退院時サマリー規格 Ver.1 - hl7.jp

1 1 HL7J-CDA-007 HL7 CDA :2019 201 9 5 HL7 2 1.. 5 2.. 5 3.. 5 .. 5 (1) conf 6 (2) XPath .. 6 (3) .. 6 (4) 7 (5) .. 7 (6) Assert / .. 7 nullFlavor .. 7 .. 8 4.. 9 9 CDA .. 9 recordTarget/patientRole .. 10 .. 10 .. 11 .. 12 .. 14 (1) .. 17 author .. 17 custodian .. 18 .. 19 informant .. 19 .. 21 legalAuthenticator .. 21 authenticator .. 21 .. 22 .. 23 (1) .. 23 (2).

2 24 5.. 25 .. 25 .. 25 Narrative .. 25 (1) .. 26 (2) .. 27 (3) .. 27 (4) .. 27 3 (entry) .. 28 (1) Observation .. 28 (2) JPEG .. 29 .. 30 (1) .. 30 (2) Narrative .. 31 .. 32 (1) .. 32 (2) .. 32 .. 33 .. 33 .. 35 .. 35 .. 35 .. 37 .. 38 .. 38 .. 39 .. 39 .. 40.

3 41 ( ) .. 42 .. 42 .. 43 .. 46 .. 46 .. 47 A .. 49 .. 49 .. 49 .. 50 .. 51 .. 52 .. 52 .. 52 .. 53 .. 53 .. 53 .. 54 .. 54 4 B XML .. 55 CDA XML .. 55 .. 55 .. 57 .. 58 .. 58 .. 59 .. 60 .. 60 .. 61 .. 62 .. 62 (Entry ) .. 63 .. 65 .. 66 .. 67 5 1.

4 Realm=JP HL7 CDA R2 Clinical Document Architecture Release 2 - competency quality management 2. JAHIS JIRA HL7 JAHIS 3.

5 CDA R2 CDA R2 2 CDA 3 CDA CDA SHALL SHOULD M AY 6 1 conf XPath Card. Assert / templateId/@root = . Assert 0001 xxxCode Assert @code M JP conf XPath Card.

6 Assert / templateId/@root = ClinicalDocument 0010 realmCode @code M JP S typeID (1) conf ( ) S HL7 V3 (2) XPath XPath ( ) (Element) XPath 2 xxxxxx xxxxxx @xxxxxx xxxxxx yyyyyy xxxxxx @zzzzz yyyyyy (3) 0 1 * 1 1 7 nullFlavor M nullFlavor M(shall ) R(should ) O(may ) (4) (Card.)

7 0 ) (5) (6) Assert / Element (Attribute) nullFlavor ( :Element ) nullFlavor entry nullFlavor 3 3 nullFlavor NI No information NA Not applicable UNK Unknown ASKU Asked, but not known NAV Temporarily unavailable 8 NASK Not asked MSK Masked 4 C1 9 4.

8 CDA CDA CDA CDA 5 conf XPath Card. Assert / templateId/@root = ClinicalDocument 0010 realmCode @code M JP S typeID @root M @extension M POCD_HD000040 0020 templateId ID @root M S id ID @extension R ID @root R OID UUID 0030 code @code R 11488-4 @displayName R @codeSystem R @codeSystemName O LOINC title code/displayName text()

9 R S effectiveTime @value R S confidentialityCode @code R N @codeSystem R languageCode @code R ja-JP setID ID @extension R @root R OID UUID versionNumber @value R 10 recordTarget/patientRole recordTarget/patientRole - ID ID 3 ID - * CDA streetAddressLine state city county 23 city - codeSystem 6 H WP MC EC Emergency Contact - (family) (use= SYL ) (use= IDE )

10 - HL7 administrativeGenderCode codeSystem 7 F M UN - 11 yyyymmdd - maritalStatus codeSystem 8 code A D I L M P S T U W - - - - 12 CDA recordTarget/patientRole CDA 9 conf XPath Card.