HL7 FHIR JP Core ImplementationGuide
1.1.1 - ci-build
HL7 FHIR JP Core ImplementationGuide
1.1.1 - ci-build
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.1). See the Directory of published versions
| Active as of 2023-04-18 |
{
"resourceType" : "CodeSystem",
"id" : "jp-documentcodes-cs",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS</code> defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">34895-3<a name=\"jp-documentcodes-cs-34895-3\"> </a></td><td>指導書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034107-3<a name=\"jp-documentcodes-cs-34107-3\"> </a></td><td>在宅指導書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a077430-7<a name=\"jp-documentcodes-cs-77430-7\"> </a></td><td>免疫アレルギ指導書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078451-2<a name=\"jp-documentcodes-cs-78451-2\"> </a></td><td>栄養指導書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078601-2<a name=\"jp-documentcodes-cs-78601-2\"> </a></td><td>服薬指導書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">64299-1<a name=\"jp-documentcodes-cs-64299-1\"> </a></td><td>証明書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a070004-7<a name=\"jp-documentcodes-cs-70004-7\"> </a></td><td>診断書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a064297-5<a name=\"jp-documentcodes-cs-64297-5\"> </a></td><td>死亡診断書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a071230-7<a name=\"jp-documentcodes-cs-71230-7\"> </a></td><td>出生証明書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">11488-4<a name=\"jp-documentcodes-cs-11488-4\"> </a></td><td>意見書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">64298-3<a name=\"jp-documentcodes-cs-64298-3\"> </a></td><td>委任状</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">51899-3<a name=\"jp-documentcodes-cs-51899-3\"> </a></td><td>明細書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">51848-0<a name=\"jp-documentcodes-cs-51848-0\"> </a></td><td>確認書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078447-0<a name=\"jp-documentcodes-cs-78447-0\"> </a></td><td>救急部確認書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078495-9<a name=\"jp-documentcodes-cs-78495-9\"> </a></td><td>麻酔確認書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078503-0<a name=\"jp-documentcodes-cs-78503-0\"> </a></td><td>手術確認書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">59284-0<a name=\"jp-documentcodes-cs-59284-0\"> </a></td><td>同意書（説明同意書）</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a057016-8<a name=\"jp-documentcodes-cs-57016-8\"> </a></td><td>個人情報扱い同意書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a077602-1<a name=\"jp-documentcodes-cs-77602-1\"> </a></td><td>臨床研究同意書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a061358-8<a name=\"jp-documentcodes-cs-61358-8\"> </a></td><td>手術同意書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a061359-6<a name=\"jp-documentcodes-cs-61359-6\"> </a></td><td>麻酔同意書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a064300-7<a name=\"jp-documentcodes-cs-64300-7\"> </a></td><td>臓器移植同意書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a064293-4<a name=\"jp-documentcodes-cs-64293-4\"> </a></td><td>検査同意書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a089428-7<a name=\"jp-documentcodes-cs-89428-7\"> </a></td><td>輸血同意書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">57833-6<a name=\"jp-documentcodes-cs-57833-6\"> </a></td><td>処方箋</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a052063-5<a name=\"jp-documentcodes-cs-52063-5\"> </a></td><td>在宅医療機器処方</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a057829-4<a name=\"jp-documentcodes-cs-57829-4\"> </a></td><td>医療機器処方</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a057831-0<a