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><b>Generated Narrative: MedicationRequest </b><a name=\"jp-medicationrequest-injection-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-example-2\"> </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\">ResourceMedicationRequest &quot;jp-medicationrequest-injection-example-2&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-jp-medicationrequest-injection.html\">JP Core MedicationRequest Injection Profile</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</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>: 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>, 入院処方 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/JP_MedicationCategoryMERIT9_CS\">JP Core Medication MERIT9 Category CodeSystem</a>#IHP)</span>, 定時処方 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/JHSI0001\">JP Core Medication JHSI0001 Category CodeSystem</a>#FTP)</span></p><p><b>medication</b>: <a name=\"hcjp-medicationrequest-injection-medication-example-2\"> </a></p><blockquote><p/><p><a name=\"jp-medicationrequest-injection-medication-example-2\"> </a></p><p><a name=\"hcjp-medicationrequest-injection-medication-example-2\"> </a></p><p><b>status</b>: active</p><blockquote><p><b>ingredient</b></p><p><b>item</b>: ソリタ-T3号輸液500mL <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>#107750603)</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>: アドナ注(静脈用)50mg/10mL <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>#108010002)</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><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>authoredOn</b>: 2016-07-01 07:28:17+0900</p><p><b>requester</b>: <a href=\"Practitioner-jp-practitioner-example-female-1.html\">Practitioner/jp-practitioner-example-female-1</a> &quot; 東京&quot;</p><p><b>insurance</b>: <a href=\"Coverage-jp-coverage-example-1.html\">Coverage/jp-coverage-example-1</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage Device Extension</b>: <a name=\"hcjp-medicationrequest-injection-device-example-2\"> </a></p><blockquote><p/><p><a name=\"jp-medicationrequest-injection-device-example-2\"> </a></p><p><a name=\"hcjp-medicationrequest-injection-device-example-2\"> </a></p><p><b>type</b>: IV Pump <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0164.html\">administrationDevice</a>#IVP)</span></p></blockquote><p><b>JP Core Medication Dosage Line Extension</b>: 末梢ルート <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-jp-medication-example-line-cs.html\">JP Core Medication Example Line CodeSystem</a>#01)</span></p><p><b>text</b>: 主管 静脈注射 左腕</p><p><b>timing</b>: Starting 2016-07-01 08:00:00+0900 , Once, Until 2016-07-01 13:00:00+0900 </p><p><b>site</b>:  <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>route</b>: 静脈内 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/CodeSystem/route-codes\">JP Core Medication HL70162-based Route CodeSystem</a>#IV)</span></p><p><b>method</b>: 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></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication  #jp-medicationrequest-injection-medication-example-2</b><a name=\"jp-medicationrequest-injection-medication-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-medication-example-2\"> </a></p><p><b>status</b>: active</p><blockquote><p><b>ingredient</b></p><p><b>item</b>: ソリタ-T3号輸液500mL <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>#107750603)</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>: アドナ注(静脈用)50mg/10mL <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>#108010002)</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><b>Generated Narrative: BodyStructure  #jp-medicationrequest-injection-bodystructure-example-2</b><a name=\"jp-medicationrequest-injection-bodystructure-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-bodystructure-example-2\"> </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><hr/><blockquote><p><b>Generated Narrative: Device  #jp-medicationrequest-injection-device-example-2</b><a name=\"jp-medicationrequest-injection-device-example-2\"> </a><a name=\"hcjp-medicationrequest-injection-device-example-2\"> </a></p><p><b>type</b>: IV Pump <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v2-0164.html\">administrationDevice</a>#IVP)</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" : "urn:oid:1.2.392.200119.4.403.1",
                "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" : "urn:oid:1.2.392.100495.20.2.22",
                      "code" : "1",
                      "display" : "製剤量"
                    }
                  ]
                }
              }
            ],
            "numerator" : {
              "value" : 1,
              "unit" : "本",
              "system" : "urn:oid:1.2.392.100495.20.2.101",
              "code" : "HON"
            },
            "denominator" : {
              "value" : 1,
              "unit" : "回",
              "system" : "urn:oid:1.2.392.100495.20.2.101",
              "code" : "TIME"
            }
          }
        },
        {
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:1.2.392.200119.4.403.1",
                "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" : "urn:oid:1.2.392.100495.20.2.22",
                      "code" : "1",
                      "display" : "製剤量"
                    }
                  ]
                }
              }
            ],
            "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-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" : "urn:oid:1.2.392.100495.20.3.81",
      "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_MedicationRequestDosageInstructionLine_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" : "urn:oid:1.2.392.200250.2.2.20.30",
            "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にて受け付けております。