HL7 FHIR JP Core ImplementationGuide
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: JP Core Observation Electrocardiogram Example - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "jp-observation-electrocardiogram-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Electrocardiogram"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation jp-observation-electrocardiogram-example-1</b></p><a name=\"jp-observation-electrocardiogram-example-1\"> </a><a name=\"hcjp-observation-electrocardiogram-example-1\"> </a><a name=\"jp-observation-electrocardiogram-example-1-ja\"> </a><p><b>JP Core Observation Electrocardiogram NumberOfLeed Extention</b>: 12</p><p><b>JP Core Observation Electrocardiogram Device Interpretation Extention</b>: true</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS procedure}\">Procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11524-6}\">EKG Study</span></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></p><p><b>encounter</b>: <a href=\"Encounter-jp-encounter-example-1.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-05-08 13:08:24+0900 --&gt; 2022-05-08 13:23:24+0900</a></p><p><b>effective</b>: 2024-10-19 10:00:00+0900</p><p><b>performer</b>: <a href=\"Practitioner-jp-practitioner-example-male-1.html\">Practitioner 大阪 一郎</a></p><p><b>interpretation</b>: <span title=\"Codes:{urn:oid:1.2.392.200119.5.2.4.1.1.3 1-0}\">正常</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 76282-3}\">Heart rate.beat-to-beat by EKG</span></p><p><b>value</b>: 75 {beats}/min</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8637-1}\">R-R interval by EKG</span></p><p><b>value</b>: 800 ms</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8625-6}\">P-R Interval</span></p><p><b>value</b>: 160 ms</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8633-0}\">QRS duration</span></p><p><b>value</b>: 90 ms</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8634-8}\">Q-T interval</span></p><p><b>value</b>: 400 ms</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8636-3}\">Q-T interval corrected</span></p><p><b>value</b>: 420 ss</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8626-4}\">P wave axis</span></p><p><b>value</b>: 60 deg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8632-2}\">QRS axis</span></p><p><b>value</b>: 30 deg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 9995-2}\">R wave amplitude in lead V5</span></p><p><b>value</b>: 1.2 mV</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 10040-4}\">S wave amplitude in lead V1</span></p><p><b>value</b>: 0.9 mV</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 76636-0}\">R wave amplitude.V5+S wave amplitude.V1</span></p><p><b>value</b>: 2.1 mV</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8638-9}\">T wave axis</span></p><p><b>value</b>: 45 deg</p></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Observation_Electrocardiogram_NumberOfLead",
      "valueInteger" : 12
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Observation_Electrocardiogram_DeviceInterpretation",
      "valueBoolean" : true
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS",
          "code" : "procedure",
          "display" : "Procedure"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11524-6",
        "display" : "EKG Study"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/jp-encounter-example-1"
  },
  "effectiveDateTime" : "2024-10-19T10:00:00+09:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/jp-practitioner-example-male-1"
    }
  ],
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "urn:oid:1.2.392.200119.5.2.4.1.1.3",
          "code" : "1-0",
          "display" : "正常"
        }
      ]
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "76282-3",
            "display" : "Heart rate.beat-to-beat by EKG"
          }
        ],
        "text" : "Heart rate.beat-to-beat by EKG"
      },
      "valueQuantity" : {
        "value" : 75,
        "unit" : "{beats}/min"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8637-1",
            "display" : "R-R interval by EKG"
          }
        ],
        "text" : "R-R interval by EKG"
      },
      "valueQuantity" : {
        "value" : 800,
        "unit" : "ms"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8625-6",
            "display" : "P-R Interval"
          }
        ],
        "text" : "P-R Interval"
      },
      "valueQuantity" : {
        "value" : 160,
        "unit" : "ms"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8633-0",
            "display" : "QRS duration"
          }
        ],
        "text" : "QRS duration"
      },
      "valueQuantity" : {
        "value" : 90,
        "unit" : "ms"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8634-8",
            "display" : "Q-T interval"
          }
        ],
        "text" : "Q-T interval"
      },
      "valueQuantity" : {
        "value" : 400,
        "unit" : "ms"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8636-3",
            "display" : "Q-T interval corrected"
          }
        ],
        "text" : "Q-T interval corrected"
      },
      "valueQuantity" : {
        "value" : 420,
        "unit" : "ss"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8626-4",
            "display" : "P wave axis"
          }
        ],
        "text" : "P wave axis"
      },
      "valueQuantity" : {
        "value" : 60,
        "unit" : "deg"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8632-2",
            "display" : "QRS axis"
          }
        ],
        "text" : "QRS axis"
      },
      "valueQuantity" : {
        "value" : 30,
        "unit" : "deg"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "9995-2",
            "display" : "R wave amplitude in lead V5"
          }
        ],
        "text" : "R wave amplitude in lead V5"
      },
      "valueQuantity" : {
        "value" : 1.2,
        "unit" : "mV"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10040-4",
            "display" : "S wave amplitude in lead V1"
          }
        ],
        "text" : "S wave amplitude in lead V1"
      },
      "valueQuantity" : {
        "value" : 0.9,
        "unit" : "mV"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "76636-0",
            "display" : "R wave amplitude.V5+S wave amplitude.V1"
          }
        ],
        "text" : "R wave amplitude.V5+S wave amplitude.V1"
      },
      "valueQuantity" : {
        "value" : 2.1,
        "unit" : "mV"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8638-9",
            "display" : "T wave axis"
          }
        ],
        "text" : "T wave axis"
      },
      "valueQuantity" : {
        "value" : 45,
        "unit" : "deg"
      }
    }
  ]
}
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