診療指示・計画・報告・届けFHIR文書CLINS-PRINS
0.9.0 - draft Japan

診療指示・計画・報告・届けFHIR文書CLINS-PRINS - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Table of Contents

.. 0 Table of Contents
... 1 診療関連情報FHIR文書（情報提供・指示・計画・報告・届け出等）　FHIR実装ガイド CLINS-PRINS
... 2 看護及び栄養管理等に関する情報提供書（様式５０）
... 3 情報提供書（様式５０）を構成する要素表
... 4 訪問看護指示書
... 5 訪問看護計画書
... 6 訪問看護報告書
... 7 Artifacts Summary
.... 7.1 JP_Bundle_ClinsPrins_Common_OneSubject
.... 7.2 JP_Bundle_eForm50
.... 7.3 JP_Bundle_eVisitNursingInstruction
.... 7.4 JP_Bundle_eVisitNursingPlan
.... 7.5 JP_Bundle_eVisitNursingReport
.... 7.6 JP_CarePlan_eCS
.... 7.7 JP_Composition_eVisitNursingInstruction
.... 7.8 JP_Composition_eVisitNursingPlan
.... 7.9 JP_Composition_eVisitNursingReport
.... 7.10 JP_Composition_Form50
.... 7.11 JP_Composition_NciComponent
.... 7.12 JP_Condition_eCS
.... 7.13 JP_Device
.... 7.14 JP_DeviceUseStatement
.... 7.15 JP_DeviceUseStatement_eCS
.... 7.16 JP_Device_eCS
.... 7.17 JP_MedicationRequest_eCS
.... 7.18 JP_NciComposition_Form50_adlDailyLife
.... 7.19 JP_NciComposition_Form50_dailyActivities
.... 7.20 JP_NciComposition_Form50_dailyExcretion
.... 7.21 JP_NciComposition_Form50_dailyFeeding
.... 7.22 JP_NciComposition_Form50_dailySleeping
.... 7.23 JP_NciComposition_Form50_dementiaIndependenceLevel
.... 7.24 JP_NciComposition_Form50_emergentContact
.... 7.25 JP_NciComposition_Form50_explanationByDoctor
.... 7.26 JP_NciComposition_Form50_familyStructure
.... 7.27 JP_NciComposition_Form50_goalOfPtFamily
.... 7.28 JP_NciComposition_Form50_lifestyleActivityLevel
.... 7.29 JP_NciComposition_Form50_medicationWay
.... 7.30 JP_NciComposition_Form50_mentalActivities
.... 7.31 JP_NciComposition_Form50_movingFunction
.... 7.32 JP_NciComposition_Form50_nursingCareGiver
.... 7.33 JP_NciComposition_Form50_otherNursingRemarks
.... 7.34 JP_NciComposition_Form50_personalHygiene
.... 7.35 JP_NciComposition_Form50_pointsOnCaring
.... 7.36 JP_NciComposition_Form50_problemsOnNursing
.... 7.37 JP_NciComposition_Form50_proceduresNeeds
.... 7.38 JP_NciComposition_Form50_selfSafty
.... 7.39 JP_NciComposition_Form50_socialResources_careSupportLevel
.... 7.40 JP_NciComposition_Form50_socialResources_cmhosp
.... 7.41 JP_NciComposition_Form50_socialResources_disability
.... 7.42 JP_NciComp_F50_ActivityFactor
.... 7.43 JP_NciComp_F50_AdaptiveUtensils
.... 7.44 JP_NciComp_F50_AnthropometryNotPossible
.... 7.45 JP_NciComp_F50_AppetiteLoss
.... 7.46 JP_NciComp_F50_AppetiteLossReason
.... 7.47 JP_NciComp_F50_AttendingPhysicianName
.... 7.48 JP_NciComp_F50_AttitudeTowardMeals
.... 7.49 JP_NciComp_F50_BedriddenLevel
.... 7.50 JP_NciComp_F50_BeeBasalEnergyExpenditure
.... 7.51 JP_NciComp_F50_Bmi
.... 7.52 JP_NciComp_F50_BmiNotCalculable
.... 7.53 JP_NciComp_F50_BmiNotCalculablePrimary
