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 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>
  </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="http://medis.or.jp/CodeSystem/master-HOT9"/>
            <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="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType"/>
                <code value="1"/>
                <display value="製剤量"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <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>
          <extension
                     url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType"/>
                <code value="1"/>
                <display value="製剤量"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <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-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="http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber"/>
    <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_DosageInstructionLine_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="http://jami.jp/CodeSystem/MedicationMethodBasicUsage"/>
        <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にて受け付けている。