HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationRequest Injection Example 注射処方指示 点滴注射 - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="jp-medicationrequest-injection-example-2"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationRequest_Injection"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest </b><a name="jp-medicationrequest-injection-example-2"> </a><a name="hcjp-medicationrequest-injection-example-2"> </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">ResourceMedicationRequest &quot;jp-medicationrequest-injection-example-2&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-jp-medicationrequest-injection.html">JP Core MedicationRequest Injection Profile</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</code>/2, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1234567890.2.1</p><p><b>status</b>: active</p><p><b>intent</b>: order</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>, 入院処方 <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)</span>, 定時処方 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://jpfhir.jp/fhir/core/CodeSystem/JHSI0001">JP Core Medication JHSI0001 Category CodeSystem</a>#FTP)</span></p><p><b>medication</b>: <a name="hcjp-medicationrequest-injection-medication-example-2"> </a></p><blockquote><p/><p><a name="jp-medicationrequest-injection-medication-example-2"> </a></p><p><a name="hcjp-medicationrequest-injection-medication-example-2"> </a></p><p><b>status</b>: active</p><blockquote><p><b>ingredient</b></p><p><b>item</b>: ソリタ－Ｔ３号輸液５００ｍＬ <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>#107750603)</span></p><p><b>strength</b>: 1 本<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeHON = '本')</span>/1 回<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeTIME = '回')</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: アドナ注（静脈用）５０ｍｇ／１０ｍＬ <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>#108010002)</span></p><p><b>strength</b>: 1 アンプル<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeAMP = 'アンプル')</span>/1 回<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeTIME = '回')</span></p></blockquote></blockquote><p><b>subject</b>: <a href="Patient-jp-patient-example-1.html">Patient/jp-patient-example-1</a> &quot; 山田&quot;</p><p><b>authoredOn</b>: 2016-07-01 07:28:17+0900</p><p><b>requester</b>: <a href="Practitioner-jp-practitioner-example-female-1.html">Practitioner/jp-practitioner-example-female-1</a> &quot; 東京&quot;</p><p><b>insurance</b>: <a href="Coverage-jp-coverage-example-1.html">Coverage/jp-coverage-example-1</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage Device Extension</b>: <a name="hcjp-medicationrequest-injection-device-example-2"> </a></p><blockquote><p/><p><a name="jp-medicationrequest-injection-device-example-2"> </a></p><p><a name="hcjp-medicationrequest-injection-device-example-2"> </a></p><p><b>type</b>: IV Pump <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v2-0164.html">administrationDevice</a>#IVP)</span></p></blockquote><p><b>JP Core Medication Dosage Line Extension</b>: 末梢ルート <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-jp-medication-example-line-cs.html">JP Core Medication Example Line CodeSystem</a>#01)</span></p><p><b>text</b>: 主管 静脈注射 左腕</p><p><b>timing</b>: Starting 2016-07-01 08:00:00+0900 , Once, Until 2016-07-01 13:00:00+0900 </p><p><b>site</b>:  <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>route</b>: 静脈内 <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>#IV)</span></p><p><b>method</b>: 注射 <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>#3)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication  #jp-medicationrequest-injection-medication-example-2</b><a name="jp-medicationrequest-injection-medication-example-2"> </a><a name="hcjp-medicationrequest-injection-medication-example-2"> </a></p><p><b>status</b>: active</p><blockquote><p><b>ingredient</b></p><p><b>item</b>: ソリタ－Ｔ３号輸液５００ｍＬ <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>#107750603)</span></p><p><b>strength</b>: 1 本<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeHON = '本')</span>/1 回<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeTIME = '回')</span></p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: アドナ注（静脈用）５０ｍｇ／１０ｍＬ <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>#108010002)</span></p><p><b>strength</b>: 1 アンプル<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeAMP = 'アンプル')</span>/1 回<span style="background: LightGoldenRodYellow"> (Details: JP Core Medication MERIT9 Unit CodeSystem  codeTIME = '回')</span></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: BodyStructure  #jp-medicationrequest-injection-bodystructure-example-2</b><a name="jp-medicationrequest-injection-bodystructure-example-2"> </a><a name="hcjp-medicationrequest-injection-bodystructure-example-2"> </a></p><p><b>location</b>: Arm <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v2-0550.html">bodyParts</a>#ARM)</span></p><p><b>locationQualifier</b>: Right <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v2-0495.html">bodySiteModifier</a>#R)</span></p><p><b>patient</b>: <a href="Patient-jp-patient-example-1.html">Patient/jp-patient-example-1</a> &quot; 山田&quot;</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Device  #jp-medicationrequest-injection-device-example-2</b><a name="jp-medicationrequest-injection-device-example-2"> </a><a name="hcjp-medicationrequest-injection-device-example-2"> </a></p><p><b>type</b>: IV Pump <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v2-0164.html">administrationDevice</a>#IVP)</span></p></blockquote></div>
  </text>
  <contained>
    <Medication>
      <id value="jp-medicationrequest-injection-medication-example-2"/>
      <meta>
        <profile
                 value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication"/>
      </meta>
