{
  "resourceType" : "Bundle",
  "id" : "Bundle-CLINS-Observations-Example-01",
  "meta" : {
    "lastUpdated" : "2023-11-12T10:00:00+09:00",
    "profile" : ["http://jpfhir.jp/fhir/clins/StructureDefinition/JP_Bundle_CLINS|1.6.0"],
    "tag" : [{
      "system" : "http://jpfhir.jp/fhir/clins/CodeSystem/BundleResourceType_CS",
      "code" : "Observation"
    }]
  },
  "language" : "ja",
  "identifier" : {
    "system" : "http://jpfhir.jp/fhir/clins/bundle-identifier",
    "value" : "1318814790^2024^0123-IDa-203949583949"
  },
  "type" : "collection",
  "timestamp" : "2023-11-12T10:00:00+09:00",
  "entry" : [{
    "fullUrl" : "urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "InlineExample-JP-Patient-standard",
      "meta" : {
        "lastUpdated" : "2023-11-12T10:00:00+09:00",
        "profile" : ["http://jpfhir.jp/fhir/eCS/StructureDefinition/JP_Patient_eCS|1.6.0"]
      },
      "language" : "ja",
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"ja\" xml:lang=\"ja\"><p>患者ID：000999739</p><p>被保険者患者番号：00012345:あいう:１８７:05</p><p>漢字氏名：マキノ ランマン</p><p>カナ氏名：牧野 爛漫</p><p>電話：03-123-1234</p><p>性別：female</p><p>生年月日：1930-06-28</p><p>高知県高知市五台山4200-6</p></div>"
      },
      "identifier" : [{
        "system" : "urn:oid:1.2.392.100495.20.3.51.11318814790",
        "value" : "000999739"
      },
      {
        "system" : "http://jpfhir.jp/fhir/clins/Idsystem/JP_Insurance_memberID",
        "value" : "00012345:あいう:１８７:01"
      }],
      "name" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
          "valueCode" : "IDE"
        }],
        "text" : "牧野 爛漫",
        "family" : "牧野",
        "given" : ["爛漫"]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
          "valueCode" : "SYL"
        }],
        "text" : "マキノ ランマン",
        "family" : "マキノ",
        "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4200-6",
        "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:f2c5a40b-c7ea-1d52-7e81-7440b1f26f91",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "InlineExample-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|1.6.0"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_InlineExample-JP-Obs-LabResult-eCS-Alb\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-Alb</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-Alb\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-Alb\"> </a><a name=\"InlineExample-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</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-JP-Observation-LabResult-eCS.html\">JP_Observation_LabResult_eCSversion: null1.6.0)</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-OBSLAB13883807672021070909210705-2</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>: <a href=\"Bundle-Bundle-CLINS-Observations-Example-01.html#urn-uuid-b76ef6f6-f6e3-c110-5039-eee64ef6ab6a\">Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900</a></p><p><b>encounter</b>: <a href=\"#hcInlineExample-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=\"#hcInlineExample-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</p><p><b>specimen</b>: <a href=\"#hcInlineExample-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=\"InlineExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"InlineExample-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=\"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=\"https://simplifier.net/resolve?scope=jpfhir-terminology@1.2.4-url&amp;canonical=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=\"InlineExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Specimen-Serum\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Specimen-Serum\"> </a><a name=\"InlineExample-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=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.2-clins&amp;canonical=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=\"InlineExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-Alb/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"InlineExample-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=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.2-clins&amp;canonical=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" : "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" : {
        "reference" : "urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a"
      },
      "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"
      }],
      "specimen" : {
        "reference" : "#Example-Contained-JP-Specimen-Serum",
        "type" : "Specimen"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:fd601925-858c-2d96-f061-9de1076d419c",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "InlineExample-JP-Obs-LabResult-eCS-K",
      "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Observation_InlineExample-JP-Obs-LabResult-eCS-K\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-K</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-K\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-K\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-K-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_eCS</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-OBSLAB13883807672021070909210705-2</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 10000181802}, {http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS 3H015000002326101}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 3H015000002326101}\">カリウム</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-CLINS-Observations-Example-01.html#urn-uuid-b76ef6f6-f6e3-c110-5039-eee64ef6ab6a\">Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900</a></p><p><b>encounter</b>: <a href=\"#hcInlineExample-JP-Obs-LabResult-eCS-K/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=\"#hcInlineExample-JP-Obs-LabResult-eCS-K/Example-Contained-JP-Practitioner-minimun-D002\">Practitioner 田中 宏</a></p><p><b>value</b>: 3.5 mEq/L</p><p><b>specimen</b>: 血清</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter  #Example-Contained-JP-Encounter-AMB</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-K/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-K/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-K/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=\"https://simplifier.net/resolve?scope=jpfhir-terminology@1.2.4-url&amp;canonical=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=\"InlineExample-JP-Obs-LabResult-eCS-K/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-K/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-K/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=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.2-clins&amp;canonical=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-OBSLAB13883807672021070909210705-2"
