.empty() and extension.exists()))

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

0. Ratio
Definition

1日当たりでの薬剤の投入量

Short1日当たりでの薬剤の投入量
2. Ratio.denominator
4. Ratio.denominator.value
Definition

単位時間(1日)固定

Short単位時間(1日)
Fixed Value1
6. Ratio.denominator.unit
Fixed Value
8. Ratio.denominator.system
Fixed Valuehttp://unitsofmeasure.org
10. Ratio.denominator.code
BindingThe codes SHALL be taken from UnitsOfTime
(required to http://hl7.org/fhir/ValueSet/units-of-time)
Fixed Valued

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

0. Ratio
Definition

1日当たりでの薬剤の投入量

Short1日当たりでの薬剤の投入量
Comments

The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.

Control0..*
This element is affected by the following invariants: ele-1
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)
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present ((numerator.exists() and denominator.exists()) or (numerator.empty() and denominator.empty() and extension.exists()))
2. Ratio.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
4. Ratio.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 Ratio.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Ratio.numerator
    Definition

    投与量

    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()))
    8. Ratio.numerator.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
    10. Ratio.numerator.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 Ratio.numerator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 12. Ratio.numerator.value
      Definition

      投与量

      Short投与量
      Comments

      暗示された精度については常に尊重すべきである。貨幣計算では制度に関する独自のルールがある(会計についての標準的な教科書を参照すること)。

      Control1..1
      Typedecimal
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Precision is handled implicitly in almost all cases of measurement.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. Ratio.numerator.comparator
      Definition

      実際の値が計測して示された値よりも大きいのか小さいのかなど、値がどのように解釈され、表現されるのかを示している。たとえば、もし、comparatorエレメントが"<"であれば、実際の値は示された値よりも小さい(<)。

      Short< | <= | >= | > - 値の解釈法
      Comments

      FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

      Control0..1
      BindingThe codes SHALL be taken from QuantityComparator
      (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.3.0)
      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      計測法に制限があって値が<5ug/L や >400mg/L として示されるような場合でも値を扱えるようなフレームワークが必要である。

      Meaning if MissingIf there is no comparator, then there is no modification of the value
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Ratio.numerator.unit
      Definition

      投与量の単位。

      Short投与量の単位
      Comments

      FHIRの文字列は1MB以上の大きさとなってなはらない(SHALL NOT)。

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      コンテキストによってさまざまな単位の表現がある。固定された特定の表現が求められることがある。たとえば、mcgはmicrogramを表す。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. Ratio.numerator.system
      Definition

      単位をコード化して表現するシステムについてのID。

      Shortコード化された単位表現を規定するシステム
      Comments

      以下参照。 http://en.wikipedia.org/wiki/Uniform_resource_identifier

      Control0..1
      This element is affected by the following invariants: qty-3
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      システムによって定義される単位のコードを把握しておく必要がある。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Ratio.numerator.code
      Definition

      単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)

      Short単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨
      Comments

      単位のコード化された形式、【JP Core仕様】MERIT9医薬品単位略号マスタコードを推奨(SHOULD)されるが、ローカルコード等を利用することも可能とする

      Control1..1
      BindingThe codes SHOULD be taken from JP Core Medication MERIT9 Unit ValueSet
      (preferred to http://jpfhir.jp/fhir/core/ValueSet/JP_MedicationUnitMERIT9_VS)
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Ratio.denominator
      Definition

      単位時間

      Short単位時間
      Control0..1
      TypeQuantity
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Ratio.denominator.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
      26. Ratio.denominator.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 Ratio.denominator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 28. Ratio.denominator.value
        Definition

        単位時間(1日)固定

        Short単位時間(1日)
        Comments

        The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

        Control0..1
        Typedecimal
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Precision is handled implicitly in almost all cases of measurement.

        Fixed Value1
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. Ratio.denominator.comparator
        Definition

        How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

        Short< | <= | >= | > - how to understand the value
        Control0..1
        BindingThe codes SHALL be taken from QuantityComparator
        (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.3.0)
        Typecode
        Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

        Meaning if MissingIf there is no comparator, then there is no modification of the value
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. Ratio.denominator.unit
        Definition

        単位時間の単位。UCUMを使用する。

        Short単位時間の単位
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

        Fixed Value
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Ratio.denominator.system
        Definition

        UCUMを識別するURL。固定値。

        ShortUCUMを識別するURL
        Control0..1
        This element is affected by the following invariants: qty-3
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to know the system that defines the coded form of the unit.

        Fixed Valuehttp://unitsofmeasure.org
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. Ratio.denominator.code
        Definition

        A computer processable form of the unit in some unit representation system.

        ShortCoded form of the unit
        Comments

        The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

        Control0..1
        BindingThe codes SHALL be taken from UnitsOfTime
        (required to http://hl7.org/fhir/ValueSet/units-of-time)
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

        Fixed Valued
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
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