name=\"jp-documentcodes-cs-57831-0\"> </a></td><td>リハビリ処方</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a064288-4<a name=\"jp-documentcodes-cs-64288-4\"> </a></td><td>眼鏡処方</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">69730-0<a name=\"jp-documentcodes-cs-69730-0\"> </a></td><td>指示書・依頼書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a074213-0<a name=\"jp-documentcodes-cs-74213-0\"> </a></td><td>退院時指示</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078583-2<a name=\"jp-documentcodes-cs-78583-2\"> </a></td><td>退院時処方指示</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a055115-0<a name=\"jp-documentcodes-cs-55115-0\"> </a></td><td>画像検査詳細依頼</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a057830-2<a name=\"jp-documentcodes-cs-57830-2\"> </a></td><td>入院依頼書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a089429-5<a name=\"jp-documentcodes-cs-89429-5\"> </a></td><td>手術依頼書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a042348-3<a name=\"jp-documentcodes-cs-42348-3\"> </a></td><td>AdvanceDirective</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">74465-6<a name=\"jp-documentcodes-cs-74465-6\"> </a></td><td>問診票・調査書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a089430-3<a name=\"jp-documentcodes-cs-89430-3\"> </a></td><td>外来問診票</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">72170-4<a name=\"jp-documentcodes-cs-72170-4\"> </a></td><td>画像</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">47045-0<a name=\"jp-documentcodes-cs-47045-0\"> </a></td><td>報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028010-7<a name=\"jp-documentcodes-cs-28010-7\"> </a></td><td>心電図報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a012132-7<a name=\"jp-documentcodes-cs-12132-7\"> </a></td><td>超音波検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018759-1<a name=\"jp-documentcodes-cs-18759-1\"> </a></td><td>スパイロメトリー検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a058477-1<a name=\"jp-documentcodes-cs-58477-1\"> </a></td><td>肺機能検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a076641-0<a name=\"jp-documentcodes-cs-76641-0\"> </a></td><td>脳神経検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a077199-8<a name=\"jp-documentcodes-cs-77199-8\"> </a></td><td>PWV-CABI-ABI 報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018745-0<a name=\"jp-documentcodes-cs-18745-0\"> </a></td><td>心カテ報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018748-4<a name=\"jp-documentcodes-cs-18748-4\"> </a></td><td>画像検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a039712-5<a name=\"jp-documentcodes-cs-39712-5\"> </a></td><td>心筋血流 SPECT 検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a039650-7<a name=\"jp-documentcodes-cs-39650-7\"> </a></td><td>心臓核医学検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a011526-1<a name=\"jp-documentcodes-cs-11526-1\"> </a></td><td>病理検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a047526-9<a name=\"jp-documentcodes-cs-47526-9\"> </a></td><td>細胞診報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018743-5<a name=\"jp-documentcodes-cs-18743-5\"> </a></td><td>剖検報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a047048-4<a name=\"jp-documentcodes-cs-47048-4\"> </a></td><td>IVR 報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a059281-6<a name=\"jp-documentcodes-cs-59281-6\"> </a></td><td>心エコー報告書</td><td>CAG 報告書、PCI 報告書を含む</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a059282-4<a name=\"jp-documentcodes-cs-59282-4\"> </a></td><td>ストレス心エコー報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a077198-0<a name=\"jp-documentcodes-cs-77198-0\"> </a></td><td>動脈硬化検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a075218-8<a