電子カルテ情報共有サービスFHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） ドラフト版
0.9.13 - draft
Japan
電子カルテ情報共有サービスFHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） ドラフト版 - Local Development build (v0.9.13) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "Example-JP-MedReq-PO-4timez-7days",
"meta" : {
"lastUpdated" : "2021-07-13T19:21:18.000+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/clins/StructureDefinition/JP_MedicationRequest_CLINS_eCS"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"Example-JP-MedReq-PO-4timez-7days\"> </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\">Resource MedicationRequest "Example-JP-MedReq-PO-4timez-7days" Updated "2021-07-13 19:21:18+0900" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-CLINS-eCS.html\">CLINS電子カルテ情報共有サービス用:JP_MedicationRequest_CLINS_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>urn:oid:1.2.392.100495.20.3.81</code>/1, <code>urn:oid:1.2.392.100495.20.3.82</code>/1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A172BC10398DD2021071314262201-1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-9990767-0A172BC10398DD2021071314262201-1</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 "入院処方")</span></p><p><b>medication</b>: カロナール錠５００mg <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>#123812902 "カロナール錠５００"; <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>#1141007F3023 "カロナール錠５００"; 19911234567#I1187300 "カロナール錠５００")</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>authoredOn</b>: 2021-07-13 15:01:29+0900</p><p><b>requester</b>: <a name=\"Example-Practitioner-minimun-D003\"> </a></p><blockquote><p/><p><a name=\"Example-Practitioner-minimun-D003\"> </a></p><p><b>name</b>: 診療 和子</p></blockquote><p><b>recorder</b>: <a name=\"Example-Practitioner-minimun-D003\"> </a></p><blockquote><p/><p><a name=\"Example-Practitioner-minimun-D003\"> </a></p><p><b>name</b>: 診療 和子</p></blockquote><p><b>groupIdentifier</b>: 1318814790-9990767-0A172BC10398DD2021071314262201-1</p><p><b>note</b>: 入院処方\u3000内服処方1日4回7日分\u3000例</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2021-07-13 --> (ongoing)</p><p><b>text</b>: 1日4回 毎食後と就寝前 １回 1錠 (１日 4錠) 7\u3000日分</p><p><b>timing</b>: Code: 1日4回 毎食後と就寝前, Events: 2021-07-13 08:00:00+0900, Count 28 times, 4 per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 28 錠<span style=\"background: LightGoldenRodYellow\"> (Details: urn:oid:1.2.392.100495.20.2.101 code TAB = '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://unitsofmeasure.org\">The Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Example-Practitioner-minimun-D003</b><a name=\"Example-Practitioner-minimun-D003\"> </a></p><p><b>name</b>: 診療 和子</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Practitioner",
"id" : "Example-Practitioner-minimun-D003",
"meta" : {
"profile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"
]
},
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "診療 和子"
}
]
}
],
"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" : "urn:oid:1.2.392.100495.20.3.81",
"value" : "1"
},
{
"system" : "urn:oid:1.2.392.100495.20.3.82",
"value" : "1"
},
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1318814790-9990767-0A172BC10398DD2021071314262201-1"
},
{
"system" : "urn:oid:1.2.392.100495.20.3.11",
"value" : "1318814790-9990767-0A172BC10398DD2021071314262201-1"
}
],
"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" : "123812902",
"display" : "カロナール錠５００"
},
{
"system" : "urn:oid:1.2.392.100495.20.1.73",
"code" : "1141007F3023",
"display" : "カロナール錠５００"
},
{
"system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
"code" : "I1187300",
"display" : "カロナール錠５００"
}
],
"text" : "カロナール錠５００mg"
},
"subject" : {
"type" : "Patient",
"identifier" : {
"system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
"value" : "00012345:あいう:１８７:05"
}
},
"authoredOn" : "2021-07-13T15:01:29+09:00",
"requester" : {
"reference" : "#Example-Practitioner-minimun-D003",
"type" : "Practitioner",
"display" : "診療 和子"
},
"recorder" : {
"reference" : "#Example-Practitioner-minimun-D003",
"type" : "Practitioner"
},
"groupIdentifier" : {
"value" : "1318814790-9990767-0A172BC10398DD2021071314262201-1"
},
"note" : [
{
"text" : "入院処方\u3000内服処方1日4回7日分\u3000例"
}
],
"dosageInstruction" : [
{
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
"valuePeriod" : {
"start" : "2021-07-13"
}
}
],
"text" : "1日4回 毎食後と就寝前 １回 1錠 (１日 4錠) 7\u3000日分",
"timing" : {
"event" : [
"2021-07-13T08:00:00+09:00"
],
"repeat" : {
"boundsDuration" : {
"value" : 8,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"count" : 28,
"frequency" : 4,
"period" : 1,
"periodUnit" : "d"
},
"code" : {
"text" : "1日4回 毎食後と就寝前"
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.100495.20.2.22",
"code" : "1",
"display" : "製剤量"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "錠",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "TAB"
},
"rateRatio" : {
"numerator" : {
"value" : 4,
"unit" : "錠",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "TAB"
},
"denominator" : {
"value" : 1,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 28,
"unit" : "錠",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 7,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}