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

: Example-JP-MedReq-eCS-fukintouByDay - JSON Representation

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{
  "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|1.5.4"
    ]
  },
  "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-eCS-fukintouByDay</b></p><a name=\"Example-JP-MedReq-eCS-fukintouByDay\"> </a><a name=\"hcExample-JP-MedReq-eCS-fukintouByDay\"> </a><a name=\"Example-JP-MedReq-eCS-fukintouByDay-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>/9, <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 105271807}, {http://capstandard.jp/iyaku.info/CodeSystem/YJ-code 2456001F1310}\">プレドニン錠５ｍｇ・塩野義</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 --&gt; (ongoing)</p><p><b>JP Core Medication Dosage UsageDuration Extension</b>: No display for Duration  (value: 7; unit: 日; system: http://unitsofmeasure.org; code: d)</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>: <span title=\"Codes:{http://jami.jp/CodeSystem/MedicationUsageAdditional V14NNNNN}\">不均等・１回目・４錠</span>, <span title=\"Codes:{http://jami.jp/CodeSystem/MedicationUsageAdditional V22NNNNN}\">不均等・２回目・２錠</span>, <span title=\"Codes:{http://jami.jp/CodeSystem/MedicationUsageAdditional V31NNNNN}\">不均等・３回目・１錠</span></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>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>7 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>: 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://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></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationSubstitutionProhibittedCategory 0}\">変更可</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber",
      "value" : "9"
    },
    {
      "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" : "105271807",
        "display" : "プレドニン錠５ｍｇ・塩野義"
      },
      {
        "system" : "http://capstandard.jp/iyaku.info/CodeSystem/YJ-code",
        "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" : "http://jami.jp/CodeSystem/MedicationUsageAdditional",
              "code" : "V14NNNNN",
              "display" : "不均等・１回目・４単位量"
            }
          ],
          "text" : "不均等・１回目・４錠"
        },
        {
          "coding" : [
            {
              "system" : "http://jami.jp/CodeSystem/MedicationUsageAdditional",
              "code" : "V22NNNNN",
              "display" : "不均等・２回目・２単位量"
            }
          ],
          "text" : "不均等・２回目・２錠"
        },
        {
          "coding" : [
            {
              "system" : "http://jami.jp/CodeSystem/MedicationUsageAdditional",
              "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" : "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" : "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" : "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"
              }
            ]
          },
          "rateRatio" : {
            "numerator" : {
              "value" : 7,
              "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" : 49,
      "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" : "0",
          "display" : "変更可"
        }
      ]
    }
  }
}