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

Example Bundle: Bundle-CLINS-PCS-Example-01

Anonymous Patient Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11318814790#000999739)

Generated Narrative: Composition

ResourceComposition "compositionPCSExample01Inline" Updated"2024-07-07 10:00:00+0900" (Language"ja")

Profile: JP_Composition_ePCS(version1)

Composition Version Number: 1.0

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/1311234567-2021-12345678

status: FINAL

type: 計画書 (FHIR文書の文書区分(医療文書全般)#56447-6)

category: 外来文書 (FHIR文書の文書サブ区分(医療文書全般)#OUTPATIENT)

encounter: See on this page: urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e: 受診 Encounterリソース

date: 2024-07-07 12:12:20+0900

author:

title: 患者サマリー(療養計画書)


計画サマリー


Additional Document Content


2. urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd (Patient/Example-JP-Patient-eCS-MAKINOInline)

Anonymous Patient Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11318814790#000999739)


3. urn:uuid:22212c2d-4837-fd90-c6c5-6ee2a4b7eed2 (Practitioner/Example-JP-Practitioner-eCS-PCS-Author-Inline)

Generated Narrative: Practitioner

ResourcePractitioner "Example-JP-Practitioner-eCS-PCS-Author-Inline" Updated"2024-07-07 10:00:00+0900"

Profile: eCS/CLINS:JP_Practitioner_eCS

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/U4403020

name: 石川 さおり(Official), イシカワ サオリ(Official)


4. urn:uuid:ee271941-92f0-07cf-7b6e-db8ce65c9543 (Organization/Example-JP-Org-eCS-InstWithDepartment-Inline)

Generated Narrative: Organization

ResourceOrganization "Example-JP-Org-eCS-InstWithDepartment-Inline" Updated"2024-07-07 10:00:00+0900"

Profile: JP_Organization_eCS

JP eCS Department Extension: 循環器科 (JP Core Department SS-MIX CodeSystem#08)

identifier: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1311234567

type: Healthcare Provider (Organization type#prov)

name: みなと診療所


5. urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e (Encounter/Example-JP-Encounter-eCS-AMB-01Inline)

Not done yet


6. urn:uuid:6399da0f-77c7-4eb9-fd93-4559d39f1beb (CarePlan/Example-JP-CarePlan-eCS-HT)

Generated Narrative: CarePlan

ResourceCarePlan "Example-JP-CarePlan-eCS-HT" Updated"2024-07-07 10:00:00+0900" (Language"ja")

Profiles: JP_CarePlan_ePCS, JP_CarePlan_eCS

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192838

status: ACTIVE

intent: PLAN

category: 外来診療経過中プラン (ケアプランのタイプコード#followup-plan)

title: 療養計画

description: 高血圧について内服を継続してください。 1日30分でも軽い運動を継続しましょう。

subject: See on this page: urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd

period: 2024-07-07 --> (ongoing)

created: 2024-07-07


7. urn:uuid:4c604fad-f24c-da56-d777-8f233bc9f835 (Condition/Example-JP-Condition-eCS-ANGINA-NoPrincipal-Active-Inline)

Generated Narrative: Condition

ResourceCondition "Example-JP-Condition-eCS-ANGINA-NoPrincipal-Active-Inline" Updated"2021-11-26 10:00:00+0900"

Profile: eCS/CLINS:JP_Condition_eCS

JP eCS InstitutionNumber Extension: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1318814790

JP eCS Department Extension: 循環器診療科 (JP Core Department SS-MIX CodeSystem#08 "循環器科")

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192839-01

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)

code: 狭心症 (MEDIS病名管理番号 propertyなし#20058911)

subject: See on this page: urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd

encounter:

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: COMPLETED

class: 外来 (ActCode#AMB)

onset: 2018-08-21


Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: COMPLETED

class: 外来 (ActCode#AMB)


8. urn:uuid:54b73122-69e7-6864-d6b2-eb8dbf372e65 (Condition/Example-JP-Condition-eCS-HT-Principal-Active-Inline)

Generated Narrative: Condition

ResourceCondition "Example-JP-Condition-eCS-HT-Principal-Active-Inline" Updated"2021-11-26 10:00:00+0900"

Profile: eCS/CLINS:JP_Condition_eCS

JP eCS InstitutionNumber Extension: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1318814790

JP eCS Department Extension: 循環器診療科 (JP Core Department SS-MIX CodeSystem#08 "循環器科")

JP eCS Disgnostic Type Extension: 主病名 (Example Diagnosis Type Codes#principal)

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192839-01

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)

code: 高血圧 (MEDIS病名管理番号 propertyなし#20061593 "高血圧症")

subject: See on this page: urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd

encounter:

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: COMPLETED

class: 外来 (ActCode#AMB)

onset: 2018-08-21


Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: COMPLETED

class: 外来 (ActCode#AMB)