<?xml version="1.0" encoding="UTF-8"?>

<Mml version="4.1.2" createDate="2016-11-28T19:52:45"
  xmlns="http://www.medxml.net/MML/v4/base/1.0"
  xmlns:mml="http://www.medxml.net/MML/v4/base/1.0"
  xmlns:xhtml="http://www.w3.org/1999/xhtml"
  xmlns:mmlCm="http://www.medxml.net/MML/v4/SharedComponent/Common/1.0"
  xmlns:mmlNm="http://www.medxml.net/MML/v4/SharedComponent/Name/1.0"
  xmlns:mmlFc="http://www.medxml.net/MML/v4/SharedComponent/Facility/1.0"
  xmlns:mmlDp="http://www.medxml.net/MML/v4/SharedComponent/Department/1.0"
  xmlns:mmlAd="http://www.medxml.net/MML/v4/SharedComponent/Address/1.0"
  xmlns:mmlPh="http://www.medxml.net/MML/v4/SharedComponent/Phone/1.0"
  xmlns:mmlPsi="http://www.medxml.net/MML/v4/SharedComponent/PersonalizedInfo/1.0"
  xmlns:mmlCi="http://www.medxml.net/MML/v4/SharedComponent/CreatorInfo/1.0"
  xmlns:mmlPi="http://www.medxml.net/MML/v4/ContentModule/PatientInfo/1.0"
  xmlns:mmlBc="http://www.medxml.net/MML/v4/ContentModule/BaseClinic/1.0"
  xmlns:mmlFcl="http://www.medxml.net/MML/v4/ContentModule/FirstClinic/1.0"
  xmlns:mmlHi="http://www.medxml.net/MML/v4/ContentModule/HealthInsurance/1.1"
  xmlns:mmlLs="http://www.medxml.net/MML/v4/ContentModule/Lifestyle/1.0"
  xmlns:mmlPc="http://www.medxml.net/MML/v4/ContentModule/ProgressCourse/1.0" 
  xmlns:mmlRd="http://www.medxml.net/MML/v4/ContentModule/RegisteredDiagnosis/1.0"
  xmlns:mmlSg="http://www.medxml.net/MML/v4/ContentModule/Surgery/1.0"
  xmlns:mmlLb="http://www.medxml.net/MML/v4/ContentModule/test/1.0"
  xmlns:mmlRp="http://www.medxml.net/MML/v4/ContentModule/report/1.0"
  xmlns:mmlRe="http://www.medxml.net/MML/v4/ContentModule/Referral/1.0"
  xmlns:mmlSc="http://www.medxml.net/MML/v4/SharedComponent/Security/1.0"
  xmlns:mmlPs="http://www.medxml.net/MML/v4/ContentModule/Prescription/1.0"
  xmlns:claim="http://www.medxml.net/claim/claimModule/2.1"
  xmlns:claimA="http://www.medxml.net/claim/claimAmountModule/2.1">
  <MmlHeader>
    <mmlCi:CreatorInfo>
      <mmlPsi:PersonalizedInfo>
        <mmlCm:Id mmlCm:type="facility" mmlCm:tableId="JPN999999900009">89812068</mmlCm:Id>
        <mmlPsi:personName>
          <mmlNm:Name mmlNm:repCode="I" mmlNm:tableId="MML0025">
            <mmlNm:fullname>医師氏名3</mmlNm:fullname>
            <mmlNm:prefix>肩書き</mmlNm:prefix>
            <mmlNm:degree>M.D.</mmlNm:degree>
          </mmlNm:Name>
        </mmlPsi:personName>
        <mmlFc:Facility>
          <mmlFc:name mmlFc:repCode="I" mmlFc:tableId="MML0025">病院1</mmlFc:name>
          <mmlCm:Id mmlCm:type="JMARI" mmlCm:tableId="MML0027">JPN999999900009</mmlCm:Id>
        </mmlFc:Facility>
        <mmlPsi:addresses>
          <mmlAd:Address mmlAd:repCode="I" mmlAd:addressClass="business" mmlAd:tableId="MML0025">
            <mmlAd:full>宮崎郡＊＊＊＊＊＊＊＊＊＊</mmlAd:full>
            <mmlAd:zip>郵便番号</mmlAd:zip>
            <mmlAd:countryCode>JPN</mmlAd:countryCode>
          </mmlAd:Address>
        </mmlPsi:addresses>
        <mmlPsi:phones>
          <mmlPh:Phone mmlPh:telEquipType="PH">
            <mmlPh:area>市外局番</mmlPh:area>
            <mmlPh:city>電話番号A</mmlPh:city>
            <mmlPh:number>電話番号B</mmlPh:number>
            <mmlPh:country>81</mmlPh:country>
          </mmlPh:Phone>
        </mmlPsi:phones>
      </mmlPsi:PersonalizedInfo>
      <mmlCi:creatorLicense mmlCi:tableId="MML0026">doctor</mmlCi:creatorLicense>
    </mmlCi:CreatorInfo>
    <masterId>
      <mmlCm:Id mmlCm:type="facility" mmlCm:tableId="JPN999999900009">0000469905</mmlCm:Id>
    </masterId>
  </MmlHeader>
  <MmlBody>
    <MmlModuleItem>
      <docInfo contentModuleType="progressCourse">
        <mmlSc:securityLevel>
          <mmlSc:accessRight permit="all">
            <mmlSc:facility>
              <mmlSc:facilityName mmlSc:facilityCode="creator">記載者施設</mmlSc:facilityName>
            </mmlSc:facility>
          </mmlSc:accessRight>
          
        </mmlSc:securityLevel>
        <title generationPurpose="record">プログレスノート</title>
        <docId>
          <uid>JPN999999900009AC1F1B696FE337200202081013220003</uid>
          <parentId relation="oldEdition">JPN999999900009AC1F1B696FE337200202081013220002</parentId></docId>
        <confirmDate>2015-05-13T19:32:33</confirmDate>
        <mmlCi:CreatorInfo>
          <mmlPsi:PersonalizedInfo>
