{
  "resourceType" : "Bundle",
  "id" : "DaType5HospBundleExample",
  "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" : "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" : "DaType5HospVitalSignsExample",
      "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"
        }
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "DaType5HospEncounter",
      "meta" : {
        "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-encounter"]
      },
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP",
        "display" : "inpatient encounter"
      },
      "subject" : {
        "reference" : "Patient/janusync-deidentified-patient-example"
      },
      "participant" : [{
        "individual" : {
          "reference" : "PractitionerRole/janusync-medicaldoctor-practitionerrole-example"
        }
      }],
      "period" : {
        "start" : "2026-04-23T09:00:00+09:00",
        "end" : "2026-04-30T11:00:00+09:00"
      },
      "serviceProvider" : {
        "reference" : "Organization/janusync-organization-example"
      }
    }
  },
  {
    "resource" : {
      "resourceType" : "Observation",
      "id" : "DaType5HospPatientHistoryObservationExample",
      "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" : "2026-04-23T09:00:00+09:00",
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.smoking-status",
            "display" : "흡연력"
          }]
        },
        "valueBoolean" : true
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.drinking-status",
            "display" : "음주력"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.other-cancer",
            "display" : "타암종병력"
          }]
        },
        "valueBoolean" : true
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.other-cancer-type",
            "display" : "타 암종 종류"
          }]
        },
        "valueString" : "HCC"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.esd-history",
            "display" : "ESD"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.chemotherapy-history",
            "display" : "항암치료"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.radiation-therapy-history",
            "display" : "방사선치료"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.medication-therapy-history",
            "display" : "약물치료"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.hypertension",
            "display" : "고혈압병력"
          }]
        },
        "valueBoolean" : true
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.diabetes",
            "display" : "당뇨병력"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.pulmonary",
            "display" : "폐질환력"
          }]
        },
        "valueString" : "asthma"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.cardiovascular",
            "display" : "심혈관병력"
          }]
        },
        "valueString" : "MI"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.renal",
            "display" : "신장병력"
          }]
        },
        "valueString" : "ESRD"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.hepatic",
            "display" : "간병력"
          }]
        },
        "valueString" : "LC"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.cerebrovascular",
            "display" : "뇌혈관병력"
          }]
        },
        "valueString" : "CVA"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.tuberculosis",
            "display" : "폐결핵병력"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "hx.abdominal-surgery-history",
            "display" : "복부수술력"
          }]
        },
        "valueString" : "stomach"
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Observation",
      "id" : "DaType5HospTumorPreopClinicalAssessmentObservationExample",
      "meta" : {
        "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-tumor-preop-clinical-assessment-observation"]
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
          "code" : "tumor-preop-clinical-assessment",
          "display" : "종양 수술전 임상평가"
        }]
      },
      "subject" : {
        "reference" : "Patient/janusync-deidentified-patient-example"
      },
      "encounter" : {
        "reference" : "Encounter/DaType5HospEncounter"
      },
      "effectiveDateTime" : "2026-04-23T09:00:00+09:00",
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "exam.asa-class",
            "display" : "ASA 신체 등급"
          }]
        },
        "valueInteger" : 2
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "symptom.chief-complaint",
            "display" : "주증상 (CC)"
          }]
        },
        "valueString" : "abdominal pain"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.diagnosis.primary-cancer",
            "display" : "원발암 여부"
          }]
        },
        "valueBoolean" : true
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.diagnosis.associated-polyp",
            "display" : "진단 당시 동반 용종 유무"
          }]
        },
        "valueBoolean" : true
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.diagnosis.synchronous-adenoma.count",
            "display" : "동시성 선종 개수"
          }]
        },
        "valueInteger" : 2
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.diagnosis.synchronous-adenoma.site",
            "display" : "동시성 선종 위치"
          }]
        },
        "valueString" : "sigmoid colon"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.diagnosis.synchronous-adenoma.histology",
            "display" : "동시성 선종 조직형"
          }]
        },
        "valueString" : "tubular adenoma"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "condition.bowel-perforation.preop",
            "display" : "수술 전 장천공 동반 여부"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "condition.bowel-obstruction.preop",
            "display" : "수술 전 장폐색 동반 여부"
          }]
        },
        "valueBoolean" : false
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tx.neoadjuvant.performed",
            "display" : "수술 전 선행치료 시행 여부"
          }]
        },
