健診結果報告FHIR記述仕様 実装ガイド v 1.6.0
1.6.0 - release
健診結果報告FHIR記述仕様 実装ガイド v 1.6.0 - Local Development build (v1.6.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Document Details
Last updated: 2024-04-05 13:28:17+0900; Language: ja
Profile: JP_Bundle_eCheckupGeneral
Final Document at 2024-04-05 13:28:17+0900 by Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#JP_CLINS_bundle_identifier_NamingSystem#1311234567^2024^0123-Referral-203949583949; type = document; timestamp = 2024-04-05 13:28:17+0900, Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#JP_CLINS_bundle_identifier_NamingSystem#1311234567^2024^0123-Referral-203949583949; type = document; timestamp = 2024-04-05 13:28:17+0900 for Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#JP_CLINS_bundle_identifier_NamingSystem#1311234567^2024^0123-Referral-203949583949; type = document; timestamp = 2024-04-05 13:28:17+0900 in encounter Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#JP_CLINS_bundle_identifier_NamingSystem#1311234567^2024^0123-Referral-203949583949; type = document; timestamp = 2024-04-05 13:28:17+0900
Document Subject
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Patient_CLINS_eCheckupGeneral
健診 太郎(official) Male, DoB: 1950-05-04 ( urn:oid:1.2.392.200119.6.102.11311234567#JP_local_patient_identifier_11311234567_NamingSystem#34567)
| Other Id: | JP_insurance_memberID_identifier_NamingSystem/00012345:あいう:３８７４７６:01 | ||
| Alt. Name: | ケンシン タロウ(Official) | ||
| Contact Detail |
| ||
| 勤務先: | |||
Document Content
問診結果
Entry 2 - fullUrl = urn:uuid:4bc68294-1895-d159-655b-1bc7e83f52f3
Resource Patient:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Patient_CLINS_eCheckupGeneral
健診 太郎(official) Male, DoB: 1950-05-04 ( urn:oid:1.2.392.200119.6.102.11311234567#JP_local_patient_identifier_11311234567_NamingSystem#34567)
Other Id: JP_insurance_memberID_identifier_NamingSystem/00012345:あいう:３８７４７６:01 Alt. Name: ケンシン タロウ(Official) Contact Detail
- ph: 03-1111-2222(Home)
- 神奈川県横浜市港区１－２－３
勤務先:
Entry 3 - fullUrl = urn:uuid:6c4ef273-df66-00ab-c021-d05c5a19e0ba
Resource Practitioner:
Last updated: 2024-04-05 13:28:17+0900
name: 東京 太郎, トウキョウ タロウ
Entry 4 - fullUrl = urn:uuid:d1fb6063-8f12-4c2c-922a-7b5e467c8407
Resource Organization:
Last updated: 2024-04-05 13:28:17+0900
JP eCS Department Extension: 総合診療部
identifier: JP_imedical_institution_identifier_NamingSystem/1311234567
type: 実施機関, 報告作成機関
name: 厚生労働省第一病院
Contacts
Telecom Address ph: 0123-456-7890 東京都千代田区千代田９－９－９
Entry 5 - fullUrl = urn:uuid:3af3232e-1579-d4f6-3578-aa1e799fdcad
Resource Encounter:
Last updated: 2024-04-05 13:28:17+0900
status: completed
class: 健診
Entry 6 - fullUrl = urn:uuid:38f45298-ea42-9f15-7fb2-48ed899d3ab6
Resource Coverage:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_CoverageService_eCheckupGeneral
status: Active
type: 受診券
subscriberId: 24100000123
period: 2024-04-01 --> 2025-03-31
Entry 7 - fullUrl = urn:uuid:eac6609a-9821-61f7-3eb9-b7db3d9f5cfc
Resource Coverage:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_CoverageInsurance_eCheckupGeneral
JP Core Coverage InsuredPersonSymbol Extension: １２３４５
JP Core Coverage InsuredPersonNumber Extension: ６７８９０
JP Core Coverage InsuredPersonSubNumber Extension: ０１
identifier: "１２３４５","６７８９０","０１"
status: Active
type: 医保
subscriberId: "１２３４５","６７８９０"
dependent: ０１
relationship: 被保険者
period: 2018-04-01 --> 2025-03-31