.... 7.54 JP_NciComp_F50_BowelSymptomsDescription
.... 7.55 JP_NciComp_F50_BowelSymptomsPresence
.... 7.56 JP_NciComp_F50_CalfCircum
.... 7.57 JP_NciComp_F50_CholesterolIntake
.... 7.58 JP_NciComp_F50_CholesterolPrescribed
.... 7.59 JP_NciComp_F50_ContactInfo
.... 7.60 JP_NciComp_F50_ContactOrganization
.... 7.61 JP_NciComp_F50_ContactPhone
.... 7.62 JP_NciComp_F50_DeclineInFunctionalStatus
.... 7.63 JP_NciComp_F50_DentitionStatus
.... 7.64 JP_NciComp_F50_DiagnosisName
.... 7.65 JP_NciComp_F50_DietitianName
.... 7.66 JP_NciComp_F50_DietType
.... 7.67 JP_NciComp_F50_DrugInducedAppetiteLoss
.... 7.68 JP_NciComp_F50_Dysgeusia
.... 7.69 JP_NciComp_F50_DysgeusiaReason
.... 7.70 JP_NciComp_F50_Dysphagia
.... 7.71 JP_NciComp_F50_DysphagiaAdjustedDiet
.... 7.72 JP_NciComp_F50_DysphagiaAdjustedDietCode
.... 7.73 JP_NciComp_F50_EcwTbwBalance
.... 7.74 JP_NciComp_F50_EdemaPresence
.... 7.75 JP_NciComp_F50_EdemaSite
.... 7.76 JP_NciComp_F50_EnergyIntake
.... 7.77 JP_NciComp_F50_EnergyIntakePerCurrentWeightPerKg
.... 7.78 JP_NciComp_F50_EnergyIntakePerStandardWeightPerKg
.... 7.79 JP_NciComp_F50_EnteralAmountEvening
.... 7.80 JP_NciComp_F50_EnteralAmountMorning
.... 7.81 JP_NciComp_F50_EnteralAmountNoon
.... 7.82 JP_NciComp_F50_EnteralProductAddedWaterEvening
.... 7.83 JP_NciComp_F50_EnteralProductAddedWaterMorning
.... 7.84 JP_NciComp_F50_EnteralProductAddedWaterNoon
.... 7.85 JP_NciComp_F50_EnteralProductAdmistrationRoute
.... 7.86 JP_NciComp_F50_EnteralTypeEvening
.... 7.87 JP_NciComp_F50_EnteralTypeMorning
.... 7.88 JP_NciComp_F50_EnteralTypeNoon
.... 7.89 JP_NciComp_F50_EnteredByName
.... 7.90 JP_NciComp_F50_EntryDate
.... 7.91 JP_NciComp_F50_FamilyStructureAndKeyPerson
.... 7.92 JP_NciComp_F50_Fax
.... 7.93 JP_NciComp_F50_FluidIntake
.... 7.94 JP_NciComp_F50_FoodAllergy
.... 7.95 JP_NciComp_F50_FoodAllergyType
.... 7.96 JP_NciComp_F50_Glim
.... 7.97 JP_NciComp_F50_GlimDetermination
.... 7.98 JP_NciComp_F50_GlimPrimary
.... 7.99 JP_NciComp_F50_GlimSecondary
.... 7.100 JP_NciComp_F50_GlimStatus
.... 7.101 JP_NciComp_F50_GripStrength
.... 7.102 JP_NciComp_F50_Height
.... 7.103 JP_NciComp_F50_HeightMeasuredDate
.... 7.104 JP_NciComp_F50_HomeHelperUse
.... 7.105 JP_NciComp_F50_HopeCustomerFamily
.... 7.106 JP_NciComp_F50_IndependenceLevel
.... 7.107 JP_NciComp_F50_IndwellingCatheter
.... 7.108 JP_NciComp_F50_InfusionRateEvening
.... 7.109 JP_NciComp_F50_InfusionRateMorning
.... 7.110 JP_NciComp_F50_InfusionRateNoon
.... 7.111 JP_NciComp_F50_InptNutriCareAndEducationDetails
.... 7.112 JP_NciComp_F50_IntakeCarbEnergyRatio
.... 7.113 JP_NciComp_F50_IntakeFatEnergyRatio
.... 7.114 JP_NciComp_F50_IntakeProportionMain
.... 7.115 JP_NciComp_F50_IntakeProportionOverall
.... 7.116 JP_NciComp_F50_IntakeProportionSide
.... 7.117 JP_NciComp_F50_IntakeProportionStaple
