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

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="jp-diagnosticreport-labresult-example-1"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_LabResult"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <contained>
    <Observation>
      <id value="inner-observation-labresult-1"/>
      <meta>
        <profile
                 value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"/>
      </meta>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS"/>
          <code value="laboratory"/>
        </coding>
      </category>
      <code>
        <coding>
          <system
                  value="http://abc-hospital.local/fhir/Observation/localcode"/>
          <code value="123"/>
          <display value="ヘモグロビン"/>
        </coding>
        <coding>
          <system
                  value="http://medis.or.jp/CodeSystem/master-JLAC10-17digits"/>
          <code value="2A990000001930953"/>
        </coding>
        <text value="ヘモグロビン"/>
      </code>
      <subject>🔗 
        <reference value="Patient/jp-patient-example-1"/>
      </subject>
      <effectiveDateTime value="2021-03-04T08:30:00+09:00"/>
      <performer>🔗 
        <reference value="Organization/jp-organization-example-hospital"/>
        <display value="健康第一病院"/>
      </performer>
      <valueQuantity>
        <value value="176"/>
        <unit value="g/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g/L"/>
      </valueQuantity>
      <specimen>🔗 
        <reference value="Specimen/jp-specimen-example-2"/>
      </specimen>
      <referenceRange>
        <low>
          <value value="135"/>
          <unit value="g/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/L"/>
        </low>
        <high>
          <value value="180"/>
          <unit value="g/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="inner-observation-labresult-2"/>
      <meta>
        <profile
                 value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"/>
      </meta>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS"/>
          <code value="laboratory"/>
        </coding>
      </category>
      <code>
        <coding>
          <system
                  value="http://abc-hospital.local/fhir/Observation/localcode"/>
          <code value="456"/>
          <display value="赤血球数"/>
        </coding>
        <coding>
          <system
                  value="http://medis.or.jp/CodeSystem/master-JLAC10-17digits"/>
          <code value="2A990000001992051"/>
        </coding>
        <text value="赤血球数"/>
      </code>
      <subject>🔗 
        <reference value="Patient/jp-patient-example-1"/>
      </subject>
      <effectiveDateTime value="2021-03-04T08:30:00+09:00"/>
      <performer>🔗 
        <reference value="Organization/jp-organization-example-hospital"/>
        <display value="健康第一病院"/>
      </performer>
      <valueQuantity>
        <value value="5.9"/>
        <unit value="10*6/uL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*6/uL"/>
      </valueQuantity>
      <specimen>🔗 
        <reference value="Specimen/jp-specimen-example-2"/>
      </specimen>
      <referenceRange>
        <low>
          <value value="4.2"/>
          <unit value="10*6./L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*6/uL"/>
        </low>
        <high>
          <value value="6"/>
          <unit value="10*6./L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*6/uL"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="inner-observation-labresult-3"/>
      <meta>
        <profile
                 value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"/>
      </meta>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://jpfhir.jp/fhir/core/CodeSystem/JP_SimpleObservationCategory_CS"/>
          <code value="laboratory"/>
        </coding>
      </category>
      <code>
        <coding>
          <system
                  value="http://abc-hospital.local/fhir/Observation/localcode"/>
          <code value="789"/>
          <display value="ヘマトクリット"/>
        </coding>
        <coding>
          <system
                  value="http://medis.or.jp/CodeSystem/master-JLAC10-17digits"/>
          <code value="2A990000001930954"/>
        </coding>
        <text value="ヘマトクリット"/>
      </code>
      <subject>🔗 
        <reference value="Patient/jp-patient-example-1"/>
      </subject>
      <effectiveDateTime value="2021-03-04T08:30:00+09:00"/>
      <performer>🔗 
        <reference value="Organization/jp-organization-example-hospital"/>
        <display value="健康第一病院"/>
      </performer>
      <valueQuantity>
        <value value="55"/>
        <unit value="%"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <specimen>🔗 
        <reference value="Specimen/jp-specimen-example-2"/>
      </specimen>
      <referenceRange>
        <low>
          <value value="38"/>
          <unit value="%"/>
        </low>
        <high>
          <value value="52"/>
          <unit value="%"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <identifier>
    <system value="http://abc-hospital.local/fhir/lab/reportid"/>
    <value value="5234342"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LP29693-6"/>
      <display value="検体検査"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="http://jpfhir.jp/fhir/core/CodeSystem/JP_DocumentCodes_CS"/>
      <code value="11502-2"/>
      <display value="検体検査報告書"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/jp-patient-example-1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/jp-encounter-example-1"/>
  </encounter>
  <effectiveDateTime value="2021-08-25T08:30:00+09:00"/>
  <issued value="2021-03-04T11:45:33+09:00"/>
  <performer>🔗 
    <reference value="Organization/jp-organization-example-hospital"/>
    <display value="健康第一病院"/>
  </performer>
  <result>
    <reference value="#inner-observation-labresult-1"/>
  </result>
  <result>
    <reference value="#inner-observation-labresult-2"/>
  </result>
  <result>
    <reference value="#inner-observation-labresult-3"/>
  </result>
  <presentedForm>
    <contentType value="application/pdf"/>
    <language value="ja-JP"/>
    <data
          value="JVBERi0xLjUNCiW1tbW1DQoxIDAgb2JqDQo8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyhqYS1KUCkgL1N0cnVjdFRyZWVSb290IDEzIDAgUi9NYXJrSW5mbzw8L01hcmtlZCB0cnVlPj4+Pg0KZW5kb2JqDQoyIDAgb2JqDQo8PC9UeXBlL1BhZ2VzL0NvdW50IDEvS2lkc1sgMyAwIFJdID4+DQplbmRvYmoNCjMgMCBvYmoN"/>
    <title value="検査結果PDFレポート"/>
  </presentedForm>
</DiagnosticReport>
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。