Entry 8 - fullUrl = urn:uuid:7c9f9f7f-e546-0ac2-6828-a9e0b24e5750
Resource Organization:
Last updated: 2024-04-05 13:28:17+0900
identifier: JP_insurer_identifier_NamingSystem/06123456
type: Insurance Company
name: サンプル健康保険組合
Entry 9 - fullUrl = urn:uuid:b41c8c97-f3ad-450a-1738-5f2b4c40c68a
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Body Measurement
code: 身長
effective: 2020-04-04
value: 162.3 cm (Details: UCUM codecm = 'cm')
Entry 10 - fullUrl = urn:uuid:cde1fec2-f8af-a793-7fe0-c2c417c9c000
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Body Measurement
code: 体重
effective: 2020-04-04
value: 65.5 kg (Details: UCUM codekg = 'kg')
Entry 11 - fullUrl = urn:uuid:51424f15-c213-00bf-5d31-4770244b4f32
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Body Measurement
code: BMI
effective: 2020-04-04
value: 24.9 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
Entry 12 - fullUrl = urn:uuid:628244db-68cf-abb6-bc9d-2d89bbc2b3ea
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Body Measurement
code: 腹囲(実測)
effective: 2020-04-04
value: 70 cm (Details: UCUM codecm = 'cm')
method: 実測
Entry 13 - fullUrl = urn:uuid:ff4472f4-9e44-6aa3-bcd6-abb0662e4641
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Exam
code: 既往歴
effective: 2020-04-04
value: 特記すべきことあり
Components
Code Value[x] 具体的な既往歴 ヘルニア、膀胱炎
Entry 14 - fullUrl = urn:uuid:67f3382f-c16d-6b6c-87c5-e98fe8694d0b
Resource Observation:
Last updated: 2024-11-10 00:00:00+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Exam
code: 心電図(所見の有無)
effective: 2020-11-10
value: 所見あり
Components
Extension Code Value[x] 心電図(所見) 2度AVブロック、PVC散発
Entry 15 - fullUrl = urn:uuid:38cbf2cf-61b7-6738-9d8c-a7b29016c48f
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Exam
code: 自覚症状
effective: 2020-04-04
value: 特記すべきことあり
Components
Code Value[x] 自覚症状(所見) 胃痛
Entry 16 - fullUrl = urn:uuid:01b972fc-5183-8fa4-0954-10a7c5f5a36e
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Exam
code: 他覚症状
effective: 2020-04-04
value: 特記すべきことなし
Entry 17 - fullUrl = urn:uuid:785fcd39-8c25-4e6d-53bc-a2f8055fd110
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Vital Signs
code: 収縮期血圧(1回目)
effective: 2020-04-04
value: 149 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
interpretation: Normal
ReferenceRanges
Low High 80 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]') 130 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
Entry 18 - fullUrl = urn:uuid:f8fffea8-5c47-8ab2-b24a-21cd1e929723
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Vital Signs
code: 拡張期血圧(1回目)
effective: 2020-04-04
value: 90 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
interpretation: Normal
ReferenceRanges
Low High 40 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]') 80 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
Entry 19 - fullUrl = urn:uuid:88134c9e-2016-d460-a3c8-417615b0065b
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: 空腹時中性脂肪(トリグリセリド)
effective: 2020-04-04
value: 60 mg/dl (Details: UCUM codemg/dL = 'mg/dL')
interpretation: Normal
method: 可視吸光光度法(酵素比色法・グリセロール消去)
ReferenceRanges
Low High 50 mg/dl (Details: UCUM codemg/dL = 'mg/dL') 149 mg/dl (Details: UCUM codemg/dL = 'mg/dL')
Entry 20 - fullUrl = urn:uuid:397dd498-07ed-49ce-3e43-2ee1c7db42aa
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: HDLコレステロール
effective: 2020-04-04
