診療情報提供書FHIR記述仕様 実装ガイド
1.1.6 - release
Japan
診療情報提供書FHIR記述仕様 実装ガイド
1.1.6 - release
Japan
診療情報提供書FHIR記述仕様 実装ガイド - Local Development build (v1.1.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "MedicationRequest",
"id" : "MedicationRequestExample01",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_MedicationRequest_eCS"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"MedicationRequestExample01\"> </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\">Resource MedicationRequest "MedicationRequestExample01" Updated "2021-11-26 10:00:00+0900" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-MedicationRequest-eCS.html\">eCS:JP_MedicationRequest_eCS</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.81</code>/1, <code>urn:oid:1.2.392.100495.20.3.82</code>/1, <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1311234567-2020-00123456</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: カルボシステイン２５０ｍｇ錠 <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>#103831601 "カルボシステイン錠２５０ｍｇ「サワイ」・沢井製薬"; <a href=\"urn:oid:1.2.392.100495.20.1.73\">JP Core YJ コード（個別医薬品コード）</a>#2233002F1280 "カルボシステイン錠２５０ｍｇ「サワイ」")</span></p><p><b>subject</b>: <a href=\"Patient-jppatientExample01.html\">Patient/jppatientExample01</a> " 田中"</p><p><b>authoredOn</b>: 2020-08-21 12:28:17+0900</p><blockquote><p><b>dosageInstruction</b></p><p><b>JP Core Medication Dosage PeriodOfUse Extension</b>: 2020-08-22 --> (ongoing)</p><p><b>text</b>: 内服・経口・１日３回朝昼夕食後</p><p><b>timing</b>: Code: 内服・経口・１日３回朝昼夕食後, Once</p><p><b>route</b>: 口 <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>#PO)</span></p><p><b>method</b>: 内服 <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>#1)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 21 錠<span style=\"background: LightGoldenRodYellow\"> (Details: urn:oid:1.2.392.100495.20.2.101 code TAB = '錠')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>7</td><td>日</td><td><a href=\"http://unitsofmeasure.org\">The Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>後発品変更不可 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.100495.20.2.41\">JP Core Medication Substitution Not Allowed Reason CodeSystem</a>#1)</span></td><td>患者が希望せず <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.81",
"value" : "1"
},
{
"system" : "urn:oid:1.2.392.100495.20.3.82",
"value" : "1"
},
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1311234567-2020-00123456"
}
],
"status" : "completed",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200119.4.403.1",
"code" : "103831601",
"display" : "カルボシステイン錠２５０ｍｇ「サワイ」・沢井製薬"
},
{
"system" : "urn:oid:1.2.392.100495.20.1.73",
"code" : "2233002F1280",
"display" : "カルボシステイン錠２５０ｍｇ「サワイ」"
}
],
"text" : "カルボシステイン２５０ｍｇ錠"
},
"subject" : {
🔗 "reference" : "Patient/jppatientExample01"
},
"authoredOn" : "2020-08-21T12:28:17+09:00",
"dosageInstruction" : [
{
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_PeriodOfUse",
"valuePeriod" : {
"start" : "2020-08-22"
}
}
],
"text" : "内服・経口・１日３回朝昼夕食後",
"timing" : {
"repeat" : {
"boundsDuration" : {
"value" : 7,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
},
"code" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.20",
"code" : "1013044400000000",
"display" : "内服・経口・１日３回朝昼夕食後"
}
],
"text" : "内服・経口・１日３回朝昼夕食後"
}
},
"route" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
"code" : "PO",
"display" : "口"
}
]
},
"method" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.20.30",
"code" : "1",
"display" : "内服"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.100495.20.2.22",
"code" : "1",
"display" : "製剤量"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "錠",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "TAB"
},
"rateRatio" : {
"numerator" : {
"value" : 3,
"unit" : "錠",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "TAB"
},
"denominator" : {
"value" : 1,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 21,
"unit" : "錠",
"system" : "urn:oid:1.2.392.100495.20.2.101",
"code" : "TAB"
},
"expectedSupplyDuration" : {
"value" : 7,
"unit" : "日",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
},
"substitution" : {
"allowedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.100495.20.2.41",
"code" : "1",
"display" : "後発品変更不可"
}
]
},
"reason" : {
"text" : "患者が希望せず"
}
}
}