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 - JSON Representation

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{
  "resourceType" : "MedicationAdministration",
  "id" : "jp-medicationadministration-injection-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationAdministration_Injection"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationAdministration </b><a name=\"jp-medicationadministration-injection-example-1\"> </a><a name=\"hcjp-medicationadministration-injection-example-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceMedicationAdministration &quot;jp-medicationadministration-injection-example-1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-jp-medicationadministration-injection.html\">JP Core MedicationAdministration Injection Profile</a></p></div><p><b>JP Core MedicationAdministration RequestDepartment Extension</b>: 内科 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.2\">JP Core Department SS-MIX CodeSystem</a>#01)</span></p><p><b>JP Core MedicationAdministration Requester Extension</b>: <a href=\"Practitioner-jp-practitioner-example-male-1.html\">Practitioner/jp-practitioner-example-male-1: 大阪 一郎</a> &quot; 大阪&quot;</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\">Location/jp-location-example-ward: 09A病棟 021病室 4ベッド</a> &quot;09A病棟 021病室 4ベッド&quot;</p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</code>/1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1234567890.1</p><p><b>status</b>: completed</p><p><b>category</b>: Inpatient Order <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0482.html\">orderType</a>#I)</span></p><p><b>medication</b>: <a name=\"hcjp-medicationadministration-injection-medication-example-1\"> </a></p><blockquote><p/><p><a name=\"jp-medicationadministration-injection-medication-example-1\"> </a></p><p><a name=\"hcjp-medicationadministration-injection-medication-example-1\"> </a></p><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>ホリゾン注射液10mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200119.4.403.1\">MEDIS 基準番号(HOT9)</a>#100558502)</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><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">Patient/jp-patient-example-1</a> &quot; 山田&quot;</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>Performer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-med-admin-perform-function.html\">MedicationAdministration Performer Function Codes</a>#performer)</span></td><td><a href=\"Practitioner-jp-practitioner-example-male-1.html\">Practitioner/jp-practitioner-example-male-1: 愛知 太郎</a> &quot; 大阪&quot;</td></tr></table><p><b>request</b>: <a href=\"MedicationRequest-jp-medicationrequest-injection-example-1.html\">MedicationRequest/jp-medicationrequest-injection-example-1</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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>Intravenous <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0162.html\">routeOfAdministration</a>#IV)</span></td><td>注射 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.20.30\">JP Core Medication JAMI Basic Usage Type CodeSystem</a>#3)</span></td><td>2 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication  #jp-medicationadministration-injection-medication-example-1</b><a name=\"jp-medicationadministration-injection-medication-example-1\"> </a><a name=\"hcjp-medicationadministration-injection-medication-example-1\"> </a></p><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>ホリゾン注射液10mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200119.4.403.1\">MEDIS 基準番号(HOT9)</a>#100558502)</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><b>Generated Narrative: BodyStructure  #jp-medicationadministration-injection-bodystructure-example-1</b><a name=\"jp-medicationadministration-injection-bodystructure-example-1\"> </a><a name=\"hcjp-medicationadministration-injection-bodystructure-example-1\"> </a></p><p><b>location</b>: Arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0550.html\">bodyParts</a>#ARM)</span></p><p><b>locationQualifier</b>: Right <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0495.html\">bodySiteModifier</a>#R)</span></p><p><b>patient</b>: <a href=\"Patient-jp-patient-example-1.html\">Patient/jp-patient-example-1</a> &quot; 山田&quot;</p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "jp-medicationadministration-injection-medication-example-1",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication"
        ]
      },
      "status" : "active",
      "ingredient" : [
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:1.2.392.200119.4.403.1",
                "code" : "100558502",
                "display" : "ホリゾン注射液10mg"
              }
            ]
          },
          "strength" : {
            "numerator" : {
              "value" : 1,
              "unit" : "アンプル",
              "system" : "urn:oid:1.2.392.100495.20.2.101",
              "code" : "AMP"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "回",
              "system" : "urn:oid:1.2.392.100495.20.2.101",
              "code" : "TIME"
            }
          }
        }
      ]
    },
    {
      "resourceType" : "BodyStructure",
      "id" : "jp-medicationadministration-injection-bodystructure-example-1",
      "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"
      }
    }
  ],
  "extension" : [
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_RequestDepartment",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.2",
            "code" : "01",
            "display" : "内科"
          }
        ]
      }
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationAdministration_Requester",
      "valueReference" : {
        🔗 "reference" : "Practitioner/jp-practitioner-example-male-1",
        "display" : "大阪 一郎"
      }
    },
    {
      "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" : "urn:oid:1.2.392.100495.20.3.81",
      "value" : "1"
    },
    {
      "system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "1234567890.1"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0482",
        "code" : "I",
        "display" : "Inpatient Order"
      }
    ]
  },
  "medicationReference" : {
    "reference" : "#jp-medicationadministration-injection-medication-example-1"
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "effectivePeriod" : {
    "start" : "2016-07-01T10:05:21+09:00",
    "end" : "2016-07-01T10:05:21+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-male-1",
        "display" : "愛知 太郎"
      }
    }
  ],
  "request" : {
    🔗 "reference" : "MedicationRequest/jp-medicationrequest-injection-example-1"
  },
  "dosage" : {
    "extension" : [
      {
        "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_DosageComment",
        "valueString" : "痙攣が発生したため、主治医に確認の上実施しました"
      }
    ],
    "site" : {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/bodySite",
          "valueReference" : {
            "reference" : "#jp-medicationadministration-injection-bodystructure-example-1",
            "display" : "右腕"
          }
        },
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_SiteComment",
          "valueString" : "左利きのため"
        }
      ]
    },
    "route" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0162",
          "code" : "IV",
          "display" : "Intravenous"
        }
      ]
    },
    "method" : {
      "extension" : [
        {
          "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_MethodComment",
          "valueString" : "1分ほどかけて緩徐に行いました"
        }
      ],
      "coding" : [
        {
          "system" : "urn:oid:1.2.392.200250.2.2.20.30",
          "code" : "3",
          "display" : "注射"
        }
      ]
    },
    "dose" : {
      "value" : 2,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"
    }
  }
}
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にて受け付けております。