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-JP-Obs-LabResult-eCS-eGFR - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "Example-JP-Obs-LabResult-eCS-eGFR",
  "meta" : {
    "lastUpdated" : "2021-07-09T14:11:13.000+09:00",
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS|1"
    ]
  },
  "language" : "ja",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><p><b>Generated Narrative: Observation </b><a name=\"Example-JP-Obs-LabResult-eCS-eGFR\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-eGFR\"> </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 &quot;Example-JP-Obs-LabResult-eCS-eGFR&quot; Updated&quot;2021-07-09 14:11:13+0900&quot;  (Language&quot;ja&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Observation-LabResult-eCS.html\">eCS/CLINS:JP_Observation_LabResult_eCS(version1)</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>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>: 推算GFR <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (JP_CLINS_ObsLabResult_LocalCode_CS#0000181910 &quot;eGFR&quot;; <a href=\"urn:oid:1.2.392.200119.4.504\">JP Core Observation LabResult Code CodeSystem</a>#8A065000002391901 &quot;eGFR&quot;)</span></p><p><b>subject</b>: <span><code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:１８７:05</span></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>: 75 ml/min/1.73m2</p><p><b>note</b>: Observationリソース（検体検査結果）eGFR\u300075.0 ml/min/1.73m2 \u3000\u3000ローカルコード=0000181910 一般項目JLACコードJLAC10=8A065000002391901 検体：血清</p><p><b>specimen</b>: <span>: 血清</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"
      }
    }
  ],
  "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" : "0000181910",
        "display" : "eGFR"
      },
      {
        "system" : "urn:oid:1.2.392.200119.4.504",
        "code" : "8A065000002391901",
        "display" : "eGFR"
      }
    ],
    "text" : "推算GFR"
  },
  "subject" : {
    "identifier" : {
      "system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
      "value" : "00012345:あいう:１８７:05"
    }
  },
  "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"
    }
  ],
  "valueQuantity" : {
    "value" : 75,
    "unit" : "ml/min/1.73m2"
  },
  "note" : [
    {
      "text" : "Observationリソース（検体検査結果）eGFR\u300075.0 ml/min/1.73m2 \u3000\u3000ローカルコード=0000181910 一般項目JLACコードJLAC10=8A065000002391901 検体：血清"
    }
  ],
  "specimen" : {
    "type" : "Specimen",
    "display" : "血清"
  }
}