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） v1.6.0
1.6.0 - 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） v1.6.0 - Local Development build (v1.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "Bundle-CLINS-Referral-NoEntry-Example-01-RefText",
"meta" : {
"lastUpdated" : "2024-12-03T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/clins/StructureDefinition/JP_Bundle_eReferral|1.6.0"
]
},
"language" : "ja",
"identifier" : {
"system" : "http://jpfhir.jp/fhir/clins/bundle-identifier",
"value" : "1318814790^2024^0123-Referral-203949583949"
},
"type" : "document",
"timestamp" : "2021-11-26T10:00:00+09:00",
"entry" : [
{
"fullUrl" : "urn:uuid:0ff7bf42-0413-bbef-7def-90c5efa47757",
"resource" : {
"resourceType" : "Composition",
"id" : "compositionReferralExample01InlineNoEntryExceptClinicalCourse",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eReferral/StructureDefinition/JP_Composition_eReferral|1.6.0"
]
},
"language" : "ja",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Composition_compositionReferralExample01InlineNoEntryExceptClinicalCourse\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition compositionReferralExample01InlineNoEntryExceptClinicalCourse</b></p><a name=\"compositionReferralExample01InlineNoEntryExceptClinicalCourse\"> </a><a name=\"hccompositionReferralExample01InlineNoEntryExceptClinicalCourse\"> </a><a name=\"compositionReferralExample01InlineNoEntryExceptClinicalCourse-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Composition-eReferral.html\">JP_Composition_eReferralversion: null1.6.0)</a></p></div><p><b>Composition Version Number</b>: 1.0</p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1311234567-2021-12345678</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/Common/CodeSystem/doc-typecodes 57133-1}\">診療情報提供書</span></p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/Common/CodeSystem/doc-subtypecodes OUTPATIENT}\">外来文書</span></p><p><b>date</b>: 2020-08-21 12:12:20+0900</p><p><b>author</b>: </p><ul><li><a href=\"Bundle-Bundle-CLINS-Referral-Example-01.html#urn-uuid-3e6a0ba2-d781-4fd7-9de6-e077b690daed\">診療情報提供書作成者Practitionerリソース</a></li><li><a href=\"Bundle-Bundle-CLINS-Referral-Example-01.html#urn-uuid-8a888471-9781-4fb7-b5c4-b34afcdea638\">診療情報提供書作成機関Organizationリソース</a></li></ul><p><b>title</b>: 診療情報提供書</p><p><b>custodian</b>: <a href=\"Bundle-Bundle-CLINS-Referral-Example-01.html#urn-uuid-8a888471-9781-4fb7-b5c4-b34afcdea638\">診療情報提供書交付責任機関Organizationリソース</a></p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">診療情報提供書発行</span></td><td>2020-08-21 --> (ongoing)</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
"valueString" : "1.0"
}
],
"identifier" : {
"system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
"value" : "1311234567-2021-12345678"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/Common/CodeSystem/doc-typecodes",
"code" : "57133-1",
"display" : "診療情報提供書"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/Common/CodeSystem/doc-subtypecodes",
"code" : "OUTPATIENT",
"display" : "外来文書"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd",
"type" : "Patient",
"display" : "患者リソースPatient"
},
"date" : "2020-08-21T12:12:20+09:00",
"author" : [
{
"reference" : "urn:uuid:3e6a0ba2-d781-4fd7-9de6-e077b690daed",
"type" : "Practitioner",
"display" : "診療情報提供書作成者Practitionerリソース"
},
{
"reference" : "urn:uuid:8a888471-9781-4fb7-b5c4-b34afcdea638",
"type" : "Organization",
"display" : "診療情報提供書作成機関Organizationリソース"
}
],
"title" : "診療情報提供書",
"custodian" : {
"reference" : "urn:uuid:8a888471-9781-4fb7-b5c4-b34afcdea638",
"type" : "Organization",
"display" : "診療情報提供書交付責任機関Organizationリソース"
},
"event" : [
{
"code" : [
{
"text" : "診療情報提供書発行"
}
],
"period" : {
"start" : "2020-08-21"
}
}
],
"section" : [
{
