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) v1.5.0
1.5.0 - 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) v1.5.0 - Local Development build (v1.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Condition",
"id" : "Example-JP-Condition-eCS-03",
"meta" : {
"lastUpdated" : "2023-04-01T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition Example-JP-Condition-eCS-03</b></p><a name=\"Example-JP-Condition-eCS-03\"> </a><a name=\"hcExample-JP-Condition-eCS-03\"> </a><a name=\"Example-JP-Condition-eCS-03-ja-JP\"> </a><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\">Last updated: 2023-04-01 10:00:00+0900</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Condition-eCS.html\">eCS/CLINS:JP_Condition_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>: <span title=\"Codes:{http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment 08}\">循環器診療科</span></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/202934703</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}\">Inactive</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status unconfirmed}\">Unconfirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://medis.or.jp/CodeSystem/master-disease-exCode L3RF}, {http://medis.or.jp/CodeSystem/master-disease-keyNumber 20075639}\">噴門癌早期</span></p><p><b>subject</b>: Identifier: <code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:187:05</p><p><b>encounter</b>: <a href=\"#hcExample-JP-Condition-eCS-03/Example-Contained-JP-Encounter-AMB\">Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = finished; class = 外来 (ActCode#AMB)</a></p><p><b>onset</b>: 2020-04-10</p><p><b>abatement</b>: 2020-05-01</p><p><b>recordedDate</b>: 2020-04-18</p><p><b>recorder</b>: 消化器内科\u3000田中太郎</p><p><b>note</b>: Conditionリソース 必須要素と推奨要素を記述した データ作成例、病名交換コードでコーディング、疑い病名で終了\u3000患者参照を被保険者番号のしている例</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB</b></p><a name=\"Example-JP-Condition-eCS-03/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcExample-JP-Condition-eCS-03/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"Example-JP-Condition-eCS-03/Example-Contained-JP-Encounter-AMB-ja-JP\"> </a><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\">Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter\">JP Core Encounter Profile</a></p></div>Not done yet</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"
}
}
],
"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" : "http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment",
"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" : "202934703"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "inactive",
"display" : "Inactive"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "unconfirmed",
"display" : "Unconfirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://medis.or.jp/CodeSystem/master-disease-exCode",
"code" : "L3RF",
"display" : "噴門癌"
},
{
"system" : "http://medis.or.jp/CodeSystem/master-disease-keyNumber",
"code" : "20075639",
"display" : "噴門癌"
}
],
"text" : "噴門癌早期"
},
"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"
},
"onsetDateTime" : "2020-04-10",
"abatementDateTime" : "2020-05-01",
"recordedDate" : "2020-04-18",
"recorder" : {
"display" : "消化器内科\u3000田中太郎"
},
"note" : [
{
"text" : "Conditionリソース 必須要素と推奨要素を記述した データ作成例、病名交換コードでコーディング、疑い病名で終了\u3000患者参照を被保険者番号のしている例"
}
]
}