HL7 FHIR JP Core ImplementationGuide
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: JP Core MedicationStatement Injection Example 投与申告情報 ソリタ-+アドナ注 - XML Representation

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<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="jp-medicationstatement-injection-example-1"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationStatement_Injection"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationStatement jp-medicationstatement-injection-example-1</b></p><a name="jp-medicationstatement-injection-example-1"> </a><a name="hcjp-medicationstatement-injection-example-1"> </a><a name="jp-medicationstatement-injection-example-1-ja"> </a><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="#hcjp-medicationstatement-injection-example-1/jp-medicationstatement-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><p><b>effective</b>: 2020-04-01 00:00:00+0900 --&gt; 2020-04-14 00:00:00+0900</p><p><b>dateAsserted</b>: 2020-05-01 12:28:17+0900</p><p><b>informationSource</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><p><b>derivedFrom</b>: <a href="MedicationRequest-jp-medicationrequest-injection-example-2.html">MedicationRequest: identifier = urn:oid:1.2.392.100495.20.3.81#2,http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#1234567890.2.1; status = active; intent = order; category = Inpatient Order,入院処方,定時処方; medication[x] = -&gt;Medication: status = active; authoredOn = 2016-07-01 07:28:17+0900</a></p><p><b>reasonCode</b>: <span title="Codes:{urn:oid:1.2.392.200119.4.101.6 TQ7A}">急性気管支炎</span></p><blockquote><p><b>dosage</b></p><p><b>JP Core Medication Dosage Device Extension</b>: <a href="#hcjp-medicationstatement-injection-example-1/jp-medicationstatement-injection-device-example-1">Device: type = IV Pump</a></p><p><b>JP Core Medication Dosage Line Extension</b>: <span title="Codes:{http://jpfhir.jp/fhir/Examples/CodeSystem/JP_DosageInstructionLine_CS 01}">末梢ルート</span></p><p><b>text</b>: 主管 静脈注射 左腕</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:1.2.392.200250.2.2.20.30 3}">注射</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style="display: none">*</td><td>510 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemL = 'mL')</span></td><td>102 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemL = 'mL')</span>/1 時間<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeh = 'h')</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication  #jp-medicationstatement-injection-medication-example-1</b></p><a name="jp-medicationstatement-injection-example-1/jp-medicationstatement-injection-medication-example-1"> </a><a name="hcjp-medicationstatement-injection-example-1/jp-medicationstatement-injection-medication-example-1"> </a><a name="jp-medicationstatement-injection-example-1/jp-medicationstatement-injection-medication-example-1-ja"> </a><p><b>status</b>: Active</p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title="Codes:{urn:oid:1.2.392.200119.4.403.1 107750603}">ソリタ-T3号輸液500mL</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>: <span title="Codes:{urn:oid:1.2.392.200119.4.403.1 108010002}">アドナ注(静脈用)50mg/10mL</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 class="res-header-id"><b>Generated Narrative: BodyStructure  #jp-medicationstatement-injection-bodystructure-example-1</b></p><a name="jp-medicationstatement-injection-example-1/jp-medicationstatement-injection-bodystructure-example-1"> </a><a name="hcjp-medicationstatement-injection-example-1/jp-medicationstatement-injection-bodystructure-example-1"> </a><a name="jp-medicationstatement-injection-example-1/jp-medicationstatement-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><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Device  #jp-medicationstatement-injection-device-example-1</b></p><a name="jp-medicationstatement-injection-example-1/jp-medicationstatement-injection-device-example-1"> </a><a name="hcjp-medicationstatement-injection-example-1/jp-medicationstatement-injection-device-example-1"> </a><a name="jp-medicationstatement-injection-example-1/jp-medicationstatement-injection-device-example-1-ja"> </a><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0164 IVP}">IV Pump</span></p></blockquote></div>
  </text>
  <contained>
    <Medication>
      <id value="jp-medicationstatement-injection-medication-example-1"/>
      <meta>
        <profile
                 value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Medication"/>
      </meta>
      <status value="active"/>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="urn:oid:1.2.392.200119.4.403.1"/>
            <code value="107750603"/>
            <display value="ソリタ-T3号輸液500mL"/>
          </coding>
        </itemCodeableConcept>
        <strength>
          <extension
                     url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType">
            <valueCodeableConcept>
              <coding>
                <system value="urn:oid:1.2.392.100495.20.2.22"/>
                <code value="1"/>
                <display value="製剤量"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <numerator>
