電子カルテ情報共有サービス2文書５情報+患者サマリー FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.4.1
1.4.1 - release
Japan
電子カルテ情報共有サービス2文書５情報+患者サマリー FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.4.1 - Local Development build (v1.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "Example-JP-MedReq-ExtAnus-AsNeeded-Total1",
"meta" : {
"lastUpdated" : "2021-07-14T16:14:35.000+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_MedicationRequest_eCS|1"
]
},
"language" : "ja",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><p><b>Generated Narrative: MedicationRequest </b><a name=\"Example-JP-MedReq-ExtAnus-AsNeeded-Total1\"> </a><a name=\"hcExample-JP-MedReq-ExtAnus-AsNeeded-Total1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceMedicationRequest "Example-JP-MedReq-ExtAnus-AsNeeded-Total1" Updated"2021-07-14 16:14:35+0900" (Language"ja") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">eCS/CLINS:JP_MedicationRequest_eCS(version1)</a></p></div><p><b>JP eCS InstitutionNumber Extension</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no</code>/1318814790</p><p><b>JP eCS Department Extension</b>: 内科 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.2\">JP Core Department SS-MIX CodeSystem</a>#01)</span></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</code>/1, <code>urn:oid:1.2.392.100495.20.3.82</code>/1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-9990767-0A172220B35F172021071410514001-1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A172220B35F172021071410514001-1</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>category</b>: 入院臨時処方 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS\">JP Core Medication MERIT9 Category CodeSystem</a>#IHP "入院処方")</span></p><p><b>medication</b>: 新レシカルボン坐剤 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200119.4.403.1\">MEDIS 基準番号（ＨＯＴ９）</a>#104937401 "新レシカルボン坐剤・ゼリア新薬"; <a href=\"urn:oid:1.2.392.100495.20.1.73\">JP Core YJ コード（個別医薬品コード）</a>#2359800J1035; 19911234567#I3344500)</span></p><p><b>subject</b>: <span><code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:１８７:05</span></p><p><b>encounter</b>: <a name=\"hcExample-Contained-JP-Encounter-IMP\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Encounter-IMP\"> </a></p><p><a name=\"hcExample-Contained-JP-Encounter-IMP\"> </a></p><p><b>status</b>: finished</p><p><b>class</b>: 入院 (Details: ActCode code IMP = ' inpatient encounter ', stated as ' 入院 ')</p><p><b>period</b>: 2021-07-05 --> (ongoing)</p></blockquote><p><b>authoredOn</b>: 2021-07-14 10:52:26+0900</p><p><b>requester</b>: <a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/R001</p><p><b>name</b>: 医学 一郎</p></blockquote><p><b>recorder</b>: <a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/R001</p><p><b>name</b>: 医学 一郎</p></blockquote><p><b>groupIdentifier</b>: 1318814790-9990767-0A172220B35F172021071410514001-1</p><p><b>note</b>: MedicationRequestリソース\u3000入院・外用(坐剤)頓用全量処方\u3000頓用と1回量をコードで記述できない例</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2021-07-14 --> (ongoing)</p><p><b>text</b>: 坐薬 便秘時 1回1個 肛門へ挿入</p><p><b>timing</b>: Code , Events: 2021-07-14 08:00:00+0900 </p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>10 個<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeKO = '個')</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Encounter #Example-Contained-JP-Encounter-IMP</b><a name=\"Example-Contained-JP-Encounter-IMP\"> </a><a name=\"hcExample-Contained-JP-Encounter-IMP\"> </a></p><p><b>status</b>: finished</p><p><b>class</b>: 入院 (Details: ActCode code IMP = ' inpatient encounter ', stated as ' 入院 ')</p><p><b>period</b>: 2021-07-05 --> (ongoing)</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-R001</b><a name=\"Example-Contained-JP-Practitioner-minimun-R001\"> </a><a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/R001</p><p><b>name</b>: 医学 一郎</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Encounter",
"id" : "Example-Contained-JP-Encounter-IMP",
"meta" : {
"profile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"
]
},
"language" : "ja",
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "入院"
},
"period" : {
"start" : "2021-07-05"
}
},
{
"resourceType" : "Practitioner",
"id" : "Example-Contained-JP-Practitioner-minimun-R001",
"meta" : {
"profile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"
]
},
"language" : "ja",
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.41.11311234567",
"value" : "R001"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "医学 一郎"
}
]
}
],
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/clins/Extension/StructureDefinition/JP_eCS_InstitutionNumber",
"valueIdentifier" : {
"system" : "http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no",
"value" : "1318814790"
}
},
{
"url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_Department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.2",
"code" : "01",
"display" : "内科"
}
]
}
}
],
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.81",
"value" : "1"
},
{
"system" : "urn:oid:1.2.392.100495.20.3.82",
"value" : "1"
},
{
"system" : "urn:oid:1.2.392.100495.20.3.11",
"value" : "1318814790-9990767-0A172220B35F172021071410514001-1"
},
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1318814790-9990767-0A172220B35F172021071410514001-1"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
"code" : "IHP",
"display" : "入院処方"
}
],
"text" : "入院臨時処方"
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200119.4.403.1",
"code" : "104937401",
"display" : "新レシカルボン坐剤・ゼリア新薬"
},
{
"system" : "urn:oid:1.2.392.100495.20.1.73",
"code" : "2359800J1035",
"display" : "新レシカルボン坐剤"
},
{
"system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
"code" : "I3344500",
"display" : "新レシカルボン坐剤"
}
],
"text" : "新レシカルボン坐剤"
},
"subject" : {
"type" : "Patient",
"identifier" : {
"system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
"value" : "00012345:あいう:１８７:05"
}
},
"encounter" : {
"reference" : "#Example-Contained-JP-Encounter-IMP"
},
"authoredOn" : "2021-07-14T10:52:26+09:00",
"requester" : {
"reference" : "#Example-Contained-JP-Practitioner-minimun-R001",
"type" : "Practitioner",
"display" : "医学 一郎"
},
"recorder" : {
"reference" : "#Example-Contained-JP-Practitioner-minimun-R001",
"type" : "Practitioner",
"display" : "医学 一郎"
},
"groupIdentifier" : {
"value" : "1318814790-9990767-0A172220B35F172021071410514001-1"
},
"note" : [
{
"text" : "MedicationRequestリソース\u3000入院・外用(坐剤)頓用全量処方\u3000頓用と1回量をコードで記述できない例"
}
],
"dosageInstruction" : [
{
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
"valuePeriod" : {
"start" : "2021-07-14"
}
}
],
"text" : "坐薬 便秘時 1回1個 肛門へ挿入",
"timing" : {
"event" : [
"2021-07-14T08:00:00+09:00"
],
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUsage_ePrescription",
"code" : "2R50410000000000",
"display" : "便秘時\u3000肛門挿入"
}
],
"text" : "便秘時 1回1個 肛門へ挿入"
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.100495.20.2.22",
"code" : "1",
"display" : "製剤量"
}
]
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 10,
"unit" : "個",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "KO"
}
}
}