name=\"jp-documentcodes-cs-75218-8\"> </a></td><td>研究報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018747-6<a name=\"jp-documentcodes-cs-18747-6\"> </a></td><td>CT 検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018755-9<a name=\"jp-documentcodes-cs-18755-9\"> </a></td><td>MRI 検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018751-8<a name=\"jp-documentcodes-cs-18751-8\"> </a></td><td>上部消化管内視鏡報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018746-8<a name=\"jp-documentcodes-cs-18746-8\"> </a></td><td>下部消化管内視鏡報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028018-0<a name=\"jp-documentcodes-cs-28018-0\"> </a></td><td>小腸内視鏡報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028016-4<a name=\"jp-documentcodes-cs-28016-4\"> </a></td><td>ERCP 報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018744-3<a name=\"jp-documentcodes-cs-18744-3\"> </a></td><td>気管支鏡検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a019805-1<a name=\"jp-documentcodes-cs-19805-1\"> </a></td><td>内視鏡検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a055750-4<a name=\"jp-documentcodes-cs-55750-4\"> </a></td><td>医療安全報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a051896-9<a name=\"jp-documentcodes-cs-51896-9\"> </a></td><td>感染症報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018758-3<a name=\"jp-documentcodes-cs-18758-3\"> </a></td><td>PET 検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a017787-3<a name=\"jp-documentcodes-cs-17787-3\"> </a></td><td>核医学検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a053576-5<a name=\"jp-documentcodes-cs-53576-5\"> </a></td><td>検診・健診報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a011502-2<a name=\"jp-documentcodes-cs-11502-2\"> </a></td><td>検体検査報告書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018725-2<a name=\"jp-documentcodes-cs-18725-2\"> </a></td><td>微生物学的検査報告書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">34109-9<a name=\"jp-documentcodes-cs-34109-9\"> </a></td><td>記録※</td><td>日付（診療日）の概念と分類に関して、特定の日付がある文書は「記録」に分類され、複数の日付がある文書や日時を特定しないで作成する文書は「歴」に分類される。</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a011492-6<a name=\"jp-documentcodes-cs-11492-6\"> </a></td><td>既往症・理学的所見</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a011506-3<a name=\"jp-documentcodes-cs-11506-3\"> </a></td><td>経過記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028570-0<a name=\"jp-documentcodes-cs-28570-0\"> </a></td><td>処置記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028579-1<a name=\"jp-documentcodes-cs-28579-1\"> </a></td><td>理学療法記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028623-7<a name=\"jp-documentcodes-cs-28623-7\"> </a></td><td>看護記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034098-4<a name=\"jp-documentcodes-cs-34098-4\"> </a></td><td>会議記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034108-1<a name=\"jp-documentcodes-cs-34108-1\"> </a></td><td>外来診療録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034112-3<a name=\"jp-documentcodes-cs-34112-3\"> </a></td><td>入院診療録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034129-7<a name=\"jp-documentcodes-cs-34129-7\"> </a></td><td>在宅記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034750-0<a name=\"jp-documentcodes-cs-34750-0\"> </a></td><td>麻酔記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034751-8<a name=\"jp-documentcodes-cs-34751-8\"> </a></td><td>術前麻酔評価</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034821-9<a name=\"jp-documentcodes-cs-34821-9\"> </a></td><td>薬局記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034874-8<a name=\"jp-documentcodes-cs-34874-8\"> </a></td><td>手術記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034875-5<a name=\"jp-documentcodes-cs-34875-5\"> </a></td><td>術後評価</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034876-3<a