{ "resourceType" : "QuestionnaireResponse", "id" : "EInfectionReport-EHEC-Example-01", "meta" : { "profile" : ["http://jpfhir.jp/fhir/eInfectionReport/StructureDefinition/JP_QResponse_eInfectionReport_EHEC"] }, "text" : { "status" : "generated", "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIdTextDefinitionAnswer\"doco\"
\".\"\".\" EInfectionReport-EHEC-Example-01Questionnaire:腸管出血性大腸菌感染症 発生届 Enterohemorrhagic E. coli infection
\".\"\".\"\".\" group_Header届出元情報
\".\"\".\"\".\"\".\" i0_1報告年月日2023-05-31
\".\"\".\"\".\"\".\" i0_2医師氏名河野\u3000和男
\".\"\".\"\".\"\".\" i0_3従事する病院・診療所の名称東京中央病院
\".\"\".\"\".\"\".\" i0_4上記病院・診療所の所在地東京都港区海岸1-1-1
\".\"\".\"\".\"\".\" i0_5電話番号03-1234-1234
\".\"\".\"\".\" group_Subject当該者情報
\".\"\".\"\".\"\".\" i1_1診断（検案）した者（死体）の類型腸管出血性大腸菌感染症 診断（検案）した者（死体）の類型コード 01: 患者（確定例）
\".\"\".\"\".\"\".\" i1_2当該者氏名田中\u3000太郎
\".\"\".\"\".\"\".\" i1_3性別AdministrativeGender male: Male
\".\"\".\"\".\"\".\" i1_4生年月日1960-01-02
\".\"\".\"\".\"\".\" i1_5診断時の年齢（0歳は月齢）63
\".\"\".\"\".\"\".\" i1_6当該者職業無職
\".\"\".\"\".\"\".\" i1_7-1当該者住所東京都文京区本郷1-2-3
\".\"\".\"\".\"\".\" i1_7-2当該者住所の電話03-9999-1234
\".\"\".\"\".\"\".\" i1_8-1当該者所在地住所に同じ
\".\"\".\"\".\"\".\" i1_8-2当該者所在地の電話同上
\".\"\".\"\".\" group_Contents届出内容
\".\"\".\"\".\"\".\" i1_11症状質問票の回答のためのYES/NO Y: Yes
\".\"\".\"\".\"\".\"\".\" i1_11_1症状選択肢
\".\"\".\"\".\"\".\"\".\" i1_11_2その他の症状
\".\"\".\"\".\"\".\" i1_12診断方法
\".\"\".\"\".\"\".\"\".\" i1_12_1分離・同定による病原体の検出、かつ、分離菌における次の1、2いずれかによるベロ毒素の確認（1毒素産生 2ＰＣＲ法等による毒素遺伝子 ）
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_11:毒素産生 2:ＰＣＲ法等による毒素遺伝子
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_2検体：便・その他（ ）
\".\"\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_2_1検体：便質問票の回答のためのYES/NO Y: Yes
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_3Ｏ血清群：Ｏ( )・不明
\".\"\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_3_2Ｏ血清群：不明質問票の回答のための Unknown (不明) U: Unknown
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_4Ｈ血清群：Ｈ( )・不明
\".\"\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_4_1Ｈ血清群：Ｈ( )123陽性
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_1_5ベロ毒素：VT1VT2 ・VT1 ・VT2 ・VT(型不明)腸管出血性大腸菌感染症 ベロ毒素タイプコード VT2: VT2
\".\"\".\"\".\"\".\"\".\" i1_12_2便でのベロ毒素の検出（HUS 発症例に限る）false
\".\"\".\"\".\"\".\"\".\" i1_12_3血清でのＯ抗原凝集抗体又は抗ベロ毒素抗体の検出（HUS発症例に限る）false
\".\"\".\"\".\"\".\"\".\" i1_12_4その他の方法検査センター委託
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_4_1検体（ ）便
\".\"\".\"\".\"\".\"\".\"\".\" i1_12_4_2結果（ ）陽性
\".\"\".\"\".\"\".\" i1_13初診年月日2023-04-30
\".\"\".\"\".\"\".\" i1_14診断（検案）年月日2023-04-30
\".\"\".\"\".\"\".\" i1_15感染したと推定される年月日2023-04-27
\".\"\".\"\".\"\".\" i1_16発病年月日2023-04-28
\".\"\".\"\".\"\".\" i1_17死亡年月日
\".\"\".\"\".\"\".\" i1_18感染原因・感染経路・感染地域
\".\"\".\"\".\"\".\"\".\" i1_18_1感染原因・感染経路（確定・推定）診断等の事実の確からしさ CONFIRMED: 確定
\".\"\".\"\".\"\".\"\".\"\".\" i1_18_1_1経口感染（飲食物の種類・状況：）牛乳
\".\"\".\"\".\"\".\"\".\"\".\" i1_18_1_2接触感染（接触した人・物の種類・状況：）
\".\"\".\"\".\"\".\"\".\"\".\" i1_18_1_3動物・蚊・昆虫等からの感染（動物・蚊・昆虫等の種類・状況：)
\".\"\".\"\".\"\".\"\".\"\".\" i1_18_1_4その他
