{ "resourceType" : "Bundle", "id" : "Bundle-CLINS-Observations-Example-01-public", "meta" : { "lastUpdated" : "2023-11-12T10:00:00+09:00", "profile" : ["http://jpfhir.jp/fhir/clins/StructureDefinition/JP_Bundle_CLINS|1.13.0-preR1"], "tag" : [{ "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/BundleResourceType_CS", "code" : "Observation" }] }, "language" : "ja", "identifier" : { "system" : "http://jpfhir.jp/fhir/clins/bundle-identifier", "value" : "1311234567^2024^0123-IDa-203949583950" }, "type" : "collection", "timestamp" : "2023-11-12T10:00:00+09:00", "entry" : [{ "fullUrl" : "urn:uuid:0c435575-2544-d879-3b41-8babddd4cee0", "resource" : { "resourceType" : "Patient", "id" : "InlineExample-JP-Patient-standard-public", "meta" : { "lastUpdated" : "2023-11-12T10:00:00+09:00", "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS|1.13.0-preR1"] }, "language" : "ja", "text" : { "status" : "additional", "div" : "

患者ID：000999739

生活保護受給者識別ID：10099999::１８７あせろら:

漢字氏名：マノ ランマン

カナ氏名：間野 爛漫

電話：03-123-1234

性別：female

生年月日：1930-06-28

高知県高知市五台山1111

" }, "identifier" : [{ "system" : "urn:oid:1.2.392.100495.20.3.51.11311234567", "value" : "000999739" }, { "system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_PublicPayer_memberID", "value" : "10099999::１８７あせろら:" }], "name" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation", "valueCode" : "IDE" }], "text" : "間野 爛漫", "family" : "間野", "given" : ["爛漫"] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation", "valueCode" : "SYL" }], "text" : "マノ ランマン", "family" : "マノ", "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1111", "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:e75a46dd-1122-6676-b560-3035a8403942", "resource" : { "resourceType" : "Observation", "id" : "InlineExample-JP-Obs-LabResult-eCS-Alb-public", "meta" : { "lastUpdated" : "2021-07-09T14:11:13.000+09:00", "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS|1.13.0-preR1"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-Alb-public

Last updated: 2021-07-09 14:11:13+0900

Profile: JP_Observation_LabResult_eCS version: 1.13.0-preR1

JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567

JP eCS Department Extension: 循環器診療科

identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: アルブミン

subject: 間野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11311234567#SAMPLE_JP_local_patient_identifier_11311234567_NamingSystem#000999739)

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#JP_core_resourceInstance_identifier_NamingSystem#192844; status = finished; class = 外来 (ActCode#AMB)

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

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: 3.9 mg/L (Details: UCUM codemg/L = 'mg/L')

note:

Observationリソース（検体検査結果）アルブミン\u30003.9\u3000mg/L\u3000\u3000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）\u3000診療科：循環器診療科 生活保護受給者識別子の例

\n

specimen: Specimen: type = 血清

ReferenceRanges

-LowHigh
*3.5 mg/L (Details: UCUM codemg/L = 'mg/L')4.5 mg/L (Details: UCUM codemg/L = 'mg/L')

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

Language: ja

Profile: JP_Encounter-eCS version: 1.13.0-preR1

identifier: JP_core_resourceInstance_identifier_NamingSystem/192844

status: Finished

class: ActCode: AMB (外来)

