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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="jp-observation-electrocardiogram-example-1"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_Electrocardiogram"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Observation_Electrocardiogram_NumberOfLead">
    <valueInteger value="12"/>
  </extension>
  <extension
             url="http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Observation_Electrocardiogram_DeviceInterpretation">
    <valueBoolean value="true"/>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS"/>
      <code value="procedure"/>
      <display value="Procedure"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11524-6"/>
      <display value="EKG Study"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/jp-encounter-example-1"/>
  </encounter>
  <effectiveDateTime value="2024-10-19T10:00:00+09:00"/>
  <performer>🔗 
    <reference value="Practitioner/jp-practitioner-example-male-1"/>
  </performer>
  <interpretation>
    <coding>
      <system value="urn:oid:1.2.392.200119.5.2.4.1.1.3"/>
      <code value="1-0"/>
      <display value="正常"/>
    </coding>
  </interpretation>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76282-3"/>
        <display value="Heart rate.beat-to-beat by EKG"/>
      </coding>
      <text value="Heart rate.beat-to-beat by EKG"/>
    </code>
    <valueQuantity>
      <value value="75"/>
      <unit value="{beats}/min"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8637-1"/>
        <display value="R-R interval by EKG"/>
      </coding>
      <text value="R-R interval by EKG"/>
    </code>
    <valueQuantity>
      <value value="800"/>
      <unit value="ms"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8625-6"/>
        <display value="P-R Interval"/>
      </coding>
      <text value="P-R Interval"/>
    </code>
    <valueQuantity>
      <value value="160"/>
      <unit value="ms"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8633-0"/>
        <display value="QRS duration"/>
      </coding>
      <text value="QRS duration"/>
    </code>
    <valueQuantity>
      <value value="90"/>
      <unit value="ms"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8634-8"/>
        <display value="Q-T interval"/>
      </coding>
      <text value="Q-T interval"/>
    </code>
    <valueQuantity>
      <value value="400"/>
      <unit value="ms"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8636-3"/>
        <display value="Q-T interval corrected"/>
      </coding>
      <text value="Q-T interval corrected"/>
    </code>
    <valueQuantity>
      <value value="420"/>
      <unit value="ss"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8626-4"/>
        <display value="P wave axis"/>
      </coding>
      <text value="P wave axis"/>
    </code>
    <valueQuantity>
      <value value="60"/>
      <unit value="deg"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8632-2"/>
        <display value="QRS axis"/>
      </coding>
      <text value="QRS axis"/>
    </code>
    <valueQuantity>
      <value value="30"/>
      <unit value="deg"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="9995-2"/>
        <display value="R wave amplitude in lead V5"/>
      </coding>
      <text value="R wave amplitude in lead V5"/>
    </code>
    <valueQuantity>
      <value value="1.2"/>
      <unit value="mV"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10040-4"/>
        <display value="S wave amplitude in lead V1"/>
      </coding>
      <text value="S wave amplitude in lead V1"/>
    </code>
    <valueQuantity>
      <value value="0.9"/>
      <unit value="mV"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76636-0"/>
        <display value="R wave amplitude.V5+S wave amplitude.V1"/>
      </coding>
      <text value="R wave amplitude.V5+S wave amplitude.V1"/>
    </code>
    <valueQuantity>
      <value value="2.1"/>
      <unit value="mV"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8638-9"/>
        <display value="T wave axis"/>
      </coding>
      <text value="T wave axis"/>
    </code>
    <valueQuantity>
      <value value="45"/>
      <unit value="deg"/>
    </valueQuantity>
  </component>
</Observation>
本実装ガイドへのご質問・ご指摘については、GitHub IssueおよびGitHub PullRequestにて受け付けている。