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
{
"resourceType" : "Observation",
"id" : "Example-JP-Obs-LabResult-eCS-Alb",
"meta" : {
"lastUpdated" : "2021-07-09T14:11:13.000+09:00",
"profile" : [
🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS|1.5.5"
],
"tag" : [
{
"system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JP_ehrshrs_indication",
"code" : "LTS",
"display" : "長期保存"
}
]
},
"language" : "ja",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Example-JP-Obs-LabResult-eCS-Alb</b></p><a name=\"Example-JP-Obs-LabResult-eCS-Alb\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-Alb\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-Alb-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: 2021-07-09 14:11:13+0900; Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Observation-LabResult-eCS.html\">JP_Observation_LabResult_eCSversion: null1.5.5)</a></p><p style=\"margin-bottom: 0px\">Tag: 長期保存 (Details: 長期保存/未告知診療情報のためのフラグコード code LTS = '長期保存')</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>: <span title=\"Codes:{http://jami.jp/SS-MIX2/CodeSystem/ClinicalDepartment 08}\">循環器診療科</span></p><p><b>identifier</b>: <code>http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier</code>/1318814790-9990767-OBSLAB13883807672021070909210705-2</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/clins/CodeSystem/JP_CLINS_ObsLabResult_LocalCode_CS 0000181800}, {http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS 3A015000001827101}\">アルブミン</span></p><p><b>subject</b>: Identifier: <code>http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID</code>/00012345:あいう:187:05</p><p><b>encounter</b>: <a href=\"#hcExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Encounter-AMB\">Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = finished; class = 外来 (ActCode#AMB)</a></p><p><b>effective</b>: 2021-07-05 11:19:41+0900</p><p><b>issued</b>: 2021-07-05 15:38:59+0900</p><p><b>performer</b>: <a href=\"#hcExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Practitioner-minimun-D002\">Practitioner 田中 宏</a></p><p><b>value</b>: 3.9 mg/L</p><p><b>note</b>: 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\u3000長期保存フラグ設定</p><p><b>specimen</b>: <a href=\"#hcExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Specimen-Serum\">Specimen: type = 血清</a></p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB</b></p><a name=\"Example-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Encounter-AMB-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\">Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Encounter\">JP Core Encounter Profile</a></p></div><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>: <a href=\"http://terminology.hl7.org/CodeSystem/v3-ActCode#v3-ActCode-AMB\">ActCode AMB</a>: 外来</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Specimen #Example-Contained-JP-Specimen-Serum</b></p><a name=\"Example-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Specimen-Serum\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Specimen-Serum\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Specimen-Serum-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\">Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Specimen\">JP_Specimen</a></p></div><p><b>type</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_ObservationSampleMaterialCode_CS 023}, {http://terminology.hl7.org/CodeSystem/v2-0487 SER}\">血清</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002</b></p><a name=\"Example-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Practitioner-minimun-D002-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\">Language: ja</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://jpfhir.jp/fhir/core/StructureDefinition/JP_Practitioner\">JP Core Practitioner Profile</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.392.100495.20.3.41.11311234567</code>/D001</p><p><b>name</b>: 田中 宏</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"
}
},
{
"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_ObservationSampleMaterialCode_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-minimun-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" : "1318814790"
}
},
{
"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" : "1318814790-9990767-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" : {
"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"
},
"effectiveDateTime" : "2021-07-05T11:19:41+09:00",
"issued" : "2021-07-05T15:38:59.000+09:00",
"performer" : [
{
"reference" : "#Example-Contained-JP-Practitioner-minimun-D002"
}
],
"valueQuantity" : {
"value" : 3.9,
"unit" : "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\u3000長期保存フラグ設定"
}
],
"specimen" : {
"reference" : "#Example-Contained-JP-Specimen-Serum",
"type" : "Specimen"
}
}