HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationDispense Example 調剤実施 内服薬 - XML Representation

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<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="jp-medicationdispense-example-1"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationDispense"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationDispense</b><a name="jp-medicationdispense-example-1"> </a><a name="hcjp-medicationdispense-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">Resource MedicationDispense &quot;jp-medicationdispense-example-1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-jp-medicationdispense.html">JP Core MedicationDispense Profile</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>/1234567890.1.1</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/5.3.0/CodeSystem-v2-0482.html">orderType</a>#I)</span></p><p><b>medication</b>: ムコダイン錠２５０ｍｇ <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>#103835401)</span></p><p><b>subject</b>: <a href="Patient-jp-patient-example-1.html">Patient/jp-patient-example-1</a> &quot; 山田&quot;</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>Packager <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-medicationdispense-performer-function.html">MedicationDispense Performer Function Codes</a>#packager)</span></td><td><a href="Practitioner-jp-practitioner-example-male-1.html">Practitioner/jp-practitioner-example-male-1</a> &quot; 大阪&quot;</td></tr></table><p><b>quantity</b>: 9 錠<span style="background: LightGoldenRodYellow"> (Details: urn:oid:1.2.392.100495.20.2.101 code TAB = '錠')</span></p><p><b>daysSupply</b>: 7 日<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2021-10-07 10:47:19+0900</p><p><b>whenHandedOver</b>: 2021-10-07 10:55:23+0900</p><p><b>destination</b>: <a href="Location-jp-location-example-ward.html">Location/jp-location-example-ward</a> &quot;09A病棟 021病室 4ベッド&quot;</p><p><b>note</b>: 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。</p><blockquote><p><b>dosageInstruction</b></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</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>: 経口 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="urn:oid:1.2.392.200250.2.2.20.40">JP Core Medication JAMI Detail Usage Type CodeSystem</a>#10)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>Reason</b></td></tr><tr><td style="display: none">*</td><td>true</td><td>generic composition <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a>#G)</span></td><td>regulatory requirement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActReason.html">ActReason</a>#RR)</span></td></tr></table></div>
  </text>
  <identifier>
    <system value="urn:oid:1.2.392.100495.20.3.81"/>
    <value value="1"/>
  </identifier>
  <identifier>
    <system value="urn:oid:1.2.392.100495.20.3.82"/>
    <value value="1"/>
  </identifier>
  <identifier>
    <system
            value="http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier"/>
    <value value="1234567890.1.1"/>
  </identifier>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0482"/>
      <code value="I"/>
      <display value="Inpatient Order"/>
    </coding>
  </category>
  <medicationCodeableConcept>
    <coding>
      <system value="urn:oid:1.2.392.200119.4.403.1"/>
      <code value="103835401"/>
      <display value="ムコダイン錠２５０ｍｇ"/>
    </coding>
  </medicationCodeableConcept>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <performer>
    <function>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"/>
        <code value="packager"/>
        <display value="Packager"/>
      </coding>
    </function>
    <actor>🔗 
      <reference value="Practitioner/jp-practitioner-example-male-1"/>
    </actor>
  </performer>
  <quantity>
    <value value="9"/>
    <unit value="錠"/>
    <system value="urn:oid:1.2.392.100495.20.2.101"/>
    <code value="TAB"/>
  </quantity>
  <daysSupply>
    <value value="7"/>
    <unit value="日"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="d"/>
  </daysSupply>
  <whenPrepared value="2021-10-07T10:47:19+09:00"/>
  <whenHandedOver value="2021-10-07T10:55:23+09:00"/>
  <destination>🔗 
    <reference value="Location/jp-location-example-ward"/>
  </destination>
  <note>
    <text value="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。"/>
  </note>
  <dosageInstruction>
    <text value="内服・経口・１日３回朝昼夕食後"/>
    <timing>
      <code>
        <coding>
          <system value="urn:oid:1.2.392.200250.2.2.20"/>
          <code value="1013044400000000"/>
          <display value="内服・経口・１日３回朝昼夕食後"/>
        </coding>
      </code>
    </timing>
    <route>
      <coding>
        <system value="http://jpfhir.jp/fhir/core/CodeSystem/route-codes"/>
        <code value="PO"/>
        <display value="口"/>
      </coding>
    </route>
    <method>
      <coding>
        <system value="urn:oid:1.2.392.200250.2.2.20.40"/>
        <code value="10"/>
        <display value="経口"/>
      </coding>
    </method>
    <doseAndRate>
      <type>
        <coding>
          <system value="urn:oid:1.2.392.100495.20.2.22"/>
          <code value="1"/>
          <display value="製剤量"/>
        </coding>
      </type>
      <doseQuantity>
        <value value="1"/>
        <unit value="錠"/>
        <system value="urn:oid:1.2.392.100495.20.2.101"/>
        <code value="TAB"/>
      </doseQuantity>
      <rateRatio>
        <numerator>
          <value value="3"/>
          <unit value="錠"/>
          <system value="urn:oid:1.2.392.100495.20.2.101"/>
          <code value="TAB"/>
        </numerator>
        <denominator>
          <value value="1"/>
          <unit value="日"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
        </denominator>
      </rateRatio>
    </doseAndRate>
  </dosageInstruction>
  <substitution>
    <wasSubstituted value="true"/>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
        <code value="G"/>
        <display value="generic composition"/>
      </coding>
    </type>
    <reason>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="RR"/>
        <display value="regulatory requirement"/>
      </coding>
    </reason>
  </substitution>
</MedicationDispense>