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
<Bundle xmlns="http://hl7.org/fhir">
<id value="DaType5HospBundleExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-message-bundle"/>
</meta>
<identifier>
<system value="urn:janusync:medical-record"/>
<value value="message-id"/>
</identifier>
<type value="message"/>
<entry>
<resource>
<MessageHeader>
<id value="JanuSyncMessageHeaderExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-message-header"/>
</meta>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-hospital-service-identifier">
<valueIdentifier>
<system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2345"/>
<value value="DTX-SERVICE-001"/>
</valueIdentifier>
</extension>
<eventCoding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-message-event"/>
<code value="message"/>
</eventCoding>
<sender>🔗
<reference value="Organization/janusync-organization-example"/>
</sender>
<source>
<name value="A병원 HIS"/>
<software value="MediSys"/>
<version value="3.1.2"/>
<endpoint value="urn:janusync:message-source"/>
</source>
</MessageHeader>
</resource>
</entry>
<entry>
<resource>
<Patient>
<id value="janusync-deidentified-patient-example"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-deidentified-patient"/>
</meta>
<identifier>
<type>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-identifier-type"/>
<code value="patient"/>
</coding>
</type>
<system value="urn:janusync:patient-id"/>
<value value="janusync-member-00001"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-identifier-type"/>
<code value="healthcare-patient"/>
</coding>
</type>
<system value="urn:oid:1.2.410.100110.10.11100123"/>
<value value="P123"/>
</identifier>
<name>
<text value="unknown"/>
</name>
<gender value="unknown"/>
<birthDate value="1970-01-01"/>
</Patient>
</resource>
</entry>
<entry>
<resource>
<PractitionerRole>
<id value="janusync-medicaldoctor-practitionerrole-example"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-medicaldoctor-practitionerrole"/>
</meta>
<identifier>
<system value="urn:oid:1.2.410.100110.10.11100123"/>
<value
value="ba10699d84a3164ac40ce0b83e566be50aa437e28df5110993ec81f87ee3c969"/>
</identifier>
<organization>🔗
<reference value="Organization/janusync-organization-example"/>
</organization>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/practitioner-role"/>
<code value="doctor"/>
<display value="DOCTOR"/>
</coding>
</code>
<specialty>
<coding>
<system
value="http://www.hl7korea.or.kr/CodeSystem/hira-medical-department"/>
<code value="03"/>
<display value="정신건강의학과"/>
</coding>
<text value="수면건강센터"/>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospVitalSignsExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-vitalsigns-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85353-1"/>
<display
value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<effectiveDateTime value="2026-04-20T11:00:00+09:00"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Body height"/>
</coding>
</code>
<valueQuantity>
<value value="160"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
</code>
<valueQuantity>
<value value="58"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Encounter>
<id value="DaType5HospEncounter"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-encounter"/>
</meta>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<participant>
<individual>🔗
<reference
value="PractitionerRole/janusync-medicaldoctor-practitionerrole-example"/>
</individual>
</participant>
<period>
<start value="2026-04-23T09:00:00+09:00"/>
<end value="2026-04-30T11:00:00+09:00"/>
</period>
<serviceProvider>🔗
<reference value="Organization/janusync-organization-example"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospPatientHistoryObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-patient-history-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="35090-0"/>
<display value="Patient history"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<effectiveDateTime value="2026-04-23T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.smoking-status"/>
<display value="흡연력"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.drinking-status"/>
<display value="음주력"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.other-cancer"/>
<display value="타암종병력"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.other-cancer-type"/>
<display value="타 암종 종류"/>
</coding>
</code>
<valueString value="HCC"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.esd-history"/>
<display value="ESD"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.chemotherapy-history"/>
<display value="항암치료"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.radiation-therapy-history"/>
<display value="방사선치료"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.medication-therapy-history"/>
<display value="약물치료"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.hypertension"/>
<display value="고혈압병력"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.diabetes"/>
<display value="당뇨병력"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.pulmonary"/>
<display value="폐질환력"/>
</coding>
</code>
<valueString value="asthma"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.cardiovascular"/>
<display value="심혈관병력"/>
</coding>
</code>
<valueString value="MI"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.renal"/>
<display value="신장병력"/>
</coding>
</code>
<valueString value="ESRD"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.hepatic"/>
<display value="간병력"/>
</coding>
</code>
<valueString value="LC"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.cerebrovascular"/>
<display value="뇌혈관병력"/>
</coding>
</code>
<valueString value="CVA"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.tuberculosis"/>
<display value="폐결핵병력"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.abdominal-surgery-history"/>
<display value="복부수술력"/>
</coding>
</code>
<valueString value="stomach"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id
value="DaType5HospTumorPreopClinicalAssessmentObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-tumor-preop-clinical-assessment-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group"/>
<code value="tumor-preop-clinical-assessment"/>
<display value="종양 수술전 임상평가"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-23T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="exam.asa-class"/>
<display value="ASA 신체 등급"/>
</coding>
</code>
<valueInteger value="2"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="symptom.chief-complaint"/>
