HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationAdministration Injection Example 注射実施 点滴注射 - JSON Representation

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{
  "resourceType" : "MedicationAdministration",
  "id" : "jp-medicationadministration-injection-example-2",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationAdministration_Injection"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration jp-medicationadministration-injection-example-2</b></p><a name=\"jp-medicationadministration-injection-example-2\"> </a><a name=\"hcjp-medicationadministration-injection-example-2\"> </a><a name=\"jp-medicationadministration-injection-example-2-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-female-1.html\">東京 春子</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>/2, <code>urn:oid:1.2.392.100495.20.3.11</code>/1234567890.2</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-2/jp-medicationadministration-injection-medication-example-2\">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 08:05:21+0900 --&gt; 2016-07-01 13:05:43+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-female-1.html\">福岡 花子</a></td></tr></table><p><b>request</b>: <a href=\"MedicationRequest-jp-medicationrequest-injection-example-2.html\">MedicationRequest: identifier = http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber#2,http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#1234567890.2.1; 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 07:28:17+0900</a></p><p><b>device</b>: <a href=\"#hcjp-medicationadministration-injection-example-2/jp-medicationadministration-injection-device-example-2\">IV Pump</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><td><b>Rate[x]</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/MedicationMethodDetailUsage 31}\">中心静脈注射</span></td><td>510 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td><td>102 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span>/1 hour<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication  #jp-medicationadministration-injection-medication-example-2</b></p><a name=\"jp-medicationadministration-injection-example-2/jp-medicationadministration-injection-medication-example-2\"> </a><a name=\"hcjp-medicationadministration-injection-example-2/jp-medicationadministration-injection-medication-example-2\"> </a><a name=\"jp-medicationadministration-injection-example-2/jp-medicationadministration-injection-medication-example-2-ja\"> </a><p><b>status</b>: Active</p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-HOT9 107750603}\">ソリタ-T3号輸液500mL</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>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-HOT9 108010002}\">アドナ注(静脈用)50mg/10mL</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 class=\"res-header-id\"><b>Generated Narrative: BodyStructure  #jp-medicationadministration-injection-bodystructure-example-2</b></p><a name=\"jp-medicationadministration-injection-example-2/jp-medicationadministration-injection-bodystructure-example-2\"> </a><a name=\"hcjp-medicationadministration-injection-example-2/jp-medicationadministration-injection-bodystructure-example-2\"> </a><a name=\"jp-medicationadministration-injection-example-2/jp-medicationadministration-injection-bodystructure-example-2-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 L}\">Left</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><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Device  #jp-medicationadministration-injection-device-example-2</b></p><a name=\"jp-medicationadministration-injection-example-2/jp-medicationadministration-injection-device-example-2\"> </a><a name=\"hcjp-medicationadministration-injection-example-2/jp-medicationadministration-injection-device-example-2\"> </a><a name=\"jp-medicationadministration-injection-example-2/jp-medicationadministration-injection-device-example-2-ja\"> </a><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0164 IVP}\">IV Pump</span></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "jp-medicationadministration-injection-medication-example-2",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication"
        ]
      },
      "status" : "active",
      "ingredient" : [
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://medis.or.jp/CodeSystem/master-HOT9",
                "code" : "107750603",
                "display" : "ソリタ-T3号輸液500mL"
              }
            ]
          },
          "strength" : {
            "numerator" : {
              "value" : 1,
              "unit" : "本",
              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
              "code" : "HON"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "回",
              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
              "code" : "TIME"
            }
          }
        },
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://medis.or.jp/CodeSystem/master-HOT9",
                "code" : "108010002",
                "display" : "アドナ注(静脈用)50mg/10mL"
              }
            ]
          },
          "strength" : {
            "numerator" : {
              "value" : 1,
              "unit" : "アンプル",
              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
              "code" : "AMP"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "回",
              "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code",
              "code" : "TIME"
            }
          }
        }
      ]
    },
    {
      "resourceType" : "BodyStructure",
      "id" : "jp-medicationadministration-injection-bodystructure-example-2",
      "location" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0550",
            "code" : "ARM",
            "display" : "Arm"
          }
        ]
      },
      "locationQualifier" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0495",
              "code" : "L",
              "display" : "Left"
            }
          ]
        }
      ],
      "patient" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      }
    },
    {
      "resourceType" : "Device",
      "id" : "jp-medicationadministration-injection-device-example-2",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0164",
            "code" : "IVP",
            "display" : "IV Pump"
          }
        ]
      }
    }
  ],
  "extension" : [
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment",
            "code" : "01",
            "display" : "内科"
          }
        ]
      }
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester",
      "valueReference" : {
        🔗 "reference" : "Practitioner/jp-practitioner-example-female-1",
        "display" : "東京 春子"
      }
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestAuthoredOn",
      "valueDateTime" : "2016-07-01T00:00:00+09:00"
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Location",
      "valueReference" : {
        🔗 "reference" : "Location/jp-location-example-ward",
        "display" : "09A病棟 021病室 4ベッド"
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber",
      "value" : "2"
    },
    {
      "system" : "urn:oid:1.2.392.100495.20.3.11",
      "value" : "1234567890.2"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0482",
        "code" : "I",
        "display" : "Inpatient Order"
      }
    ]
  },
  "medicationReference" : {
    "reference" : "#jp-medicationadministration-injection-medication-example-2"
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "effectivePeriod" : {
    "start" : "2016-07-01T08:05:21+09:00",
    "end" : "2016-07-01T13:05:43+09:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
            "code" : "performer",
            "display" : "Performer"
          }
        ]
      },
      "actor" : {
        🔗 "reference" : "Practitioner/jp-practitioner-example-female-1",
        "display" : "福岡 花子"
      }
    }
  ],
  "request" : {
    🔗 "reference" : "MedicationRequest/jp-medicationrequest-injection-example-2"
  },
  "device" : [
    {
      "reference" : "#jp-medicationadministration-injection-device-example-2",
      "display" : "IV Pump"
    }
  ],
  "dosage" : {
    "extension" : [
      {
        "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://jpfhir.jp/fhir/Examples/CodeSystem/JP_DosageInstructionLine_CS",
              "code" : "01",
              "display" : "末梢ルート"
            }
          ]
        }
      }
    ],
    "site" : {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/bodySite",
          "valueReference" : {
            "reference" : "#jp-medicationadministration-injection-bodystructure-example-2",
            "display" : "左腕"
          }
        }
      ]
    },
    "route" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0162",
          "code" : "IV",
          "display" : "Intravenous"
        }
      ]
    },
    "method" : {
      "coding" : [
        {
          "system" : "http://jami.jp/CodeSystem/MedicationMethodDetailUsage",
          "code" : "31",
          "display" : "中心静脈注射"
        }
      ]
    },
    "dose" : {
      "value" : 510,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"
    },
    "rateRatio" : {
      "numerator" : {
        "value" : 102,
        "unit" : "mL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"
      },
      "denominator" : {
        "value" : 1,
        "unit" : "hour",
        "system" : "http://unitsofmeasure.org",
        "code" : "h"
      }
    }
  }
}
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。