            <mmlCm:Id mmlCm:type="facility" mmlCm:tableId="JPN999999900009">41603232</mmlCm:Id>
            <mmlPsi:personName>
              <mmlNm:Name mmlNm:repCode="I" mmlNm:tableId="MML0025">
                <mmlNm:fullname>医師氏名4</mmlNm:fullname>
                <mmlNm:prefix>医師</mmlNm:prefix>
              </mmlNm:Name>
            </mmlPsi:personName>
            <mmlFc:Facility>
              <mmlFc:name mmlFc:repCode="I" mmlFc:tableId="MML0025">病院1</mmlFc:name>
              <mmlCm:Id mmlCm:type="JMARI" mmlCm:tableId="MML0027">JPN999999900009</mmlCm:Id>
            </mmlFc:Facility>
            <mmlDp:Department>
              <mmlDp:name mmlDp:repCode="I" mmlDp:tableId="MML0025">第一内科</mmlDp:name>
              <mmlCm:Id mmlCm:type="facility" mmlCm:tableId="MMC0001">001</mmlCm:Id>
            </mmlDp:Department>
          </mmlPsi:PersonalizedInfo>
          <mmlCi:creatorLicense mmlCi:tableId="MML0026">doctor</mmlCi:creatorLicense>
        </mmlCi:CreatorInfo>
        <extRefs/>
     </docInfo>
      <content>
        <mmlPc:ProgressCourseModule>
          <mmlPc:structuredExpression>
            <mmlPc:problemItem>
              <mmlPc:subjective>
                <mmlPc:freeNotes>
          先月は受診翌日に再発熱。<xhtml:br/>
          病院2でレントゲンを撮り肺炎と診断された。<xhtml:br/>
          同時に貧血ありとされてフェジン注計８回施行予定。<xhtml:br/>
          治癒後の喘息悪化無し。<xhtml:br/>
                </mmlPc:freeNotes>
              </mmlPc:subjective>
              <mmlPc:objective>
                <mmlPc:objectiveNotes>
            検尿　糖(-)蛋白(1)潜血(2)<xhtml:br/>
            心音呼吸音正常（usually piping rales)<xhtml:br/>
            118/86<xhtml:br/>
                </mmlPc:objectiveNotes>
              </mmlPc:objective>
              <mmlPc:assessment>
                <mmlPc:assessmentItem>
              貧血はHb10程度らしい。鉄剤終了後に再検されるだろう。<xhtml:br/>
              全身的には安定。関節症状も無し。<xhtml:br/>
                </mmlPc:assessmentItem>
              </mmlPc:assessment>
              <mmlPc:plan>
                <mmlPc:rxOrder>
                  <mmlPs:PrescriptionModule>
                    <mmlPs:issuedTo>external</mmlPs:issuedTo>
                    <mmlPs:medication>
                      <mmlPs:batchNo>1</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>プレドニゾロン錠 5mg</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222033</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>3</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P14D</mmlPs:duration>
                      <mmlPs:instruction>内服 1回 朝食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>2</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>プレドニゾロン錠 5mg</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222033</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>2</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P15D</mmlPs:duration>
                      <mmlPs:instruction>内服 1回 朝食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>3</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>アルファロールカプセル（１μｇ）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222044</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>1</mmlPs:dose>
                      <mmlPs:doseUnit>C</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服 1回 朝食前</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>4</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>セルベックスカプセル（５０㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222085</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>3</mmlPs:dose>
                      <mmlPs:doseUnit>C</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服3回 各食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>5</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>パナルジン錠（１００㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222085</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>2</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服2回 朝夕食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>5</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>アゼプチン錠（１㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">334422085</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>2</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服2回 