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Packagejp-core.r4
Resource TypeMedicationDispense
IdMedicationDispense-jp-medicationdispense-example-1.json
FHIR VersionR4

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Source1

{
  "resourceType": "MedicationDispense",
  "id": "jp-medicationdispense-example-1",
  "meta": {
    "profile": [
      "http://jpfhir.jp/fhir/core/StructureDefinition/JP_MedicationDispense"
    ]
  },
  "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": "1234567890.1.1"
    }
  ],
  "status": "completed",
  "category": {
    "coding": [
      {
        "code": "I",
        "system": "http://terminology.hl7.org/CodeSystem/v2-0482",
        "display": "Inpatient Order"
      }
    ]
  },
  "medicationCodeableConcept": {
    "coding": [
      {
        "code": "103835401",
        "system": "urn:oid:1.2.392.200119.4.403.1",
        "display": "ムコダイン錠250mg"
      }
    ]
  },
  "subject": {
    "reference": "Patient/jp-patient-example-1"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "code": "packager",
            "system": "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function",
            "display": "Packager"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/jp-practitioner-example-male-1"
      }
    }
  ],
  "quantity": {
    "value": 9,
    "code": "TAB",
    "system": "urn:oid:1.2.392.100495.20.2.101",
    "unit": "錠"
  },
  "daysSupply": {
    "value": 7,
    "code": "d",
    "system": "http://unitsofmeasure.org",
    "unit": "日"
  },
  "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": [
            {
              "code": "1013044400000000",
              "system": "urn:oid:1.2.392.200250.2.2.20",
              "display": "内服・経口・1日3回朝昼夕食後"
            }
          ]
        }
      },
      "route": {
        "coding": [
          {
            "code": "PO",
            "system": "http://jpfhir.jp/fhir/core/CodeSystem/route-codes",
            "display": "口"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "code": "10",
            "system": "urn:oid:1.2.392.200250.2.2.20.40",
            "display": "経口"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "code": "1",
                "system": "urn:oid:1.2.392.100495.20.2.22",
                "display": "製剤量"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "code": "TAB",
            "system": "urn:oid:1.2.392.100495.20.2.101",
            "unit": "錠"
          },
          "rateRatio": {
            "numerator": {
              "value": 3,
              "code": "TAB",
              "system": "urn:oid:1.2.392.100495.20.2.101",
              "unit": "錠"
            },
            "denominator": {
              "value": 1,
              "code": "d",
              "system": "http://unitsofmeasure.org",
              "unit": "日"
            }
          }
        }
      ]
    }
  ],
  "substitution": {
    "wasSubstituted": true,
    "type": {
      "coding": [
        {
          "code": "G",
          "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
          "display": "generic composition"
        }
      ]
    },
    "reason": [
      {
        "coding": [
          {
            "code": "RR",
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "display": "regulatory requirement"
          }
        ]
      }
    ]
  }
}