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

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<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="jp-medicationadministration-injection-example-2"/>
  <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-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>
  </text>
  <contained>
    <Medication>
      <id value="jp-medicationadministration-injection-medication-example-2"/>
      <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="107750603"/>
            <display value="ソリタ-T3号輸液500mL"/>
          </coding>
        </itemCodeableConcept>
        <strength>
          <numerator>
            <value value="1"/>
            <unit value="本"/>
            <system
                    value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>
            <code value="HON"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="回"/>
            <system
                    value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code"/>
            <code value="TIME"/>
          </denominator>
        </strength>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://medis.or.jp/CodeSystem/master-HOT9"/>
            <code value="108010002"/>
            <display value="アドナ注(静脈用)50mg/10mL"/>
          </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-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="L"/>
          <display value="Left"/>
        </coding>
      </locationQualifier>
      <patient>🔗 
        <reference value="Patient/jp-patient-example-1"/>
      </patient>
    </BodyStructure>
  </contained>
  <contained>
    <Device>
      <id value="jp-medicationadministration-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>
  <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-female-1"/>
      <display value="東京 春子"/>
    </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="2"/>
  </identifier>
  <identifier>
    <system value="urn:oid:1.2.392.100495.20.3.11"/>
    <value value="1234567890.2"/>
  </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-2"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <effectivePeriod>
    <start value="2016-07-01T08:05:21+09:00"/>
    <end value="2016-07-01T13:05:43+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-female-1"/>
      <display value="福岡 花子"/>
    </actor>
  </performer>
  <request>🔗 
    <reference
               value="MedicationRequest/jp-medicationrequest-injection-example-2"/>
  </request>
  <device>
    <reference
               value="#jp-medicationadministration-injection-device-example-2"/>
    <display value="IV Pump"/>
  </device>
  <dosage>
    <extension
               url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://jpfhir.jp/fhir/Examples/CodeSystem/JP_DosageInstructionLine_CS"/>
          <code value="01"/>
          <display value="末梢ルート"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <site>
      <extension url="http://hl7.org/fhir/StructureDefinition/bodySite">
        <valueReference>
          <reference
                     value="#jp-medicationadministration-injection-bodystructure-example-2"/>
          <display value="左腕"/>
        </valueReference>
      </extension>
    </site>
    <route>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0162"/>
        <code value="IV"/>
        <display value="Intravenous"/>
      </coding>
    </route>
    <method>
      <coding>
        <system
                value="http://jami.jp/CodeSystem/MedicationMethodDetailUsage"/>
        <code value="31"/>
        <display value="中心静脈注射"/>
      </coding>
    </method>
    <dose>
      <value value="510"/>
      <unit value="mL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL"/>
    </dose>
    <rateRatio>
      <numerator>
        <value value="102"/>
        <unit value="mL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/>
      </numerator>
      <denominator>
        <value value="1"/>
        <unit value="hour"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="h"/>
      </denominator>
    </rateRatio>
  </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。