"title" : "紹介元情報",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "920",
"display" : "紹介元情報セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"ja\" xml:lang=\"ja\">東京都港区新橋１−２−３<br/>電話:03-9876-5432><br/>港診療所<br/>眼科<br/>大河内 勘三郎</div>"
},
"entry" : [
{
"reference" : "urn:uuid:8a888471-9781-4fb7-b5c4-b34afcdea638",
"type" : "Organization",
"display" : "紹介元医療機関"
},
{
"reference" : "urn:uuid:3e6a0ba2-d781-4fd7-9de6-e077b690daed",
"type" : "Practitioner",
"display" : "紹介元医師"
}
]
},
{
"title" : "紹介先情報",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "910",
"display" : "紹介先情報セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"ja\" xml:lang=\"ja\">紹介先医療機関名：東京第一テスト病院<br/>内科<br/>紹介先医師：野口 英世丸先生</div>"
},
"entry" : [
{
"reference" : "urn:uuid:a44951be-cdaa-4c53-9e35-6be013da5441",
"type" : "Organization",
"display" : "紹介先医療機関"
},
{
"reference" : "urn:uuid:f11535c2-043d-43b6-bf99-b8298ea3c946",
"type" : "Practitioner",
"display" : "紹介先医師"
}
]
},
{
"title" : "構造情報",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "300",
"display" : "構造情報セクション"
}
]
},
"section" : [
{
"title" : "紹介目的",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "950",
"display" : "紹介目的セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">腹痛精査お願いします。</div>"
}
},
{
"title" : "傷病名・主訴",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "340",
"display" : "傷病名・主訴セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">2022-06-09 上腹部痛、2022-05 腰痛</div>"
}
},
{
"title" : "現病歴",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "360",
"display" : "現病歴セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">２０２２年６月上旬から夜食後に時々上腹部痛があり、だんだんひどくなっている。他に目立った症状なし。</div>"
}
},
{
"title" : "既往歴",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "370",
"display" : "既往歴セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">2018年\u3000狭心症\u3000２ヶ月治療で軽快。2019年\u3000交通事故で左前腕骨折\u3000３ヶ月ギプス固定。</div>"
}
},
{
"title" : "アレルギー・不耐性反応",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "510",
"display" : "アレルギー・不耐性反応セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">サバ、キーウイ（発症:2020-04-10 情報源：本人\u3000記録：2024-07-10\u3000記録者：看護師A）、ヨード禁（ポビドンヨード含嗽後に嘔吐と全身に発疹）</div>"
}
},
{
"title" : "家族歴",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "550",
"display" : "家族歴セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">母\u3000胃がん</div>"
}
},
{
"title" : "身体所見",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "610",
"display" : "身体所見セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">腹部所見：上腹部圧痛あり、その他特に所見なし。</div>"
}
},
{
"title" : "感染症情報",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "520",
"display" : "感染症情報セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">特になし</div>"
}
},
{
"title" : "臨床経過",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "330",
"display" : "臨床経過セクション"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:6daccba0-543b-bff3-ce81-03c15d531503",
"type" : "DocumentReference",
"display" : "臨床経過"
}
]
},
{
"title" : "投薬指示",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "430",
"display" : "投薬指示セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">タケキャブ錠10mg1錠\u3000１日2回\u3000朝食後、就寝時<br/>レバミピド錠100mg1錠\u3000\u3000１日3回毎食後</div>"
}
}
]
},
{
"title" : "備考・連絡情報",
"code" : {
"coding" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/document-section",
"code" : "220",
"display" : "備考・連絡情報セクション"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">よろしくお願いします。</div>"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd",
"resource" : {
"resourceType" : "Patient",
"id" : "Example-JP-Patient-eCS-MAKINOInline",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS|1.6.0"
]
},
