電子カルテ情報共有サービス2文書５情報+患者サマリー FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.11.0
1.11.0 - update
Japan
電子カルテ情報共有サービス2文書５情報+患者サマリー FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.11.0 - Local Development build (v1.11.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Last updated: 2023-11-12 10:00:00+0900; Language: ja
Profile: CLINS電子カルテ情報共有サービス用:JP_Bundle_CLINSversion: null1.11.0)
Tag: Observation (Details: Bundleリソースに含まれる５情報リソースタイプ code Observation)
タイプ collection のバンドル Bundle-CLINS-Observations-Example-01
エントリ 1 - fullUrl = urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a
Resource Patient:
患者ID：000999739
被保険者患者番号：00012345:あいう:１８７:05
漢字氏名：マキノ ランマン
カナ氏名：牧野 爛漫
電話：03-123-1234
性別：female
生年月日：1930-06-28
高知県高知市五台山4200-6
エントリ 2 - fullUrl = urn:uuid:f2c5a40b-c7ea-1d52-7e81-7440b1f26f91
Resource Observation:
Last updated: 2021-07-09 14:11:13+0900
JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567
JP eCS Department Extension: 循環器診療科
identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2
status: Final
category: Laboratory
code: アルブミン
effective: 2021-07-05 11:19:41+0900
issued: 2021-07-05 15:38:59+0900
performer: Practitioner 田中 宏
value: 3.9 mg/L
note:
Observationリソース（検体検査結果）アルブミン 3.9 mg/L ローカルコード=0000181800 臨床検査項目基本コードJLAC10=3A015000001827101 検体：血清(埋込みリソース） 診療科：循環器診療科
specimen: Specimen: type = 血清
Language: ja
Profile: JP_Encounter-eCSversion: null1.11.0)
identifier: JP_core_resourceInstance_identifier_NamingSystem/192844
status: completed
class: 外来
Language: ja
Profile: JP_Specimen
type: 血清
Language: ja
Profile: JP Core Practitioner Profile
identifier:
urn:oid:1.2.392.100495.20.3.41.11311234567/D001name: 田中 宏
エントリ 3 - fullUrl = urn:uuid:fd601925-858c-2d96-f061-9de1076d419c
Resource Observation:
Last updated: 2021-07-09 14:11:13+0900; Language: ja
Profile: JP_Observation_LabResult_eCS
JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567
JP eCS Department Extension: 循環器診療科
identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2
status: Final
category: Laboratory
code: カリウム
effective: 2021-07-05 11:19:41+0900
issued: 2021-07-05 15:38:59+0900
performer: Practitioner 田中 宏
value: 3.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
specimen: 血清
ReferenceRanges
Low High 3.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') 5.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L') Language: ja
Profile: JP_Encounter-eCSversion: null1.11.0)
identifier: JP_core_resourceInstance_identifier_NamingSystem/192844
status: completed
class: 外来
Language: ja
Profile: JP Core Practitioner Profile
identifier:
urn:oid:1.2.392.100495.20.3.41.11311234567/D001name: 田中 宏
エントリ 4 - fullUrl = urn:uuid:2ac56975-1610-5496-eb0e-c2a5f2f01a62
Resource Observation:
Last updated: 2021-07-09 14:11:13+0900; Language: ja
Profile: JP_Observation_LabResult_eCS
JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567
JP eCS Department Extension: 循環器診療科
identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2
status: Final
category: Laboratory
code: eGFR
effective: 2021-07-05 11:19:41+0900
issued: 2021-07-05 15:38:59+0900
performer: Practitioner 田中 宏
value: 75 ml/min/1.73m2
specimen: 血清
Language: ja
Profile: JP_Encounter-eCSversion: null1.11.0)
identifier: JP_core_resourceInstance_identifier_NamingSystem/192844
status: completed
class: 外来
Language: ja
Profile: JP Core Practitioner Profile
identifier:
urn:oid:1.2.392.100495.20.3.41.11311234567/D001name: 田中 宏
エントリ 5 - fullUrl = urn:uuid:e3a7af80-ca1f-5638-dc97-00fa9458fe1c
Resource Observation:
Last updated: 2021-07-09 14:11:13+0900; Language: ja
Profile: JP_Observation_LabResult_eCS
JP eCS InstitutionNumber Extension: JP_imedical_institution_identifier_NamingSystem/1311234567
JP eCS Department Extension: 循環器診療科
identifier: JP_core_resourceInstance_identifier_NamingSystem/1311234567-9990767-OBSLAB13883807672021070909210705-2
status: Final
category: Laboratory
code: 尿蛋⽩(定性)
effective: 2021-07-05 11:19:41+0900
issued: 2021-07-05 15:38:59+0900
performer: Practitioner 田中 宏
value: (±)
specimen: 尿
Language: ja
Profile: JP_Encounter-eCSversion: null1.11.0)
identifier: JP_core_resourceInstance_identifier_NamingSystem/192844
status: completed
class: 外来
Language: ja
Profile: JP Core Practitioner Profile
identifier:
urn:oid:1.2.392.100495.20.3.41.11311234567/D001name: 田中 宏