朝夕食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>5</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>メプチン錠（５０μｇ）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">6122333344</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>2</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服2回 朝夕食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>5</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>タガメット錠（２００㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222043</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>2</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服2回 朝夕食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>6</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>ビソルボン錠（４㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">61222043</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>2</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服1回 夕食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>7</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>マーロックス懸濁内服用(1.2ｇ/包)</mmlPs:name>
                        <mmlPs:code  mmlPs:system="YJ">124455553</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>3</mmlPs:dose>
                      <mmlPs:doseUnit>包</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P30D</mmlPs:duration>
                      <mmlPs:instruction>内服3回 各食直前</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>8</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>ツムラ葛根湯エキス顆粒〔１〕</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">124455553</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>3</mmlPs:dose>
                      <mmlPs:doseUnit>包</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P7D</mmlPs:duration>
                      <mmlPs:instruction>内服3回 各食直前</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>9</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>レニベース錠（５㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">3345455553</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>1</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P7D</mmlPs:duration>
                      <mmlPs:instruction>内服1回 朝食後</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                    <mmlPs:medication>
                      <mmlPs:batchNo>10</mmlPs:batchNo>
                      <mmlPs:medicine>
                        <mmlPs:name>ハルシオン錠（０．２５㎎）</mmlPs:name>
                        <mmlPs:code mmlPs:system="YJ">33222255553</mmlPs:code>
                      </mmlPs:medicine>
                      <mmlPs:dose>1</mmlPs:dose>
                      <mmlPs:doseUnit>錠</mmlPs:doseUnit>
                      <mmlPs:frequencyPerDay>1</mmlPs:frequencyPerDay>
                      <mmlPs:startDate>2015-05-13</mmlPs:startDate>
                      <mmlPs:duration>P7D</mmlPs:duration>
                      <mmlPs:instruction>内服1回 寝る前</mmlPs:instruction>
                      <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
                    </mmlPs:medication>
                  </mmlPs:PrescriptionModule>
                </mmlPc:rxOrder>
                <mmlPc:planNotes>
                ステロイド減量<xhtml:br/>
                15/10ｍｇに挑戦。<xhtml:br/>
                難病外来指導料(２５０）；服薬および生活指導<xhtml:br/>
                  <xhtml:u>
                    <xhtml:b>再診予約オーダ</xhtml:b>
                  （2015年06月06日）
                  </xhtml:u>
                <xhtml:br/>
                <xhtml:br/>
                <xhtml:font color="#0000ff"><xhtml:b>オーダ内容</xhtml:b></xhtml:font>
                <xhtml:br/>
                <xhtml:font color="#000000">医師氏名4</xhtml:font>
                <xhtml:font color="#000000">
                </xhtml:font>
                <xhtml:font color="#000000">
                </xhtml:font>
                <xhtml:br/>
                <xhtml:font color="#000000">尿検査が終わったら連絡をしてください</xhtml:font>
                <xhtml:font color="#000000">
                </xhtml:font>
                <xhtml:font color="#000000">
                </xhtml:font>
                <xhtml:br/>
                <xhtml:br/>
                </mmlPc:planNotes>
              </mmlPc:plan>
            </mmlPc:problemItem>
          </mmlPc:structuredExpression>
        </mmlPc:ProgressCourseModule>
      </content>
    </MmlModuleItem>
  </MmlBody>
</Mml>