HL7 FHIR JP Core ImplementationGuide
1.1.0 - release
HL7 FHIR JP Core ImplementationGuide
1.1.0 - release
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.0). See the Directory of published versions
| 項目 | 内容 |
| 定義URL | http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationRequestBase |
| Version | 1.1.0 |
| Name | JP_MedicationRequestBase |
| Title | JP Core MedicationRequestBase Profile |
| Status | Active ( 2022-10-24 ) |
| 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ユーザは直接適用するものではなく、JP_MedicationRequestとJP_MedicationRequestInjectionの共通の親となる抽象プロファイルである。MedicationRequestリソースに対して、内服・外用薬剤処方、注射・点滴などのデータを送受信するため、JP_MedicationRequestとJP_MedicationRequestInjectionの各プロファイルの基礎となる制約と拡張のうち共通部分を定めている。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
Summary
Mandatory: 5 elements (2 nested mandatory elements)
Fixed Value: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  MedicationRequest | 0..* | MedicationRequest | 患者あるいはグループに対しての薬剤処方オーダ | |||||
  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): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
 preparation | 0..* | CodeableConcept | 調剤結果 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example) | |||||
 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 | string | 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): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| 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 | |||||
 id | 0..1 | string | 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): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| 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) | ||||
| status | ?!Σ | 1..1 | code | オーダの現在の状態を示すコード。 Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
| statusReason | 0..1 | CodeableConcept | 現在のステータスの理由 Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent | ?!Σ | 1..1 | code | 投薬指示の意図 Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category | 0..* | CodeableConcept | 薬剤使用区分 Binding: medicationRequest Category Codes (example): MedicationRequest Resourceの区分を示すコード化された概念。たとえば、どこで服薬あるいは投与されるか、治療の種別はどうかについて。 | |||||
| priority | Σ | 0..1 | code | オーダの優先度 Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | 要求が禁止された行為であればTrue | ||||
 reported[x] | Σ | 0..1 | 初期記録にはない報告 | |||||
| reportedBoolean | boolean | |||||||
 reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| medication[x] | Σ | 1..1 | What medication was supplied 医薬品 Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| subject | Σ | 1..1 | Reference(JP Core Patient Profile) | 処方箋が発行された対象(個人あるいはグループ) | ||||
| encounter | 0..1 | Reference(JP Core Encounter Profile) | encounter/admission/stay のいずれかとして記録された診察 | |||||
| supportingInformation | 0..* | Reference(Resource) | 薬剤オーダについて補助的情報 | |||||
| authoredOn | Σ | 1..1 | dateTime | この処方オーダが最初に記述された日 | ||||
| requester | Σ | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device) | このオーダを発行した人・物 | ||||
| performer | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | Device | RelatedPerson | CareTeam) | 薬剤投与・管理を行った者 | |||||
| performerType | Σ | 0..1 | CodeableConcept | 薬剤投与を行った職種 Binding: JP Core PractitionerRole ValueSet (example) | ||||
| recorder | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile) | 投薬オーダの入力者 | |||||
| reasonCode | 0..* | CodeableConcept | 薬を注文するあるいは注文しない理由や適応 Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(JP Core Condition Profile | JP Core Observation Common Profile) | 処方箋が書かれた理由について補足するCondition ResourceまたはObservation Resource | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | FHIRプロトコルまたは定義のインスタンス | ||||
| instantiatesUri | Σ | 0..* | uri | 外部プロトコルまたは定義のインスタンス | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | オーダが実施される根拠 | ||||
| groupIdentifier | Σ | 0..1 | Identifier | このRequestを一部とする複数のオーダを構成するID | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | 薬剤投与の全体的なパターン Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(JP Core Coverage Profile | ClaimResponse) | 適用される保険 | |||||
| note | 0..* | Annotation | 薬剤単位の備考 | |||||
| dosageInstruction | 0..* | JP_MedicationDosageBase | 薬の服用方法・服用した方法、または服用すべき方法 | |||||
| dispenseRequest | 0..1 | BackboneElement | 調剤・払い出しについての承認事項 | |||||
| id | 0..1 | string | 内部エレメントを参照するためのユニークID | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instructionForDispense | 0..* | CodeableConcept | 調剤指示 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationRequest_DispenseRequest_InstructionForDispense | |||||
| expectedRepeatCount | 0..1 | integer | 頓用回数 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationRequest_DispenseRequest_ExpectedRepeatCount | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill | 0..1 | BackboneElement | 初回の調剤詳細 | |||||
| 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 | ||||
| quantity | C | 0..1 | JP_MedicationSimpleQuantity | 初回の調剤量 | ||||
