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

: Example-JP-MedReq-PO-TID-2days - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "Example-JP-MedReq-PO-TID-2days",
  "meta" : {
    "lastUpdated" : "2021-07-09T14:11:13.000+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-TID-2days\"> </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-TID-2days&quot; Updated &quot;2021-07-09 14:11:13+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>JP eCS Department Extension</b>: 循環器診療科 <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>#08 &quot;循環器科&quot;)</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>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-0A1720D83807672021070909210705-2, <code>urn:oid:1.2.392.100495.20.3.11</code>/1318814790-9990767-0A1720D83807672021070909210705-2</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>: ミヤBM錠(20mg/錠) <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>#104195801 &quot;ミヤBM錠&quot;; 19911234567#I1656900; <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>#2316009F1022 &quot;ミヤBM錠&quot;)</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>: 2021-07-09 09:47:14+0900</p><p><b>requester</b>: <a name=\"Example-Practitioner-minimun-D001\"> </a></p><blockquote><p/><p><a name=\"Example-Practitioner-minimun-D001\"> </a></p><p><b>name</b>: 医療 太郎</p></blockquote><p><b>recorder</b>: <a name=\"Example-Practitioner-minimun-D001\"> </a></p><blockquote><p/><p><a name=\"Example-Practitioner-minimun-D001\"> </a></p><p><b>name</b>: 医療 太郎</p></blockquote><p><b>groupIdentifier</b>: 1318814790-9990767-0A1720D83807672021070909210705-2</p><p><b>note</b>: 外来院外処方\u3000内服1日1回1回1錠 標準用法コード化90日分処方例\u3000(発行診療科、オーダ番号記載あり)</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2021-07-09 --&gt; (ongoing)</p><p><b>text</b>: 1日3回 毎食後 1回 2錠  (1日  6錠) 2\u3000日分</p><p><b>timing</b>: Code: 1日1回 毎食後, Events: 2021-07-09 08:00:00+0900, Count 6 times, 3 per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 12 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>2</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-D001</b><a name=\"Example-Practitioner-minimun-D001\"> </a></p><p><b>name</b>: 医療 太郎</p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Practitioner",
      "id" : "Example-Practitioner-minimun-D001",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"
        ]
      },
      "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"
      }
    },
    {
      "url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_Department",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.2",
            "code" : "08",
            "display" : "循環器科"
          }
        ],
        "text" : "循環器診療科"
      }
    }
  ],
  "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" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "1318814790-9990767-0A1720D83807672021070909210705-2"
    },
    {
      "system" : "urn:oid:1.2.392.100495.20.3.11",
      "value" : "1318814790-9990767-0A1720D83807672021070909210705-2"
    }
  ],
  "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" : "104195801",
        "display" : "ミヤBM錠"
      },
      {
        "system" : "http://jpfhir.jp/fhir/eCS/CodeSystem/DrugCode/19911234567",
        "code" : "I1656900",
        "display" : "ミヤBM錠(20mg/錠)"
      },
      {
        "system" : "urn:oid:1.2.392.100495.20.1.73",
        "code" : "2316009F1022",
        "display" : "ミヤBM錠"
      }
    ],
    "text" : "ミヤBM錠(20mg/錠)"
  },
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
      "value" : "00012345:あいう:187:05"
    }
  },
  "authoredOn" : "2021-07-09T09:47:14+09:00",
  "requester" : {
    "reference" : "#Example-Practitioner-minimun-D001",
    "type" : "Practitioner",
    "display" : "医療 太郎"
  },
  "recorder" : {
    "reference" : "#Example-Practitioner-minimun-D001",
    "type" : "Practitioner"
  },
  "groupIdentifier" : {
    "value" : "1318814790-9990767-0A1720D83807672021070909210705-2"
  },
  "note" : [
    {
      "text" : "外来院外処方\u3000内服1日1回1回1錠 標準用法コード化90日分処方例\u3000(発行診療科、オーダ番号記載あり)"
    }
  ],
  "dosageInstruction" : [
    {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
          "valuePeriod" : {
            "start" : "2021-07-09"
          }
        }
      ],
      "text" : "1日3回 毎食後 1回 2錠  (1日  6錠) 2\u3000日分",
      "timing" : {
        "event" : [
          "2021-07-09T08:00:00+09:00"
        ],
        "repeat" : {
          "boundsDuration" : {
            "value" : 3,
            "unit" : "日",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          },
          "count" : 6,
          "frequency" : 3,
          "period" : 1,
          "periodUnit" : "d"
        },
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:1.2.392.200250.2.2.20",
              "code" : "1013044400000000",
              "display" : "内服 1日3回 朝昼夕食後"
            }
          ],
          "text" : "1日1回 毎食後"
        }
      },
      "doseAndRate" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "urn:oid:1.2.392.100495.20.2.22",
                "code" : "1",
                "display" : "製剤量"
              }
            ]
          },
          "doseQuantity" : {
            "value" : 2,
            "unit" : "錠",
            "system" : "urn:oid:1.2.392.100495.20.2.101",
            "code" : "TAB"
          },
          "rateRatio" : {
            "numerator" : {
              "value" : 6,
              "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" : 12,
      "unit" : "錠",
      "system" : "urn:oid:1.2.392.100495.20.2.101",
      "code" : "TAB"
    },
    "expectedSupplyDuration" : {
      "value" : 2,
      "unit" : "日",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  }
}