診療情報提供書FHIR記述仕様 実装ガイド
1.1.6 - release
Japan
診療情報提供書FHIR記述仕様 実装ガイド
1.1.6 - release
Japan
診療情報提供書FHIR記述仕様 実装ガイド - Local Development build (v1.1.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Composition
Resource Composition "compositionReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: JP_Composition_eReferral
versionNumber: 1.0
identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/1311234567-2021-12345678
status: FINAL
type: 診療情報提供書 (FHIR文書の文書区分（医療文書全般）#57133-1)
category: 診療情報提供書 (FHIR文書の文書区分（医療文書全般）#57133-1)
encounter: See above (urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e: 受診Encounterリソース)
date: 2020-08-21 12:12:20+0900
author:
title: 診療情報提供書
custodian: See above (urn:uuid:8a888471-9781-4fb7-b5c4-b34afcdea638: 紹介状交付責任機関Organizationリソース)
| Period | Detail |
| 2020-08-21 --> (ongoing) | 診療情報提供書発行 () |
2. urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd (Patient/jppatientExample01Inline)
田中 太郎(OFFICIAL) Male, DoB: 1955-05-04 ( urn:oid:1.2.392.200119.6.102.11234567890#12345)
3. urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e (Encounter/encounterReferralExample01Inline)
Not done yet
4. urn:uuid:3e6a0ba2-d781-4fd7-9de6-e077b690daed (Practitioner/referralFromPractitionerExample01Inline)
Generated Narrative: Practitioner
Resource Practitioner "referralFromPractitionerExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Practitioner_eCS
name: 大河内 勘三郎(OFFICIAL), オオコウチ カンザブロウ(OFFICIAL)
5. urn:uuid:f11535c2-043d-43b6-bf99-b8298ea3c946 (Practitioner/referralToPractitionerExample01Inline)
Generated Narrative: Practitioner
Resource Practitioner "referralToPractitionerExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Practitioner_eCS
name: 野口 英世丸(OFFICIAL), ノグチ ヒデヨマル(OFFICIAL)
6. urn:uuid:8a888471-9781-4fb7-b5c4-b34afcdea638 (Organization/referralFromOrganizationExample01Inline)
Generated Narrative: Organization
Resource Organization "referralFromOrganizationExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: JP_Organization_eCS
JP Core Organization PrefectureNo Extension: 東京都 (Details: urn:oid:1.2.392.100495.20.3.21 code 13 = '東京都', stated as 'null')
JP Core Organization InsuranceOrganizationCategory Extension: 医科 (Details: urn:oid:1.2.392.100495.20.3.22 code 1 = '医科', stated as 'null')
JP Core Organization InsuranceOrganizationNo Extension:
urn:oid:1.2.392.100495.20.3.23/9876543JP eCS Department Extension: 眼科 (JP Core Department SS-MIX CodeSystem#26)
identifier:
http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1319876543type: Healthcare Provider (Organization type#prov)
name: 港診療所
Contacts
Telecom Address ph: 03-9876-5432 東京都港区新橋１−２−３
7. urn:uuid:a44951be-cdaa-4c53-9e35-6be013da5441 (Organization/referralToOrganizationExample01Inline)
Generated Narrative: Organization
Resource Organization "referralToOrganizationExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: JP_Organization_eCS
JP Core Organization PrefectureNo Extension: 東京都 (Details: urn:oid:1.2.392.100495.20.3.21 code 13 = '東京都', stated as 'null')
JP Core Organization InsuranceOrganizationCategory Extension: 医科 (Details: urn:oid:1.2.392.100495.20.3.22 code 1 = '医科', stated as 'null')
JP Core Organization InsuranceOrganizationNo Extension:
urn:oid:1.2.392.100495.20.3.23/1234567JP eCS Department Extension: 循環器内科 (JP Core Department SS-MIX CodeSystem#081)
identifier:
http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1311234567type: Healthcare Provider (Organization type#prov)
name: 東京第一テスト病院
Contacts
Telecom Address ph: 03-1234-5678 東京都文京区文京町１−２−３
8. urn:uuid:3acc3dc7-c79b-41f1-8eea-ac4de9b664b8 (Encounter/purposeReferralExample01Inline)
Not done yet
9. urn:uuid:6a31db8e-109d-4349-b0cf-095131c3307a (Condition/cc1ReferralExample01Inline)
Generated Narrative: Condition
Resource Condition "cc1ReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Condition_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192837-01clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: 上腹部痛 ()
subject: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
onset: 2022-06-09