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

Language: ja

Profile: JP_Specimen

type: 血清

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

Language: ja

Profile: JP Core Practitioner Profile

identifier: SAMPLE_JP_local_physician_identifier_11311234567_NamingSystem/D001

name: 田中 宏

" }, "contained" : [{ "resourceType" : "Encounter", "id" : "Example-Contained-JP-Encounter-AMB", "meta" : { "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }, "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" : "Specimen", "id" : "Example-Contained-JP-Specimen-Serum", "meta" : { "profile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Specimen"] }, "language" : "ja", "type" : { "coding" : [{ "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationSampleMaterialCodeJLAC10_CS", "code" : "023", "display" : "血清" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0487", "code" : "SER", "display" : "Serum" }], "text" : "血清" } }, { "resourceType" : "Practitioner", "id" : "Example-Contained-JP-Practitioner-minimum-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" : "1311234567" } }, { "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" : "1311234567-9990767-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" : "0000181800", "display" : "アルブミン" }, { "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS", "code" : "3A015000001827101", "display" : "ALB" }], "text" : "アルブミン" }, "subject" : { "reference" : "urn:uuid:0c435575-2544-d879-3b41-8babddd4cee0" }, "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-minimum-D002" }], "valueQuantity" : { "value" : 3.9, "unit" : "mg/L", "system" : "http://unitsofmeasure.org", "code" : "mg/L" }, "note" : [{ "text" : "Observationリソース（検体検査結果）アルブミン\u30003.9\u3000mg/L\u3000\u3000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）\u3000診療科：循環器診療科 生活保護受給者識別子の例" }], "specimen" : { "reference" : "#Example-Contained-JP-Specimen-Serum", "type" : "Specimen" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mg/L", "system" : "http://unitsofmeasure.org", "code" : "mg/L" }, "high" : { "value" : 4.5, "unit" : "mg/L", "system" : "http://unitsofmeasure.org", "code" : "mg/L" } }] } }, { "fullUrl" : "urn:uuid:b71697e5-d100-d930-8fc4-7bf63812c384", "resource" : { "resourceType" : "Observation", "id" : "InlineExample-JP-Obs-LabResult-eCS-K-public", "meta" : { "lastUpdated" : "2021-07-09T14:11:13.000+09:00", "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS"] }, "language" : "ja", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-K-public

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCS

JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567

JP eCS Department Extension: 循環器診療科

identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: カリウム

subject: 間野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11311234567#SAMPLE_JP_local_patient_identifier_11311234567_NamingSystem#000999739)

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#JP_core_resourceInstance_identifier_NamingSystem#192844; status = finished; class = 外来 (ActCode#AMB)

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

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: 3.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

specimen: 血清

ReferenceRanges

-LowHigh
*3.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L')5.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

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

Language: ja

Profile: JP_Encounter-eCS version: 1.13.0-preR1

identifier: JP_core_resourceInstance_identifier_NamingSystem/192844

status: Finished

class: ActCode: AMB (外来)

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

Language: ja

Profile: JP Core Practitioner Profile

identifier: SAMPLE_JP_local_physician_identifier_11311234567_NamingSystem/D001

name: 田中 宏

" }, "contained" : [{ "resourceType" : "Encounter", "id" : "Example-Contained-JP-Encounter-AMB", "meta" : { "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }, "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-minimum-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" : "1311234567" } }, { "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" : "1311234567-9990767-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" : "10000181802", "display" : "カリウム" }, { "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS", "code" : "3H015000002326101", "display" : "K" }, { "system" : "http://medis.or.jp/CodeSystem/master-JLAC10-17digits", "code" : "3H015000002326101", "display" : "カリウム_血清_電位差測定_定量値" }], "text" : "カリウム" }, "subject" : { "reference" : "urn:uuid:0c435575-2544-d879-3b41-8babddd4cee0" }, "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-minimum-D002" }], "valueQuantity" : { "value" : 3.5, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "specimen" : { "type" : "Specimen", "display" : "血清" }, "referenceRange" : [{ "low" : { "value" : 3.5, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "high" : { "value" : 5.3, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" } }] } }, { "fullUrl" : "urn:uuid:003ec795-472c-31c7-5a50-8c4b4ab06f9e", "resource" : { "resourceType" : "Observation", "id" : "InlineExample-JP-Obs-LabResult-eCS-eGFR-public", "meta" : { "lastUpdated" : "2021-07-09T14:11:13.000+09:00", "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS"] }, "language" : "ja", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-eGFR-public

