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) v1.5.5
1.5.5 - 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) v1.5.5 - Local Development build (v1.5.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "ErrorExample-JP-MedReq-ExtEye-Total1",
"meta" : {
"lastUpdated" : "2021-07-05T19:28:23.000+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 class=\"res-header-id\"><b>Generated Narrative: MedicationRequest ErrorExample-JP-MedReq-ExtEye-Total1</b></p><a name=\"ErrorExample-JP-MedReq-ExtEye-Total1\"> </a><a name=\"hcErrorExample-JP-MedReq-ExtEye-Total1\"> </a><a name=\"ErrorExample-JP-MedReq-ExtEye-Total1-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: 2021-07-05 19:28:23+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">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>identifier</b>: <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber</code>/3, <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicationAdministrationIndex</code>/1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-9990767-AC12821012A0552021070513070302-1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-AC12821012A0552021070513070302-1</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/JHSP0007 BDP}, {http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS IHP}\">持参薬処方</span></p><p><b>medication</b>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-HOT9 118185202}, {http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567 I3198200}\">トラバタンズ点眼液0.004%\u30002</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>: 2021-07-05 13:08:22+0900</p><p><b>requester</b>: <a href=\"#hcErrorExample-JP-MedReq-ExtEye-Total1/Example-Contained-JP-Practitioner-minimun-D001\">医療 太郎</a></p><p><b>recorder</b>: <a href=\"#hcErrorExample-JP-MedReq-ExtEye-Total1/Example-Contained-JP-Practitioner-minimun-D001\">Practitioner 医療 太郎</a></p><p><b>groupIdentifier</b>: 1318814790-9990767-AC12821012A0552021070513070302-1</p><p><b>note</b>: 【意図的エラー例】(薬剤コードがYJ、規格別成分コードのいずれも存在しない):入院処方\u3000外用(点眼)全量処方\u30001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>: 2021-07-05 --> (ongoing)</p><p><b>text</b>: 両眼点眼 1日1回</p><p><b>timing</b>: Code , Events: 2021-07-05 12:00:00+0900 </p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</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></tr></table></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>1 瓶<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem codeBTL = '瓶')</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D001</b></p><a name=\"ErrorExample-JP-MedReq-ExtEye-Total1/Example-Contained-JP-Practitioner-minimun-D001\"> </a><a name=\"hcErrorExample-JP-MedReq-ExtEye-Total1/Example-Contained-JP-Practitioner-minimun-D001\"> </a><a name=\"ErrorExample-JP-MedReq-ExtEye-Total1/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" : "3"
},
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicationAdministrationIndex",
"value" : "1"
},
{
"system" : "urn:oid:1.2.392.100495.20.3.11",
"value" : "1318814790-9990767-AC12821012A0552021070513070302-1"
},
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1318814790-9990767-AC12821012A0552021070513070302-1"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/JHSP0007",
"code" : "BDP",
"display" : "持参薬処方"
},
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
"code" : "IHP",
"display" : "入院処方"
}
],
"text" : "持参薬処方"
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://medis.or.jp/CodeSystem/master-HOT9",
"code" : "118185202",
"display" : "トラバタンズ点眼液0.004%・ノバルティスP"
},
{
"system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
"code" : "I3198200",
"display" : "トラバタンズ点眼液0.004%\u30002"
}
],
"text" : "トラバタンズ点眼液0.004%\u30002"
},
"subject" : {
"type" : "Patient",
"identifier" : {
"system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
"value" : "00012345:あいう:187:05"
}
},
"authoredOn" : "2021-07-05T13:08:22+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-AC12821012A0552021070513070302-1"
},
"note" : [
{
"text" : "【意図的エラー例】(薬剤コードがYJ、規格別成分コードのいずれも存在しない):入院処方\u3000外用(点眼)全量処方\u30001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" : "2021-07-05"
}
}
],
"text" : "両眼点眼 1日1回",
"timing" : {
"event" : [
"2021-07-05T12:00:00+09:00"
],
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUsage_ePrescription",
"code" : "2H71000000000000",
"display" : "1日1回\u3000点眼"
}
],
"text" : "両眼点眼 1日1回"
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType",
"code" : "1",
"display" : "製剤量"
}
]
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 1,
"unit" : "瓶",
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
"code" : "BTL"
}
}
}