name=\"jp-documentcodes-cs-34876-3\"> </a></td><td>術前評価</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a051855-5<a name=\"jp-documentcodes-cs-51855-5\"> </a></td><td>患者記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a068629-5<a name=\"jp-documentcodes-cs-68629-5\"> </a></td><td>免疫アレルギ記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a068839-0<a name=\"jp-documentcodes-cs-68839-0\"> </a></td><td>研究記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a075500-9<a name=\"jp-documentcodes-cs-75500-9\"> </a></td><td>トリアージ記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a075492-9<a name=\"jp-documentcodes-cs-75492-9\"> </a></td><td>リスク評価</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a077401-8<a name=\"jp-documentcodes-cs-77401-8\"> </a></td><td>術前麻酔所見</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018761-7<a name=\"jp-documentcodes-cs-18761-7\"> </a></td><td>転科転棟引継</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a057057-2<a name=\"jp-documentcodes-cs-57057-2\"> </a></td><td>分娩記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a029749-9<a name=\"jp-documentcodes-cs-29749-9\"> </a></td><td>透析記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a075282-4<a name=\"jp-documentcodes-cs-75282-4\"> </a></td><td>栄養評価記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a028656-7<a name=\"jp-documentcodes-cs-28656-7\"> </a></td><td>MSW 記録</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a073709-8<a name=\"jp-documentcodes-cs-73709-8\"> </a></td><td>処方疑義照会（記録）</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">Z0001<a name=\"jp-documentcodes-cs-Z0001\"> </a></td><td>歴※</td><td>日付（診療日）の概念と分類に関して、特定の日付がある文書は「記録」に分類され、複数の日付がある文書や日時を特定しないで作成する文書は「歴」に分類される。</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a011504-8<a name=\"jp-documentcodes-cs-11504-8\"> </a></td><td>手術歴</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a074166-0<a name=\"jp-documentcodes-cs-74166-0\"> </a></td><td>職歴</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a057828-6<a name=\"jp-documentcodes-cs-57828-6\"> </a></td><td>薬歴</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034133-9<a name=\"jp-documentcodes-cs-34133-9\"> </a></td><td>現病歴</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">Z0002<a name=\"jp-documentcodes-cs-Z0002\"> </a></td><td>要約</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a018842-5<a name=\"jp-documentcodes-cs-18842-5\"> </a></td><td>退院時サマリ</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a034746-8<a name=\"jp-documentcodes-cs-34746-8\"> </a></td><td>看護サマリ</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a060591-5<a name=\"jp-documentcodes-cs-60591-5\"> </a></td><td>サマリ</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">78454-6<a name=\"jp-documentcodes-cs-78454-6\"> </a></td><td>パス</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a078292-0<a name=\"jp-documentcodes-cs-78292-0\"> </a></td><td>手術パス</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">56447-6<a name=\"jp-documentcodes-cs-56447-6\"> </a></td><td>計画書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a059772-4<a name=\"jp-documentcodes-cs-59772-4\"> </a></td><td>入院時診療計画書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a060281-3<a name=\"jp-documentcodes-cs-60281-3\"> </a></td><td>退院時指導計画書</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">57133-1<a name=\"jp-documentcodes-cs-57133-1\"> </a></td><td>紹介状</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a064289-2<a name=\"jp-documentcodes-cs-64289-2\"> </a></td><td>１号用紙</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">11503-0<a name=\"jp-documentcodes-cs-11503-0\"> </a></td><td>カルテ</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">51897-7<a name=\"jp-documentcodes-cs-51897-7\"> </a></td><td>届出書</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a075219-6<a name=\"jp-documentcodes-cs-75219-6\"> </a></td><td>症例登録</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">51852-2<a name=\"jp-documentcodes-cs-51852-2\"> </a></td><td>その他書類</td><td/></tr></table></div>"
