HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationDispense Injection Example 調剤実施 注射薬 - JSON Representation

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{
  "resourceType" : "MedicationDispense",
  "id" : "jp-medicationdispense-injection-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationDispense_Injection"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense jp-medicationdispense-injection-example-1</b></p><a name=\"jp-medicationdispense-injection-example-1\"> </a><a name=\"hcjp-medicationdispense-injection-example-1\"> </a><a name=\"jp-medicationdispense-injection-example-1-ja\"> </a><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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0482 I}\">Inpatient Order</span></p><p><b>medication</b>: <a href=\"#hcjp-medicationdispense-injection-example-1/jp-medicationdispense-injection-medication-example-1\">Medication: status = active</a></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></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><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function packager}\">Packager</span></td><td><a href=\"Practitioner-jp-practitioner-example-female-1.html\">Practitioner 東京 春子</a></td></tr></table><p><b>quantity</b>: 2 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</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 09A病棟 021病室 4ベッド</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: ワンショット 静脈注射 静脈内</p><p><b>additionalInstruction</b>: <span title=\"Codes:{urn:oid:1.2.392.200250.2.2.20.22 I1100000}\">1日おき</span></p><p><b>timing</b>: Once</p><p><b>site</b>: <span title=\"Codes:\"></span></p><p><b>route</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/route-codes IV}\">静脈内</span></p><p><b>method</b>: <span title=\"Codes:{urn:oid:1.2.392.200250.2.2.20.40 30}\">静脈注射</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication  #jp-medicationdispense-injection-medication-example-1</b></p><a name=\"jp-medicationdispense-injection-example-1/jp-medicationdispense-injection-medication-example-1\"> </a><a name=\"hcjp-medicationdispense-injection-example-1/jp-medicationdispense-injection-medication-example-1\"> </a><a name=\"jp-medicationdispense-injection-example-1/jp-medicationdispense-injection-medication-example-1-ja\"> </a><p><b>status</b>: Active</p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:{urn:oid:1.2.392.200119.4.403.1 100558502}\">ホリゾン注射液10mg</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 class=\"res-header-id\"><b>Generated Narrative: BodyStructure  #jp-medicationdispense-injection-bodystructure-example-1</b></p><a name=\"jp-medicationdispense-injection-example-1/jp-medicationdispense-injection-bodystructure-example-1\"> </a><a name=\"hcjp-medicationdispense-injection-example-1/jp-medicationdispense-injection-bodystructure-example-1\"> </a><a name=\"jp-medicationdispense-injection-example-1/jp-medicationdispense-injection-bodystructure-example-1-ja\"> </a><p><b>location</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0550 ARM}\">Arm</span></p><p><b>locationQualifier</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0495 L}\">Left</span></p><p><b>patient</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "jp-medicationdispense-injection-medication-example-1",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication"
        ]
      },
      "status" : "active",
      "ingredient" : [
        {
          "extension" : [
            {
              "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_Ingredient_DrugNo",
              "valueInteger" : 1
            }
          ],
          "itemCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:1.2.392.200119.4.403.1",
                "code" : "100558502",
                "display" : "ホリゾン注射液10mg"
              }
            ]
          },
          "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-medicationdispense-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" : "L",
              "display" : "Left"
            }
          ]
        }
      ],
      "patient" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      }
    }
  ],
  "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-medicationdispense-injection-medication-example-1"
  },
  "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-female-1"
      }
    }
  ],
  "quantity" : {
    "value" : 2,
    "unit" : "mL",
    "system" : "http://unitsofmeasure.org",
    "code" : "mL"
  },
  "whenPrepared" : "2021-10-07T10:47:19+09:00",
  "whenHandedOver" : "2021-10-07T10:55:23+09:00",
  "destination" : {
    🔗 "reference" : "Location/jp-location-example-ward"
  },
  "dosageInstruction" : [
    {
      "text" : "ワンショット 静脈注射 静脈内",
      "additionalInstruction" : [
        {
          "coding" : [
            {
              "system" : "urn:oid:1.2.392.200250.2.2.20.22",
              "code" : "I1100000",
              "display" : "1日おき"
            }
          ]
        }
      ],
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2016-07-01T10:00:00+09:00"
          }
        }
      },
      "site" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/bodySite",
            "valueReference" : {
              "reference" : "#jp-medicationdispense-injection-bodystructure-example-1",
              "type" : "BodyStructure"
            }
          }
        ]
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
            "code" : "IV",
            "display" : "静脈内"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.20.40",
            "code" : "30",
            "display" : "静脈注射"
          }
        ]
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "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にて受け付けている。