HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationDispense Example 調剤実施 内服薬 - JSON Representation

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{
  "resourceType" : "MedicationDispense",
  "id" : "jp-medicationdispense-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationDispense"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense </b><a name=\"jp-medicationdispense-example-1\"> </a><a name=\"hcjp-medicationdispense-example-1\"> </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\">ResourceMedicationDispense &quot;jp-medicationdispense-example-1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-jp-medicationdispense.html\">JP Core MedicationDispense Profile</a></p></div><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>/1234567890.1.1</p><p><b>status</b>: completed</p><p><b>category</b>: Inpatient Order <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0482.html\">orderType</a>#I)</span></p><p><b>medication</b>: ムコダイン錠２５０ｍｇ <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>#103835401)</span></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">Patient/jp-patient-example-1</a> &quot; 山田&quot;</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td>Packager <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-medicationdispense-performer-function.html\">MedicationDispense Performer Function Codes</a>#packager)</span></td><td><a href=\"Practitioner-jp-practitioner-example-male-1.html\">Practitioner/jp-practitioner-example-male-1</a> &quot; 大阪&quot;</td></tr></table><p><b>quantity</b>: 9 錠<span style=\"background: LightGoldenRodYellow\"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeTAB = '錠')</span></p><p><b>daysSupply</b>: 7 日<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p><p><b>whenPrepared</b>: 2021-10-07 10:47:19+0900</p><p><b>whenHandedOver</b>: 2021-10-07 10:55:23+0900</p><p><b>destination</b>: <a href=\"Location-jp-location-example-ward.html\">Location/jp-location-example-ward</a> &quot;09A病棟 021病室 4ベッド&quot;</p><p><b>note</b>: 後発品へ変更可能か依頼医のＡ医師に確認したところ、患者の希望により不可との回答あり。</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 内服・経口・１日３回朝昼夕食後</p><p><b>timing</b>: Code </p><p><b>route</b>: 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)</span></p><p><b>method</b>: 経口 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.40\">JP Core Medication JAMI Detail Usage Type CodeSystem</a>#10)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td>generic composition <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-substanceAdminSubstitution.html\">Substance Admin Substitution</a>#G)</span></td><td>regulatory requirement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActReason.html\">ActReason</a>#RR)</span></td></tr></table></div>"
  },
  "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" : "1234567890.1.1"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0482",
        "code" : "I",
        "display" : "Inpatient Order"
      }
    ]
  },
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "urn:oid:1.2.392.200119.4.403.1",
        "code" : "103835401",
        "display" : "ムコダイン錠２５０ｍｇ"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function",
            "code" : "packager",
            "display" : "Packager"
          }
        ]
      },
      "actor" : {
        🔗 "reference" : "Practitioner/jp-practitioner-example-male-1"
      }
    }
  ],
  "quantity" : {
    "value" : 9,
    "unit" : "錠",
    "system" : "urn:oid:1.2.392.100495.20.2.101",
    "code" : "TAB"
  },
  "daysSupply" : {
    "value" : 7,
    "unit" : "日",
    "system" : "http://unitsofmeasure.org",
    "code" : "d"
  },
  "whenPrepared" : "2021-10-07T10:47:19+09:00",
  "whenHandedOver" : "2021-10-07T10:55:23+09:00",
  "destination" : {
    🔗 "reference" : "Location/jp-location-example-ward"
  },
  "note" : [
    {
      "text" : "後発品へ変更可能か依頼医のＡ医師に確認したところ、患者の希望により不可との回答あり。"
    }
  ],
  "dosageInstruction" : [
    {
      "text" : "内服・経口・１日３回朝昼夕食後",
      "timing" : {
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:1.2.392.200250.2.2.20",
              "code" : "1013044400000000",
              "display" : "内服・経口・１日３回朝昼夕食後"
            }
          ]
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
            "code" : "PO",
            "display" : "口"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.20.40",
            "code" : "10",
            "display" : "経口"
          }
        ]
      },
      "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" : 3,
              "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"
            }
          }
        }
      ]
    }
  ],
  "substitution" : {
    "wasSubstituted" : true,
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
          "code" : "G",
          "display" : "generic composition"
        }
      ]
    },
    "reason" : [
      {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code" : "RR",
            "display" : "regulatory requirement"
          }
        ]
      }
    ]
  }
}