"language" : "ja",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Patient_Example-JP-Patient-eCS-MAKINOInline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Example-JP-Patient-eCS-MAKINOInline</b></p><a name=\"Example-JP-Patient-eCS-MAKINOInline\"> </a><a name=\"hcExample-JP-Patient-eCS-MAKINOInline\"> </a><a name=\"Example-JP-Patient-eCS-MAKINOInline-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Patient-eCS.html\">JP_Patient_eCSversion: null1.6.0)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">牧野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11318814790#000999739)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:１８７:05</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">マキノ ランマン</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 03-123-1234(Home)</li><li>高知県高知市五台山4200-6</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>ph: 03-0123-4545 99991(Work)</li></ul></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.392.100495.20.3.51.11318814790",
"value" : "000999739"
},
{
"system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
"value" : "00012345:あいう:１８７:05"
}
],
"active" : true,
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"text" : "牧野 爛漫",
"family" : "牧野",
"given" : [
"爛漫"
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "SYL"
}
],
"text" : "マキノ ランマン",
"family" : "マキノ",
"given" : [
"ランマン"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "03-123-1234",
"use" : "home",
"rank" : 1
}
],
"gender" : "female",
"birthDate" : "1930-06-28",
"address" : [
{
"text" : "高知県高知市五台山4200-6",
"city" : "高知市",
"state" : "高知県",
"postalCode" : "781-8125"
}
],
"contact" : [
{
"telecom" : [
{
"system" : "phone",
"value" : "03-0123-4545 99991",
"use" : "work",
"rank" : 2
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:3e6a0ba2-d781-4fd7-9de6-e077b690daed",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Example-JP-Practitioner-eCS-ReferralFrom02Inline",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.6.0"
]
},
"language" : "ja",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Practitioner_Example-JP-Practitioner-eCS-ReferralFrom02Inline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Example-JP-Practitioner-eCS-ReferralFrom02Inline</b></p><a name=\"Example-JP-Practitioner-eCS-ReferralFrom02Inline\"> </a><a name=\"hcExample-JP-Practitioner-eCS-ReferralFrom02Inline\"> </a><a name=\"Example-JP-Practitioner-eCS-ReferralFrom02Inline-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Practitioner-eCS.html\">JP_Practitioner_eCSversion: null1.6.0)</a></p></div><p><b>name</b>: 大河内 勘三郎(Official)</p></div>"
},
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"use" : "official",
"text" : "大河内 勘三郎"
}
]
}
},
{
"fullUrl" : "urn:uuid:f11535c2-043d-43b6-bf99-b8298ea3c946",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Example-JP-Practitioner-eCS-ReferralTo02Inline",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Practitioner_eCS|1.6.0"
]
},
"language" : "ja",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Practitioner_Example-JP-Practitioner-eCS-ReferralTo02Inline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Example-JP-Practitioner-eCS-ReferralTo02Inline</b></p><a name=\"Example-JP-Practitioner-eCS-ReferralTo02Inline\"> </a><a name=\"hcExample-JP-Practitioner-eCS-ReferralTo02Inline\"> </a><a name=\"Example-JP-Practitioner-eCS-ReferralTo02Inline-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Practitioner-eCS.html\">JP_Practitioner_eCSversion: null1.6.0)</a></p></div><p><b>name</b>: 野口 英世丸(Official)</p></div>"
},
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
"valueCode" : "IDE"
}
],
"use" : "official",
"text" : "野口 英世丸"
}
]
}
},
{
"fullUrl" : "urn:uuid:8a888471-9781-4fb7-b5c4-b34afcdea638",
"resource" : {
"resourceType" : "Organization",
"id" : "Example-JP-Org-eCS-Inst-Referral01Inline",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS"
]
},
