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 Observation: Example-JP-Obs-LabResult-eCS-Alb

Generated Narrative: Observation

ResourceObservation "Example-JP-Obs-LabResult-eCS-Alb" Updated"2021-07-09 14:11:13+0900" (Language"ja")

Profile: eCS/CLINS:JP_Observation_LabResult_eCS(version1)

Tag: http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication

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/1318814790-9990767-OBSLAB13883807672021070909210705-2

status: final

category: Laboratory (JP Core Simple Observation Category CodeSystem#laboratory)

code: アルブミン (JP_CLINS_ObsLabResult_LocalCode_CS#0000181800; CLINS 電子カルテ共有サービス用:検体検査項目セット#3A015000001827101 "ALB")

subject: http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID/00012345:あいう:187:05

encounter:

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

status: finished

class: 外来 (Details: ActCode code AMB = ' ambulatory ', stated as ' 外来 ')

effective: 2021-07-05 11:19:41+0900

issued: Jul 5, 2021, 6:38:59 AM

performer:

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/D001

name: 田中 宏

value: 3.9 mg/L

note: Observationリソース(検体検査結果)アルブミン 3.9 mg/L  ローカルコード=0000181800 臨床検査項目基本コードJLAC10=3A015000001827101 検体:血清(埋込みリソース) 診療科:循環器診療科 長期保存フラグ設定

specimen:

type: 血清 (JP Core Observation Sample-Material Code CodeSystem#023; specimenType#SER "Serum")


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

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

status: finished

class: 外来 (Details: ActCode code AMB = ' ambulatory ', stated as ' 外来 ')


Generated Narrative: Specimen #Example-Contained-JP-Specimen-Serum

type: 血清 (JP Core Observation Sample-Material Code CodeSystem#023; specimenType#SER "Serum")


Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/D001

name: 田中 宏