Bundle DaType5HospBundleExample of type message

Entry 1

Resource MessageHeader:

Profile: JanuSync 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

-	Name	Software	Version
*	A병원 HIS	MediSys	3.1.2

Entry 2

Resource Patient:

Profile: JanuSync Deidentified Patient

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

---

Other Id:

Healthcare Patient ID/P123

Entry 3

Resource PractitionerRole:

Profile: JanuSync MedicalDoctor PractitionerRole

identifier: urn:oid:1.2.410.100110.10.11100123/ba10699d84a3164ac40ce0b83e566be50aa437e28df5110993ec81f87ee3c969

organization: Organization 파이종합병원

code: DOCTOR

specialty: 수면건강센터

Entry 4

Resource Observation:

Profile: JanuSync Vital Signs 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:

Profile: JanuSync Encounter

status: completed

class: inpatient encounter

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

serviceProvider: Organization 파이종합병원

participant

Entry 6

Resource Observation:

Profile: JanuSync Patient History Observation

status: Final

category: Survey

code: Patient history

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

effective: 2026-04-23 09:00:00+0900

component

code: 흡연력

value: true

component

code: 음주력

value: false

component

code: 타암종병력

value: true

component

code: 타 암종 종류

value: HCC

component

code: ESD

value: false

component

code: 항암치료

value: false

component

code: 방사선치료

value: false

component

code: 약물치료

value: false

component

code: 고혈압병력

value: true

component

code: 당뇨병력

value: false

component

code: 폐질환력

value: asthma

component

code: 심혈관병력

value: MI

component

code: 신장병력

value: ESRD

component

code: 간병력

value: LC

component

code: 뇌혈관병력

value: CVA

component

code: 폐결핵병력

value: false

component

code: 복부수술력

value: stomach

Entry 7

Resource Observation:

Profile: JanuSync Tumor Preop Clinical Assessment Observation

status: Final

category: Survey

code: 종양 수술전 임상평가

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-23 09:00:00+0900

component

code: ASA 신체 등급

value: 2

component

code: 주증상 (CC)

value: abdominal pain

component

code: 원발암 여부

value: true

component

code: 진단 당시 동반 용종 유무

value: true

component

code: 동시성 선종 개수

value: 2

component

code: 동시성 선종 위치

value: sigmoid colon

component

code: 동시성 선종 조직형

value: tubular adenoma

component

code: 수술 전 장천공 동반 여부

value: false

component

code: 수술 전 장폐색 동반 여부

value: false

component

code: 수술 전 선행치료 시행 여부

value: true

Entry 8

Resource Procedure:

Profile: JanuSync Abdominal Cancer Procedure

수술방법 Extension

• approach: Lap
• openConversion: false

재건술식 Extension

• primary: RYGJ
• secondary: Antecolic

문합 방법 Extension: stapler

동반절제 Extension

• site: Liver
• reason: Invasion

Omentectomy Extension: Complete

Drain Placement Extension: true

복부외 기타수술 Extension: false

status: Completed

code: Other total gastrectomy

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

Entry 9

Resource Observation:

Profile: JanuSync Intraop Finding Observation

status: Final

category: Survey

code: 수술중 소견

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-24 10:30:00+0900

component

code: 복수

value: C0

component

code: 간전이

value: H0

component

code: 위장막전이

value: 없음

component

code: 침윤장기

value: false

Entry 10

Resource Observation:

Profile: JanuSync Intraop Outcome Observation

status: Final

category: Survey

code: 수술중 Outcome

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-24 12:30:00+0900

component

code: 실혈양

value: 250 mL (Details: UCUM codemL = 'mL')

component

code: 수혈여부

value: false

Entry 11

Resource Observation:

Profile: JanuSync Lymph Node Dissection Observation

partOf: Procedure Other total gastrectomy

status: Final

code: Lymph node dissection by station

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-24 09:00:00+0900

component

code: #1 lymph node

value: true

component

code: #3 lymph node

value: true

component

code: #4d lymph node

value: false

component

code: #7 lymph node

value: true

Entry 12

Resource Observation:

Profile: JanuSync Postop Complication Observation

status: Final

category: Survey

code: General complication

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-25 09:00:00+0900

component

code: Fever

value: Grade 1

component

code: Respiratory complication

value: Grade 2

Entry 13

Resource Observation:

