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） v1.7.1
1.7.1 - 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） v1.7.1 - Local Development build (v1.7.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example-JP-Obs-LabResult-eCS-JLAC10-DD - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "Example-JP-Obs-LabResult-eCS-JLAC10-DD",
  "meta" : {
    "lastUpdated" : "2024-12-15T14:11:13.000+09:00",
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Observation_LabResult_eCS|1.7.1"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Example-JP-Obs-LabResult-eCS-JLAC10-DD</b></p><a name=\"Example-JP-Obs-LabResult-eCS-JLAC10-DD\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-JLAC10-DD\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-JLAC10-DD-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: 2024-12-15 14:11:13+0900</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Observation-LabResult-eCS.html\">JP_Observation_LabResult_eCSversion: null1.7.1)</a></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-OBSLAB13883807672021070909210705-099</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 90040}, {http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS 2B140000002205201}\">itemName</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-JLAC10-DD/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>: 2024-12-14 14:11:13+0900</p><p><b>issued</b>: 2024-12-15 14:11:13+0900</p><p><b>performer</b>: <a href=\"#hcExample-JP-Obs-LabResult-eCS-JLAC10-DD/Example-Contained-JP-Practitioner-minimun-D002\">Practitioner 田中 宏</a></p><p><b>value</b>: 112 μg/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeug/mL = 'ug/mL')</span></p><p><b>note</b>: Observationリソース（検体検査結果）DD\u3000{valueString}\u3000{unitString}\u3000ローカルコード=90040} 臨床検査項目基本コードJLAC=2B140000002205201 検体：(埋込みリソース無し）\u3000診療科：循環器診療科</p><p><b>specimen</b>: 血漿</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-JLAC10-DD/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-JLAC10-DD/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-JLAC10-DD/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=\"StructureDefinition-JP-Encounter-eCS.html\">JP_Encounter-eCS</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: Practitioner #Example-Contained-JP-Practitioner-minimun-D002</b></p><a name=\"Example-JP-Obs-LabResult-eCS-JLAC10-DD/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcExample-JP-Obs-LabResult-eCS-JLAC10-DD/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"Example-JP-Obs-LabResult-eCS-JLAC10-DD/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/eCS/StructureDefinition/JP_Encounter_eCS"
        ]
      },
      "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-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-OBSLAB13883807672021070909210705-099"
    }
  ],
  "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" : "90040",
        "display" : "Dダイマー(定量)"
      },
      {
        "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS",
        "code" : "2B140000002205201",
        "display" : "DD"
      }
    ],
    "text" : "itemName"
  },
  "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" : "2024-12-14T14:11:13.000+09:00",
  "issued" : "2024-12-15T14:11:13.000+09:00",
  "performer" : [
    {
      "reference" : "#Example-Contained-JP-Practitioner-minimun-D002"
    }
  ],
  "valueQuantity" : {
    "value" : 112,
    "unit" : "μg/mL",
    "system" : "http://unitsofmeasure.org",
    "code" : "ug/mL"
  },
  "note" : [
    {
      "text" : "Observationリソース（検体検査結果）DD\u3000{valueString}\u3000{unitString}\u3000ローカルコード=90040} 臨床検査項目基本コードJLAC=2B140000002205201 検体：(埋込みリソース無し）\u3000診療科：循環器診療科"
    }
  ],
  "specimen" : {
    "type" : "Specimen",
    "display" : "血漿"
  }
}