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） v1.5.4
1.5.4 - 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） v1.5.4 - Local Development build (v1.5.4) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"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|1.5.4"
]
},
"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-TID-01</b></p><a name=\"Example-JP-MedReq-TID-01\"> </a><a name=\"hcExample-JP-MedReq-TID-01\"> </a><a name=\"Example-JP-MedReq-TID-01-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">eCS/CLINS:JP_MedicationRequest_eCSversion: null1.5.4)</a></p></div><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>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>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-HOT9 103831601}, {http://capstandard.jp/iyaku.info/CodeSystem/YJ-code 2233002F1280}\">カルボシステイン２５０ｍｇ錠</span></p><p><b>subject</b>: <a href=\"Patient-Example-JP-Patient-eCS-MAKINO.html\">牧野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11318814790#000999739)</a></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>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>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/route-codes PO}\">口</span></p><p><b>method</b>: <span title=\"Codes:{http://jami.jp/CodeSystem/MedicationMethodBasicUsage 1}\">内服</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType 1}\">製剤量</span></td><td>1 錠<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeTAB = '錠')</span></td><td>3 錠<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeTAB = '錠')</span>/1 日<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></td></tr></table></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://terminology.hl7.org/6.0.2/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</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><span title=\"Codes:{http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationSubstitutionProhibittedCategory 1}\">後発品変更不可</span></td><td><span title=\"Codes:\">患者が希望せず</span></td></tr></table></div>"
},
"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" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1311234567-2020-00123456"
}
],
"status" : "completed",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://medis.or.jp/CodeSystem/master-HOT9",
"code" : "103831601",
"display" : "カルボシステイン錠２５０ｍｇ「サワイ」・沢井製薬"
},
{
"system" : "http://capstandard.jp/iyaku.info/CodeSystem/YJ-code",
"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" : "http://jami.jp/CodeSystem/MedicationUsage",
"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" : "http://jami.jp/CodeSystem/MedicationMethodBasicUsage",
"code" : "1",
"display" : "内服"
}
]
},
"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" : 3,
"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" : 21,
"unit" : "錠",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 7,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
},
"substitution" : {
"allowedCodeableConcept" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationSubstitutionProhibittedCategory",
"code" : "1",
"display" : "後発品変更不可"
}
]
},
"reason" : {
"text" : "患者が希望せず"
}
}
}