HL7 FHIR JP Core ImplementationGuide
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: JP Core Observation LabResult Example 検体検査(尿酸) - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "jp-observation-labresult-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Observation_LabResult"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation jp-observation-labresult-example-1</b></p><a name=\"jp-observation-labresult-example-1\"> </a><a name=\"hcjp-observation-labresult-example-1\"> </a><a name=\"jp-observation-labresult-example-1-ja\"> </a><p><b>basedOn</b>: <a href=\"#hcjp-observation-labresult-example-1/jp-servicerequest-example-1\">ServiceRequest 12345678</a></p><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 05104}, {http://medis.or.jp/CodeSystem/master-JLAC10-17digits 3C020000002327101}\">尿酸</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>: 2021-10-19 02:20:00+0900</p><p><b>performer</b>: <a href=\"Practitioner-jp-practitioner-example-female-1.html\">Practitioner 東京 春子</a></p><p><b>value</b>: 8.5 mg/dL</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">H</span></p><p><b>specimen</b>: <a href=\"Specimen-jp-specimen-example-1.html\">Specimen: identifier = http://abc-hospital.local/identifiers/collections#23234352356; accessionIdentifier = http://abc-hospital.local/specimens/2011#X352356; status = available; type = Urine; receivedTime = 2021-10-11 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><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>2.1</td><td>7</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest #jp-servicerequest-example-1</b></p><a name=\"jp-observation-labresult-example-1/jp-servicerequest-example-1\"> </a><a name=\"hcjp-observation-labresult-example-1/jp-servicerequest-example-1\"> </a><a name=\"jp-observation-labresult-example-1/jp-servicerequest-example-1-ja\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>code</b>: <span title=\"Codes:{http://abc-hospital.local/fhir/ObservationOrder/localcode 12345678}\">生化学検査</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>encounter</b>: <a href=\"Encounter-jp-encounter-example-1.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-05-08 13:08:24+0900 --&gt; 2022-05-08 13:23:24+0900</a></p><p><b>occurrence</b>: 2021-10-19 01:15:00+0900</p><p><b>requester</b>: <a href=\"Practitioner-jp-practitioner-example-female-1.html\">Practitioner 東京 春子</a></p><p><b>performer</b>: <a href=\"Practitioner-jp-practitioner-example-male-2.html\">Practitioner 愛知 太郎</a></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "ServiceRequest",
      "id" : "jp-servicerequest-example-1",
      "status" : "active",
      "intent" : "original-order",
      "code" : {
        "coding" : [
          {
            "system" : "http://abc-hospital.local/fhir/ObservationOrder/localcode",
            "code" : "12345678"
          }
        ],
        "text" : "生化学検査"
      },
      "subject" : {
        🔗 "reference" : "Patient/jp-patient-example-1"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/jp-encounter-example-1"
      },
      "occurrenceDateTime" : "2021-10-19T01:15:00+09:00",
      "requester" : {
        🔗 "reference" : "Practitioner/jp-practitioner-example-female-1"
      },
      "performer" : [
        {
          🔗 "reference" : "Practitioner/jp-practitioner-example-male-2"
        }
      ]
    }
  ],
  "basedOn" : [
    {
      "reference" : "#jp-servicerequest-example-1"
    }
  ],
  "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" : "05104",
        "display" : "尿酸"
      },
      {
        "system" : "http://medis.or.jp/CodeSystem/master-JLAC10-17digits",
        "code" : "3C020000002327101"
      }
    ],
    "text" : "尿酸"
  },
  "subject" : {
    🔗 "reference" : "Patient/jp-patient-example-1"
  },
  "effectiveDateTime" : "2021-10-19T02:20:00+09:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/jp-practitioner-example-female-1"
    }
  ],
  "valueQuantity" : {
    "value" : 8.5,
    "unit" : "mg/dL"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }
      ],
      "text" : "H"
    }
  ],
  "specimen" : {
    🔗 "reference" : "Specimen/jp-specimen-example-1"
  },
  "referenceRange" : [
    {
      "low" : {
        "value" : 2.1
      },
      "high" : {
        "value" : 7
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal",
            "display" : "Normal Range"
          }
        ]
      }
    }
  ]
}
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。