.... 7.118 JP_NciComp_F50_IntakeProtEnergyRatio
.... 7.119 JP_NciComp_F50_IronIntake
.... 7.120 JP_NciComp_F50_IronPrescribed
.... 7.121 JP_NciComp_F50_LabCRP
.... 7.122 JP_NciComp_F50_LabHemoglobin
.... 7.123 JP_NciComp_F50_LabTSF
.... 7.124 JP_NciComp_F50_latestSerumAlbumin
.... 7.125 JP_NciComp_F50_LongTermCareLevel
.... 7.126 JP_NciComp_F50_MalNutriRisk
.... 7.127 JP_NciComp_F50_MasticationDisOrd
.... 7.128 JP_NciComp_F50_MealCautions
.... 7.129 JP_NciComp_F50_MealCautionsPresence
.... 7.130 JP_NciComp_F50_MealDeliveryServiceUse
.... 7.131 JP_NciComp_F50_MealFrequency
.... 7.132 JP_NciComp_F50_MealIntakeStatus
.... 7.133 JP_NciComp_F50_MealPreparationStatus
.... 7.134 JP_NciComp_F50_MealSatisfaction
.... 7.135 JP_NciComp_F50_MealTimeSlot
.... 7.136 JP_NciComp_F50_MeasuredDate
.... 7.137 JP_NciComp_F50_Medications
.... 7.138 JP_NciComp_F50_MonitoringPlan
.... 7.139 JP_NciComp_F50_NonProtRespiratoryQuotient
.... 7.140 JP_NciComp_F50_NotMeasured
.... 7.141 JP_NciComp_F50_Nutri
.... 7.142 JP_NciComp_F50_NutriAssess
.... 7.143 JP_NciComp_F50_NutriAssessDate
.... 7.144 JP_NciComp_F50_NutriCareAndEducationCourse
.... 7.145 JP_NciComp_F50_NutriCarePlanDocument
.... 7.146 JP_NciComp_F50_NutriCautionsAndIssues
.... 7.147 JP_NciComp_F50_NutriDiagnosis
.... 7.148 JP_NciComp_F50_NutriDxCode
.... 7.149 JP_NciComp_F50_NutriDxEtiology
.... 7.150 JP_NciComp_F50_NutriDxSignsAndSymptoms
.... 7.151 JP_NciComp_F50_NutriEducationPlan
.... 7.152 JP_NciComp_F50_NutriKg
.... 7.153 JP_NciComp_F50_NutriKgPrimary
.... 7.154 JP_NciComp_F50_NutriKgSecondary
.... 7.155 JP_NciComp_F50_Nutrimanagement
.... 7.156 JP_NciComp_F50_NutrimanagementPrimary
.... 7.157 JP_NciComp_F50_NutriManagementRemarks
.... 7.158 JP_NciComp_F50_NutriOtherAssessArmMuscleArea
.... 7.159 JP_NciComp_F50_NutriOtherAssessArmMuscleCircum
.... 7.160 JP_NciComp_F50_NutriOtherAssessBodyFatPercent
.... 7.161 JP_NciComp_F50_NutriOtherAssessFatFreeMassIndex
.... 7.162 JP_NciComp_F50_NutriOtherAssessLeanBodyMass
.... 7.163 JP_NciComp_F50_NutriOtherAssessMidUpperArmCircum
.... 7.164 JP_NciComp_F50_NutriOtherAssessSkeletalMuscleIndex
.... 7.165 JP_NciComp_F50_NutriOtherAssessWaistCircum
.... 7.166 JP_NciComp_F50_NutriPrimary
.... 7.167 JP_NciComp_F50_NutriRiskAtAdmission
.... 7.168 JP_NciComp_F50_NutriSecondary
.... 7.169 JP_NciComp_F50_NutriStatusAssess
.... 7.170 JP_NciComp_F50_NutriStatusAssessAndIssues
.... 7.171 JP_NciComp_F50_NutriSupportMethod
.... 7.172 JP_NciComp_F50_NutriSupportNotes
.... 7.173 JP_NciComp_F50_NutriSupportRoute
.... 7.174 JP_NciComp_F50_NutriTertiary
.... 7.175 JP_NciComp_F50_NutriTherapeuticPlan
.... 7.176 JP_NciComp_F50_OnsUsageDetails
.... 7.177 JP_NciComp_F50_OnsUsePresence
.... 7.178 JP_NciComp_F50_OtherCommunityServiceUse