10. urn:uuid:a9358f3e-c743-4998-aa89-1be54c31b432 (Condition/cc2ReferralExample01Inline)
Generated Narrative: Condition
Resource Condition "cc2ReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Condition_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192837-02clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: 腰痛 ()
subject: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
onset: 2022-05
11. urn:uuid:5eab50b2-6741-467c-a2fd-a4adab1f835f (Condition/piReferralExample01Inline)
Generated Narrative: Condition
Resource Condition "piReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Condition_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192838clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: 上腹部痛 ()
subject: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
note: ２０２２年６月上旬から夜食後に時々上腹部痛があり、だんだんひどくなっている。他に目立った症状なし。
12. urn:uuid:5c650562-f4e4-40b3-87c6-e9a0376be7a8 (Condition/ph1ReferralExample01Inline)
Generated Narrative: Condition
Resource Condition "ph1ReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Condition_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192839-01clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: 狭心症 ()
subject: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
onset: 2018
note: 2018年 狭心症 ２ヶ月治療で軽快。
13. urn:uuid:a28198b9-6a23-4677-ba2e-5eb3e17d9792 (Condition/ph2ReferralExample01Inline)
Generated Narrative: Condition
Resource Condition "ph2ReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_Condition_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192839-02clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem List Item (Condition Category Codes#problem-list-item)
code: 左前腕骨折 ()
subject: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
onset: 2019
note: 交通事故で左前腕骨折 ３ヶ月ギプス固定。
14. urn:uuid:711b07ae-d20b-40b0-9aa9-c7f1981409e6 (AllergyIntolerance/alg1ReferralExample01Inline)
Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "alg1ReferralExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_AllergyIntolerance_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/102934701clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
type: Allergy (AllergyIntoleranceType#allergy)
category: FOOD
criticality: UNABLETOASSESS
code: サバ ()
patient: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
encounter: See above (urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e)
onset: 30 a (Details: UCUM code a = 'a')
note: サバ食後３時間ほどで全身に発疹と腹痛あり
15. urn:uuid:5a1aae74-f720-415a-ba15-a6c8b5d4c5a1 (AllergyIntolerance/alg1ReferralExample02Inline)
Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "alg1ReferralExample02Inline" Updated "2021-11-26 10:00:00+0900"
Profile: eCS:JP_AllergyIntolerance_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/102934701clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
type: Allergy (AllergyIntoleranceType#allergy)
category: FOOD
criticality: UNABLETOASSESS
code: キーウイ ()
patient: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
encounter: See above (urn:uuid:7cad1f19-3435-451d-9a71-a81b61f3358e)
onset: 10 a (Details: UCUM code a = 'a')
note: 食べると口の周りが痺れる感じ
16. urn:uuid:481835ef-0891-45de-a006-087954ab6b7c (Observation/psobsCommonExample01Inline)
Generated Narrative: Observation
Resource Observation "psobsCommonExample01Inline" Updated "2021-11-26 10:00:00+0900"
Profile: JP_Observation_Common_eCS
identifier:
http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192837status: FINAL
category: Exam (JP Core Simple Observation Category CodeSystem#exam)
code: 腹部所見 ()
subject: See above (urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd)
value: 上腹部圧痛あり、その他特に所見なし。
17. urn:uuid:a6e4fc73-a749-4583-94a7-18e4241b4c75 (DocumentReference/ccourseReferralExample01Inline)
Generated Narrative: DocumentReference
Resource DocumentReference "ccourseReferralExample01Inline" Updated "2023-03-31 00:00:00+0900"
Profile: JP_DocumentReference_eCS
status: CURRENT
type: Progress note (LOINC#11506-3)
description: 臨床経過
content
Attachments
ContentType Data text/plain;charset=UTF-8 (base64 data - 770 bytes)