JanuSync Implementation Guide
1.0.0 - trial-use
JanuSync Implementation Guide
1.0.0 - trial-use
JanuSync Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "DaType1HospBundleExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-message-bundle"
]
},
"identifier" : {
"system" : "urn:janusync:medical-record",
"value" : "message-id"
},
"type" : "message",
"entry" : [
{
"resource" : {
"resourceType" : "MessageHeader",
"id" : "JanuSyncMessageHeaderExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-message-header"
]
},
"extension" : [
{
"url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-hospital-service-identifier",
"valueIdentifier" : {
"system" : "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2345",
"value" : "DTX-SERVICE-001"
}
}
],
"eventCoding" : {
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-message-event",
"code" : "message"
},
"sender" : {
🔗 "reference" : "Organization/janusync-organization-example"
},
"source" : {
"name" : "A병원 HIS",
"software" : "MediSys",
"version" : "3.1.2",
"endpoint" : "urn:janusync:message-source"
}
}
},
{
"resource" : {
"resourceType" : "Patient",
"id" : "janusync-deidentified-patient-example",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-deidentified-patient"
]
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-identifier-type",
"code" : "patient"
}
]
},
"system" : "urn:janusync:patient-id",
"value" : "janusync-member-00001"
},
{
"type" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-identifier-type",
"code" : "healthcare-patient"
}
]
},
"system" : "urn:oid:1.2.410.100110.10.11100123",
"value" : "P123"
}
],
"name" : [
{
"text" : "unknown"
}
],
"gender" : "unknown",
"birthDate" : "1970-01-01"
}
},
{
"resource" : {
"resourceType" : "Encounter",
"id" : "DaType1HospInitialEncounterExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-encounter"
]
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"participant" : [
{
"individual" : {
🔗 "reference" : "PractitionerRole/janusync-medicaldoctor-practitionerrole-example"
}
}
],
"period" : {
"start" : "2026-04-20T10:30:00+09:00",
"end" : "2026-04-20T11:30:00+09:00"
},
"diagnosis" : [
{
"condition" : {
🔗 "reference" : "Condition/DaType1HospPrimaryCondition"
},
"rank" : 1
},
{
"condition" : {
🔗 "reference" : "Condition/DaType1HospSecondaryCondition"
},
"rank" : 2
},
{
"condition" : {
🔗 "reference" : "Condition/DaType1HospThirdCondition"
},
"rank" : 2
}
],
"serviceProvider" : {
🔗 "reference" : "Organization/janusync-organization-example"
}
}
},
{
"resource" : {
"resourceType" : "Condition",
"id" : "DaType1HospPrimaryCondition",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types",
"code" : "진단",
"display" : "진단"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8",
"code" : "O62.8",
"display" : "Other abnormalities of forces of labor"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"encounter" : {
🔗 "reference" : "Encounter/DaType1HospInitialEncounterExample"
},
"recordedDate" : "2026-04-10T09:00:00+09:00"
}
},
{
"resource" : {
"resourceType" : "Condition",
"id" : "DaType1HospSecondaryCondition",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
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"category" : [
{
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types",
"code" : "진단",
"display" : "진단"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8",
"code" : "O82.1",
"display" : "Delivery by emergency caesarean section"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"encounter" : {
🔗 "reference" : "Encounter/DaType1HospInitialEncounterExample"
},
"recordedDate" : "2026-04-10T09:00:00+09:00"
}
},
{
"resource" : {
"resourceType" : "Condition",
"id" : "DaType1HospThirdCondition",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "provisional"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types",
"code" : "진단",
"display" : "진단"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8",
"code" : "O36.6",
"display" : "Maternal care for excessive fetal growth"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"encounter" : {
🔗 "reference" : "Encounter/DaType1HospInitialEncounterExample"
},
"recordedDate" : "2026-04-10T09:00:00+09:00"
}
},
{
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "janusync-medicaldoctor-practitionerrole-example",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-medicaldoctor-practitionerrole"
]
},
"identifier" : [
{
"system" : "urn:oid:1.2.410.100110.10.11100123",
"value" : "ba10699d84a3164ac40ce0b83e566be50aa437e28df5110993ec81f87ee3c969"
}
],
"organization" : {
🔗 "reference" : "Organization/janusync-organization-example"
},
"code" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/practitioner-role",
"code" : "doctor",
"display" : "DOCTOR"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://www.hl7korea.or.kr/CodeSystem/hira-medical-department",
"code" : "03",
"display" : "정신건강의학과"
}
],
"text" : "수면건강센터"
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType1HospVitalSignsExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-vitalsigns-observation"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85353-1",
"display" : "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"effectiveDateTime" : "2026-04-20T11:00:00+09:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8302-2",
"display" : "Body height"
}
]
},
"valueQuantity" : {
"value" : 160,
"unit" : "cm",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29463-7",
"display" : "Body weight"
}
]
},
"valueQuantity" : {
"value" : 58,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 118,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 62,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType1HospPregnancySummaryObservationExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-pregnancy-summary-observation"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
