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

<mmlPc:ProgressCourseModule
  xmlns:mmlPc="http://www.medxml.net/MML/v4/ContentModule/ProgressCourse/1.0"
  xmlns:mmlCm="http://www.medxml.net/MML/v4/SharedComponent/Common/1.0"
  xmlns:mmlPs="http://www.medxml.net/MML/v4/ContentModule/Prescription/1.0"
  xmlns:xhtml="http://www.w3.org/1999/xhtml"
  xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <mmlPc:structuredExpression>
    <mmlPc:problemItem>
      <mmlPc:subjective>
        <mmlPc:subjectiveItem>
          <mmlPc:timeExpression>
            25-Aug-1999. AM.
          </mmlPc:timeExpression>
          <mmlPc:eventExpression>
            Palpitation was felt early in the morning.
          </mmlPc:eventExpression>
        </mmlPc:subjectiveItem>
        <mmlPc:subjectiveItem>
          <mmlPc:timeExpression>
            25-Aug-1999. PM.
          </mmlPc:timeExpression>
          <mmlPc:eventExpression>
            No palpitations.
          </mmlPc:eventExpression>
        </mmlPc:subjectiveItem>
      </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: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>4</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 朝食前</mmlPs:instruction>
              <mmlPs:batchNo>1</mmlPs:batchNo>
              <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
            </mmlPs:medication>
            <mmlPs:medication>
              <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>P14D</mmlPs:duration>
              <mmlPs:instruction>内服 1回 昼食後</mmlPs:instruction>
              <mmlPs:batchNo>1</mmlPs:batchNo>
              <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
            </mmlPs:medication>
            <mmlPs:medication>
              <mmlPs:medicine>
                <mmlPs:name>メトリジン錠２ｍｇ</mmlPs:name>
                <mmlPs:code mmlPs:system="YJ">612160027</mmlPs:code>
              </mmlPs:medicine>
              <mmlPs:dose>1</mmlPs:dose>
              <mmlPs:doseUnit>錠</mmlPs:doseUnit>
              <mmlPs:frequencyPerDay>2</mmlPs:frequencyPerDay>
              <mmlPs:startDate>2015-05-13</mmlPs:startDate>
              <mmlPs:duration>P14D</mmlPs:duration>
              <mmlPs:instruction>内服 2回 朝夕食後</mmlPs:instruction>
              <mmlPs:batchNo>2</mmlPs:batchNo>
              <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
            </mmlPs:medication>
            <mmlPs:medication>
              <mmlPs:medicine>
                <mmlPs:name>マーズレンＳ顆粒</mmlPs:name>
                <mmlPs:code mmlPs:system="YJ">612160027</mmlPs:code>
              </mmlPs:medicine>
              <mmlPs:dose>0.5</mmlPs:dose>
              <mmlPs:doseUnit>g</mmlPs:doseUnit>
              <mmlPs:frequencyPerDay>2</mmlPs:frequencyPerDay>
              <mmlPs:startDate>2015-05-13</mmlPs:startDate>
              <mmlPs:duration>P14D</mmlPs:duration>
              <mmlPs:instruction>内服 2回 朝夕食後</mmlPs:instruction>
              <mmlPs:batchNo>2</mmlPs:batchNo>
              <mmlPs:brandSubstitutionPermitted>true</mmlPs:brandSubstitutionPermitted>
            </mmlPs:medication>
            <mmlPs:medication>
              <mmlPs:medicine>
                <mmlPs:name>ジクロフェナクnaゲル</mmlPs:name>
                <mmlPs:code mmlPs:system="YJ">612320261"</mmlPs:code>
              </mmlPs:medicine>
              <mmlPs:dose>50</mmlPs:dose>
              <mmlPs:doseUnit>g</mmlPs:doseUnit>
              <mmlPs:startDate>2015-05-13</mmlPs:startDate>
              <mmlPs:instruction>一日３回左膝に塗布</mmlPs:instruction>
              <mmlPs:batchNo>3</mmlPs:batchNo>
              <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>
            （2002年03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>