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

: Example-JP-MedReq-TID-01 - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "Example-JP-MedReq-TID-01",
  "meta" : {
    "lastUpdated" : "2021-11-26T10:00:00+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-TID-01\"> </a><a name=\"hcExample-JP-MedReq-TID-01\"> </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 &quot;Example-JP-MedReq-TID-01&quot; Updated&quot;2021-11-26 10:00:00+0900&quot;  (Language&quot;ja&quot;) </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>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>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1311234567-2020-00123456</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: カルボシステイン２５０ｍｇ錠 <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>#103831601 &quot;カルボシステイン錠２５０ｍｇ「サワイ」・沢井製薬&quot;; <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>#2233002F1280 &quot;カルボシステイン錠２５０ｍｇ「サワイ」&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-Example-JP-Patient-eCS-MAKINO.html\">Patient/Example-JP-Patient-eCS-MAKINO</a> &quot; 牧野&quot;</p><p><b>authoredOn</b>: 2020-08-21 12:28:17+0900</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2020-08-22 --&gt; (ongoing)</p><p><b>text</b>: 内服・経口・１日３回朝昼夕食後</p><p><b>timing</b>: Code , Once</p><p><b>route</b>: 口 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/route-codes\">JP Core Medication HL70162-based Route CodeSystem</a>#PO)</span></p><p><b>method</b>: 内服 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.30\">JP Core Medication JAMI Basic Usage Type CodeSystem</a>#1)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 21 錠<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeTAB = '錠')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>7</td><td>日</td><td><a href=\"http://unitsofmeasure.org\">The Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>後発品変更不可 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.100495.20.2.41\">JP Core Medication Substitution Not Allowed Reason CodeSystem</a>#1)</span></td><td>患者が希望せず <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table></div>"
  },
  "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" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "1311234567-2020-00123456"
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "urn:oid:1.2.392.200119.4.403.1",
        "code" : "103831601",
        "display" : "カルボシステイン錠２５０ｍｇ「サワイ」・沢井製薬"
      },
      {
        "system" : "urn:oid:1.2.392.100495.20.1.73",
        "code" : "2233002F1280",
        "display" : "カルボシステイン錠２５０ｍｇ「サワイ」"
      }
    ],
    "text" : "カルボシステイン２５０ｍｇ錠"
  },
  "subject" : {
    🔗 "reference" : "Patient/Example-JP-Patient-eCS-MAKINO"
  },
  "authoredOn" : "2020-08-21T12:28:17+09:00",
  "dosageInstruction" : [
    {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
          "valuePeriod" : {
            "start" : "2020-08-22"
          }
        }
      ],
      "text" : "内服・経口・１日３回朝昼夕食後",
      "timing" : {
        "repeat" : {
          "boundsDuration" : {
            "value" : 7,
            "unit" : "日",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          }
        },
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:1.2.392.200250.2.2.20",
              "code" : "1013044400000000",
              "display" : "内服 １日３回 朝昼夕食後"
            },
            {
              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUsage_ePrescription",
              "code" : "1013044400000000",
              "display" : "１日３回朝昼夕食後\u3000服用"
            }
          ],
          "text" : "内服・経口・１日３回朝昼夕食後"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
            "code" : "PO",
            "display" : "口"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.20.30",
            "code" : "1",
            "display" : "内服"
          }
        ]
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "urn:oid:1.2.392.100495.20.2.22",
                "code" : "1",
                "display" : "製剤量"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 1,
            "unit" : "錠",
            "system" : "urn:oid:1.2.392.100495.20.2.101",
            "code" : "TAB"
          },
          "rateRatio" : {
            "numerator" : {
              "value" : 3,
              "unit" : "錠",
              "system" : "urn:oid:1.2.392.100495.20.2.101",
              "code" : "TAB"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "日",
              "system" : "http://unitsofmeasure.org",
              "code" : "d"
            }
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "quantity" : {
      "value" : 21,
      "unit" : "錠",
      "system" : "urn:oid:1.2.392.100495.20.2.101",
      "code" : "TAB"
    },
    "expectedSupplyDuration" : {
      "value" : 7,
      "unit" : "日",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  },
  "substitution" : {
    "allowedCodeableConcept" : {
      "coding" : [
        {
          "system" : "urn:oid:1.2.392.100495.20.2.41",
          "code" : "1",
          "display" : "後発品変更不可"
        }
      ]
    },
    "reason" : {
      "text" : "患者が希望せず"
    }
  }
}