電子カルテ情報共有サービス2文書５情報+患者サマリー FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.4.1
1.4.1 - release
Japan
電子カルテ情報共有サービス2文書５情報+患者サマリー FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.4.1 - Local Development build (v1.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "Bundle-CLINS-Observations-Example-01",
"meta" : {
"lastUpdated" : "2023-11-12T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/clins/StructureDefinition/JP_Bundle_CLINS|1"
],
"tag" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/BundleResourceType_CS",
"code" : "Observation"
}
]
},
"language" : "ja",
"identifier" : {
"system" : "http://jpfhir.jp/fhir/clins/bundle-identifier",
"value" : "1318814790^2024^0123-IDa-203949583949"
},
"type" : "collection",
"timestamp" : "2023-11-12T10:00:00+09:00",
"entry" : [
{
"fullUrl" : "urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a",
"resource" : {
"resourceType" : "Patient",
"id" : "InlineExample-JP-Patient-standard",
"meta" : {
"lastUpdated" : "2023-11-12T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS"
]
},
"language" : "ja",
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"ja\" xml:lang=\"ja\"><p>患者ID：000999739</p><p>被保険者患者番号：00012345:あいう:１８７:05</p><p>漢字氏名：マキノ ランマン</p><p>カナ氏名：牧野 爛漫</p><p>電話：03-123-1234</p><p>性別：female</p><p>生年月日：1930-06-28</p><p>高知県高知市五台山4200-6</p></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.51.11318814790",
"value" : "000999739"
},
{
"system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
"value" : "00012345:あいう:１８７:05"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "牧野 爛漫",
"family" : "牧野",
"given" : [
"爛漫"
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "SYL"
}
],
"text" : "マキノ ランマン",
"family" : "マキノ",
"given" : [
"ランマン"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "03-123-1234",
"use" : "home",
"rank" : 1
}
],
"gender" : "female",
"birthDate" : "1930-06-28",
"address" : [
{
"text" : "高知県高知市五台山4200-6",
"city" : "高知市",
"state" : "高知県",
"postalCode" : "781-8125"
}
],
"contact" : [
{
"telecom" : [
{
"system" : "phone",
"value" : "03-0123-4545 99991",
"use" : "work",
"rank" : 2
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:e3a7af80-ca1f-5638-dc97-00fa9458fe1c",
"resource" : {
"resourceType" : "Observation",
"id" : "InlineExample-JP-Obs-LabResult-eCS-UTP",
"meta" : {
"lastUpdated" : "2021-07-09T14:11:13.000+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS"
]
},
"language" : "ja",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Observation_InlineExample-JP-Obs-LabResult-eCS-UTP\"> </a><p><b>Generated Narrative: Observation </b><a name=\"InlineExample-JP-Obs-LabResult-eCS-UTP\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-UTP\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "InlineExample-JP-Obs-LabResult-eCS-UTP" Updated"2021-07-09 14:11:13+0900" (Language"ja") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Observation-LabResult-eCS.html\">eCS/CLINS:JP_Observation_LabResult_eCS</a></p></div><p><b>JP eCS InstitutionNumber Extension</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no</code>/1318814790</p><p><b>JP eCS Department Extension</b>: 循環器診療科 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.2\">JP Core Department SS-MIX CodeSystem</a>#08 "循環器科")</span></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-OBSLAB13883807672021070909210705-2</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-jp-simpleobservationcategory-cs.html\">JP Core Simple Observation Category CodeSystem</a>#laboratory)</span></p><p><b>code</b>: 尿蛋⽩(定性) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (JP_CLINS_ObsLabResult_LocalCode_CS#1A990000000190153; <a href=\"CodeSystem-jp-clins-codesystem-corelabo-cs.html\">CLINS 電子カルテ共有サービス用:検体検査項目セット</a>#1A990000000190153 "U-TP-定性半定量")</span></p><p><b>subject</b>: See on this page: urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a</p><p><b>encounter</b>: <a name=\"hcExample-Contained-JP-Encounter-AMB\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Encounter-AMB\"> </a></p><p><a name=\"hcExample-Contained-JP-Encounter-AMB\"> </a></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/192844</p><p><b>status</b>: finished</p><p><b>class</b>: 外来 (Details: ActCode code AMB = ' ambulatory ', stated as ' 外来 ')</p></blockquote><p><b>effective</b>: 2021-07-05 11:19:41+0900</p><p><b>issued</b>: Jul 5, 2021, 6:38:59 AM</p><p><b>performer</b>: <a name=\"hcExample-Contained-JP-Practitioner-minimun-D002\"> </a></p><blockquote><p/><p><a name=\"Example-Contained-JP-Practitioner-minimun-D002\"> </a></p><p><a name=\"hcExample-Contained-JP-Practitioner-minimun-D002\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/D001</p><p><b>name</b>: 田中 宏</p></blockquote><p><b>value</b>: (±) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-jp-SpecialCheckup-LaboResult-2102-CS.html\">特定検診検査結果\u3000健診定性検査結果コード</a>#2 "±")</span></p><p><b>specimen</b>: <span>: 尿</span></p><hr/><blockquote><p><b>Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB</b><a name=\"Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcExample-Contained-JP-Encounter-AMB\"> </a></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/192844</p><p><b>status</b>: finished</p><p><b>class</b>: 外来 (Details: ActCode code AMB = ' ambulatory ', stated as ' 外来 ')</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002</b><a name=\"Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcExample-Contained-JP-Practitioner-minimun-D002\"> </a></p><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/D001</p><p><b>name</b>: 田中 宏</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Encounter",
"id" : "Example-Contained-JP-Encounter-AMB",
"meta" : {
"profile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter"
]
},
"language" : "ja",
"identifier" : [
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "192844"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "外来"
}
},
{
"resourceType" : "Practitioner",
"id" : "Example-Contained-JP-Practitioner-minimun-D002",
"meta" : {
"profile" : [
🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner"
]
},
"language" : "ja",
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.41.11311234567",
"value" : "D001"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "田中 宏"
}
]
}
],
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/clins/Extension/StructureDefinition/JP_eCS_InstitutionNumber",
"valueIdentifier" : {
"system" : "http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no",
"value" : "1318814790"
}
},
{
"url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_Department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200250.2.2.2",
"code" : "08",
"display" : "循環器科"
}
],
"text" : "循環器診療科"
}
}
],
"identifier" : [
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1318814790-9990767-OBSLAB13883807672021070909210705-2"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JP_CLINS_ObsLabResult_LocalCode_CS",
"code" : "1A990000000190153",
"display" : "尿蛋⽩(定性)"
},
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JP_CLINS_ObsLabResult_CoreLabo_CS",
"code" : "1A990000000190153",
"display" : "U-TP-定性半定量"
}
],
"text" : "尿蛋⽩(定性)"
},
"subject" : {
"reference" : "urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a"
},
"encounter" : {
"reference" : "#Example-Contained-JP-Encounter-AMB"
},
"effectiveDateTime" : "2021-07-05T11:19:41+09:00",
"issued" : "2021-07-05T15:38:59.000+09:00",
"performer" : [
{
"reference" : "#Example-Contained-JP-Practitioner-minimun-D002"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.2.392.200119.6.2102",
"code" : "2",
"display" : "±"
}
],
"text" : "(±)"
},
"specimen" : {
"type" : "Specimen",
"display" : "尿"
}
}
}
]
}