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

• Narrative Content
• JSON

: Example-JP-MedReq-PO-SID-90-AMB - JSON Representation

Raw json | Download

{
  "resourceType" : "MedicationRequest",
  "id" : "Example-JP-MedReq-PO-SID-90-AMB",
  "meta" : {
    "lastUpdated" : "2023-09-14T14:03:37.000+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-SID-90-AMB\"> </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 &quot;Example-JP-MedReq-PO-SID-90-AMB&quot; Updated &quot;2023-09-14 14:03:37+0900&quot; </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>/1318814790-0009997023-0A172BAD00C8F82023091412502302-1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-0009997023-0A172BAD00C8F82023091412502302-1</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>category</b>: 院外処方 <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>#OHO; <a href=\"http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS\">JP Core Medication MERIT9 Category CodeSystem</a>#OHP &quot;外来処方&quot;)</span></p><p><b>medication</b>: アムロジピンＯＤ錠１０ｍｇ <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>#121431401; <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>#2171022F6276; 19911234567#I1042350)</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>: 2023-09-14 12:50:36+0900</p><p><b>requester</b>: <a name=\"Example-Practitioner-minimun-D002\"> </a></p><blockquote><p/><p><a name=\"Example-Practitioner-minimun-D002\"> </a></p><p><b>name</b>: 田中 宏</p></blockquote><p><b>recorder</b>: <a name=\"Example-Practitioner-minimun-D002\"> </a></p><blockquote><p/><p><a name=\"Example-Practitioner-minimun-D002\"> </a></p><p><b>name</b>: 田中 宏</p></blockquote><p><b>groupIdentifier</b>: 1318814790-0009997023-0A172BAD00C8F82023091412502302-1</p><p><b>note</b>: 外来院外処方\u3000内服1日1回１回1錠 標準用法フルコード化90日分処方例</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2023-09-14 --&gt; (ongoing)</p><p><b>text</b>: 1日1回 朝食後 １回 1錠  (１日  1錠) 90日分</p><p><b>timing</b>: Code: 1日1回 朝食後, Events: 2023-09-14 00:00:00+0900, Count 90 times, Once per 1 days</p><p><b>route</b>: 経口 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/route-codes\">JP Core Medication HL70162-based Route CodeSystem</a>#PO &quot;口&quot;)</span></p><p><b>method</b>: 内服 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.30\">JP Core Medication JAMI Basic Usage Type CodeSystem</a>#1)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 90 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>90</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-D002</b><a name=\"Example-Practitioner-minimun-D002\"> </a></p><p><b>name</b>: 田中 宏</p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Practitioner",
      "id" : "Example-Practitioner-minimun-D002",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"
        ]
      },
      "name" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
              "valueCode" : "IDE"
            }
          ],
          "text" : "田中 宏"
        }
      ]
    }
  ],
  "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" : "1318814790-0009997023-0A172BAD00C8F82023091412502302-1"
    },
    {
      "system" : "urn:oid:1.2.392.100495.20.3.11",
      "value" : "1318814790-0009997023-0A172BAD00C8F82023091412502302-1"
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
          "code" : "OHO",
          "display" : "院外処方"
        },
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
          "code" : "OHP",
          "display" : "外来処方"
        }
      ],
      "text" : "院外処方"
    }
  ],
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "urn:oid:1.2.392.200119.4.403.1",
        "code" : "121431401",
        "display" : "アムロジピンＯＤ錠１０ｍｇ"
      },
      {
        "system" : "urn:oid:1.2.392.100495.20.1.73",
        "code" : "2171022F6276",
        "display" : "アムロジピンＯＤ錠１０ｍｇ"
      },
      {
        "system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
        "code" : "I1042350",
        "display" : "アムロジピンＯＤ錠１０ｍｇ"
      }
    ],
    "text" : "アムロジピンＯＤ錠１０ｍｇ"
  },
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
      "value" : "00012345:あいう:１８７:05"
    }
  },
  "authoredOn" : "2023-09-14T12:50:36+09:00",
  "requester" : {
    "reference" : "#Example-Practitioner-minimun-D002",
    "type" : "Practitioner",
    "display" : "田中\u3000宏"
  },
  "recorder" : {
    "reference" : "#Example-Practitioner-minimun-D002",
    "type" : "Practitioner"
  },
  "groupIdentifier" : {
    "value" : "1318814790-0009997023-0A172BAD00C8F82023091412502302-1"
  },
  "note" : [
    {
      "text" : "外来院外処方\u3000内服1日1回１回1錠 標準用法フルコード化90日分処方例"
    }
  ],
  "dosageInstruction" : [
    {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
          "valuePeriod" : {
            "start" : "2023-09-14"
          }
        }
      ],
      "text" : "1日1回 朝食後 １回 1錠  (１日  1錠) 90日分",
      "timing" : {
        "event" : [
          "2023-09-14T00:00:00+09:00"
        ],
        "repeat" : {
          "boundsDuration" : {
            "value" : 90,
            "unit" : "日",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          },
          "count" : 90,
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d"
        },
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:1.2.392.200250.2.2.20",
              "code" : "1011000400000000",
              "display" : "内服 １日１回 朝食後"
            }
          ],
          "text" : "1日1回 朝食後"
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
            "code" : "PO",
            "display" : "口"
          }
        ],
        "text" : "経口"
      },
      "method" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.20.30",
            "code" : "1",
            "display" : "内服"
          }
        ]
      },
      "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" : 1,
              "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" : 90,
      "unit" : "錠",
      "system" : "urn:oid:1.2.392.100495.20.2.101",
      "code" : "TAB"
    },
    "expectedSupplyDuration" : {
      "value" : 90,
      "unit" : "日",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  }
}