},
"url" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS",
"version" : "1.1.1",
"name" : "JP_DocumentCodes_CS",
"title" : "JP Core Document Codes CodeSystem",
"status" : "active",
"experimental" : false,
"date" : "2023-04-18",
"publisher" : "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
"contact" : [
{
"name" : "FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
"telecom" : [
{
"system" : "url",
"value" : "http://jpfhir.jp"
},
{
"system" : "email",
"value" : "office@hlfhir.jp"
}
]
}
],
"description" : "SS MIX 標準文書コード表",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "JP"
}
]
}
],
"copyright" : "Copyright Japan Association of Medical Informatics (JAMI) 一般社団法人日本医療情報学会",
"caseSensitive" : true,
"hierarchyMeaning" : "is-a",
"content" : "complete",
"count" : 121,
"concept" : [
{
"code" : "34895-3",
"display" : "指導書",
"concept" : [
{
"code" : "34107-3",
"display" : "在宅指導書"
},
{
"code" : "77430-7",
"display" : "免疫アレルギ指導書"
},
{
"code" : "78451-2",
"display" : "栄養指導書"
},
{
"code" : "78601-2",
"display" : "服薬指導書"
}
]
},
{
"code" : "64299-1",
"display" : "証明書",
"concept" : [
{
"code" : "70004-7",
"display" : "診断書"
},
{
"code" : "64297-5",
"display" : "死亡診断書"
},
{
"code" : "71230-7",
"display" : "出生証明書"
}
]
},
{
"code" : "11488-4",
"display" : "意見書"
},
{
"code" : "64298-3",
"display" : "委任状"
},
{
"code" : "51899-3",
"display" : "明細書"
},
{
"code" : "51848-0",
"display" : "確認書",
"concept" : [
{
"code" : "78447-0",
"display" : "救急部確認書"
},
{
"code" : "78495-9",
"display" : "麻酔確認書"
},
{
"code" : "78503-0",
"display" : "手術確認書"
}
]
},
{
"code" : "59284-0",
"display" : "同意書（説明同意書）",
"concept" : [
{
"code" : "57016-8",
"display" : "個人情報扱い同意書"
},
{
"code" : "77602-1",
"display" : "臨床研究同意書"
},
{
"code" : "61358-8",
"display" : "手術同意書"
},
{
"code" : "61359-6",
"display" : "麻酔同意書"
},
{
"code" : "64300-7",
"display" : "臓器移植同意書"
},
{
"code" : "64293-4",
"display" : "検査同意書"
},
{
"code" : "89428-7",
"display" : "輸血同意書"
}
]
},
{
"code" : "57833-6",
"display" : "処方箋",
"concept" : [
{
"code" : "52063-5",
"display" : "在宅医療機器処方"
},
{
"code" : "57829-4",
"display" : "医療機器処方"
},
{
"code" : "57831-0",
"display" : "リハビリ処方"
},
{
"code" : "64288-4",
"display" : "眼鏡処方"
}
]
},
{
"code" : "69730-0",
"display" : "指示書・依頼書",
"concept" : [
{
"code" : "74213-0",
"display" : "退院時指示"
},
{
"code" : "78583-2",
"display" : "退院時処方指示"
},
{
"code" : "55115-0",
"display" : "画像検査詳細依頼"
},
{
"code" : "57830-2",
"display" : "入院依頼書"
},
{
"code" : "89429-5",
"display" : "手術依頼書"
},
{
"code" : "42348-3",
"display" : "AdvanceDirective"
}
]
},
{
"code" : "74465-6",
"display" : "問診票・調査書",
"concept" : [
{
"code" : "89430-3",
"display" : "外来問診票"
}
]
},
{
"code" : "72170-4",
"display" : "画像"
},
{
"code" : "47045-0",
"display" : "報告書",
"concept" : [
{
"code" : "28010-7",
"display" : "心電図報告書"
},
{
"code" : "12132-7",
"display" : "超音波検査報告書"
},
{
"code" : "18759-1",
"display" : "スパイロメトリー検査報告書"
},
{
"code" : "58477-1",
"display" : "肺機能検査報告書"
},
{
"code" : "76641-0",
"display" : "脳神経検査報告書"
},
{
"code" : "77199-8",
"display" : "PWV-CABI-ABI 報告書"
},
{
"code" : "18745-0",
"display" : "心カテ報告書"
},
{
"code" : "18748-4",
"display" : "画像検査報告書"
},
{
"code" : "39712-5",
"display" : "心筋血流 SPECT 検査報告書"
},
{
"code" : "39650-7",
"display" : "心臓核医学検査報告書"
},
{
"code" : "11526-1",
"display" : "病理検査報告書"
},
{
"code" : "47526-9",
"display" : "細胞診報告書"
},
{
