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

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{
  "resourceType" : "MedicationRequest",
  "id" : "jp-medicationrequest-injection-example-2",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationRequest_Injection"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest jp-medicationrequest-injection-example-2</b></p><a name=\"jp-medicationrequest-injection-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-example-2\"> </a><a name=\"jp-medicationrequest-injection-example-2-ja\"> </a><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber</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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0482 I}\">Inpatient Order</span>, <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS IHP}\">入院処方</span>, <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JHSI0001 FTP}\">定時処方</span></p><p><b>medication</b>: <a href=\"#hcjp-medicationrequest-injection-example-2/jp-medicationrequest-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>authoredOn</b>: 2016-07-01 07:28:17+0900</p><p><b>requester</b>: <a href=\"Practitioner-jp-practitioner-example-female-1.html\">Practitioner 東京 春子</a></p><p><b>insurance</b>: <a href=\"Coverage-jp-coverage-example-1.html\">Coverage: extension = あいう,187,05; identifier = http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID#00012345:あいう:187:05; status = active; type = public healthcare; subscriberId = あいう:187; dependent = 05</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage Device Extension</b>: <a href=\"#hcjp-medicationrequest-injection-example-2/jp-medicationrequest-injection-device-example-2\">Device: type = IV Pump</a></p><p><b>JP Core Medication Dosage Line Extension</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/Examples/CodeSystem/JP_DosageInstructionLine_CS 01}\">末梢ルート</span></p><p><b>text</b>: 主管 静脈注射 左腕</p><p><b>timing</b>: Once</p><p><b>site</b>: <span title=\"Codes:\"></span></p><p><b>route</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/route-codes IV}\">静脈内</span></p><p><b>method</b>: <span title=\"Codes:{http://jami.jp/CodeSystem/MedicationMethodBasicUsage 3}\">注射</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</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 時間<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication  #jp-medicationrequest-injection-medication-example-2</b></p><a name=\"jp-medicationrequest-injection-example-2/jp-medicationrequest-injection-medication-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-example-2/jp-medicationrequest-injection-medication-example-2\"> </a><a name=\"jp-medicationrequest-injection-example-2/jp-medicationrequest-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-medicationrequest-injection-bodystructure-example-2</b></p><a name=\"jp-medicationrequest-injection-example-2/jp-medicationrequest-injection-bodystructure-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-example-2/jp-medicationrequest-injection-bodystructure-example-2\"> </a><a name=\"jp-medicationrequest-injection-example-2/jp-medicationrequest-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 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><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Device  #jp-medicationrequest-injection-device-example-2</b></p><a name=\"jp-medicationrequest-injection-example-2/jp-medicationrequest-injection-device-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-example-2/jp-medicationrequest-injection-device-example-2\"> </a><a name=\"jp-medicationrequest-injection-example-2/jp-medicationrequest-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-medicationrequest-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" : {
            "extension" : [
              {
                "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType",
                      "code" : "1",
                      "display" : "製剤量"
                    }
                  ]
                }
              }
            ],
            "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" : {
            "extension" : [
              {
                "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType",
                      "code" : "1",
                      "display" : "製剤量"
                    }
                  ]
                }
              }
            ],
            "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-medicationrequest-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" : "R",
              "display" : "Right"
            }
          ]
        }
      ],
      "patient" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      }
    },
    {
      "resourceType" : "Device",
      "id" : "jp-medicationrequest-injection-device-example-2",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0164",
            "code" : "IVP",
            "display" : "IV Pump"
          }
        ]
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber",
      "value" : "2"
    },
    {
      "system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "1234567890.2.1"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0482",
          "code" : "I",
          "display" : "Inpatient Order"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS",
          "code" : "IHP",
          "display" : "入院処方"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JHSI0001",
          "code" : "FTP",
          "display" : "定時処方"
        }
      ]
    }
  ],
  "medicationReference" : {
    "reference" : "#jp-medicationrequest-injection-medication-example-2"
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "authoredOn" : "2016-07-01T07:28:17+09:00",
  "requester" : {
    🔗 "reference" : "Practitioner/jp-practitioner-example-female-1"
  },
  "insurance" : [
    {
      🔗 "reference" : "Coverage/jp-coverage-example-1"
    }
  ],
  "dosageInstruction" : [
    {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device",
          "valueReference" : {
            "reference" : "#jp-medicationrequest-injection-device-example-2"
          }
        },
        {
          "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"
              }
            ]
          }
        }
      ],
      "text" : "主管 静脈注射 左腕",
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2016-07-01T08:00:00+09:00",
            "end" : "2016-07-01T13:00:00+09:00"
          }
        }
      },
      "site" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/bodySite",
            "valueReference" : {
              "reference" : "#jp-medicationrequest-injection-bodystructure-example-2"
            }
          }
        ]
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
            "code" : "IV",
            "display" : "静脈内"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "http://jami.jp/CodeSystem/MedicationMethodBasicUsage",
            "code" : "3",
            "display" : "注射"
          }
        ]
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "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" : "時間",
              "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。