<display value="주증상 (CC)"/>
</coding>
</code>
<valueString value="abdominal pain"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.diagnosis.primary-cancer"/>
<display value="원발암 여부"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.diagnosis.associated-polyp"/>
<display value="진단 당시 동반 용종 유무"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.diagnosis.synchronous-adenoma.count"/>
<display value="동시성 선종 개수"/>
</coding>
</code>
<valueInteger value="2"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.diagnosis.synchronous-adenoma.site"/>
<display value="동시성 선종 위치"/>
</coding>
</code>
<valueString value="sigmoid colon"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.diagnosis.synchronous-adenoma.histology"/>
<display value="동시성 선종 조직형"/>
</coding>
</code>
<valueString value="tubular adenoma"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="condition.bowel-perforation.preop"/>
<display value="수술 전 장천공 동반 여부"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="condition.bowel-obstruction.preop"/>
<display value="수술 전 장폐색 동반 여부"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tx.neoadjuvant.performed"/>
<display value="수술 전 선행치료 시행 여부"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Procedure>
<id value="DaType5HospAbdominalCancerProcedureExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-abdominal-cancer-procedure"/>
</meta>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-surgical-approach">
<extension url="approach">
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-surgical-approach"/>
<code value="lap"/>
<display value="Lap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="openConversion">
<valueBoolean value="false"/>
</extension>
</extension>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-reconstruction">
<extension url="primary">
<valueString value="RYGJ"/>
</extension>
<extension url="secondary">
<valueString value="Antecolic"/>
</extension>
</extension>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-anastomosis-method">
<valueString value="stapler"/>
</extension>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-combined-resection">
<extension url="site">
<valueString value="Liver"/>
</extension>
<extension url="reason">
<valueString value="Invasion"/>
</extension>
</extension>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-omentectomy">
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-omentectomy"/>
<code value="complete"/>
<display value="Complete"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-drain-placement">
<valueBoolean value="true"/>
</extension>
<extension
url="http://connectdtx.kr/fhir/StructureDefinition/janusync-extra-abdominal-surgery">
<valueBoolean value="false"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system
value="http://www.hl7korea.or.kr/CodeSystem/hira-edi-procedure"/>
<code value="43.99"/>
<display value="Other total gastrectomy"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<performedPeriod>
<start value="2026-04-24T09:30:00+09:00"/>
<end value="2026-04-24T12:15:00+09:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospIntraopFindingObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-intraop-finding-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group"/>
<code value="tumor-intraop-finding"/>
<display value="수술중 소견"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-24T10:30:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.intraop.ascites"/>
<display value="복수"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-intraop-ascites-status"/>
<code value="C0"/>
<display value="C0"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.intraop.liver-metastasis"/>
<display value="간전이"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-intraop-liver-metastasis-status"/>
<code value="H0"/>
<display value="H0"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.intraop.serosal-metastasis"/>
<display value="위장막전이"/>
</coding>
</code>
<valueString value="없음"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.intraop.invasive-organ"/>
<display value="침윤장기"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospIntraopOutcomeObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-intraop-outcome-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group"/>
<code value="surgery-intraop-outcome"/>
<display value="수술중 Outcome"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-24T12:30:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="surgery.intraop.blood-loss"/>
<display value="실혈양"/>
</coding>
</code>
<valueQuantity>
<value value="250"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="surgery.intraop.transfusion.performed"/>
<display value="수혈여부"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospLymphNodeDissectionObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-lymph-node-dissection-observation"/>
</meta>
<partOf>🔗
<reference
value="Procedure/DaType5HospAbdominalCancerProcedureExample"/>
</partOf>
<status value="final"/>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group"/>
<code value="lymph-node-dissection-by-station"/>
<display value="Lymph node dissection by station"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-24T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/JanuSync-lymph-node-station"/>
<code value="station-1"/>
<display value="#1 lymph node"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/JanuSync-lymph-node-station"/>
<code value="station-3"/>
<display value="#3 lymph node"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/JanuSync-lymph-node-station"/>
<code value="station-4d"/>
<display value="#4d lymph node"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/JanuSync-lymph-node-station"/>
<code value="station-7"/>
<display value="#7 lymph node"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospGeneralComplicationObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-postop-complication-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-postop-complication"/>
<code value="general"/>
<display value="General complication"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-25T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-postop-complication"/>
<code value="fever"/>
<display value="Fever"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-cdc-grade"/>
<code value="1"/>
<display value="Grade 1"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-postop-complication"/>
<code value="respiratory"/>