\".\"\".\"\".\"\".\"\".\" i1_18_2感染地域（確定・推定）診断等の事実の確からしさ CONFIRMED: 確定
\".\"\".\"\".\"\".\"\".\"\".\" i1_18_2_1日本国内（都道府県,市区町村）
\".\"\".\"\".\"\".\"\".\"\".\" i1_18_2_2国外（国,詳細地域）
\".\"\".\"\".\"\".\" i1_19その他感染症の蔓延防止及び当該者の医療のために医師が必要と認める事項特になし

\"doco\" Documentation for this format
" }, "identifier" : { "system" : "http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier", "value" : "1311234567-20230531-0001" }, "questionnaire" : "http://jpfhir.jp/fhir/eInfectionReport/mhlw/Questionnaire/JP_Questionnaire_eInfectionReport_EHEC", "status" : "completed", "authored" : "2023-05-31", "item" : [{ "linkId" : "group_Header", "text" : "届出元情報", "item" : [{ "linkId" : "i0_1", "text" : "報告年月日", "answer" : [{ "valueDate" : "2023-05-31" }] }, { "linkId" : "i0_2", "text" : "医師氏名", "answer" : [{ "valueString" : "河野\u3000和男" }] }, { "linkId" : "i0_3", "text" : "従事する病院・診療所の名称", "answer" : [{ "valueString" : "東京中央病院" }] }, { "linkId" : "i0_4", "text" : "上記病院・診療所の所在地", "answer" : [{ "valueString" : "東京都港区海岸1-1-1" }] }, { "linkId" : "i0_5", "text" : "電話番号", "answer" : [{ "valueString" : "03-1234-1234" }] }] }, { "linkId" : "group_Subject", "text" : "当該者情報", "item" : [{ "linkId" : "i1_1", "text" : "診断（検案）した者（死体）の類型", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/subjectClass_CS", "code" : "01", "display" : "患者（確定例）" } }] }, { "linkId" : "i1_2", "text" : "当該者氏名", "answer" : [{ "valueString" : "田中\u3000太郎" }] }, { "linkId" : "i1_3", "text" : "性別", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "male", "display" : "Male" } }] }, { "linkId" : "i1_4", "text" : "生年月日", "answer" : [{ "valueDate" : "1960-01-02" }] }, { "linkId" : "i1_5", "text" : "診断時の年齢（0歳は月齢）", "answer" : [{ "valueInteger" : 63 }] }, { "linkId" : "i1_6", "text" : "当該者職業", "answer" : [{ "valueString" : "無職" }] }, { "linkId" : "i1_7-1", "text" : "当該者住所", "answer" : [{ "valueString" : "東京都文京区本郷1-2-3" }] }, { "linkId" : "i1_7-2", "text" : "当該者住所の電話", "answer" : [{ "valueString" : "03-9999-1234" }] }, { "linkId" : "i1_8-1", "text" : "当該者所在地", "answer" : [{ "valueString" : "住所に同じ" }] }, { "linkId" : "i1_8-2", "text" : "当該者所在地の電話", "answer" : [{ "valueString" : "同上" }] }] }, { "linkId" : "group_Contents", "text" : "届出内容", "item" : [{ "linkId" : "i1_11", "text" : "症状", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_eQuestionaire_YesNo_CS", "code" : "Y" }, "item" : [{ "linkId" : "i1_11_1", "text" : "症状選択肢", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/JP_eInfectionReport_EHEC_symptom_CS", "code" : "01" } }, { "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/JP_eInfectionReport_EHEC_symptom_CS", "code" : "03" } }, { "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/JP_eInfectionReport_EHEC_symptom_CS", "code" : "98" } }] }, { "linkId" : "i1_11_2", "text" : "その他の症状", "answer" : [{ "valueString" : "高熱" }, { "valueString" : "頭痛" }] }] }] }, { "linkId" : "i1_12", "text" : "診断方法", "item" : [{ "linkId" : "i1_12_1", "text" : "分離・同定による病原体の検出、かつ、分離菌における次の1、2いずれかによるベロ毒素の確認（1毒素産生 