HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationAdministration Injection Example 注射実施 ワンショット静脈注射 - XML Representation

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<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="jp-medicationadministration-injection-example-1"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationAdministration_Injection"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationAdministration jp-medicationadministration-injection-example-1</b></p><a name="jp-medicationadministration-injection-example-1"> </a><a name="hcjp-medicationadministration-injection-example-1"> </a><a name="jp-medicationadministration-injection-example-1-ja"> </a><p><b>JP Core MedicationAdministration RequestDepartment Extension</b>: <span title="Codes:{http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment 01}">内科</span></p><p><b>JP Core MedicationAdministration Requester Extension</b>: <a href="Practitioner-jp-practitioner-example-male-1.html">大阪 一郎</a></p><p><b>JP Core MedicationAdministration RequestAuthoredOn Extension</b>: 2016-07-01 00:00:00+0900</p><p><b>JP Core MedicationAdministration Location Extension</b>: <a href="Location-jp-location-example-ward.html">09A病棟 021病室 4ベッド</a></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber</code>/1, <code>urn:oid:1.2.392.100495.20.3.11</code>/1234567890.1</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>: <a href="#hcjp-medicationadministration-injection-example-1/jp-medicationadministration-injection-medication-example-1">Medication: status = active</a></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><p><b>effective</b>: 2016-07-01 10:05:21+0900 --&gt; 2016-07-01 10:05:21+0900</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/med-admin-perform-function performer}">Performer</span></td><td><a href="Practitioner-jp-practitioner-example-male-1.html">愛知 太郎</a></td></tr></table><p><b>request</b>: <a href="MedicationRequest-jp-medicationrequest-injection-example-1.html">MedicationRequest: identifier = http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber#1,http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#1234567890.1; status = active; intent = order; category = Inpatient Order,入院処方,定時処方; medication[x] = -&gt;Medication: status = active; authoredOn = 2016-07-01 09:28:17+0900</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Site</b></td><td><b>Route</b></td><td><b>Method</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td/><td><span title="Codes:"></span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0162 IV}">Intravenous</span></td><td><span title="Codes:{http://jami.jp/CodeSystem/MedicationMethodBasicUsage 3}">注射</span></td><td>2 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemL = 'mL')</span></td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication  #jp-medicationadministration-injection-medication-example-1</b></p><a name="jp-medicationadministration-injection-example-1/jp-medicationadministration-injection-medication-example-1"> </a><a name="hcjp-medicationadministration-injection-example-1/jp-medicationadministration-injection-medication-example-1"> </a><a name="jp-medicationadministration-injection-example-1/jp-medicationadministration-injection-medication-example-1-ja"> </a><p><b>status</b>: Active</p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://medis.or.jp/CodeSystem/master-HOT9 100558502}">ホリゾン注射液10mg</span></td><td>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></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: BodyStructure  #jp-medicationadministration-injection-bodystructure-example-1</b></p><a name="jp-medicationadministration-injection-example-1/jp-medicationadministration-injection-bodystructure-example-1"> </a><a name="hcjp-medicationadministration-injection-example-1/jp-medicationadministration-injection-bodystructure-example-1"> </a><a name="jp-medicationadministration-injection-example-1/jp-medicationadministration-injection-bodystructure-example-1-ja"> </a><p><b>location</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0550 ARM}">Arm</span></p><p><b>locationQualifier</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0495 R}">Right</span></p><p><b>patient</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></blockquote></div>
  </text>
  <contained>
    <Medication>
      <id value="jp-medicationadministration-injection-medication-example-1"/>
      <meta>
        <profile
                 value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication"/>
      </meta>
      <status value="active"/>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://medis.or.jp/CodeSystem/master-HOT9"/>
            <code value="100558502"/>
            <display value="ホリゾン注射液10mg"/>
          </coding>
        </itemCodeableConcept>
        <strength>
          <numerator>
            <value value="1"/>
            <unit value="アンプル"/>
            <system
                    value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>
            <code value="AMP"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="回"/>
            <system
                    value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>
            <code value="TIME"/>
          </denominator>
        </strength>
      </ingredient>
    </Medication>
  </contained>
  <contained>
    <BodyStructure>
      <id
          value="jp-medicationadministration-injection-bodystructure-example-1"/>
      <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>
  <extension
             url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment">
    <valueCodeableConcept>
      <coding>
        <system value="http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment"/>
        <code value="01"/>
        <display value="内科"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester">
    <valueReference>🔗 
      <reference value="Practitioner/jp-practitioner-example-male-1"/>
      <display value="大阪 一郎"/>
    </valueReference>
  </extension>
  <extension
             url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestAuthoredOn">
    <valueDateTime value="2016-07-01T00:00:00+09:00"/>
  </extension>
  <extension
             url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Location">
    <valueReference>🔗 
      <reference value="Location/jp-location-example-ward"/>
      <display value="09A病棟 021病室 4ベッド"/>
    </valueReference>
  </extension>
  <identifier>
    <system
            value="http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber"/>
    <value value="1"/>
  </identifier>
  <identifier>
    <system value="urn:oid:1.2.392.100495.20.3.11"/>
    <value value="1234567890.1"/>
  </identifier>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0482"/>
      <code value="I"/>
      <display value="Inpatient Order"/>
    </coding>
  </category>
  <medicationReference>
    <reference
               value="#jp-medicationadministration-injection-medication-example-1"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <effectivePeriod>
    <start value="2016-07-01T10:05:21+09:00"/>
    <end value="2016-07-01T10:05:21+09:00"/>
  </effectivePeriod>
  <performer>
    <function>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"/>
        <code value="performer"/>
        <display value="Performer"/>
      </coding>
    </function>
    <actor>🔗 
      <reference value="Practitioner/jp-practitioner-example-male-1"/>
      <display value="愛知 太郎"/>
    </actor>
  </performer>
  <request>🔗 
    <reference
               value="MedicationRequest/jp-medicationrequest-injection-example-1"/>
  </request>
  <dosage>
    <extension
               url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment">
      <valueString value="痙攣が発生したため、主治医に確認の上実施しました"/>
    </extension>
    <site>
      <extension url="http://hl7.org/fhir/StructureDefinition/bodySite">
        <valueReference>
          <reference
                     value="#jp-medicationadministration-injection-bodystructure-example-1"/>
          <display value="右腕"/>
        </valueReference>
      </extension>
      <extension
                 url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_SiteComment">
        <valueString value="左利きのため"/>
      </extension>
    </site>
    <route>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0162"/>
        <code value="IV"/>
        <display value="Intravenous"/>
      </coding>
    </route>
    <method>
      <extension
                 url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment">
        <valueString value="1分ほどかけて緩徐に行いました"/>
      </extension>
      <coding>
        <system value="http://jami.jp/CodeSystem/MedicationMethodBasicUsage"/>
        <code value="3"/>
        <display value="注射"/>
      </coding>
    </method>
    <dose>
      <value value="2"/>
      <unit value="mL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL"/>
    </dose>
  </dosage>
</MedicationAdministration>
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にて受け付けている。