| duration | 0..1 | Duration | 初回の調剤期間 | |||||
| dispenseInterval | 0..1 | Duration | 再調剤までの最短期間 | |||||
| validityPeriod | 0..1 | Period | 許可された払い出し期間 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start | ΣC | 0..1 | dateTime | 境界を含む開始時刻 | ||||
| end | ΣC | 0..1 | dateTime | 継続中でなければ境界を含む終了時刻 | ||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | 許可されたリフィル回数 | |||||
| quantity | C | 0..1 | JP_MedicationSimpleQuantity | 調剤量 | ||||
| expectedSupplyDuration | 0..1 | Duration | 調剤日数 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation Fixed Value: 日 | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | Σ | 0..1 | code | Coded form of the unit Fixed Value: d | ||||
| performer | 0..1 | Reference(JP Core Organization Profile) | 想定された払い出し薬局 | |||||
| substitution | 0..1 | BackboneElement | 後発医薬品への変更可否情報 | |||||
| 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 | ||||
| allowed[x] | 1..1 | CodeableConcept | 後発医薬品への変更可否情報 Binding: JP Core Medication Substitution Not Allowed Reason ValueSet (preferred) | |||||
| reason | 0..1 | CodeableConcept | 代替品を提供した（あるいは、しなかった）理由 Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription | 0..1 | Reference(JP Core MedicationRequestBase Profile) | 前回のオーダ/処方 | |||||
| detectedIssue | 0..* | Reference(DetectedIssue) | 実施時の臨床的問題 | |||||
| eventHistory | 0..* | Reference(Provenance) | ライフサイクルで関心のあるイベントのリスト | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | preferred | CommonLanguages
| ||||
| MedicationRequest.identifier:rpNumber.use | required | IdentifierUse | ||||
| MedicationRequest.identifier:rpNumber.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.identifier:requestIdentifier.use | required | IdentifierUse | ||||
| MedicationRequest.identifier:requestIdentifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.status | required | medicationrequest Status | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
| MedicationRequest.intent | required | medicationRequest Intent | ||||
| MedicationRequest.category | example | medicationRequest Category Codes | ||||
| MedicationRequest.priority | required | RequestPriority | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationRequest.performerType | example | JP_PractitionerRole_VS (a valid code from http://jpfhir.jp/fhir/core/CodeSystem/JP_PractitionerRole_CS) | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | required | QuantityComparator | ||||
| MedicationRequest.substitution.allowed[x] | preferred | JP_MedicationSubstitutionNotAllowedReason_VS (a valid code from urn:oid:1.2.392.100495.20.2.41) | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| qty-3 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity : comparator.empty() |
This structure is derived from MedicationRequest
Summary
Mandatory: 5 elements (2 nested mandatory elements)
Fixed Value: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | 患者あるいはグループに対しての薬剤処方オーダ | |||||
| 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): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| preparation | 0..* | CodeableConcept | 調剤結果 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDispense_Preparation Binding: JP Core Medication JHSP0002 Instruction For Dispense ValueSet (example) | |||||
| 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 | string | 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): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| 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 | |||||
| id | 0..1 | string | 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): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| 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) | ||||
| status | ?!Σ | 1..1 | code | オーダの現在の状態を示すコード。 Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
| statusReason | 0..1 | CodeableConcept | 現在のステータスの理由 Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent | ?!Σ | 1..1 | code | 投薬指示の意図 Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category | 0..* | CodeableConcept | 薬剤使用区分 Binding: medicationRequest Category Codes (example): MedicationRequest Resourceの区分を示すコード化された概念。たとえば、どこで服薬あるいは投与されるか、治療の種別はどうかについて。 | |||||
| priority | Σ | 0..1 | code | オーダの優先度 Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | 要求が禁止された行為であればTrue | ||||
| reported[x] | Σ | 0..1 | 初期記録にはない報告 | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| medication[x] | Σ | 1..1 | What medication was supplied 医薬品 Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| subject | Σ | 1..1 | Reference(JP Core Patient Profile) | 処方箋が発行された対象(個人あるいはグループ) | ||||
| encounter | 0..1 | Reference(JP Core Encounter Profile) | encounter/admission/stay のいずれかとして記録された診察 | |||||
| supportingInformation | 0..* | Reference(Resource) | 薬剤オーダについて補助的情報 | |||||
| authoredOn | Σ | 1..1 | dateTime | この処方オーダが最初に記述された日 | ||||