.... 7.179 JP_NciComp_F50_OtherDevices
.... 7.180 JP_NciComp_F50_OtherImpactingIssues
.... 7.181 JP_NciComp_F50_OtherImpactingIssuesPresence
.... 7.182 JP_NciComp_F50_OtherLabValues
.... 7.183 JP_NciComp_F50_OtherNutrientIntakes
.... 7.184 JP_NciComp_F50_OtherPhysicalFindings
.... 7.185 JP_NciComp_F50_OtherReqNutrients
.... 7.186 JP_NciComp_F50_OxygenTherapy
.... 7.187 JP_NciComp_F50_ParenteralNutriType
.... 7.188 JP_NciComp_F50_ParenteralNutriVolume
.... 7.189 JP_NciComp_F50_PastWeightChangeAmount
.... 7.190 JP_NciComp_F50_PastWeightChangeAssess
.... 7.191 JP_NciComp_F50_PastWeightChangePercent
.... 7.192 JP_NciComp_F50_PastWeightChangePeriod
.... 7.193 JP_NciComp_F50_PatientMotivation
.... 7.194 JP_NciComp_F50_PhosphorusIntake
.... 7.195 JP_NciComp_F50_PhosphorusPrescribed
.... 7.196 JP_NciComp_F50_PhysicalFindingsRemarks
.... 7.197 JP_NciComp_F50_PotassiumIntake
.... 7.198 JP_NciComp_F50_PotassiumPrescribed
.... 7.199 JP_NciComp_F50_PrescribedCarbEnergyRatio
.... 7.200 JP_NciComp_F50_PrescribedFatEnergyRatio
.... 7.201 JP_NciComp_F50_PrescribedProtEnergyRatio
.... 7.202 JP_NciComp_F50_PressureInjury
.... 7.203 JP_NciComp_F50_PressureInjurySite
.... 7.204 JP_NciComp_F50_ProhibitedFoods
.... 7.205 JP_NciComp_F50_ProtIntake
.... 7.206 JP_NciComp_F50_ProtIntakePerCurrentWeightPerKg
.... 7.207 JP_NciComp_F50_ProtIntakePerStandardWeightPerKg
.... 7.208 JP_NciComp_F50_ProvidedEnergyPerCurrentWeightPerKg
.... 7.209 JP_NciComp_F50_ProvidedProtPerCurrentWeightPerKg
.... 7.210 JP_NciComp_F50_QtyAdmDisIntesCH
.... 7.211 JP_NciComp_F50_QtyAdmDisIntesEnergy
.... 7.212 JP_NciComp_F50_QtyAdmDisIntesLipid
.... 7.213 JP_NciComp_F50_QtyAdmDisIntesOthers
.... 7.214 JP_NciComp_F50_QtyAdmDisIntesProt
.... 7.215 JP_NciComp_F50_QtyAdmDisIntesSodium
.... 7.216 JP_NciComp_F50_QtyAdmDisIntesWater
.... 7.217 JP_NciComp_F50_QtyAdmDisTotalCH
.... 7.218 JP_NciComp_F50_QtyAdmDisTotalEnergy
.... 7.219 JP_NciComp_F50_QtyAdmDisTotalEnergyPerKg
.... 7.220 JP_NciComp_F50_QtyAdmDisTotalLipid
.... 7.221 JP_NciComp_F50_QtyAdmDisTotalOthers
.... 7.222 JP_NciComp_F50_QtyAdmDisTotalProt
.... 7.223 JP_NciComp_F50_QtyAdmDisTotalProtPerKg
.... 7.224 JP_NciComp_F50_QtyAdmDisTotalSodium
.... 7.225 JP_NciComp_F50_QtyAdmDisTotalWater
.... 7.226 JP_NciComp_F50_QtyAdmDisVenusAminoacids
.... 7.227 JP_NciComp_F50_QtyAdmDisVenusEnergy
.... 7.228 JP_NciComp_F50_QtyAdmDisVenusLipid
.... 7.229 JP_NciComp_F50_QtyAdmDisVenusOthers
.... 7.230 JP_NciComp_F50_QtyAdmDisVenusSodium
.... 7.231 JP_NciComp_F50_QtyAdmDisVenusSugar
.... 7.232 JP_NciComp_F50_QtyAdmDisVenusWater
.... 7.233 JP_NciComp_F50_QtyOrdDisDietWater
.... 7.234 JP_NciComp_F50_QtyOrdDisOralCH
.... 7.235 JP_NciComp_F50_QtyOrdDisOralEnergy
.... 7.236 JP_NciComp_F50_QtyOrdDisOralLipid
.... 7.237 JP_NciComp_F50_QtyOrdDisOralOthers