"language" : "ja",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Organization_Example-JP-Org-eCS-Inst-Referral01Inline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization Example-JP-Org-eCS-Inst-Referral01Inline</b></p><a name=\"Example-JP-Org-eCS-Inst-Referral01Inline\"> </a><a name=\"hcExample-JP-Org-eCS-Inst-Referral01Inline\"> </a><a name=\"Example-JP-Org-eCS-Inst-Referral01Inline-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Organization-eCS.html\">JP_Organization_eCS</a></p></div><p><b>JP Core Organization PrefectureNo Extension</b>: <a href=\"http://jpfhir.jp/fhir/core/mhlw/CodeSystem/PrefectureNo-2digits#jp-prefecturenumber-cs-13\">JP Core PrefectureNumber CodeSystem 13</a>: 東京都</p><p><b>JP Core Organization InsuranceOrganizationCategory Extension</b>: <a href=\"http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationFeeScoreType#jp-medicalfeescoretype-cs-1\">JP Core MedicalFeeScoreType CodeSystem 1</a>: 医科</p><p><b>JP Core Organization InsuranceOrganizationNo Extension</b>: <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicalOrganizationID</code>/9876543</p><p><b>JP eCS Department Extension</b>: <span title=\"Codes:{http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment 26}\">眼科</span></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no</code>/1319876543</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 港診療所</p><p><b>telecom</b>: ph: 03-9876-5432</p><p><b>address</b>: 東京都港区新橋１−２−３</p></div>"
},
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_PrefectureNo",
"valueCoding" : {
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/PrefectureNo-2digits",
"code" : "13"
}
},
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationCategory",
"valueCoding" : {
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationFeeScoreType",
"code" : "1"
}
},
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationNo",
"valueIdentifier" : {
"system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicalOrganizationID",
"value" : "9876543"
}
},
{
"url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_Department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment",
"code" : "26",
"display" : "眼科"
}
]
}
}
],
"identifier" : [
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no",
"value" : "1319876543"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "港診療所",
"telecom" : [
{
"system" : "phone",
"value" : "03-9876-5432"
}
],
"address" : [
{
"text" : "東京都港区新橋１−２−３",
"postalCode" : "106-9900",
"country" : "JP"
}
]
}
},
{
"fullUrl" : "urn:uuid:a44951be-cdaa-4c53-9e35-6be013da5441",
"resource" : {
"resourceType" : "Organization",
"id" : "Example-JP-Org-eCS-ReferralTo01Inline",
"meta" : {
"lastUpdated" : "2021-11-26T10:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Organization_eCS"
]
},
"language" : "ja",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Organization_Example-JP-Org-eCS-ReferralTo01Inline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization Example-JP-Org-eCS-ReferralTo01Inline</b></p><a name=\"Example-JP-Org-eCS-ReferralTo01Inline\"> </a><a name=\"hcExample-JP-Org-eCS-ReferralTo01Inline\"> </a><a name=\"Example-JP-Org-eCS-ReferralTo01Inline-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: 2021-11-26 10:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Organization-eCS.html\">JP_Organization_eCS</a></p></div><p><b>JP Core Organization PrefectureNo Extension</b>: <a href=\"http://jpfhir.jp/fhir/core/mhlw/CodeSystem/PrefectureNo-2digits#jp-prefecturenumber-cs-13\">JP Core PrefectureNumber CodeSystem 13</a>: 東京都</p><p><b>JP Core Organization InsuranceOrganizationCategory Extension</b>: <a href=\"http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationFeeScoreType#jp-medicalfeescoretype-cs-1\">JP Core MedicalFeeScoreType CodeSystem 1</a>: 医科</p><p><b>JP Core Organization InsuranceOrganizationNo Extension</b>: <code>http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicalOrganizationID</code>/1234567</p><p><b>JP eCS Department Extension</b>: <span title=\"Codes:{http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment 081}\">循環器内科</span></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no</code>/1311234567</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 東京第一テスト病院</p><p><b>telecom</b>: ph: 03-1234-5678</p><p><b>address</b>: 東京都文京区文京町１−２−３</p></div>"
