HL7 FHIR JP Core ImplementationGuide
1.1.2 - release
HL7 FHIR JP Core ImplementationGuide
1.1.2 - release
HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.1.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2023-10-31 |
{
"resourceType" : "CodeSystem",
"id" : "jp-documentcodes-cs",
"url" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS",
"version" : "1.1.2",
"name" : "JP_DocumentCodes_CS",
"title" : "JP Core Document Codes CodeSystem",
"status" : "active",
"experimental" : false,
"date" : "2023-10-31",
"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"
},
{
"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",
"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" : "60591-5",
"display" : "サマリ"
},
{
"code" : "18842-5",
"display" : "退院時サマリ"
},
{
"code" : "34746-8",
"display" : "看護サマリ"
}
]
},
{
"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" : "診療情報提供書"
},
{
"code" : "11503-0",
"display" : "カルテ",
"concept" : [
{
"code" : "64289-2",
"display" : "１号用紙"
}
]
},
{
"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"
}
]
}