HL7 FHIR JP Core ImplementationGuide
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: JP Core DiagnosticReport_LabResult Example 検体検査(血液)レポート - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "jp-diagnosticreport-labresult-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_LabResult"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport jp-diagnosticreport-labresult-example-1</b></p><a name=\"jp-diagnosticreport-labresult-example-1\"> </a><a name=\"hcjp-diagnosticreport-labresult-example-1\"> </a><a name=\"jp-diagnosticreport-labresult-example-1-ja\"> </a><h2><span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS 11502-2}\">検体検査報告書</span> (<span title=\"Codes:{http://loinc.org LP29693-6}\">検体検査</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</td></tr><tr><td>When For</td><td>2021-08-25 08:30:00+0900</td></tr><tr><td>Reported</td><td>2021-03-04 11:45:33+0900</td></tr><tr><td>Performer</td><td> <a href=\"Organization-jp-organization-example-hospital.html\">健康第一病院</a></td></tr><tr><td>Identifier</td><td> <code>http://abc-hospital.local/fhir/lab/reportid</code>/5234342</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href=\"#hcjp-diagnosticreport-labresult-example-1/inner-observation-labresult-1\"><span title=\"Codes:{http://abc-hospital.local/fhir/Observation/localcode 123}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 2A990000001930953}\">ヘモグロビン</span></a></td><td>176 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>135 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span> - 180 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>Final</td><td>2021-03-04 08:30:00+0900</td></tr><tr><td><a href=\"#hcjp-diagnosticreport-labresult-example-1/inner-observation-labresult-2\"><span title=\"Codes:{http://abc-hospital.local/fhir/Observation/localcode 456}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 2A990000001992051}\">赤血球数</span></a></td><td>5.9 10*6/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span></td><td>4.2 10*6./L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span> - 6 10*6./L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span></td><td>Final</td><td>2021-03-04 08:30:00+0900</td></tr><tr><td><a href=\"#hcjp-diagnosticreport-labresult-example-1/inner-observation-labresult-3\"><span title=\"Codes:{http://abc-hospital.local/fhir/Observation/localcode 789}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 2A990000001930954}\">ヘマトクリット</span></a></td><td>55 %</td><td>38 % - 52 %</td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2021-03-04 08:30:00+0900</td></tr></table><hr/><p class=\"res-header-id\"><b>Observation #inner-observation-labresult-1</b></p><a name=\"jp-diagnosticreport-labresult-example-1/inner-observation-labresult-1\"> </a><a name=\"hcjp-diagnosticreport-labresult-example-1/inner-observation-labresult-1\"> </a><a name=\"jp-diagnosticreport-labresult-example-1/inner-observation-labresult-1-ja\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://abc-hospital.local/fhir/Observation/localcode 123}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 2A990000001930953}\">ヘモグロビン</span></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></p><p><b>effective</b>: 2021-03-04 08:30:00+0900</p><p><b>performer</b>: <a href=\"Organization-jp-organization-example-hospital.html\">健康第一病院</a></p><p><b>value</b>: 176 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></p><p><b>specimen</b>: <a href=\"Specimen-jp-specimen-example-2.html\">Specimen: identifier = http://abc-hospital.local/identifiers/collections#23234352357; accessionIdentifier = http://abc-hospital.local/specimens/2011#X352357; status = available; type = Whole blood; receivedTime = 2021-08-11 11:03:00+0900</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>135 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>180 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td></tr></table><hr/><p class=\"res-header-id\"><b>Observation #inner-observation-labresult-2</b></p><a name=\"jp-diagnosticreport-labresult-example-1/inner-observation-labresult-2\"> </a><a name=\"hcjp-diagnosticreport-labresult-example-1/inner-observation-labresult-2\"> </a><a name=\"jp-diagnosticreport-labresult-example-1/inner-observation-labresult-2-ja\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://abc-hospital.local/fhir/Observation/localcode 456}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 2A990000001992051}\">赤血球数</span></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></p><p><b>effective</b>: 2021-03-04 08:30:00+0900</p><p><b>performer</b>: <a href=\"Organization-jp-organization-example-hospital.html\">健康第一病院</a></p><p><b>value</b>: 5.9 10*6/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span></p><p><b>specimen</b>: <a href=\"Specimen-jp-specimen-example-2.html\">Specimen: identifier = http://abc-hospital.local/identifiers/collections#23234352357; accessionIdentifier = http://abc-hospital.local/specimens/2011#X352357; status = available; type = Whole blood; receivedTime = 2021-08-11 11:03:00+0900</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>4.2 10*6./L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span></td><td>6 10*6./L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span></td></tr></table><hr/><p class=\"res-header-id\"><b>Observation #inner-observation-labresult-3</b></p><a name=\"jp-diagnosticreport-labresult-example-1/inner-observation-labresult-3\"> </a><a name=\"hcjp-diagnosticreport-labresult-example-1/inner-observation-labresult-3\"> </a><a name=\"jp-diagnosticreport-labresult-example-1/inner-observation-labresult-3-ja\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://abc-hospital.local/fhir/Observation/localcode 789}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 2A990000001930954}\">ヘマトクリット</span></p><p><b>subject</b>: <a href=\"Patient-jp-patient-example-1.html\">山田 太郎 Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#00000010)</a></p><p><b>effective</b>: 2021-03-04 08:30:00+0900</p><p><b>performer</b>: <a href=\"Organization-jp-organization-example-hospital.html\">健康第一病院</a></p><p><b>value</b>: 55 %</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><p><b>specimen</b>: <a href=\"Specimen-jp-specimen-example-2.html\">Specimen: identifier = http://abc-hospital.local/identifiers/collections#23234352357; accessionIdentifier = http://abc-hospital.local/specimens/2011#X352357; status = available; type = Whole blood; receivedTime = 2021-08-11 11:03:00+0900</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>38 %</td><td>52 %</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Observation",
