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-eCS-fukintouByDay",
"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-eCS-fukintouByDay\"> </a><a name=\"hcExample-JP-MedReq-eCS-fukintouByDay\"> </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-eCS-fukintouByDay" Updated"2021-11-26 10:00:00+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>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</code>/9, <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>: プレドニン錠5mg・塩野義 <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>#105271807; <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>#2456001F1310 "プレドニン錠5mg")</span></p><p><b>subject</b>: <a href=\"Patient-Example-JP-Patient-eCS-MAKINO.html\">Patient/Example-JP-Patient-eCS-MAKINO</a> " 牧野"</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 --> (ongoing)</p><p><b>JP Core Medication Dosage UsageDuration Extension</b>: 7 日<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p><p><b>text</b>: 1日3回\u3000毎食後\u30007錠(4錠-2錠-1錠)</p><p><b>additionalInstruction</b>: 不均等・1回目・4錠 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.22\">JP Core Medication JAMI Additional Usage CodeSystem</a>#V14NNNNN "不均等・1回目・4単位量")</span>, 不均等・2回目・2錠 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.22\">JP Core Medication JAMI Additional Usage CodeSystem</a>#V22NNNNN "不均等・2回目・2単位量")</span>, 不均等・3回目・1錠 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.22\">JP Core Medication JAMI Additional Usage CodeSystem</a>#V31NNNNN "不均等・3回目・1単位量")</span></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>: 49 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></tr><tr><td style=\"display: none\">*</td><td>変更可 <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>#0)</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.81",
"value" : "9"
},
{
"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" : "105271807",
"display" : "プレドニン錠5mg・塩野義"
},
{
"system" : "urn:oid:1.2.392.100495.20.1.73",
"code" : "2456001F1310",
"display" : "プレドニン錠5mg"
}
],
"text" : "プレドニン錠5mg・塩野義"
},
"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"
}
},
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_UsageDuration",
"valueDuration" : {
"value" : 7,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
],
"text" : "1日3回\u3000毎食後\u30007錠(4錠-2錠-1錠)",
"additionalInstruction" : [
{
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.20.22",
"code" : "V14NNNNN",
"display" : "不均等・1回目・4単位量"
}
],
"text" : "不均等・1回目・4錠"
},
{
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.20.22",
"code" : "V22NNNNN",
"display" : "不均等・2回目・2単位量"
}
],
"text" : "不均等・2回目・2錠"
},
{
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.20.22",
"code" : "V31NNNNN",
"display" : "不均等・3回目・1単位量"
}
],
"text" : "不均等・3回目・1錠"
}
],
"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" : "1日3回\u3000毎食後\u30007錠(4錠-2錠-1錠)"
}
},
"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"
}
]
},
"rateRatio" : {
"numerator" : {
"value" : 7,
"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" : 49,
"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" : "0",
"display" : "変更可"
}
]
}
}
}