value: 45 mg/dl (Details: UCUM codemg/dL = 'mg/dL')
interpretation: Normal
method: 可視吸光光度法(直接法(非沈殿法))
ReferenceRanges
Low High 40 mg/dl (Details: UCUM codemg/dL = 'mg/dL') 96 mg/dl (Details: UCUM codemg/dL = 'mg/dL')
Entry 21 - fullUrl = urn:uuid:454c83e8-a534-84b9-f4d6-7257f5dc15de
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: LDLコレステロール
effective: 2020-04-04
value: 88 mg/dl (Details: UCUM codemg/dL = 'mg/dL')
interpretation: Normal
method: 可視吸光光度法(直接法(非沈殿法))
ReferenceRanges
Low High 70 mg/dl (Details: UCUM codemg/dL = 'mg/dL') 140 mg/dl (Details: UCUM codemg/dL = 'mg/dL')
Entry 22 - fullUrl = urn:uuid:e0252472-a245-2340-c3a5-a6c30faf7d11
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: AST(GOT)
effective: 2020-04-04
value: 32 U/l (Details: UCUM codeU/L = 'U/L')
interpretation: Normal
method: 紫外吸光光度法(JSCC標準化対応法)
ReferenceRanges
Low High 10 U/l (Details: UCUM codeU/L = 'U/L') 40 U/l (Details: UCUM codeU/L = 'U/L')
Entry 23 - fullUrl = urn:uuid:a2cefc2b-95d6-4108-dac5-bee1f991608a
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: ALT(GPT)
effective: 2020-04-04
value: 16 U/l (Details: UCUM codeU/L = 'U/L')
interpretation: Normal
method: 紫外吸光光度法(JSCC標準化対応法)
ReferenceRanges
Low High 5 U/l (Details: UCUM codeU/L = 'U/L') 30 U/l (Details: UCUM codeU/L = 'U/L')
Entry 24 - fullUrl = urn:uuid:d0d3fb12-eacc-c4a2-1762-130b4a65ead2
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: γ-GT(γ-GTP)
effective: 2020-04-04
value: 55 U/l (Details: UCUM codeU/L = 'U/L')
interpretation: Normal
method: 可視吸光光度法(JSCC標準化対応法)
ReferenceRanges
Low High 0 U/l (Details: UCUM codeU/L = 'U/L') 30 U/l (Details: UCUM codeU/L = 'U/L')
Entry 25 - fullUrl = urn:uuid:22479301-4726-e239-09d6-257429835c67
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: HbA1c(NGSP値)
effective: 2020-04-04
value: 7 % (Details: UCUM code% = '%')
interpretation: High
method: 免疫学的方法(ラテックス凝集比濁法等)
specimen: 全血(添加物入り)
ReferenceRanges
Low High 4.3 % (Details: UCUM code% = '%') 5.8 % (Details: UCUM code% = '%')
Entry 26 - fullUrl = urn:uuid:cbb7812a-8f5a-6547-c821-1dc2304d1066
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: 採血時間(食後)
effective: 2020-04-04
value: 食後10時間以上
Entry 27 - fullUrl = urn:uuid:13e56540-0e37-96f8-c774-31d66fb3efa8
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: 尿糖
effective: 2020-04-04
value: －
specimen: 尿
Entry 28 - fullUrl = urn:uuid:881e7ffa-4b36-01de-f954-9eff7a7eba24
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Laboratory
code: 尿蛋白
effective: 2020-04-04
value: －
specimen: 尿
Entry 29 - fullUrl = urn:uuid:55cb9c64-af3d-9763-a3f5-8d14954c36cc
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Survey
code: メタボリックシンドローム判定
effective: 2020-04-04
value: 非該当
Entry 30 - fullUrl = urn:uuid:42b66f41-aafe-1452-1f3d-8fc25dfa1ce3
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Survey
code: 保健指導レベル
effective: 2020-04-04
value: なし(情報提供)
Entry 31 - fullUrl = urn:uuid:54eabf03-1de5-d080-aed6-6b6a2e4da269
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Exam
code: 医師の診断(判定)
effective: 2020-04-04
value: 肝機能がわずかに異常ですが支障はないと思われます。
Entry 32 - fullUrl = urn:uuid:71fcdecc-1331-9067-f5b2-24d6ba5eecda
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 服薬1(血圧)
effective: 2020-04-04
value: いいえ
Entry 33 - fullUrl = urn:uuid:e6bd5094-2641-966f-92cf-04aced8624ac
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 服薬2(血糖)
