{
  "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|1.8.0"]
  },
  "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-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\">JP_MedicationRequest_eCSversion: null1.8.0)</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=\"Bundle-Bundle-CLINS-PCS-Example-01.html#urn-uuid-0a48a4bf-0d87-4efb-aafd-d45e0842a4dd\">Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-PCS-203949583949; type = document; timestamp = 2024-07-07 10:00:00+0900</a></p><p><b>encounter</b>: <a href=\"#hcExample-JP-MedReq-eCS-fukintouByDay/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>: 2021-07-14 10:52:26+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=\"https://simplifier.net/resolve?scope=jpfhir-terminology@1.3.0&amp;canonical=http://unitsofmeasure.org\">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><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter #Example-Contained-JP-Encounter-IMP</b></p><a name=\"Example-JP-MedReq-eCS-fukintouByDay/Example-Contained-JP-Encounter-IMP\"> </a><a name=\"hcExample-JP-MedReq-eCS-fukintouByDay/Example-Contained-JP-Encounter-IMP\"> </a><a name=\"Example-JP-MedReq-eCS-fukintouByDay/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=\"StructureDefinition-JP-Encounter-eCS.html\">JP_Encounter-eCS</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"https://simplifier.net/resolve?scope=jpfhir-terminology@1.3.0&amp;canonical=http://terminology.hl7.org/CodeSystem/v3-ActCode#v3-ActCode-IMP\">ActCode IMP</a>: 入院</p><p><b>period</b>: 2021-07-05 --&gt; (ongoing)</p></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Encounter",
    "id" : "Example-Contained-JP-Encounter-IMP",
    "meta" : {
      "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS"]
    },
    "language" : "ja",
    "status" : "finished",
    "class" : {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "IMP",
      "display" : "入院"
    },
    "period" : {
      "start" : "2021-07-05"
    }
  }],
  "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" : "urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd"
  },
  "encounter" : {
    "reference" : "#Example-Contained-JP-Encounter-IMP"
  },
  "authoredOn" : "2021-07-14T10:52:26+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"
      }]
    }
  }
}