            <value value="1"/>
            <unit value="本"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="HON"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="回"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="TIME"/>
          </denominator>
        </strength>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="urn:oid:1.2.392.200119.4.403.1"/>
            <code value="108010002"/>
            <display value="アドナ注(静脈用)50mg/10mL"/>
          </coding>
        </itemCodeableConcept>
        <strength>
          <extension
                     url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Medication_IngredientStrength_StrengthType">
            <valueCodeableConcept>
              <coding>
                <system value="urn:oid:1.2.392.100495.20.2.22"/>
                <code value="1"/>
                <display value="製剤量"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <numerator>
            <value value="1"/>
            <unit value="アンプル"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="AMP"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="回"/>
            <system value="urn:oid:1.2.392.100495.20.2.101"/>
            <code value="TIME"/>
          </denominator>
        </strength>
      </ingredient>
    </Medication>
  </contained>
  <contained>
    <BodyStructure>
      <id value="jp-medicationstatement-injection-bodystructure-example-1"/>
      <location>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0550"/>
          <code value="ARM"/>
          <display value="Arm"/>
        </coding>
      </location>
      <locationQualifier>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0495"/>
          <code value="L"/>
          <display value="Left"/>
        </coding>
      </locationQualifier>
      <patient>🔗 
        <reference value="Patient/jp-patient-example-1"/>
      </patient>
    </BodyStructure>
  </contained>
  <contained>
    <Device>
      <id value="jp-medicationstatement-injection-device-example-1"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0164"/>
          <code value="IVP"/>
          <display value="IV Pump"/>
        </coding>
      </type>
    </Device>
  </contained>
  <status value="completed"/>
  <medicationReference>
    <reference
               value="#jp-medicationstatement-injection-medication-example-1"/>
  </medicationReference>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <effectivePeriod>
    <start value="2020-04-01T00:00:00+09:00"/>
    <end value="2020-04-14T00:00:00+09:00"/>
  </effectivePeriod>
  <dateAsserted value="2020-05-01T12:28:17+09:00"/>
  <informationSource>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </informationSource>
  <derivedFrom>🔗 
    <reference
               value="MedicationRequest/jp-medicationrequest-injection-example-2"/>
  </derivedFrom>
  <reasonCode>
    <coding>
      <system value="urn:oid:1.2.392.200119.4.101.6"/>
      <code value="TQ7A"/>
      <display value="急性気管支炎"/>
    </coding>
  </reasonCode>
  <dosage>
    <extension
               url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Device">
      <valueReference>
        <reference
                   value="#jp-medicationstatement-injection-device-example-1"/>
      </valueReference>
    </extension>
    <extension
               url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_MedicationDosage_Line">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://jpfhir.jp/fhir/Examples/CodeSystem/JP_DosageInstructionLine_CS"/>
          <code value="01"/>
          <display value="末梢ルート"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <text value="主管 静脈注射 左腕"/>
    <timing>
      <repeat>
        <boundsPeriod>
          <start value="2016-07-01T08:00:00+09:00"/>
          <end value="2016-07-01T13:00:00+09:00"/>
        </boundsPeriod>
      </repeat>
    </timing>
    <site>
      <extension url="http://hl7.org/fhir/StructureDefinition/bodySite">
        <valueReference>
          <reference
                     value="#jp-medicationstatement-injection-bodystructure-example-1"/>
        </valueReference>
      </extension>
    </site>
    <route>
      <coding>
        <system value="http://jpfhir.jp/fhir/core/CodeSystem/route-codes"/>
        <code value="IV"/>
        <display value="静脈内"/>
      </coding>
    </route>
    <method>
      <coding>
        <system value="urn:oid:1.2.392.200250.2.2.20.30"/>
        <code value="3"/>
        <display value="注射"/>
      </coding>
    </method>
    <doseAndRate>
      <doseQuantity>
        <value value="510"/>
        <unit value="mL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/>
      </doseQuantity>
      <rateRatio>
        <numerator>
          <value value="102"/>
          <unit value="mL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mL"/>
        </numerator>
        <denominator>
          <value value="1"/>
          <unit value="時間"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="h"/>
        </denominator>
      </rateRatio>
    </doseAndRate>
  </dosage>
</MedicationStatement>
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。