      <status value="active"/>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="urn:oid:1.2.392.200119.4.403.1"/>
            <code value="107750603"/>
            <display value="ソリタ－Ｔ３号輸液５００ｍＬ"/>
          </coding>
        </itemCodeableConcept>
        <strength>
          <extension
                     url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType">
            <valueCodeableConcept>
              <coding>
                <system value="urn:oid:1.2.392.100495.20.2.22"/>
                <code value="1"/>
                <display value="製剤量"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <numerator>
            <value value="1"/>
            <unit value="本"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="HON"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="回"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="TIME"/>
          </denominator>
        </strength>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="urn:oid:1.2.392.200119.4.403.1"/>
            <code value="108010002"/>
            <display value="アドナ注（静脈用）５０ｍｇ／１０ｍＬ"/>
          </coding>
        </itemCodeableConcept>
        <strength>
          <extension
                     url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType">
            <valueCodeableConcept>
              <coding>
                <system value="urn:oid:1.2.392.100495.20.2.22"/>
                <code value="1"/>
                <display value="製剤量"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <numerator>
            <value value="1"/>
            <unit value="アンプル"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="AMP"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="回"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="TIME"/>
          </denominator>
        </strength>
      </ingredient>
    </Medication>
  </contained>
  <contained>
    <BodyStructure>
      <id value="jp-medicationrequest-injection-bodystructure-example-2"/>
      <location>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0550"/>
          <code value="ARM"/>
          <display value="Arm"/>
        </coding>
      </location>
      <locationQualifier>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0495"/>
          <code value="R"/>
          <display value="Right"/>
        </coding>
      </locationQualifier>
      <patient>🔗 
        <reference value="Patient/jp-patient-example-1"/>
      </patient>
    </BodyStructure>
  </contained>
  <contained>
    <Device>
      <id value="jp-medicationrequest-injection-device-example-2"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0164"/>
          <code value="IVP"/>
          <display value="IV Pump"/>
        </coding>
      </type>
    </Device>
  </contained>
  <identifier>
    <system value="urn:oid:1.2.392.100495.20.3.81"/>
    <value value="2"/>
  </identifier>
  <identifier>
    <system
            value="http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier"/>
    <value value="1234567890.2.1"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0482"/>
      <code value="I"/>
      <display value="Inpatient Order"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS"/>
      <code value="IHP"/>
      <display value="入院処方"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://jpfhir.jp/fhir/core/CodeSystem/JHSI0001"/>
      <code value="FTP"/>
      <display value="定時処方"/>
    </coding>
  </category>
  <medicationReference>
    <reference value="#jp-medicationrequest-injection-medication-example-2"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <authoredOn value="2016-07-01T07:28:17+09:00"/>
  <requester>🔗 
    <reference value="Practitioner/jp-practitioner-example-female-1"/>
  </requester>
  <insurance>🔗 
    <reference value="Coverage/jp-coverage-example-1"/>
  </insurance>
  <dosageInstruction>
    <extension
               url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device">
      <valueReference>
        <reference value="#jp-medicationrequest-injection-device-example-2"/>
      </valueReference>
    </extension>
    <extension
               url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://jpfhir.jp/fhir/Examples/CodeSystem/JP_MedicationRequestDosageInstructionLine_CS"/>
          <code value="01"/>
          <display value="末梢ルート"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <text value="主管 静脈注射 左腕"/>
    <timing>
      <repeat>
        <boundsPeriod>
          <start value="2016-07-01T08:00:00+09:00"/>
          <end value="2016-07-01T13:00:00+09:00"/>
        </boundsPeriod>
      </repeat>
    </timing>
    <site>
      <extension url="http://hl7.org/fhir/StructureDefinition/bodySite">
        <valueReference>
          <reference
                     value="#jp-medicationrequest-injection-bodystructure-example-2"/>
        </valueReference>
      </extension>
    </site>
    <route>
      <coding>
        <system value="http://jpfhir.jp/fhir/core/CodeSystem/route-codes"/>
        <code value="IV"/>
        <display value="静脈内"/>
      </coding>
    </route>
    <method>
      <coding>
        <system value="urn:oid:1.2.392.200250.2.2.20.30"/>
        <code value="3"/>
        <display value="注射"/>
      </coding>
    </method>
    <doseAndRate>
      <doseQuantity>
        <value value="510"/>
        <unit value="mL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/>
      </doseQuantity>
      <rateRatio>
        <numerator>
          <value value="102"/>
          <unit value="mL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mL"/>
        </numerator>
        <denominator>
          <value value="1"/>
          <unit value="時間"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="h"/>
        </denominator>
      </rateRatio>
    </doseAndRate>
  </dosageInstruction>
</MedicationRequest>
本実装ガイドへのご質問・ご指摘については、GitHub IssueおよびGitHub PullRequestにて受け付けております。