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） v1.3.0-rc3 (リリース候補v3)
1.3.0-rc3 - 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） v1.3.0-rc3 (リリース候補v3) - Local Development build (v1.3.0-rc3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example-JP-MedReq-ExtAnus-AsNeeded-Total1 - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "Example-JP-MedReq-ExtAnus-AsNeeded-Total1",
  "meta" : {
    "lastUpdated" : "2021-07-14T16:14:35.000+09:00",
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_MedicationRequest_eCS"
    ]
  },
  "language" : "ja",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><p><b>Generated Narrative: MedicationRequest </b><a name=\"Example-JP-MedReq-ExtAnus-AsNeeded-Total1\"> </a><a name=\"hcExample-JP-MedReq-ExtAnus-AsNeeded-Total1\"> </a></p><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\">ResourceMedicationRequest &quot;Example-JP-MedReq-ExtAnus-AsNeeded-Total1&quot; Updated&quot;2021-07-14 16:14:35+0900&quot;  (Language&quot;ja&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">eCS/CLINS:JP_MedicationRequest_eCS</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>JP eCS Department Extension</b>: 内科 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.2\">JP Core Department SS-MIX CodeSystem</a>#01)</span></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</code>/1, <code>urn:oid:1.2.392.100495.20.3.82</code>/1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-9990767-0A172220B35F172021071410514001-1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A172220B35F172021071410514001-1</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>category</b>: 入院臨時処方 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS\">JP Core Medication MERIT9 Category CodeSystem</a>#IHP &quot;入院処方&quot;)</span></p><p><b>medication</b>: 新レシカルボン坐剤 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200119.4.403.1\">MEDIS 基準番号（ＨＯＴ９）</a>#104937401; <a href=\"urn:oid:1.2.392.100495.20.1.73\">JP Core YJ コード（個別医薬品コード）</a>#2359800J1035; 19911234567#I3344500)</span></p><p><b>subject</b>: <span><code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:１８７:05</span></p><p><b>encounter</b>: <a name=\"hcExample-Contained-JP-Encounter-IMP\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Encounter-IMP\"> </a></p><p><a name=\"hcExample-Contained-JP-Encounter-IMP\"> </a></p><p><b>status</b>: finished</p><p><b>class</b>: 入院 (Details: ActCode code IMP  = ' inpatient encounter ', stated as ' 入院 ')</p><p><b>period</b>: 2021-07-05 --&gt; (ongoing)</p></blockquote><p><b>authoredOn</b>: 2021-07-14 10:52:26+0900</p><p><b>requester</b>: <a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/R001</p><p><b>name</b>: 医学 一郎</p></blockquote><p><b>recorder</b>: <a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/R001</p><p><b>name</b>: 医学 一郎</p></blockquote><p><b>groupIdentifier</b>: 1318814790-9990767-0A172220B35F172021071410514001-1</p><p><b>note</b>: MedicationRequestリソース\u3000入院・外用(坐剤)頓用全量処方\u3000頓用と1回量をコードで記述できない例</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2021-07-14 --&gt; (ongoing)</p><p><b>text</b>: 坐薬 便秘時 1回1個 肛門へ挿入</p><p><b>timing</b>: Code , Events: 2021-07-14 08:00:00+0900 </p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>10 個<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeKO = '個')</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Encounter  #Example-Contained-JP-Encounter-IMP</b><a name=\"Example-Contained-JP-Encounter-IMP\"> </a><a name=\"hcExample-Contained-JP-Encounter-IMP\"> </a></p><p><b>status</b>: finished</p><p><b>class</b>: 入院 (Details: ActCode code IMP  = ' inpatient encounter ', stated as ' 入院 ')</p><p><b>period</b>: 2021-07-05 --&gt; (ongoing)</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner  #Example-Contained-JP-Practitioner-minimun-R001</b><a name=\"Example-Contained-JP-Practitioner-minimun-R001\"> </a><a name=\"hcExample-Contained-JP-Practitioner-minimun-R001\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/R001</p><p><b>name</b>: 医学 一郎</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-R001",
      "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" : "R001"
        }
      ],
      "name" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
              "valueCode" : "IDE"
            }
          ],
          "text" : "医学 一郎"
        }
      ]
    }
  ],
  "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"
      }
    },
    {
      "url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_Department",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.2",
            "code" : "01",
            "display" : "内科"
          }
        ]
      }
    }
  ],
  "identifier" : [
    {
      "system" : "urn:oid:1.2.392.100495.20.3.81",
      "value" : "1"
    },
    {
      "system" : "urn:oid:1.2.392.100495.20.3.82",
      "value" : "1"
    },
    {
      "system" : "urn:oid:1.2.392.100495.20.3.11",
      "value" : "1318814790-9990767-0A172220B35F172021071410514001-1"
    },
    {
      "system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "1318814790-9990767-0A172220B35F172021071410514001-1"
    }
  ],
  "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" : "urn:oid:1.2.392.200119.4.403.1",
        "code" : "104937401",
        "display" : "新レシカルボン坐剤"
      },
      {
        "system" : "urn:oid:1.2.392.100495.20.1.73",
        "code" : "2359800J1035",
        "display" : "新レシカルボン坐剤"
      },
      {
        "system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
        "code" : "I3344500",
        "display" : "新レシカルボン坐剤"
      }
    ],
    "text" : "新レシカルボン坐剤"
  },
  "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" : "2021-07-14T10:52:26+09:00",
  "requester" : {
    "reference" : "#Example-Contained-JP-Practitioner-minimun-R001",
    "type" : "Practitioner",
    "display" : "医学 一郎"
  },
  "recorder" : {
    "reference" : "#Example-Contained-JP-Practitioner-minimun-R001",
    "type" : "Practitioner",
    "display" : "医学 一郎"
  },
  "groupIdentifier" : {
    "value" : "1318814790-9990767-0A172220B35F172021071410514001-1"
  },
  "note" : [
    {
      "text" : "MedicationRequestリソース\u3000入院・外用(坐剤)頓用全量処方\u3000頓用と1回量をコードで記述できない例"
    }
  ],
  "dosageInstruction" : [
    {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
          "valuePeriod" : {
            "start" : "2021-07-14"
          }
        }
      ],
      "text" : "坐薬 便秘時 1回1個 肛門へ挿入",
      "timing" : {
        "event" : [
          "2021-07-14T08:00:00+09:00"
        ],
        "code" : {
          "text" : "坐薬 便秘時 1回1個 肛門へ挿入"
        }
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "urn:oid:1.2.392.100495.20.2.22",
                "code" : "1",
                "display" : "製剤量"
              }
            ]
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "quantity" : {
      "value" : 10,
      "unit" : "個",
      "system" : "urn:oid:1.2.392.100495.20.2.101",
      "code" : "KO"
    }
  }
}