JanuSync Implementation Guide
1.0.0 - trial-use Korea, Republic of flag

JanuSync Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: DaType2HospBundleExample

Bundle DaType2HospBundleExample of type message

Entry 1

Resource MessageHeader:

JanuSyncHospitalServiceIdentifier: urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2345/DTX-SERVICE-001

event: JanuSync Message Event Code System: message (JanuSync Message)

sender: Organization 파이종합병원

Sources

-NameSoftwareVersion
*A병원 HISMediSys3.1.2

Entry 2

Resource Patient:

unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

Other Id:Healthcare Patient ID/P123

Entry 3

Resource PractitionerRole:

identifier: urn:oid:1.2.410.100110.10.11100123/ba10699d84a3164ac40ce0b83e566be50aa437e28df5110993ec81f87ee3c969

organization: Organization 파이종합병원

code: DOCTOR

specialty: 수면건강센터

Entry 4

Resource Observation:

status: Final

category: Vital Signs

code: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

effective: 2026-04-20 11:00:00+0900

component

code: Body height

value: 160 cm (Details: UCUM codecm = 'cm')

component

code: Body weight

value: 58 kg (Details: UCUM codekg = 'kg')

Entry 5

Resource Encounter:

status: completed

class: ambulatory

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

serviceProvider: Organization 파이종합병원

participant

diagnosis

condition: No display for Encounter.diagnosis.condition (reference: ->Condition Chronic respiratory failure)

use: Chief complaint

diagnosis

condition: No display for Encounter.diagnosis.condition (reference: ->Condition Chronic obstructive pulmonary disease, unspecified)

use: Comorbidity diagnosis

Entry 6

Resource Condition:

clinicalStatus: Active

category: 진단

code: Chronic respiratory failure

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

encounter: Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-04-20 10:30:00+0900 --> 2026-04-20 11:30:00+0900; reasonCode =

recordedDate: 2026-04-20 11:10:00+0900

Entry 7

Resource Condition:

clinicalStatus: Active

category: 진단

code: Chronic obstructive pulmonary disease, unspecified

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

encounter: Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-04-20 10:30:00+0900 --> 2026-04-20 11:30:00+0900; reasonCode =

recordedDate: 2026-04-20 11:10:00+0900

Entry 8

Resource Observation:

status: Final

category: Survey

code: 호흡기 환자 환기 상태 평가

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

encounter: Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-04-20 10:30:00+0900 --> 2026-04-20 11:30:00+0900; reasonCode =

effective: 2026-04-20 11:15:00+0900

component

code: 주요 임상 증상

value: 운동 시 호흡곤란이 있으며 야간에는 가정용 인공호흡기를 사용함.

component

code: 신체검진 특이사항

value: 양측 폐야 호흡음 감소, 청색증은 관찰되지 않음.

component

code: 기관절개 여부

value: true

component

code: 기관절개 수술일자

value: 2025-12-10

component

code: 가장 최근 기관절개관 교체일

value: 2026-04-05

component

code: 사용중인 의료장비 목록

value: 가정용 인공호흡기

component

code: 사용중인 의료장비 목록

value: 산소발생기

component

code: 사용중인 의료장비 목록

value: 산소포화도 측정기

component

code: 가정용 인공호흡기 기종

value: Trilogy 100

component

code: 인공호흡기 모드

value: S/T mode, IPAP 16 cmH2O, EPAP 6 cmH2O

Entry 9

Resource Observation:

status: Final

category: Survey

code: 외래 진료 요약

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

encounter: Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-04-20 10:30:00+0900 --> 2026-04-20 11:30:00+0900; reasonCode =

effective: 2026-04-20 11:25:00+0900

component

code: 외래 진료 평가 요약

value: 활력징후 안정적이며 최근 악화 소견은 없고 기관절개관 관리 상태도 양호함.

component

code: 외래 진료 계획

value: 현 인공호흡기 설정을 유지하고 4주 후 외래 추적, 호흡곤란 악화 시 조기 내원하도록 교육함.

Entry 10

Resource ClinicalImpression:

status: Completed

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

​encounter: Encounter/home-nursing-encounter-example

effective: 2026-04-14 14:30:00+0900

date: 2026-04-14 14:45:00+0900

finding

basis: 혈압 118/76 mmHg, 맥박 78회/분, 체온 36.7도, 산소포화도 96%로 전반적으로 안정적임.

finding

basis: 호흡 상태 및 전반적 컨디션이 안정적이며 보호자 보고상 최근 분비물 증가 등 특이사항 없음.

finding

basis: 기도흡인 수행법과 튜브 연결 상태를 재교육하고 체위 변경 및 분비물 관리 방법을 안내함.

finding

basis: 방문 후 호흡곤란 악화 소견 없으며 보호자도 이해도 양호하여 다음 방문 전까지 현재 관리 유지 예정.

supportingInfo: Observation 가정용 인공호흡기 점검

Entry 11

Resource Observation:

status: Final

code: 가정용 인공호흡기 점검

subject: unknown Unknown, DoB: 1970-01-01 ( JanuSync Patient ID)

​encounter: Encounter/home-nursing-encounter-example

effective: 2026-04-14 14:30:00+0900

​performer: Practitioner/nurse-example

component

code: 기기 작동 상태

value: 전원, 배터리, 튜브 연결 상태 정상이며 설정값도 이상 없음.

component

code: 알람 발생 보고 내용

value: 최근 일주일간 고압 알람 1회 있었으나 체위 변경 후 해소되었고 보호자가 진술함.

component

code: 보호자 교육 시행 여부

value: true

component

code: 추적 관찰 필요 여부

value: true