HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.2-url) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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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 class=\"res-header-id\"><b>Generated Narrative: MedicationDispense jp-medicationdispense-example-1</b></p><a name=\"jp-medicationdispense-example-1\"> </a><a name=\"hcjp-medicationdispense-example-1\"> </a><a name=\"jp-medicationdispense-example-1-ja\"> </a><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>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1234567890.1.1</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0482 I}\">Inpatient Order</span></p><p><b>medication</b>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-HOT9 103835401}\">ムコダイン錠２５０ｍｇ</span></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></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><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function packager}\">Packager</span></td><td><a href=\"Practitioner-jp-practitioner-example-male-1.html\">Practitioner 大阪 一郎</a></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 09A病棟 021病室 4ベッド</a></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></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><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution G}\">generic composition</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason RR}\">regulatory requirement</span></td></tr></table></div>"

  },

  "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" : "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" : "http://medis.or.jp/CodeSystem/master-HOT9",

        "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" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",

    "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" : "http://jami.jp/CodeSystem/MedicationUsage",

              "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" : "http://jami.jp/CodeSystem/MedicationMethodDetailUsage",

            "code" : "10",

            "display" : "経口"

          }

        ]

      },

      "doseAndRate" : [

        {

          "type" : {

            "coding" : [

              {

                "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthType",

                "code" : "1",

                "display" : "製剤量"

              }

            ]

          },

          "doseQuantity" : {

            "value" : 1,

            "unit" : "錠",

            "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",

            "code" : "TAB"

          },

          "rateRatio" : {

            "numerator" : {

              "value" : 3,

              "unit" : "錠",

              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",

              "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"

          }

        ]

      }

    ]

  }

}