2ＰＣＲ法等による毒素遺伝子 ）", "item" : [{ "linkId" : "i1_12_1_1", "text" : "1:毒素産生 2:ＰＣＲ法等による毒素遺伝子", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/JP_eInfectionReport_EHEC_dxsource_CS", "code" : "01" } }, { "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/JP_eInfectionReport_EHEC_dxsource_CS", "code" : "02" } }] }, { "linkId" : "i1_12_1_2", "text" : "検体：便・その他（ ）", "item" : [{ "linkId" : "i1_12_1_2_1", "text" : "検体：便", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_eQuestionaire_YesNo_CS", "code" : "Y" } }] }] }, { "linkId" : "i1_12_1_3", "text" : "Ｏ血清群：Ｏ( )・不明", "item" : [{ "linkId" : "i1_12_1_3_2", "text" : "Ｏ血清群：不明", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_eQuestionaire_Unknown_CS", "code" : "U" } }] }] }, { "linkId" : "i1_12_1_4", "text" : "Ｈ血清群：Ｈ( )・不明", "item" : [{ "linkId" : "i1_12_1_4_1", "text" : "Ｈ血清群：Ｈ( )", "answer" : [{ "valueString" : "123陽性" }] }] }, { "linkId" : "i1_12_1_5", "text" : "ベロ毒素：VT1VT2 ・VT1 ・VT2 ・VT(型不明)", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/eInfectionReport/CodeSystem/JP_eInfectionReport_EHEC_verotoxintype_CS", "code" : "VT2" } }] }] }, { "linkId" : "i1_12_2", "text" : "便でのベロ毒素の検出（HUS 発症例に限る）", "answer" : [{ "valueBoolean" : false }] }, { "linkId" : "i1_12_3", "text" : "血清でのＯ抗原凝集抗体又は抗ベロ毒素抗体の検出（HUS発症例に限る）", "answer" : [{ "valueBoolean" : false }] }, { "linkId" : "i1_12_4", "text" : "その他の方法", "answer" : [{ "valueString" : "検査センター委託", "item" : [{ "linkId" : "i1_12_4_1", "text" : "検体（ ）", "answer" : [{ "valueString" : "便" }] }, { "linkId" : "i1_12_4_2", "text" : "結果（ ）", "answer" : [{ "valueString" : "陽性" }] }] }] }] }, { "linkId" : "i1_13", "text" : "初診年月日", "answer" : [{ "valueDate" : "2023-04-30" }] }, { "linkId" : "i1_14", "text" : "診断（検案）年月日", "answer" : [{ "valueDate" : "2023-04-30" }] }, { "linkId" : "i1_15", "text" : "感染したと推定される年月日", "answer" : [{ "valueDate" : "2023-04-27" }] }, { "linkId" : "i1_16", "text" : "発病年月日", "answer" : [{ "valueDate" : "2023-04-28" }] }, { "linkId" : "i1_17", "text" : "死亡年月日" }, { "linkId" : "i1_18", "text" : "感染原因・感染経路・感染地域", "item" : [{ "linkId" : "i1_18_1", "text" : "感染原因・感染経路（確定・推定）", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_eQuestionaire_Likelihood_CS", "code" : "CONFIRMED" }, "item" : [{ "linkId" : "i1_18_1_1", "text" : "経口感染（飲食物の種類・状況：）", "answer" : [{ "valueString" : "牛乳" }] }, { "linkId" : "i1_18_1_2", "text" : "接触感染（接触した人・物の種類・状況：）" }, { "linkId" : "i1_18_1_3", "text" : "動物・蚊・昆虫等からの感染（動物・蚊・昆虫等の種類・状況：)" }, { "linkId" : "i1_18_1_4", "text" : "その他" }] }] }, { "linkId" : "i1_18_2", "text" : "感染地域（確定・推定）", "answer" : [{ "valueCoding" : { "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_eQuestionaire_Likelihood_CS", "code" : "CONFIRMED" }, "item" : [{ "linkId" : "i1_18_2_1", "text" : "日本国内（都道府県,市区町村）", "answer" : [{ "valueString" : "東京都" }, { "valueString" : "港区" }] }, { "linkId" : "i1_18_2_2", "text" : "国外（国,詳細地域）" }] }] }] }, { "linkId" : "i1_19", "text" : "その他感染症の蔓延防止及び当該者の医療のために医師が必要と認める事項", "answer" : [{ "valueString" : "特になし" }] }] }] }