HL7 FHIR JP Core ImplementationGuide
1.1.2-url - ci-build Japan

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

: JP Core MedicationDispense Example 調剤実施 内服薬 - XML Representation

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<MedicationDispense xmlns="http://hl7.org/fhir">

  <id value="jp-medicationdispense-example-1"/>

  <meta>

    <profile

             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationDispense"/>

  </meta>

  <text>

    <status value="generated"/>

    <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>

  </text>

  <identifier>

    <system

            value="http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber"/>

    <value value="1"/>

  </identifier>

  <identifier>

    <system

            value="http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicationAdministrationIndex"/>

    <value value="1"/>

  </identifier>

  <identifier>

    <system

            value="http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier"/>

    <value value="1234567890.1.1"/>

  </identifier>

  <status value="completed"/>

  <category>

    <coding>

      <system value="http://terminology.hl7.org/CodeSystem/v2-0482"/>

      <code value="I"/>

      <display value="Inpatient Order"/>

    </coding>

  </category>

  <medicationCodeableConcept>

    <coding>

      <system value="http://medis.or.jp/CodeSystem/master-HOT9"/>

      <code value="103835401"/>

      <display value="ムコダイン錠２５０ｍｇ"/>

    </coding>

  </medicationCodeableConcept>

  <subject>🔗 

    <reference value="Patient/jp-patient-example-1"/>

  </subject>

  <performer>

    <function>

      <coding>

        <system

                value="http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"/>

        <code value="packager"/>

        <display value="Packager"/>

      </coding>

    </function>

    <actor>🔗 

      <reference value="Practitioner/jp-practitioner-example-male-1"/>

    </actor>

  </performer>

  <quantity>

    <value value="9"/>

    <unit value="錠"/>

    <system

            value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>

    <code value="TAB"/>

  </quantity>

  <daysSupply>

    <value value="7"/>

    <unit value="日"/>

    <system value="http://unitsofmeasure.org"/>

    <code value="d"/>

  </daysSupply>

  <whenPrepared value="2021-10-07T10:47:19+09:00"/>

  <whenHandedOver value="2021-10-07T10:55:23+09:00"/>

  <destination>🔗 

    <reference value="Location/jp-location-example-ward"/>

  </destination>

  <note>

    <text value="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。"/>

  </note>

  <dosageInstruction>

    <text value="内服・経口・１日３回朝昼夕食後"/>

    <timing>

      <code>

        <coding>

          <system value="http://jami.jp/CodeSystem/MedicationUsage"/>

          <code value="1013044400000000"/>

          <display value="内服・経口・１日３回朝昼夕食後"/>

        </coding>

      </code>

    </timing>

    <route>

      <coding>

        <system value="http://jpfhir.jp/fhir/core/CodeSystem/route-codes"/>

        <code value="PO"/>

        <display value="口"/>

      </coding>

    </route>

    <method>

      <coding>

        <system

                value="http://jami.jp/CodeSystem/MedicationMethodDetailUsage"/>

        <code value="10"/>

        <display value="経口"/>

      </coding>

    </method>

    <doseAndRate>

      <type>

        <coding>

          <system

                  value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthType"/>

          <code value="1"/>

          <display value="製剤量"/>

        </coding>

      </type>

      <doseQuantity>

        <value value="1"/>

        <unit value="錠"/>

        <system

                value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>

        <code value="TAB"/>

      </doseQuantity>

      <rateRatio>

        <numerator>

          <value value="3"/>

          <unit value="錠"/>

          <system

                  value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>

          <code value="TAB"/>

        </numerator>

        <denominator>

          <value value="1"/>

          <unit value="日"/>

          <system value="http://unitsofmeasure.org"/>

          <code value="d"/>

        </denominator>

      </rateRatio>

    </doseAndRate>

  </dosageInstruction>

  <substitution>

    <wasSubstituted value="true"/>

    <type>

      <coding>

        <system

                value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>

        <code value="G"/>

        <display value="generic composition"/>

      </coding>

    </type>

    <reason>

      <coding>

        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>

        <code value="RR"/>

        <display value="regulatory requirement"/>

      </coding>

    </reason>

  </substitution>

</MedicationDispense>