        "valueBoolean" : true
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "DaType5HospAbdominalCancerProcedureExample",
      "meta" : {
        "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-abdominal-cancer-procedure"]
      },
      "extension" : [{
        "extension" : [{
          "url" : "approach",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-surgical-approach",
              "code" : "lap",
              "display" : "Lap"
            }]
          }
        },
        {
          "url" : "openConversion",
          "valueBoolean" : false
        }],
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-surgical-approach"
      },
      {
        "extension" : [{
          "url" : "primary",
          "valueString" : "RYGJ"
        },
        {
          "url" : "secondary",
          "valueString" : "Antecolic"
        }],
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-reconstruction"
      },
      {
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-anastomosis-method",
        "valueString" : "stapler"
      },
      {
        "extension" : [{
          "url" : "site",
          "valueString" : "Liver"
        },
        {
          "url" : "reason",
          "valueString" : "Invasion"
        }],
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-combined-resection"
      },
      {
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-omentectomy",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-omentectomy",
            "code" : "complete",
            "display" : "Complete"
          }]
        }
      },
      {
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-drain-placement",
        "valueBoolean" : true
      },
      {
        "url" : "http://connectdtx.kr/fhir/StructureDefinition/janusync-extra-abdominal-surgery",
        "valueBoolean" : false
      }],
      "status" : "completed",
      "code" : {
        "coding" : [{
          "system" : "http://www.hl7korea.or.kr/CodeSystem/hira-edi-procedure",
          "code" : "43.99",
          "display" : "Other total gastrectomy"
        }]
      },
      "subject" : {
        "reference" : "Patient/janusync-deidentified-patient-example"
      },
      "encounter" : {
        "reference" : "Encounter/DaType5HospEncounter"
      },
      "performedPeriod" : {
        "start" : "2026-04-24T09:30:00+09:00",
        "end" : "2026-04-24T12:15:00+09:00"
      }
    }
  },
  {
    "resource" : {
      "resourceType" : "Observation",
      "id" : "DaType5HospIntraopFindingObservationExample",
      "meta" : {
        "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-intraop-finding-observation"]
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
          "code" : "tumor-intraop-finding",
          "display" : "수술중 소견"
        }]
      },
      "subject" : {
        "reference" : "Patient/janusync-deidentified-patient-example"
      },
      "encounter" : {
        "reference" : "Encounter/DaType5HospEncounter"
      },
      "effectiveDateTime" : "2026-04-24T10:30:00+09:00",
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.intraop.ascites",
            "display" : "복수"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-intraop-ascites-status",
            "code" : "C0",
            "display" : "C0"
          }]
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.intraop.liver-metastasis",
            "display" : "간전이"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-intraop-liver-metastasis-status",
            "code" : "H0",
            "display" : "H0"
          }]
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.intraop.serosal-metastasis",
            "display" : "위장막전이"
          }]
        },
        "valueString" : "없음"
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
            "code" : "tumor.intraop.invasive-organ",
            "display" : "침윤장기"
          }]
        },
        "valueBoolean" : false
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Observation",
      "id" : "DaType5HospIntraopOutcomeObservationExample",
      "meta" : {
        "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-intraop-outcome-observation"]
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
          "code" : "surgery-intraop-outcome",
          "display" : "수술중 Outcome"
        }]
      },
      "subject" : {
        "reference" : "Patient/janusync-deidentified-patient-example"
      },
      "encounter" : {
        "reference" : "Encounter/DaType5HospEncounter"
      },
      "effectiveDateTime" : "2026-04-24T12:30:00+09:00",
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        },
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    }
  },
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      "partOf" : [{
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        "coding" : [{
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        }]
      },
      "subject" : {
        "reference" : "Patient/janusync-deidentified-patient-example"
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      "encounter" : {
        "reference" : "Encounter/DaType5HospEncounter"
      },
      "effectiveDateTime" : "2026-04-24T09:00:00+09:00",
      "component" : [{
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        },
        "valueBoolean" : true
      },
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        },
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      },
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      }]
    }
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      "status" : "final",
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        "reference" : "Encounter/DaType5HospEncounter"
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  },
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    "resource" : {
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        }
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