| requester | Σ | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | RelatedPerson | Device) | このオーダを発行した人・物 | ||||
| performer | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | Device | RelatedPerson | CareTeam) | 薬剤投与・管理を行った者 | |||||
| performerType | Σ | 0..1 | CodeableConcept | 薬剤投与を行った職種 Binding: JP Core PractitionerRole ValueSet (example) | ||||
| recorder | 0..1 | Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile) | 投薬オーダの入力者 | |||||
| reasonCode | 0..* | CodeableConcept | 薬を注文するあるいは注文しない理由や適応 Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(JP Core Condition Profile | JP Core Observation Common Profile) | 処方箋が書かれた理由について補足するCondition ResourceまたはObservation Resource | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | FHIRプロトコルまたは定義のインスタンス | ||||
| instantiatesUri | Σ | 0..* | uri | 外部プロトコルまたは定義のインスタンス | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | オーダが実施される根拠 | ||||
| groupIdentifier | Σ | 0..1 | Identifier | このRequestを一部とする複数のオーダを構成するID | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | 薬剤投与の全体的なパターン Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(JP Core Coverage Profile | ClaimResponse) | 適用される保険 | |||||
| note | 0..* | Annotation | 薬剤単位の備考 | |||||
| dosageInstruction | 0..* | JP_MedicationDosageBase | 薬の服用方法・服用した方法、または服用すべき方法 | |||||
| dispenseRequest | 0..1 | BackboneElement | 調剤・払い出しについての承認事項 | |||||
| id | 0..1 | string | 内部エレメントを参照するためのユニークID | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instructionForDispense | 0..* | CodeableConcept | 調剤指示 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationRequest_DispenseRequest_InstructionForDispense | |||||
| expectedRepeatCount | 0..1 | integer | 頓用回数 URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationRequest_DispenseRequest_ExpectedRepeatCount | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill | 0..1 | BackboneElement | 初回の調剤詳細 | |||||
| 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 | ||||
| quantity | C | 0..1 | JP_MedicationSimpleQuantity | 初回の調剤量 | ||||
| duration | 0..1 | Duration | 初回の調剤期間 | |||||
| dispenseInterval | 0..1 | Duration | 再調剤までの最短期間 | |||||
| validityPeriod | 0..1 | Period | 許可された払い出し期間 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start | ΣC | 0..1 | dateTime | 境界を含む開始時刻 | ||||
| end | ΣC | 0..1 | dateTime | 継続中でなければ境界を含む終了時刻 | ||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | 許可されたリフィル回数 | |||||
| quantity | C | 0..1 | JP_MedicationSimpleQuantity | 調剤量 | ||||
| expectedSupplyDuration | 0..1 | Duration | 調剤日数 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation Fixed Value: 日 | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | Σ | 0..1 | code | Coded form of the unit Fixed Value: d | ||||
| performer | 0..1 | Reference(JP Core Organization Profile) | 想定された払い出し薬局 | |||||
| substitution | 0..1 | BackboneElement | 後発医薬品への変更可否情報 | |||||
| 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 | ||||
| allowed[x] | 1..1 | CodeableConcept | 後発医薬品への変更可否情報 Binding: JP Core Medication Substitution Not Allowed Reason ValueSet (preferred) | |||||
| reason | 0..1 | CodeableConcept | 代替品を提供した（あるいは、しなかった）理由 Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription | 0..1 | Reference(JP Core MedicationRequestBase Profile) | 前回のオーダ/処方 | |||||
| detectedIssue | 0..* | Reference(DetectedIssue) | 実施時の臨床的問題 | |||||
| eventHistory | 0..* | Reference(Provenance) | ライフサイクルで関心のあるイベントのリスト | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | preferred | CommonLanguages
| ||||
| MedicationRequest.identifier:rpNumber.use | required | IdentifierUse | ||||
| MedicationRequest.identifier:rpNumber.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.identifier:requestIdentifier.use | required | IdentifierUse | ||||
| MedicationRequest.identifier:requestIdentifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.status | required | medicationrequest Status | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
| MedicationRequest.intent | required | medicationRequest Intent | ||||
| MedicationRequest.category | example | medicationRequest Category Codes | ||||
| MedicationRequest.priority | required | RequestPriority | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationRequest.performerType | example | JP_PractitionerRole_VS (a valid code from http://jpfhir.jp/fhir/core/CodeSystem/JP_PractitionerRole_CS) | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | required | QuantityComparator | ||||
| MedicationRequest.substitution.allowed[x] | preferred | JP_MedicationSubstitutionNotAllowedReason_VS (a valid code from urn:oid:1.2.392.100495.20.2.41) | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| qty-3 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity : comparator.empty() |
Other representations of profile: CSV, Excel, Schematron