Profile: JanuSync Postop Complication Observation

status: Final

category: Survey

code: Postoperative surgery-related complication

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-25 09:00:00+0900

component

code: wound

value: Grade 2

component

code: anastomosis leakage

value: Grade 3a

Entry 14

Resource Observation:

Profile: JanuSync Tumor Pathology Observation

status: Final

category: Survey

code: Pathology report final diagnosis Narrative

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

effective: 2026-04-24 09:00:00+0900

component

code: 병리학적 종양 위치

value: Involvement : Lower third

component

code: 종양의 크기 A

value: 45 mm (Details: UCUM codemm = 'mm')

component

code: 종양의 크기 B

value: 32 mm (Details: UCUM codemm = 'mm')

component

code: 종양의 개수

value: 1

component

code: 병리학적 육안형

value: EGC type IIc+Iia / Borrmann type 3

component

code: 병리학적 분화도

value: moderately

component

code: 병리학적 조직형

value: TUBULAR ADENOCARCINOMA

component

code: Lauren 분류

value: Intestinal

component

code: 절제연 소견

value: Proximal margin : Free from carcinoma

component

code: 림프관 침윤

value: present

component

code: 혈관 침윤

value: absent

component

code: 신경주위 침윤

value: not identified

component

code: 병리학적 T 병기

value: T1b

component

code: 병리학적 N 병기

value: N3b

component

code: 병리학적 M 병기

value: M0

component

code: AJCC 판본

value: AJCC 8th Ed.

component

code: 양성 림프절 수 (양성/검사)

value: 16/52

Entry 15

Resource Observation:

Profile: JanuSync Postop Followup Observation

status: Final

category: Survey

code: Postoperative follow-up

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-04-25 09:00:00+0900

component

code: First flatus date

value: 2026-04-25 08:30:00+0900

component

code: Start of water date

value: 2026-04-25 12:00:00+0900

component

code: Liquid diet start date

value: 2026-04-26 08:00:00+0900

component

code: Soft diet start date

value: 2026-04-27 08:00:00+0900

component

code: Postoperative transfusion status

value: false

Entry 16

Resource Encounter:

Profile: JanuSync Associated Care Encounter

status: completed

class: emergency

type: 재내원

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

serviceProvider: Organization 파이종합병원

participant

Entry 17

Resource Encounter:

Profile: JanuSync Associated Care Encounter

status: completed

class: inpatient encounter

type: 재내원

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

serviceProvider: Organization 파이종합병원

participant

Entry 18

Resource Observation:

Profile: JanuSync Composite Observation

status: Final

category: Laboratory

code: 수술 후 검사

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

encounter: Encounter: status = finished; class = inpatient encounter (v3 Code System ActCode#IMP); period = 2026-04-23 09:00:00+0900 --> 2026-04-30 11:00:00+0900

effective: 2026-05-03 09:00:00+0900

component

code: WBC

value: 6.5 10^3/uL (Details: UCUM code10*3/uL = '10*3/uL')

component

code: Hct

value: 42.1 % (Details: UCUM code% = '%')

component

code: Hb(Hgb)

value: 13.8 g/dL (Details: UCUM codeg/dL = 'g/dL')

component

code: PLT

value: 251 10^3/uL (Details: UCUM code10*3/uL = '10*3/uL')

component

code: CRP

value: 0.32 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

component

code: T.b

value: 0.78 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

component

code: AST

value: 28 U/L (Details: UCUM codeU/L = 'U/L')

component

code: ALT

value: 24 U/L (Details: UCUM codeU/L = 'U/L')

component

code: Amylase

value: 82 U/L (Details: UCUM codeU/L = 'U/L')

component

code: Lipase

value: 36 U/L (Details: UCUM codeU/L = 'U/L')

component

code: BUN

value: 14.7 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

component

code: Creatinine

value: 0.86 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

component

code: Na

value: 140 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

component

code: K

value: 4.2 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

component

code: pH

value: 7.4 pH (Details: UCUM code[pH] = '[pH]')

component

code: HCO3

value: 24.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

component

code: Lactic acid

value: 1.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

component

code: Hemovac drain fluid amylase

value: 120 U/L (Details: UCUM codeU/L = 'U/L')

component

code: Hemovac drain fluid triglyceride

value: 87 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

Entry 19

Resource Observation:

Profile: JanuSync Composite Observation

status: Final

code: Summary of death note

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

effective: 2026-05-10

component

code: Date of death [Date]

value: 2026-05-10

component

code: Cause of death

value: 수술 후 합병증