effective: 2020-04-04
value: いいえ
Entry 34 - fullUrl = urn:uuid:84dbe428-621d-90a2-6d8a-93bf7877a623
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 服薬3(脂質)
effective: 2020-04-04
value: いいえ
Entry 35 - fullUrl = urn:uuid:394254aa-ec8b-9460-b807-3f14af30f980
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 喫煙
effective: 2020-04-04
value: いいえ
Entry 36 - fullUrl = urn:uuid:771633a6-53fe-93b7-a554-55eba705323a
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 既往歴1(脳血管)
effective: 2020-04-04
value: いいえ
Entry 37 - fullUrl = urn:uuid:7aba35bb-c544-a4f5-1708-80232eb4ad20
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 既往歴2(心血管)
effective: 2020-04-04
value: いいえ
Entry 38 - fullUrl = urn:uuid:3f789a09-3ed8-7b10-0746-3468712a31e0
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 既往歴3(腎不全･人工透析)
effective: 2020-04-04
value: いいえ
Entry 39 - fullUrl = urn:uuid:60c85205-13fb-407f-c318-ba6d77f6cbf5
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 貧血
effective: 2020-04-04
value: いいえ
Entry 40 - fullUrl = urn:uuid:cf70c7f5-61e0-08b2-b0bd-6c8de3f17d1e
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 20歳からの体重変化
effective: 2020-04-04
value: いいえ
Entry 41 - fullUrl = urn:uuid:03f32584-e817-3800-1a1b-0875aca196a6
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 30分以上の運動習慣
effective: 2020-04-04
value: いいえ
Entry 42 - fullUrl = urn:uuid:653fb95b-8523-a180-7a42-4af7ecab60b8
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 歩行又は身体活動
effective: 2020-04-04
value: いいえ
Entry 43 - fullUrl = urn:uuid:55f1f4c4-ba3a-908f-8bff-9055f97365a2
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 歩行速度
effective: 2020-04-04
value: はい
Entry 44 - fullUrl = urn:uuid:90801144-7e54-4746-e61d-59846d98099a
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 咀嚼
effective: 2020-04-04
value: 何でも
Entry 45 - fullUrl = urn:uuid:0e01b4a8-0c09-1b58-2806-e92de3772100
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 食べ方1(早食い等)
effective: 2020-04-04
value: 速い
Entry 46 - fullUrl = urn:uuid:fa85159b-5e47-2328-0818-19157328ab2d
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 食べ方2(就寝前)
effective: 2020-04-04
value: はい
Entry 47 - fullUrl = urn:uuid:b2dd1122-47d5-1e4e-7032-522c3409f196
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 食べ方3(間食)
effective: 2020-04-04
value: 時々
Entry 48 - fullUrl = urn:uuid:d23cab05-9bd9-e67d-0b24-067e094862f5
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 食習慣
effective: 2020-04-04
value: はい
Entry 49 - fullUrl = urn:uuid:029b7c8b-a683-6189-4b28-69eac44785df
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 飲酒
effective: 2020-04-04
value: 週1～2日
Entry 50 - fullUrl = urn:uuid:ddd1124f-f22d-73d9-0205-f23d19ff9d5b
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 飲酒量
effective: 2020-04-04
value: 1～2合未満
Entry 51 - fullUrl = urn:uuid:58da6db5-8b94-885e-d69d-2c1d61bcf5fc
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 睡眠
effective: 2020-04-04
value: いいえ
Entry 52 - fullUrl = urn:uuid:c129aa0a-0324-f741-b3b6-2ede35eef2de
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 生活習慣の改善
effective: 2020-04-04
value: 意志なし
Entry 53 - fullUrl = urn:uuid:4e41601f-3e85-2b45-51a9-8e939a43c9f7
Resource Observation:
Last updated: 2024-04-05 13:28:17+0900
Profile: JP_Observation_eCheckupGeneral
status: Final
category: Social History
code: 特定保健指導の受診歴
effective: 2020-04-04
value: いいえ