"code" : "pregnancy-summary",
"display" : "임신 요약"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"encounter" : {
🔗 "reference" : "Encounter/DaType1HospInitialEncounterExample"
},
"effectiveDateTime" : "2026-04-20T11:05:00+09:00",
"interpretation" : [
{
"coding" : [
{
"code" : "summary"
}
]
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.edd"
}
],
"text" : "예정분만일"
},
"valueDateTime" : "2026-08-20"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.pre-pregnancy-weight"
}
],
"text" : "임신 전 체중"
},
"valueQuantity" : {
"value" : 54.2,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.gravidity"
}
],
"text" : "임신횟수"
},
"valueInteger" : 3
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.parity"
}
],
"text" : "출산횟수"
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.living"
}
],
"text" : "생존 자녀 수"
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.abortion"
}
],
"text" : "유산횟수"
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.fetus-count"
}
],
"text" : "태아수"
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.preterm"
}
],
"text" : "조산(37주 미만 분만) 병력 여부"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.cerclage"
}
],
"text" : "자궁경부봉축술 병력(S/P cerclage) 여부"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.myomectomy"
}
],
"text" : "자궁근종절제술 병력 여부"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.c-section"
}
],
"text" : "제왕절개 분만 병력 여부"
},
"valueBoolean" : false
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType1HospPregnancyEventExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-pregnancy-event-observation"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
"code" : "pregnancy-event",
"display" : "임신 및 분만 정보"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"effectiveDateTime" : "2026-04-20T11:00:00+09:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.preg.onset-date"
}
]
},
"valueDateTime" : "2025"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.preg.duration-of-gestation"
}
]
},
"valueString" : "20+4wks"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.preg.other-complication"
}
]
},
"valueString" : "current preg"
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType1HospPatientHistoryObservationExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-patient-history-observation"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "35090-0",
"display" : "Patient history"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"effectiveDateTime" : "2026-04-20T11:00:00+09:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.diabetes",
"display" : "당뇨 병력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.hypertension",
"display" : "고혈압 병력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.hepatic.hepatitis",
"display" : "간염 병력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.tuberculosis",
"display" : "결핵 병력"
}
]
},
"valueBoolean" : false
}
]
}
},
{
"resource" : {
"resourceType" : "Encounter",
"id" : "DaType1HospFollowUpEncounterExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-associated-care-encounter"
]
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-encounter-type",
"code" : "follow-up",
"display" : "추적관찰"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"participant" : [
{
"individual" : {
🔗 "reference" : "PractitionerRole/janusync-medicaldoctor-practitionerrole-example"
}
}
],
"period" : {
"start" : "2026-05-20T10:00:00+09:00",
"end" : "2026-05-20T10:40:00+09:00"
},
"serviceProvider" : {
🔗 "reference" : "Organization/janusync-organization-example"
}
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType1HospPregnancyFollowUpObservationExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-pregnancy-follow-up-observation"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
"code" : "pregnancy-followup",
"display" : "임신 경과 관찰"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"encounter" : {
🔗 "reference" : "Encounter/DaType1HospFollowUpEncounterExample"
},
"effectiveDateTime" : "2026-05-20T10:20:00+09:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.hypertension",
"display" : "Hypertension during pregnancy"
}
],
"text" : "임신 중 고혈압"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.diabetes",
"display" : "Diabetes during pregnancy"
}
],
"text" : "임신 중(type 1/2) 당뇨"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.anemia",
"display" : "Anemia during pregnancy"
}
],
"text" : "임신 중 빈혈"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.hepatitis",
"display" : "Hepatitis during pregnancy"
}
],
"text" : "임신 중 간염"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.hypothyroidism",
"display" : "Hypothyroidism during pregnancy"
}
],
"text" : "임신 중 갑상선저하증"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.hyperthyroidism",
"display" : "Hyperthyroidism during pregnancy"
}
],
"text" : "임신 중 갑상선항진증"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.tuberculosis",
"display" : "Tuberculosis"
}
],
"text" : "결핵"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.gestational-diabetes-mellitus"
}
],
"text" : "임신성 당뇨"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.gestational-hypertension"
}
],
"text" : "20주 이후 새로 발생한 고혈압"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.placenta-previa"
}
],
"text" : "전치태반"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.hx.preeclampsia"
}
],
"text" : "전자간증"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "ob.visit.next-opd-date"
}
],
"text" : "다음 외래 예약일시"
},
"valueDateTime" : "2026-06-17T10:00:00+09:00"
}
]
}
}
]
}