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） v1.5.3
1.5.3 - 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） v1.5.3 - Local Development build (v1.5.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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

Document Details

Generated Narrative: Bundle 患者サマリー（療養計画書）

Document Subject

Generated Narrative: Patient Example-JP-Patient-eCS-MAKINOInline

Last updated: 2021-11-26 10:00:00+0900; Language: ja

Profile: eCS/CLINS:JP_Patient_eCSversion: null1.5.3)

牧野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11318814790#000999739)

Active:true
Other Ids:http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID/00012345:あいう:１８７:05
Alt. Name:マキノ ランマン
Contact Detail
  • ph: 03-123-1234(Home)
  • 高知県高知市五台山4200-6
Contact:
  • ph: 03-0123-4545 99991(Work)

Document Content

計画サマリー

Additional Resources Included in Document

エントリ 1 - fullUrl = urn:uuid:830ec2d1-67a7-427e-b6fe-ad0eb29da7fb

Resource Composition:

Generated Narrative: Composition compositionPCSExample01Inline

Last updated: 2024-07-07 10:00:00+0900; Language: ja

Profile: JP_Composition_ePCSversion: null1.5.3)

Composition Version Number: 1.0

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

status: Final

type: 計画書

category: 外来文書

encounter: 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）

エントリ 2 - fullUrl = urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd

Resource Patient:

Generated Narrative: Patient Example-JP-Patient-eCS-MAKINOInline

Last updated: 2021-11-26 10:00:00+0900; Language: ja

Profile: eCS/CLINS:JP_Patient_eCSversion: null1.5.3)

牧野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11318814790#000999739)

Active:true
Other Ids:http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID/00012345:あいう:１８７:05
Alt. Name:マキノ ランマン
Contact Detail
  • ph: 03-123-1234(Home)
  • 高知県高知市五台山4200-6
Contact:
  • ph: 03-0123-4545 99991(Work)

エントリ 3 - fullUrl = urn:uuid:22212c2d-4837-fd90-c6c5-6ee2a4b7eed2

Resource Practitioner:

Generated Narrative: Practitioner Example-JP-Practitioner-eCS-PCS-Author-Inline

Last 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)

エントリ 4 - fullUrl = urn:uuid:ee271941-92f0-07cf-7b6e-db8ce65c9543

Resource Organization:

Generated Narrative: Organization Example-JP-Org-eCS-InstWithDepartment-Inline

Last updated: 2024-07-07 10:00:00+0900

Profile: JP_Organization_eCS

JP eCS Department Extension: 循環器科

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

type: Healthcare Provider

name: みなと診療所

エントリ 5 - fullUrl = urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e

Resource Encounter:

Generated Narrative: Encounter Example-JP-Encounter-eCS-AMB-01Inline

Last updated: 2021-11-26 10:00:00+0900; Language: ja

Profile: eCS/CLINS:JP_Encounter-eCSversion: null1.5.3)

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

status: completed

class: 外来

エントリ 6 - fullUrl = urn:uuid:6399da0f-77c7-4eb9-fd93-4559d39f1beb

Resource CarePlan:

Generated Narrative: CarePlan Example-JP-CarePlan-eCS-HT

Last 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

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: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-PCS-203949583949; type = document; timestamp = 2024-07-07 10:00:00+0900

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

created: 2024-07-07

エントリ 7 - fullUrl = urn:uuid:4c604fad-f24c-da56-d777-8f233bc9f835

Resource Condition:

Generated Narrative: Condition Example-JP-Condition-eCS-ANGINA-NoPrincipal-Active-Inline

Last updated: 2021-11-26 10:00:00+0900

Profile: eCS/CLINS:JP_Condition_eCSversion: null1.5.3)

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

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

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: 狭心症

subject: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-PCS-203949583949; type = document; timestamp = 2024-07-07 10:00:00+0900

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = completed; class = 外来

onset: 2018-08-21

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

Language: ja

Profile: JP Core Encounter Profile

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

status: completed

class: 外来

エントリ 8 - fullUrl = urn:uuid:54b73122-69e7-6864-d6b2-eb8dbf372e65

Resource Condition:

Generated Narrative: Condition Example-JP-Condition-eCS-HT-Principal-Active-Inline

Last updated: 2021-11-26 10:00:00+0900

Profile: eCS/CLINS:JP_Condition_eCSversion: null1.5.3)

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 eCS Disgnostic Type Extension: 主病名

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

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: 高血圧

subject: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-PCS-203949583949; type = document; timestamp = 2024-07-07 10:00:00+0900

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = completed; class = 外来

onset: 2018-08-21

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

Language: ja

Profile: JP Core Encounter Profile

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

status: completed

class: 外来