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" : "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",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "surgery.intraop.blood-loss",
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