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） v1.6.0
1.6.0 - 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） v1.6.0 - Local Development build (v1.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "Example-JP-MedReq-PO-BID-10days-AsNeeded",
"meta" : {
"lastUpdated" : "2021-07-13T14:24:21.000+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_MedicationRequest_eCS|1.6.0"
]
},
"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-BID-10days-AsNeeded</b></p><a name=\"Example-JP-MedReq-PO-BID-10days-AsNeeded\"> </a><a name=\"hcExample-JP-MedReq-PO-BID-10days-AsNeeded\"> </a><a name=\"Example-JP-MedReq-PO-BID-10days-AsNeeded-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 14:24:21+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">JP_MedicationRequest_eCSversion: null1.6.0)</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>/1318814790-9990767-0A17296D729AE72021071219211801-2, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A17296D729AE72021071219211801-2</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 DCG}, {http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS IHP}\">退院時処方</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 I1692880}\">炭酸水素ナトリウム水</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>authoredOn</b>: 2021-07-13 14:22:09+0900</p><p><b>requester</b>: <a href=\"#hcExample-JP-MedReq-PO-BID-10days-AsNeeded/Example-Contained-JP-Practitioner-minimun-D001\">医療 太郎</a></p><p><b>recorder</b>: <a href=\"#hcExample-JP-MedReq-PO-BID-10days-AsNeeded/Example-Contained-JP-Practitioner-minimun-D001\">Practitioner 医療 太郎</a></p><p><b>groupIdentifier</b>: 1318814790-9990767-0A17296D729AE72021071219211801-2</p><p><b>note</b>: MedicationRequestリソース\u3000入院・内服処方1日1回１回2錠（投与指示あり） 2日分処方例</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2021-07-12 --> (ongoing)</p><p><b>text</b>: 1日2回 朝夕食後 １回 15ｍＬ (１日 30ｍＬ) 10\u3000日分,指示あればお飲みください</p><p><b>timing</b>: Code , Events: 2021-07-12 00:00:00+0900 , Count 20 times, 2 per 1 days</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>15 ｍＬ<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeML = 'ｍＬ')</span></td><td>30 ｍＬ<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeML = 'ｍＬ')</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>: 300 ｍＬ<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeML = 'ｍＬ')</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>10</td><td>日</td><td><a href=\"http://terminology.hl7.org/6.1.0/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: Practitioner #Example-Contained-JP-Practitioner-minimun-D001</b></p><a name=\"Example-JP-MedReq-PO-BID-10days-AsNeeded/Example-Contained-JP-Practitioner-minimun-D001\"> </a><a name=\"hcExample-JP-MedReq-PO-BID-10days-AsNeeded/Example-Contained-JP-Practitioner-minimun-D001\"> </a><a name=\"Example-JP-MedReq-PO-BID-10days-AsNeeded/Example-Contained-JP-Practitioner-minimun-D001-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>/D001</p><p><b>name</b>: 医療 太郎</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Practitioner",
"id" : "Example-Contained-JP-Practitioner-minimun-D001",
"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" : "D001"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "医療 太郎"
}
]
}
],
"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" : "1318814790-9990767-0A17296D729AE72021071219211801-2"
},
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1318814790-9990767-0A17296D729AE72021071219211801-2"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
"code" : "DCG",
"display" : "退院処方"
},
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
"code" : "IHP",
"display" : "入院処方"
}
],
"text" : "退院時処方"
}
],
"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" : "I1692880",
"display" : "炭酸水素ナトリウム水"
}
],
"text" : "炭酸水素ナトリウム水"
},
"subject" : {
"type" : "Patient",
"identifier" : {
"system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
"value" : "00012345:あいう:１８７:05"
}
},
"authoredOn" : "2021-07-13T14:22:09+09:00",
"requester" : {
"reference" : "#Example-Contained-JP-Practitioner-minimun-D001",
"type" : "Practitioner",
"display" : "医療 太郎"
},
"recorder" : {
"reference" : "#Example-Contained-JP-Practitioner-minimun-D001",
"type" : "Practitioner"
},
"groupIdentifier" : {
"value" : "1318814790-9990767-0A17296D729AE72021071219211801-2"
},
"note" : [
{
"text" : "MedicationRequestリソース\u3000入院・内服処方1日1回１回2錠（投与指示あり） 2日分処方例"
}
],
"dosageInstruction" : [
{
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
"valuePeriod" : {
"start" : "2021-07-12"
}
}
],
"text" : "1日2回 朝夕食後 １回 15ｍＬ (１日 30ｍＬ) 10\u3000日分,指示あればお飲みください",
"timing" : {
"event" : [
"2021-07-12T00:00:00+09:00"
],
"repeat" : {
"boundsDuration" : {
"value" : 10,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"count" : 20,
"frequency" : 2,
"period" : 1,
"periodUnit" : "d"
},
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUsage_ePrescription",
"code" : "1012010100000000",
"display" : "１日２回朝夕食前\u3000服用"
}
],
"text" : "1日2回 朝夕食後"
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType",
"code" : "1",
"display" : "製剤量"
}
]
},
"doseQuantity" : {
"value" : 15,
"unit" : "ｍＬ",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "ML"
},
"rateRatio" : {
"numerator" : {
"value" : 30,
"unit" : "ｍＬ",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "ML"
},
"denominator" : {
"value" : 1,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 300,
"unit" : "ｍＬ",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "ML"
},
"expectedSupplyDuration" : {
"value" : 10,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}