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） v1.7.1
1.7.1 - 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） v1.7.1 - Local Development build (v1.7.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example-JP-MedReq-PO-BID-10days-AsNeeded - JSON Representation

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{
  "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|1.7.1"
    ]
  },
  "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: null1.7.1)</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 --&gt; (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://unitsofmeasure.org\">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"
    }
  }
}