},
"extension" : [
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_PrefectureNo",
"valueCoding" : {
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/PrefectureNo-2digits",
"code" : "13"
}
},
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationCategory",
"valueCoding" : {
"system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/MedicationFeeScoreType",
"code" : "1"
}
},
{
"url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Organization_InsuranceOrganizationNo",
"valueIdentifier" : {
"system" : "http://jpfhir.jp/fhir/core/mhlw/IdSystem/MedicalOrganizationID",
"value" : "1234567"
}
},
{
"url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_Department",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment",
"code" : "081",
"display" : "循環器内科"
}
]
}
}
],
"identifier" : [
{
"system" : "http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no",
"value" : "1311234567"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "東京第一テスト病院",
"telecom" : [
{
"system" : "phone",
"value" : "03-1234-5678"
}
],
"address" : [
{
"text" : "東京都文京区文京町１−２−３",
"postalCode" : "113-0001",
"country" : "JP"
}
]
}
},
{
"fullUrl" : "urn:uuid:6daccba0-543b-bff3-ce81-03c15d531503",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "Example-JP-DocRef-eCS-cccourseRef01-onlyDescriptionInline",
"meta" : {
"lastUpdated" : "2024-11-06T00:00:00+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_DocumentReference_eCS"
]
},
"language" : "ja",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"DocumentReference_Example-JP-DocRef-eCS-cccourseRef01-onlyDescriptionInline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference Example-JP-DocRef-eCS-cccourseRef01-onlyDescriptionInline</b></p><a name=\"Example-JP-DocRef-eCS-cccourseRef01-onlyDescriptionInline\"> </a><a name=\"hcExample-JP-DocRef-eCS-cccourseRef01-onlyDescriptionInline\"> </a><a name=\"Example-JP-DocRef-eCS-cccourseRef01-onlyDescriptionInline-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: 2024-11-06 00:00:00+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-DocumentReference-eCS.html\">JP_DocumentReference_eCS</a></p></div><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11506-3}\">Progress note</span></p><p><b>description</b>: ⾷欲不振と⼼窩部痛を認めた．悪⼼嘔吐がみられ，吐物に新鮮⾎が混⼊していたため救急外来を受診し，緊急⼊院となった．<br/>⼊院時現症:⾝⻑162.5cm，体重45.2kg，⾎圧80/60mmHg，脈拍80/分，整，体温36.4．眼瞼結膜に貧⾎を認めた．<br/>腹部は平坦，軟で腫瘤や圧痛なし．腸蠕動⾳正常．<br/>⼊院時検査成績(Table1):末梢⾎液検査で，Hb5.0g/dl，Ht15.5%と著明な貧⾎を認めた．<br/>上部消化管内視鏡検査:⼊院翌⽇の検査では，残胃吻合部後壁に約2.5cmの潰瘍形成を認め，潰瘍底に凝⾎塊の付着した露出⾎管と思われる隆起がみられたが，新鮮出⾎はなく，抗潰瘍薬投与による経過観察となった。</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td></tr><tr><td style=\"display: none\">*</td><td/></tr></table></blockquote></div>"
},
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11506-3",
"display" : "Progress note"
}
]
},
"description" : "⾷欲不振と⼼窩部痛を認めた．悪⼼嘔吐がみられ，吐物に新鮮⾎が混⼊していたため救急外来を受診し，緊急⼊院となった．<br/>⼊院時現症:⾝⻑162.5cm，体重45.2kg，⾎圧80/60mmHg，脈拍80/分，整，体温36.4．眼瞼結膜に貧⾎を認めた．<br/>腹部は平坦，軟で腫瘤や圧痛なし．腸蠕動⾳正常．<br/>⼊院時検査成績(Table1):末梢⾎液検査で，Hb5.0g/dl，Ht15.5%と著明な貧⾎を認めた．<br/>上部消化管内視鏡検査:⼊院翌⽇の検査では，残胃吻合部後壁に約2.5cmの潰瘍形成を認め，潰瘍底に凝⾎塊の付着した露出⾎管と思われる隆起がみられたが，新鮮出⾎はなく，抗潰瘍薬投与による経過観察となった。",
"content" : [
{
"attachment" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor",
"valueCode" : "NI"
}
]
}
}
]
}
}
]
}