      }],
      "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:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a"
      },
      "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" : 3.5,
        "unit" : "mEq/L"
      },
      "specimen" : {
        "type" : "Specimen",
        "display" : "血清"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:2ac56975-1610-5496-eb0e-c2a5f2f01a62",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "InlineExample-JP-Obs-LabResult-eCS-eGFR",
      "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Observation_InlineExample-JP-Obs-LabResult-eCS-eGFR\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-eGFR</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-eGFR\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-eGFR\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-eGFR-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_eCS</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-OBSLAB13883807672021070909210705-2</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 0000181910}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 8A065000002391901}\">eGFR</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-CLINS-Observations-Example-01.html#urn-uuid-b76ef6f6-f6e3-c110-5039-eee64ef6ab6a\">Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900</a></p><p><b>encounter</b>: <a href=\"#hcInlineExample-JP-Obs-LabResult-eCS-eGFR/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=\"#hcInlineExample-JP-Obs-LabResult-eCS-eGFR/Example-Contained-JP-Practitioner-minimun-D002\">Practitioner 田中 宏</a></p><p><b>value</b>: 75 ml/min/1.73m2</p><p><b>specimen</b>: 血清</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter  #Example-Contained-JP-Encounter-AMB</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-eGFR/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-eGFR/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-eGFR/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=\"https://simplifier.net/resolve?scope=jpfhir-terminology@1.2.4-url&amp;canonical=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=\"InlineExample-JP-Obs-LabResult-eCS-eGFR/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-eGFR/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-eGFR/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=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.2-clins&amp;canonical=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-OBSLAB13883807672021070909210705-2"
      }],
      "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:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a"
      },
      "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" : 75,
        "unit" : "ml/min/1.73m2"
      },
      "specimen" : {
        "type" : "Specimen",
        "display" : "血清"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:e3a7af80-ca1f-5638-dc97-00fa9458fe1c",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "InlineExample-JP-Obs-LabResult-eCS-UTP",
      "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"ja\" lang=\"ja\"><a name=\"Observation_InlineExample-JP-Obs-LabResult-eCS-UTP\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-UTP</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-UTP\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-UTP\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-UTP-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_eCS</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-OBSLAB13883807672021070909210705-2</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 1A990000000190153}, {http://jpfhir.jp/fhir/clins/CodeSystem/JLAC10/JP_CLINS_ObsLabResult_CoreLabo_CS 1A990000000190153}\">尿蛋⽩(定性)</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-CLINS-Observations-Example-01.html#urn-uuid-b76ef6f6-f6e3-c110-5039-eee64ef6ab6a\">Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900</a></p><p><b>encounter</b>: <a href=\"#hcInlineExample-JP-Obs-LabResult-eCS-UTP/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=\"#hcInlineExample-JP-Obs-LabResult-eCS-UTP/Example-Contained-JP-Practitioner-minimun-D002\">Practitioner 田中 宏</a></p><p><b>value</b>: <span title=\"Codes:{urn:oid:1.2.392.200119.6.2102 2}\">(±)</span></p><p><b>specimen</b>: 尿</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter  #Example-Contained-JP-Encounter-AMB</b></p><a name=\"InlineExample-JP-Obs-LabResult-eCS-UTP/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-UTP/Example-Contained-JP-Encounter-AMB\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-UTP/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=\"https://simplifier.net/resolve?scope=jpfhir-terminology@1.2.4-url&amp;canonical=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=\"InlineExample-JP-Obs-LabResult-eCS-UTP/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"hcInlineExample-JP-Obs-LabResult-eCS-UTP/Example-Contained-JP-Practitioner-minimun-D002\"> </a><a name=\"InlineExample-JP-Obs-LabResult-eCS-UTP/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=\"https://simplifier.net/resolve?scope=jp-core.r4@1.1.2-clins&amp;canonical=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-OBSLAB13883807672021070909210705-2"
      }],
      "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:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a"
      },
      "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"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "urn:oid:1.2.392.200119.6.2102",
          "code" : "2",
          "display" : "±"
        }],
        "text" : "(±)"
      },
      "specimen" : {
        "type" : "Specimen",
        "display" : "尿"
      }
    }
  }]
}