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） v1.3.0-rc3 (リリース候補v3)
1.3.0-rc3 - 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） v1.3.0-rc3 (リリース候補v3) - Local Development build (v1.3.0-rc3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example-JP-Condition-eCS-02 - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "Example-JP-Condition-eCS-02",
  "meta" : {
    "lastUpdated" : "2023-04-01T10:00:00+09:00",
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Condition_eCS"
    ],
    "tag" : [
      {
        "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication",
        "code" : "LTS",
        "display" : "長期保存"
      },
      {
        "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication",
        "code" : "UNINFORMED",
        "display" : "未告知"
      }
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition </b><a name=\"Example-JP-Condition-eCS-02\"> </a><a name=\"hcExample-JP-Condition-eCS-02\"> </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\">ResourceCondition &quot;Example-JP-Condition-eCS-02&quot; Updated&quot;2023-04-01 10:00:00+0900&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Condition-eCS.html\">eCS/CLINS:JP_Condition_eCS</a></p><p style=\"margin-bottom: 0px\">Tags: <span title=\"{http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication}\">http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication</span>, <span title=\"{http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication}\">http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication</span></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>: 循環器診療科 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"urn:oid:1.2.392.200250.2.2.2\">JP Core Department SS-MIX CodeSystem</a>#08 &quot;循環器科&quot;)</span></p><p><b>JP eCS Disgnostic Type Extension</b>: 主病名 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/ex-diagnosistype\">Example Diagnosis Type Codes</a>#principal)</span></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/202934702</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: 胃癌 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://jpfhir.jp/fhir/core/mhlw/CodeSystem/ICD10-2013-full\">MHLW 厚労省ICD102013版</a>#C169 &quot;胃の悪性新生物＜腫瘍＞，胃，部位不明&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>onset</b>: 2020-04-10</p><p><b>recordedDate</b>: 2020-04-18</p><p><b>recorder</b>: <span>: 消化器内科\u3000田中太郎</span></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、主病名、未告知、長期保存、病名管理コードとICD10分類の両方でコーディング\u3000患者参照を被保険者番号のしている例</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></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" : "urn:oid:1.2.392.200250.2.2.2",
            "code" : "08",
            "display" : "循環器科"
          }
        ],
        "text" : "循環器診療科"
      }
    },
    {
      "url" : "http://jpfhir.jp/fhir/eCS/Extension/StructureDefinition/JP_eCS_DiagnosisType",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
            "code" : "principal",
            "display" : "主病名"
          }
        ]
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier",
      "value" : "202934702"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active",
        "display" : "Active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed",
        "display" : "Confirmed"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://jpfhir.jp/fhir/core/mhlw/CodeSystem/ICD10-2013-full",
        "code" : "C169",
        "display" : "胃の悪性新生物＜腫瘍＞，胃，部位不明"
      }
    ],
    "text" : "胃癌"
  },
  "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",
  "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、主病名、未告知、長期保存、病名管理コードとICD10分類の両方でコーディング\u3000患者参照を被保険者番号のしている例"
    }
  ]
}