      "id" : "inner-observation-labresult-1",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"
        ]
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS",
              "code" : "laboratory"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://abc-hospital.local/fhir/Observation/localcode",
            "code" : "123",
            "display" : "ヘモグロビン"
          },
          {
            "system" : "http://medis.or.jp/CodeSystem/master-JLAC10-17digits",
            "code" : "2A990000001930953"
          }
        ],
        "text" : "ヘモグロビン"
      },
      "subject" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      },
      "effectiveDateTime" : "2021-03-04T08:30:00+09:00",
      "performer" : [
        {
          🔗 "reference" : "Organization/jp-organization-example-hospital",
          "display" : "健康第一病院"
        }
      ],
      "valueQuantity" : {
        "value" : 176,
        "unit" : "g/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "g/L"
      },
      "specimen" : {
        🔗 "reference" : "Specimen/jp-specimen-example-2"
      },
      "referenceRange" : [
        {
          "low" : {
            "value" : 135,
            "unit" : "g/L",
            "system" : "http://unitsofmeasure.org",
            "code" : "g/L"
          },
          "high" : {
            "value" : 180,
            "unit" : "g/L",
            "system" : "http://unitsofmeasure.org",
            "code" : "g/L"
          }
        }
      ]
    },
    {
      "resourceType" : "Observation",
      "id" : "inner-observation-labresult-2",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"
        ]
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS",
              "code" : "laboratory"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://abc-hospital.local/fhir/Observation/localcode",
            "code" : "456",
            "display" : "赤血球数"
          },
          {
            "system" : "http://medis.or.jp/CodeSystem/master-JLAC10-17digits",
            "code" : "2A990000001992051"
          }
        ],
        "text" : "赤血球数"
      },
      "subject" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      },
      "effectiveDateTime" : "2021-03-04T08:30:00+09:00",
      "performer" : [
        {
          🔗 "reference" : "Organization/jp-organization-example-hospital",
          "display" : "健康第一病院"
        }
      ],
      "valueQuantity" : {
        "value" : 5.9,
        "unit" : "10*6/uL",
        "system" : "http://unitsofmeasure.org",
        "code" : "10*6/uL"
      },
      "specimen" : {
        🔗 "reference" : "Specimen/jp-specimen-example-2"
      },
      "referenceRange" : [
        {
          "low" : {
            "value" : 4.2,
            "unit" : "10*6./L",
            "system" : "http://unitsofmeasure.org",
            "code" : "10*6/uL"
          },
          "high" : {
            "value" : 6,
            "unit" : "10*6./L",
            "system" : "http://unitsofmeasure.org",
            "code" : "10*6/uL"
          }
        }
      ]
    },
    {
      "resourceType" : "Observation",
      "id" : "inner-observation-labresult-3",
      "meta" : {
        "profile" : [
          🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"
        ]
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS",
              "code" : "laboratory"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://abc-hospital.local/fhir/Observation/localcode",
            "code" : "789",
            "display" : "ヘマトクリット"
          },
          {
            "system" : "http://medis.or.jp/CodeSystem/master-JLAC10-17digits",
            "code" : "2A990000001930954"
          }
        ],
        "text" : "ヘマトクリット"
      },
      "subject" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      },
      "effectiveDateTime" : "2021-03-04T08:30:00+09:00",
      "performer" : [
        {
          🔗 "reference" : "Organization/jp-organization-example-hospital",
          "display" : "健康第一病院"
        }
      ],
      "valueQuantity" : {
        "value" : 55,
        "unit" : "%"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "H"
            }
          ]
        }
      ],
      "specimen" : {
        🔗 "reference" : "Specimen/jp-specimen-example-2"
      },
      "referenceRange" : [
        {
          "low" : {
            "value" : 38,
            "unit" : "%"
          },
          "high" : {
            "value" : 52,
            "unit" : "%"
          }
        }
      ]
    }
  ],
  "identifier" : [
    {
      "system" : "http://abc-hospital.local/fhir/lab/reportid",
      "value" : "5234342"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "LP29693-6",
          "display" : "検体検査"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS",
        "code" : "11502-2",
        "display" : "検体検査報告書"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/jp-encounter-example-1"
  },
  "effectiveDateTime" : "2021-08-25T08:30:00+09:00",
  "issued" : "2021-03-04T11:45:33+09:00",
  "performer" : [
    {
      🔗 "reference" : "Organization/jp-organization-example-hospital",
      "display" : "健康第一病院"
    }
  ],
  "result" : [
    {
      "reference" : "#inner-observation-labresult-1"
    },
    {
      "reference" : "#inner-observation-labresult-2"
    },
    {
      "reference" : "#inner-observation-labresult-3"
    }
  ],
  "presentedForm" : [
    {
      "contentType" : "application/pdf",
      "language" : "ja-JP",
      "data" : "JVBERi0xLjUNCiW1tbW1DQoxIDAgb2JqDQo8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyhqYS1KUCkgL1N0cnVjdFRyZWVSb290IDEzIDAgUi9NYXJrSW5mbzw8L01hcmtlZCB0cnVlPj4+Pg0KZW5kb2JqDQoyIDAgb2JqDQo8PC9UeXBlL1BhZ2VzL0NvdW50IDEvS2lkc1sgMyAwIFJdID4+DQplbmRvYmoNCjMgMCBvYmoN",
      "title" : "検査結果PDFレポート"
    }
  ]
}
本実装ガイドへのご質問・ご指摘については、GitHub IssueおよびGitHub PullRequestにて受け付けている。