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCS

JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567

JP eCS Department Extension: 循環器診療科

identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: eGFR

subject: 間野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11311234567#SAMPLE_JP_local_patient_identifier_11311234567_NamingSystem#000999739)

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#JP_core_resourceInstance_identifier_NamingSystem#192844; status = finished; class = 外来 (ActCode#AMB)

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

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: 75 ml/min/1.73m2

specimen: 血清

ReferenceRanges

-LowHigh
*68 ml/min/1.73m2110 ml/min/1.73m2

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

Language: ja

Profile: JP_Encounter-eCS version: 1.13.0-preR1

identifier: JP_core_resourceInstance_identifier_NamingSystem/192844

status: Finished

class: ActCode: AMB (外来)

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

Language: ja

Profile: JP Core Practitioner Profile

identifier: SAMPLE_JP_local_physician_identifier_11311234567_NamingSystem/D001

name: 田中 宏

" }, "contained" : [{ "resourceType" : "Encounter", "id" : "Example-Contained-JP-Encounter-AMB", "meta" : { "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }, "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-minimum-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" : "1311234567" } }, { "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" : "1311234567-9990767-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" : "http://medis.or.jp/CodeSystem/master-JLAC10-17digits", "code" : "8A065000002391901", "display" : "推算GFR" }], "text" : "eGFR" }, "subject" : { "reference" : "urn:uuid:0c435575-2544-d879-3b41-8babddd4cee0" }, "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-minimum-D002" }], "valueQuantity" : { "value" : 75, "unit" : "ml/min/1.73m2" }, "specimen" : { "type" : "Specimen", "display" : "血清" }, "referenceRange" : [{ "low" : { "value" : 68, "unit" : "ml/min/1.73m2" }, "high" : { "value" : 110, "unit" : "ml/min/1.73m2" } }] } }, { "fullUrl" : "urn:uuid:6c3a18c2-2388-88c1-0b87-9f966af14702", "resource" : { "resourceType" : "Observation", "id" : "InlineExample-JP-Obs-LabResult-eCS-UTP-public", "meta" : { "lastUpdated" : "2021-07-09T14:11:13.000+09:00", "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS"] }, "language" : "ja", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-UTP-public

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCS

JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567

JP eCS Department Extension: 循環器診療科

identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: 尿蛋⽩(定性)

subject: 間野 爛漫 Female, DoB: 1930-06-28 ( urn:oid:1.2.392.100495.20.3.51.11311234567#SAMPLE_JP_local_patient_identifier_11311234567_NamingSystem#000999739)

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#JP_core_resourceInstance_identifier_NamingSystem#192844; status = finished; class = 外来 (ActCode#AMB)

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

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: (±)

specimen: 尿

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

Language: ja

Profile: JP_Encounter-eCS version: 1.13.0-preR1

identifier: JP_core_resourceInstance_identifier_NamingSystem/192844

status: Finished

class: ActCode: AMB (外来)

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

Language: ja

Profile: JP Core Practitioner Profile

identifier: SAMPLE_JP_local_physician_identifier_11311234567_NamingSystem/D001

name: 田中 宏

" }, "contained" : [{ "resourceType" : "Encounter", "id" : "Example-Contained-JP-Encounter-AMB", "meta" : { "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Encounter_eCS|1.13.0-preR1"] }, "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-minimum-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" : "1311234567" } }, { "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" : "1311234567-9990767-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" : "1A990000000190153", "display" : "尿蛋白(定性)" }, { "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS", "code" : "1A990000000190153", "display" : "尿蛋白(定性)" }], "text" : "尿蛋⽩(定性)" }, "subject" : { "reference" : "urn:uuid:0c435575-2544-d879-3b41-8babddd4cee0" }, "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-minimum-D002" }], "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:1.2.392.200119.6.2102", "code" : "2", "display" : "±" }], "text" : "(±)" }, "specimen" : { "type" : "Specimen", "display" : "尿" } } }] }