{ "resourceType" : "MedicationDispense", "id" : "jp-medicationdispense-example-1", "meta" : { "profile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationDispense"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationDispense jp-medicationdispense-example-1

Profile: JP Core MedicationDispense Profile

identifier: JP_Medication_RpGroup_Number_NamingSystem/1, JP_Medication_RpGruop_Index_NamingSystem/1, JP_IdSystem_PrescriptionDocumentID_NamingSystem/1234567890.1.1

status: Completed

category: Inpatient Order

medication: ムコダイン錠２５０ｍｇ

subject: 山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#JP_local_patient_identifier_11311234567_NamingSystem#00000010)

Performers

-FunctionActor
*PackagerPractitioner 大阪 一郎

quantity: 9 錠 (Details: JP Core Medication MERIT9 Unit CodeSystem codeTAB = '錠')

daysSupply: 7 日 (Details: UCUM coded = 'd')

whenPrepared: 2021-10-07 10:47:19+0900

whenHandedOver: 2021-10-07 10:55:23+0900

destination: Location 09A病棟 021病室 4ベッド

note:

後発品へ変更可能か依頼医のＡ医師に確認したところ、患者の希望により不可との回答あり。

\n

dosageInstruction

text: 内服・経口・１日３回朝昼夕食後

timing: Code

route: 口

method: 経口

DoseAndRates

-TypeDose[x]Rate[x]
*製剤量1 錠 (Details: JP Core Medication MERIT9 Unit CodeSystem codeTAB = '錠')3 錠 (Details: JP Core Medication MERIT9 Unit CodeSystem codeTAB = '錠')/1 日 (Details: UCUM coded = 'd')

Substitutions

-WasSubstitutedTypeReason
*truegeneric compositionregulatory requirement
" }, "identifier" : [{ "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/Medication-RPGroupNumber", "value" : "1" }, { "system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicationAdministrationIndex", "value" : "1" }, { "system" : "urn:oid:1.2.392.100495.20.3.11", "value" : "1234567890.1.1" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0482", "code" : "I", "display" : "Inpatient Order" }] }, "medicationCodeableConcept" : { "coding" : [{ "system" : "http://medis.or.jp/CodeSystem/master-HOT9", "code" : "103835401", "display" : "ムコダイン錠２５０ｍｇ" }] }, "subject" : { "reference" : "Patient/jp-patient-example-1" }, "performer" : [{ "function" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function", "code" : "packager", "display" : "Packager" }] }, "actor" : { "reference" : "Practitioner/jp-practitioner-example-male-1" } }], "quantity" : { "value" : 9, "unit" : "錠", "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code", "code" : "TAB" }, "daysSupply" : { "value" : 7, "unit" : "日", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2021-10-07T10:47:19+09:00", "whenHandedOver" : "2021-10-07T10:55:23+09:00", "destination" : { "reference" : "Location/jp-location-example-ward" }, "note" : [{ "text" : "後発品へ変更可能か依頼医のＡ医師に確認したところ、患者の希望により不可との回答あり。" }], "dosageInstruction" : [{ "text" : "内服・経口・１日３回朝昼夕食後", "timing" : { "code" : { "coding" : [{ "system" : "http://jami.jp/CodeSystem/MedicationUsage", "code" : "1013044400000000", "display" : "内服 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" : "http://jami.jp/CodeSystem/MedicationMethodDetailUsage", "code" : "10", "display" : "経口" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationIngredientStrengthStrengthType", "code" : "1", "display" : "製剤量" }] }, "doseQuantity" : { "value" : 1, "unit" : "錠", "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code", "code" : "TAB" }, "rateRatio" : { "numerator" : { "value" : 3, "unit" : "錠", "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationUnitMERIT9Code", "code" : "TAB" }, "denominator" : { "value" : 1, "unit" : "日", "system" : "http://unitsofmeasure.org", "code" : "d" } } }] }], "substitution" : { "wasSubstituted" : true, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution", "code" : "G", "display" : "generic composition" }] }, "reason" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "code" : "RR", "display" : "regulatory requirement" }] }] } }