"code" : "18743-5",
"display" : "剖検報告書"
},
{
"code" : "47048-4",
"display" : "IVR 報告書"
},
{
"code" : "59281-6",
"display" : "心エコー報告書",
"definition" : "CAG 報告書、PCI 報告書を含む"
},
{
"code" : "59282-4",
"display" : "ストレス心エコー報告書"
},
{
"code" : "77198-0",
"display" : "動脈硬化検査報告書"
},
{
"code" : "75218-8",
"display" : "研究報告書"
},
{
"code" : "18747-6",
"display" : "CT 検査報告書"
},
{
"code" : "18755-9",
"display" : "MRI 検査報告書"
},
{
"code" : "18751-8",
"display" : "上部消化管内視鏡報告書"
},
{
"code" : "18746-8",
"display" : "下部消化管内視鏡報告書"
},
{
"code" : "28018-0",
"display" : "小腸内視鏡報告書"
},
{
"code" : "28016-4",
"display" : "ERCP 報告書"
},
{
"code" : "18744-3",
"display" : "気管支鏡検査報告書"
},
{
"code" : "19805-1",
"display" : "内視鏡検査報告書"
},
{
"code" : "55750-4",
"display" : "医療安全報告書"
},
{
"code" : "51896-9",
"display" : "感染症報告書"
},
{
"code" : "18758-3",
"display" : "PET 検査報告書"
},
{
"code" : "17787-3",
"display" : "核医学検査報告書"
},
{
"code" : "53576-5",
"display" : "検診・健診報告書"
},
{
"code" : "11502-2",
"display" : "検体検査報告書"
},
{
"code" : "18725-2",
"display" : "微生物学的検査報告書"
}
]
},
{
"code" : "34109-9",
"display" : "記録※",
"definition" : "日付（診療日）の概念と分類に関して、特定の日付がある文書は「記録」に分類され、複数の日付がある文書や日時を特定しないで作成する文書は「歴」に分類される。",
"concept" : [
{
"code" : "11492-6",
"display" : "既往症・理学的所見"
},
{
"code" : "11506-3",
"display" : "経過記録"
},
{
"code" : "28570-0",
"display" : "処置記録"
},
{
"code" : "28579-1",
"display" : "理学療法記録"
},
{
"code" : "28623-7",
"display" : "看護記録"
},
{
"code" : "34098-4",
"display" : "会議記録"
},
{
"code" : "34108-1",
"display" : "外来診療録"
},
{
"code" : "34112-3",
"display" : "入院診療録"
},
{
"code" : "34129-7",
"display" : "在宅記録"
},
{
"code" : "34750-0",
"display" : "麻酔記録"
},
{
"code" : "34751-8",
"display" : "術前麻酔評価"
},
{
"code" : "34821-9",
"display" : "薬局記録"
},
{
"code" : "34874-8",
"display" : "手術記録"
},
{
"code" : "34875-5",
"display" : "術後評価"
},
{
"code" : "34876-3",
"display" : "術前評価"
},
{
"code" : "51855-5",
"display" : "患者記録"
},
{
"code" : "68629-5",
"display" : "免疫アレルギ記録"
},
{
"code" : "68839-0",
"display" : "研究記録"
},
{
"code" : "75500-9",
"display" : "トリアージ記録"
},
{
"code" : "75492-9",
"display" : "リスク評価"
},
{
"code" : "77401-8",
"display" : "術前麻酔所見"
},
{
"code" : "18761-7",
"display" : "転科転棟引継"
},
{
"code" : "57057-2",
"display" : "分娩記録"
},
{
"code" : "29749-9",
"display" : "透析記録"
},
{
"code" : "75282-4",
"display" : "栄養評価記録"
},
{
"code" : "28656-7",
"display" : "MSW 記録"
},
{
"code" : "73709-8",
"display" : "処方疑義照会（記録）"
}
]
},
{
"code" : "Z0001",
"display" : "歴※",
"definition" : "日付（診療日）の概念と分類に関して、特定の日付がある文書は「記録」に分類され、複数の日付がある文書や日時を特定しないで作成する文書は「歴」に分類される。",
"concept" : [
{
"code" : "11504-8",
"display" : "手術歴"
},
{
"code" : "74166-0",
"display" : "職歴"
},
{
"code" : "57828-6",
"display" : "薬歴"
},
{
"code" : "34133-9",
"display" : "現病歴"
}
]
},
{
"code" : "Z0002",
"display" : "要約",
"concept" : [
{
"code" : "18842-5",
"display" : "退院時サマリ"
},
{
"code" : "34746-8",
"display" : "看護サマリ"
},
{
"code" : "60591-5",
"display" : "サマリ"
}
]
},
{
"code" : "78454-6",
"display" : "パス",
"concept" : [
{
"code" : "78292-0",
"display" : "手術パス"
}
]
},
{
"code" : "56447-6",
"display" : "計画書",
"concept" : [
{
"code" : "59772-4",
"display" : "入院時診療計画書"
},
{
"code" : "60281-3",
"display" : "退院時指導計画書"
}
]
},
{
"code" : "57133-1",
"display" : "紹介状",
"concept" : [
{
"code" : "64289-2",
"display" : "１号用紙"
}
]
},
{
"code" : "11503-0",
"display" : "カルテ"
},
{
"code" : "51897-7",
"display" : "届出書",
"concept" : [
{
"code" : "75219-6",
"display" : "症例登録"
}
]
},
{
"code" : "51852-2",
"display" : "その他書類"
}
]
}
IG © 2022+ FHIR Japanese implementation research working group in Japan Association of Medical Informatics (JAMI). Package hl7.fhir.jp.core#1.1.1 based on FHIR 4.0.1. Generated 2023-06-16
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