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
{
"resourceType" : "MedicationRequest",
"id" : "Example-JP-MedReq-PO-4timez-7days",
"meta" : {
"lastUpdated" : "2021-07-13T19:21:18.000+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-PO-4timez-7days</b></p><a name=\"Example-JP-MedReq-PO-4timez-7days\"> </a><a name=\"hcExample-JP-MedReq-PO-4timez-7days\"> </a><a name=\"Example-JP-MedReq-PO-4timez-7days-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: 2021-07-13 19:21:18+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>/1318814790-9990767-0A172BC10398DD2021071314262201-1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A172BC10398DD2021071314262201-1</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 IHP}\">入院臨時処方</span></p><p><b>medication</b>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-HOT9 123812902}, {http://capstandard.jp/CodeSystem/YJ-code 1141007F3023}, {http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567 I1187300}\">カロナール錠５００mg</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-PO-4timez-7days/Example-Contained-JP-Encounter-IMP\">Encounter: status = finished; class = 入院 (ActCode#IMP); period = 2021-07-05 --> (ongoing)</a></p><p><b>authoredOn</b>: 2021-07-13 15:01:29+0900</p><p><b>requester</b>: <a href=\"#hcExample-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Practitioner-minimun-D003\">診療 和子</a></p><p><b>recorder</b>: <a href=\"#hcExample-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Practitioner-minimun-D003\">Practitioner 診療 和子</a></p><p><b>groupIdentifier</b>: 1318814790-9990767-0A172BC10398DD2021071314262201-1</p><p><b>note</b>: MedicationRequestリソース\u3000入院・内服処方1日4回7日分\u3000例</p><blockquote><p><b>dosageInstruction</b></p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 28 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://terminology.hl7.org/6.0.2/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter #Example-Contained-JP-Encounter-IMP</b></p><a name=\"Example-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Encounter-IMP\"> </a><a name=\"hcExample-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Encounter-IMP\"> </a><a name=\"Example-JP-MedReq-PO-4timez-7days/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-D003</b></p><a name=\"Example-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Practitioner-minimun-D003\"> </a><a name=\"hcExample-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Practitioner-minimun-D003\"> </a><a name=\"Example-JP-MedReq-PO-4timez-7days/Example-Contained-JP-Practitioner-minimun-D003-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>/D003</p><p><b>name</b>: 診療 和子</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-D003",
"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" : "D003"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "診療 和子"
}
]
}
],
"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" : "1318814790-9990767-0A172BC10398DD2021071314262201-1"
},
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1318814790-9990767-0A172BC10398DD2021071314262201-1"
}
],
"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" : "http://medis.or.jp/CodeSystem/master-HOT9",
"code" : "123812902",
"display" : "カロナール錠５００"
},
{
"system" : "http://capstandard.jp/CodeSystem/YJ-code",
"code" : "1141007F3023",
"display" : "カロナール錠５００"
},
{
"system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
"code" : "I1187300",
"display" : "カロナール錠５００"
}
],
"text" : "カロナール錠５００mg"
},
"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" : "2021-07-13T15:01:29+09:00",
"requester" : {
"reference" : "#Example-Contained-JP-Practitioner-minimun-D003",
"type" : "Practitioner",
"display" : "診療 和子"
},
"recorder" : {
"reference" : "#Example-Contained-JP-Practitioner-minimun-D003",
"type" : "Practitioner"
},
"groupIdentifier" : {
"value" : "1318814790-9990767-0A172BC10398DD2021071314262201-1"
},
"note" : [
{
"text" : "MedicationRequestリソース\u3000入院・内服処方1日4回7日分\u3000例"
}
],
"dosageInstruction" : [
{
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
"valuePeriod" : {
"start" : "2021-07-13"
}
}
],
"text" : "1日4回 毎食後と就寝前 １回 1錠 (１日 4錠) 7\u3000日分",
"timing" : {
"event" : [
"2021-07-13T08:00:00+09:00"
],
"repeat" : {
"boundsDuration" : {
"value" : 8,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"count" : 28,
"frequency" : 4,
"period" : 1,
"periodUnit" : "d"
},
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUsage_ePrescription",
"code" : "1014144400000000",
"display" : "１日４回朝昼夕食後と就寝前\u3000服用"
}
],
"text" : "1日4回 毎食後と就寝前"
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType",
"code" : "1",
"display" : "製剤量"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "錠",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "TAB"
},
"rateRatio" : {
"numerator" : {
"value" : 4,
"unit" : "錠",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "TAB"
},
"denominator" : {
"value" : 1,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 28,
"unit" : "錠",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 7,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}