HL7 Japan-JAMI eReferral ImplementationGuide
1.1.1-rc - release Japan flag

HL7 Japan-JAMI eReferral ImplementationGuide - Local Development build (v1.1.1-rc). See the Directory of published versions

Example Bundle: bundleReferralExample01

田中 太郎(OFFICIAL) Male, DoB: 1955-05-04 ( id: 12345)

Generated Narrative: Composition

Resource Composition "compositionReferralExample01Inline"

Profile: JP_Composition_eReferral

Texts

-Div
*<div/>

versionNumber: ARGcode

identifier: id: ARGcode

status: FINAL

type: 診療情報提供書 (JP_codeSystem_documentTypeCode#57133-1)

category: 診療情報提供書 (JP_codeSystem_documentTypeCode#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)

Events

-CodePeriod
*診療情報提供書発行 ()2020-08-21 --> (ongoing)

紹介先情報

東京第一テスト病院

紹介元情報

港診療所

構造情報

紹介目的

腹痛精査お願いします。

傷病名・主訴

上腹部痛、腰痛

現病歴

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。

既往歴

2018年 狭心症 2ヶ月治療で軽快。2019年 交通事故で左前腕骨折 3ヶ月ギプス固定。

アレルギー・不耐性反応

サバ キーウイ

家族歴

母 胃がん

身体所見

腹部所見:上腹部圧痛あり、その他特に所見なし。

感染症情報

特になし

臨床経過

添付参照

Additional Document Content


2. urn:uuid:0a48a4bf-0d87-4efb-aafd-d45e0842a4dd (Patient/jppatientExample01Inline)

田中 太郎(OFFICIAL) Male, DoB: 1955-05-04 ( id: 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"

Profiles: JP Core Practitioner Profile, JP_Practitioner_eClinicalSummary

Texts

-Div
*<div/>

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"

Profiles: JP Core Practitioner Profile, JP_Practitioner_eClinicalSummary

Texts

-Div
*<div/>

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"

Profiles: JP Core Organization Profile, JP_Organization_eClinicalSummary

Texts

-Div
*<div/>

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: id: 9876543

identifier: id: 1319876543

type: Healthcare Provider (Organization type#prov)

name: 港診療所

Contacts

-TelecomAddress
*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"

Profiles: JP Core Organization Profile, JP_Organization_eClinicalSummary

Texts

-Div
*<div/>

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: id: 1234567

identifier: id: 1311234567

type: Healthcare Provider (Organization type#prov)

name: 東京第一テスト病院

Contacts

-TelecomAddress
*ph: 03-1234-5678東京都文京区文京町1−2−3


8. urn:uuid:9f92f003-69e6-4983-85eb-fb49a3110b59 (Organization/referralToOrganizationDeptExample01Inline)

Generated Narrative: Organization

Resource Organization "referralToOrganizationDeptExample01Inline"

Profiles: JP Core Organization Profile, JP_Organization_eClinicalSummary_department

Texts

-Div
*<div/>

type: Hospital Department (Organization type#dept), 神経科 (MHLW_codeSystem_ePreCDA_clinicalDepartment_tbl10#03)

name: 循環器内科

partOf: See above (urn:uuid:9f92f003-69e6-4983-85eb-fb49a3110b59)


9. urn:uuid:2e979bec-720b-4e36-8eb9-ebe661172af3 (Organization/referralFromOrganizationDeptExample01Inline)

Generated Narrative: Organization

Resource Organization "referralFromOrganizationDeptExample01Inline"

Profiles: JP Core Organization Profile, JP_Organization_eClinicalSummary_department

Texts

-Div
*<div/>

type: Hospital Department (Organization type#dept), 整形外科 (MHLW_codeSystem_ePreCDA_clinicalDepartment_tbl10#11)

name: 眼科

partOf: See above (urn:uuid:2e979bec-720b-4e36-8eb9-ebe661172af3)


10. urn:uuid:3acc3dc7-c79b-41f1-8eea-ac4de9b664b8 (Encounter/purposeReferralExample01Inline)

Not done yet


11. urn:uuid:6a31db8e-109d-4349-b0cf-095131c3307a (Condition/cc1ReferralExample01Inline)

Generated Narrative: Condition

Resource Condition "cc1ReferralExample01Inline"

Profiles: JP Core Condition Profile, JP_Condition_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 192837-01

clinicalStatus: Active (Condition Clinical Status Codes#active)

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


12. urn:uuid:a9358f3e-c743-4998-aa89-1be54c31b432 (Condition/cc2ReferralExample01Inline)

Generated Narrative: Condition

Resource Condition "cc2ReferralExample01Inline"

Profiles: JP Core Condition Profile, JP_Condition_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 192837-02

clinicalStatus: Active (Condition Clinical Status Codes#active)

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


13. urn:uuid:5eab50b2-6741-467c-a2fd-a4adab1f835f (Condition/piReferralExample01Inline)

Generated Narrative: Condition

Resource Condition "piReferralExample01Inline"

Profiles: JP Core Condition Profile, JP_Condition_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 192838

clinicalStatus: Active (Condition Clinical Status Codes#active)

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。


14. urn:uuid:5c650562-f4e4-40b3-87c6-e9a0376be7a8 (Condition/ph1ReferralExample01Inline)

Generated Narrative: Condition

Resource Condition "ph1ReferralExample01Inline"

Profiles: JP Core Condition Profile, JP_Condition_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 192839-01

clinicalStatus: Active (Condition Clinical Status Codes#active)

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。


15. urn:uuid:a28198b9-6a23-4677-ba2e-5eb3e17d9792 (Condition/ph2ReferralExample01Inline)

Generated Narrative: Condition

Resource Condition "ph2ReferralExample01Inline"

Profiles: JP Core Condition Profile, JP_Condition_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 192839-02

clinicalStatus: Active (Condition Clinical Status Codes#active)

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。


16. urn:uuid:711b07ae-d20b-40b0-9aa9-c7f1981409e6 (AllergyIntolerance/alg1ReferralExample01Inline)

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "alg1ReferralExample01Inline"

Profiles: JP Core AllergyIntolerance Profile, JP_AllergyIntolerance_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 102934701

clinicalStatus: 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


17. urn:uuid:5a1aae74-f720-415a-ba15-a6c8b5d4c5a1 (AllergyIntolerance/alg1ReferralExample02Inline)

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "alg1ReferralExample02Inline"

Profiles: JP Core AllergyIntolerance Profile, JP_AllergyIntolerance_eClinicalSummary

Texts

-Div
*<div/>

identifier: id: 102934701

clinicalStatus: 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


18. urn:uuid:481835ef-0891-45de-a006-087954ab6b7c (Observation/psobsCommonExample01Inline)

Generated Narrative: Observation

Resource Observation "psobsCommonExample01Inline"

Profile: JP Core Observation Common Profile

Texts

-Div
*<div/>

identifier: id: 192837

status: FINAL

category: 身体検査・観察 (Observation Category Codes#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。


19. urn:uuid:a6e4fc73-a749-4583-94a7-18e4241b4c75 (DocumentReference/ccourseReferralExample01Inline)

Generated Narrative: DocumentReference

Resource DocumentReference "ccourseReferralExample01Inline"

Profiles: JP_DocumentReference, JP_DocumentReference_eClinicalSummary

Texts

-Div
*<div/>

status: CURRENT

type: Progress note (LOINC#11506-3)

description: 臨床経過

content

Attachments

-ContentTypeData
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