.... 7.238 JP_NciComp_F50_QtyOrdDisOralProt
.... 7.239 JP_NciComp_F50_QtyOrdDisOralWater
.... 7.240 JP_NciComp_F50_QtyOrdDisSodium
.... 7.241 JP_NciComp_F50_ReceivingFacilityName
.... 7.242 JP_NciComp_F50_ReeRestingEnergyExpenditure
.... 7.243 JP_NciComp_F50_RehabilitationProvided
.... 7.244 JP_NciComp_F50_ReqEnergy
.... 7.245 JP_NciComp_F50_ReqEnergyPerCurrentWeightPerKg
.... 7.246 JP_NciComp_F50_ReqEnergyPerStandardWeightPerKg
.... 7.247 JP_NciComp_F50_ReqFluid
.... 7.248 JP_NciComp_F50_ReqProt
.... 7.249 JP_NciComp_F50_ReqProtPerCurrentWeightPerKg
.... 7.250 JP_NciComp_F50_ReqProtPerStandardWeightPerKg
.... 7.251 JP_NciComp_F50_RqOxidationRateCarbohydratePercent
.... 7.252 JP_NciComp_F50_RqOxidationRateFatPercent
.... 7.253 JP_NciComp_F50_RqOxidationRateProtPercent
.... 7.254 JP_NciComp_F50_SaltIntake
.... 7.255 JP_NciComp_F50_SaltPrescribed
.... 7.256 JP_NciComp_F50_SerumAlbumin
.... 7.257 JP_NciComp_F50_SideDishForm
.... 7.258 JP_NciComp_F50_SideDishFormOther
.... 7.259 JP_NciComp_F50_StapleAmountEvening
.... 7.260 JP_NciComp_F50_StapleAmountMorning
.... 7.261 JP_NciComp_F50_StapleAmountNoon
.... 7.262 JP_NciComp_F50_StapleTypeEvening
.... 7.263 JP_NciComp_F50_StapleTypeEveningOther
.... 7.264 JP_NciComp_F50_StapleTypeMorning
.... 7.265 JP_NciComp_F50_StapleTypeMorningOther
.... 7.266 JP_NciComp_F50_StapleTypeNoon
.... 7.267 JP_NciComp_F50_StapleTypeNoonOther
.... 7.268 JP_NciComp_F50_Stoma
.... 7.269 JP_NciComp_F50_StressFactor
.... 7.270 JP_NciComp_F50_StrongFoodPreferences
.... 7.271 JP_NciComp_F50_TeeTotalEnergyExpenditure
.... 7.272 JP_NciComp_F50_ThickenedDietBland
.... 7.273 JP_NciComp_F50_ThickenedDietTF
.... 7.274 JP_NciComp_F50_ThickenedDietVolume
.... 7.275 JP_NciComp_F50_ThickenerLevel
.... 7.276 JP_NciComp_F50_UrinaryDiversion
.... 7.277 JP_NciComp_F50_Ward
.... 7.278 JP_NciComp_F50_Weight
.... 7.279 JP_NciComp_F50_WeightMeasuredDate
.... 7.280 JP_Observation_Common_eCS
.... 7.281 JP_Organization_eCS
.... 7.282 JP_Patient_eCS
.... 7.283 JP_Practitioner_eCS
.... 7.284 JP_VisitEncounter-eCS
.... 7.285 JP_MedicationRequest_eCS Dosageデータタイプ
.... 7.286 JP Core Disease Postfix Modifier Extension
.... 7.287 JP Core Disease Prefix Modifier Extension
.... 7.288 PRINSセクション区分コード　ValueSet
.... 7.289 指示書セクション区分コード　ValueSet
.... 7.290 様式５０Composition　Componentカテゴリーコード　ValueSet
.... 7.291 様式５０Compositionタイプコード　ValueSet
.... 7.292 様式５０セクション区分コード　ValueSet
.... 7.293 訪問看護の訪問タイプ（訪問看護報告書用）　ValueSet
.... 7.294 PRINSセクション区分コード
.... 7.295 指示書セクション区分コード
.... 7.296 様式５０Composition　Componentカテゴリーコード
.... 7.297 様式５０Compositionタイプコード
.... 7.298 様式５０セクション区分コード
.... 7.299 訪問看護の訪問タイプ（訪問看護報告書用）コード
.... 7.300 Example-JP-Patient-eCS-01-Contained
.... 7.301 Example-JP-Patient-eCS-02-Contained
.... 7.302 Example-JP-Patient-minimun