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) v1.5.5
1.5.5 - 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) v1.5.5 - Local Development build (v1.5.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Document Details
Generated Narrative: Bundle 患者サマリー(療養計画書)
Last updated: 2024-07-07 10:00:00+0900; Language: ja
Profile: JP_Bundle_ePCSversion: null1.5.5)
Final Document at 2024-07-07 12:12:20+0900 by 患者療養計画サマリー作成者 Practitionerリソース, 患者療養計画サマリー作成機関と診療科 Organizationリソース for 患者 Patientリソース in encounter 受診 Encounterリソース
Document Subject
Generated Narrative: Patient Example-JP-Patient-eCS-MAKINOInline
Last updated: 2021-11-26 10:00:00+0900; Language: ja
Profile: JP_Patient_eCSversion: null1.5.5)
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 |
| ||
Contact: |
|
Document Content
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
Composition Version Number: 1.0
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
/1311234567-2021-12345678status: 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: JP_Patient_eCSversion: null1.5.5)
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:187:05Alt. 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: JP_Practitioner_eCS
identifier:
urn:oid:1.2.392.100495.20.3.41.11311234567
/U4403020name: 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
/1311234567type: 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: JP_Encounter-eCSversion: null1.5.5)
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
/192844status: 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
/192838status: 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。
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; Language: ja
Profile: JP_Condition_eCSversion: null1.5.5)
JP eCS InstitutionNumber Extension:
http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no
/1318814790JP eCS Department Extension: 循環器診療科
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier
/192839-01clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: 狭心症
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
/192844status: 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; Language: ja
Profile: JP_Condition_eCSversion: null1.5.5)
JP eCS InstitutionNumber Extension:
http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no
/1318814790JP 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
/192839-01clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: 高血圧
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
/192844status: completed
class: 外来