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） v1.5.0
1.5.0 - 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） v1.5.0 - Local Development build (v1.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: ErrorExample-JP-MedReq-ExtSkin-Total2 - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "Example-JP-MedReq-ExtSkin-Total2",
  "meta" : {
    "lastUpdated" : "2021-07-05T19:07:58.000+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 class=\"res-header-id\"><b>Generated Narrative: MedicationRequest Example-JP-MedReq-ExtSkin-Total2</b></p><a name=\"Example-JP-MedReq-ExtSkin-Total2\"> </a><a name=\"hcExample-JP-MedReq-ExtSkin-Total2\"> </a><a name=\"Example-JP-MedReq-ExtSkin-Total2-ja-JP\"> </a><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\">Last updated: 2021-07-05 19:07:58+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">eCS/CLINS:JP_MedicationRequest_eCSversion: null1)</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>identifier</b>: <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber</code>/1, <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicationAdministrationIndex</code>/1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-9990767-0A172C13361BBE2021070517301001-1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A172C13361BBE2021070517301001-1</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS XTR}, {http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS IHP}\">時間外処方</span></p><p><b>medication</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/eCS/CodeSystem/MedicationCodeNocoded_CS NOCODED}, {http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567 I3240210}\">ヒルドイドローション２５ｇ</span></p><p><b>subject</b>: Identifier: <code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:１８７:05</p><p><b>encounter</b>: <a href=\"#hcExample-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Encounter-IMP\">Encounter: status = finished; class = 入院 (ActCode#IMP); period = 2021-07-05 --&gt; (ongoing)</a></p><p><b>authoredOn</b>: 2021-07-05 17:31:48+0900</p><p><b>requester</b>: <a href=\"#hcExample-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Practitioner-minimun-R001\">医学 一郎</a></p><p><b>recorder</b>: <a href=\"#hcExample-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Practitioner-minimun-R001\">Practitioner 医学 一郎</a></p><p><b>groupIdentifier</b>: 1318814790-9990767-0A172C13361BBE2021070517301001-1</p><p><b>note</b>: 【意図的エラー例】：入院処方\u3000外用（塗布）全量処方\u30001回量をコードで記述できない例. ただし医薬品コードを「標準コード」「標準コードなし」のいずれでも記述していないためにエラーになる例。</p><blockquote><p><b>dosageInstruction</b></p></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>1 本<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeHON = '本')</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter  #Example-Contained-JP-Encounter-IMP</b></p><a name=\"Example-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Encounter-IMP\"> </a><a name=\"hcExample-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Encounter-IMP\"> </a><a name=\"Example-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Encounter-IMP-ja-JP\"> </a><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\">Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter\">JP Core Encounter Profile</a></p></div>Not done yet</blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #Example-Contained-JP-Practitioner-minimun-R001</b></p><a name=\"Example-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Practitioner-minimun-R001\"> </a><a name=\"hcExample-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Practitioner-minimun-R001\"> </a><a name=\"Example-JP-MedReq-ExtSkin-Total2/Example-Contained-JP-Practitioner-minimun-R001-ja-JP\"> </a><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\">Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner\">JP Core Practitioner Profile</a></p></div><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"
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber",
      "value" : "1"
    },
    {
      "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicationAdministrationIndex",
      "value" : "1"
    },
    {
      "system" : "urn:oid:1.2.392.100495.20.3.11",
      "value" : "1318814790-9990767-0A172C13361BBE2021070517301001-1"
    },
    {
      "system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "1318814790-9990767-0A172C13361BBE2021070517301001-1"
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
          "code" : "XTR",
          "display" : "臨時処方"
        },
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
          "code" : "IHP",
          "display" : "入院処方"
        }
      ],
      "text" : "時間外処方"
    }
  ],
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/MedicationCodeNocoded_CS",
        "code" : "NOCODED",
        "display" : "標準コードなし"
      },
      {
        "system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
        "code" : "I3240210",
        "display" : "ヒルドイドローション２５ｇ"
      }
    ],
    "text" : "ヒルドイドローション２５ｇ"
  },
  "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" : "2021-07-05T17:31:48+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"
  },
  "groupIdentifier" : {
    "value" : "1318814790-9990767-0A172C13361BBE2021070517301001-1"
  },
  "note" : [
    {
      "text" : "【意図的エラー例】：入院処方\u3000外用（塗布）全量処方\u30001回量をコードで記述できない例. ただし医薬品コードを「標準コード」「標準コードなし」のいずれでも記述していないためにエラーになる例。"
    }
  ],
  "dosageInstruction" : [
    {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
          "valuePeriod" : {
            "start" : "2021-07-05"
          }
        }
      ],
      "text" : "1日数回 塗布",
      "timing" : {
        "event" : [
          "2021-07-05T08:00:00+09:00"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUsage_ePrescription",
              "code" : "2B7N000000000000",
              "display" : "１日数回\u3000塗布"
            }
          ],
          "text" : "1日数回 塗布"
        }
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType",
                "code" : "1",
                "display" : "製剤量"
              }
            ]
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "quantity" : {
      "value" : 1,
      "unit" : "本",
      "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
      "code" : "HON"
    }
  }
}