<display value="Respiratory complication"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-cdc-grade"/>
<code value="2"/>
<display value="Grade 2"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospPostopComplicationObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-postop-complication-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-postop-complication"/>
<code value="postop"/>
<display value="Postoperative surgery-related complication"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-25T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-postop-complication"/>
<code value="wound"/>
<display value="wound"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-cdc-grade"/>
<code value="2"/>
<display value="Grade 2"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-postop-complication"/>
<code value="anastomosis-leakage"/>
<display value="anastomosis leakage"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-cdc-grade"/>
<code value="3a"/>
<display value="Grade 3a"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospTumorPathologyObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-tumor-pathology-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="22637-3"/>
<display value="Pathology report final diagnosis Narrative"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<effectiveDateTime value="2026-04-24T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.site"/>
</coding>
</code>
<valueCodeableConcept>
<text value="Involvement : Lower third"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.size.dimension-a"/>
</coding>
</code>
<valueQuantity>
<value value="45"/>
<unit value="mm"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.size.dimension-b"/>
</coding>
</code>
<valueQuantity>
<value value="32"/>
<unit value="mm"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.count"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.type.gross"/>
</coding>
</code>
<valueString value="EGC type IIc+Iia / Borrmann type 3"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.type.differentiation"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-differentiation"/>
<code value="moderately"/>
<display value="moderately"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.type.histologic"/>
</coding>
</code>
<valueString value="TUBULAR ADENOCARCINOMA"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.type.lauren"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-lauren-classification"/>
<code value="intestinal"/>
<display value="Intestinal"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.margin"/>
</coding>
</code>
<valueString value="Proximal margin : Free from carcinoma"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.invasion.lymphatic"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-presence-status"/>
<code value="present"/>
<display value="present"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.invasion.venous"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-presence-status"/>
<code value="absent"/>
<display value="absent"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.invasion.perineural"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-presence-status"/>
<code value="not-identified"/>
<display value="not identified"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.pathologic.t"/>
</coding>
</code>
<valueString value="T1b"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.pathologic.n"/>
</coding>
</code>
<valueString value="N3b"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.pathologic.m"/>
</coding>
</code>
<valueString value="M0"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.ajcc-edition"/>
</coding>
</code>
<valueString value="AJCC 8th Ed."/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.lymph-node.positive-ratio"/>
</coding>
</code>
<valueString value="16/52"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospPostopFollowupObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-postop-followup-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group"/>
<code value="postop-followup"/>
<display value="Postoperative follow-up"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-04-25T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="postop.flatus-date"/>
<display value="First flatus date"/>
</coding>
</code>
<valueDateTime value="2026-04-25T08:30:00+09:00"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="postop.sow-date"/>
<display value="Start of water date"/>
</coding>
</code>
<valueDateTime value="2026-04-25T12:00:00+09:00"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="postop.liquid-diet-date"/>
<display value="Liquid diet start date"/>
</coding>
</code>
<valueDateTime value="2026-04-26T08:00:00+09:00"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="postop.soft-diet-date"/>
<display value="Soft diet start date"/>
</coding>
</code>
<valueDateTime value="2026-04-27T08:00:00+09:00"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="postop.transfusion-status"/>
<display value="Postoperative transfusion status"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Encounter>
<id value="DaType5HospEmerRevisitEncounter"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-associated-care-encounter"/>
</meta>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EMER"/>
<display value="emergency"/>
</class>
<type>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-encounter-type"/>
<code value="revisit"/>
<display value="재내원"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<participant>
<individual>🔗
<reference
value="PractitionerRole/janusync-medicaldoctor-practitionerrole-example"/>
</individual>
</participant>
<period>
<start value="2026-05-01"/>
</period>
<reasonCode>
<text value="구토"/>
</reasonCode>
<serviceProvider>🔗
<reference value="Organization/janusync-organization-example"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<resource>
<Encounter>
<id value="DaType5HospImpRevisitEncounter"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-associated-care-encounter"/>
</meta>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-encounter-type"/>
<code value="revisit"/>
<display value="재내원"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<participant>
<individual>🔗
<reference
value="PractitionerRole/janusync-medicaldoctor-practitionerrole-example"/>
</individual>
</participant>
<period>
<start value="2026-05-03"/>
</period>
<reasonCode>
<text value="general weakness"/>
</reasonCode>
<serviceProvider>🔗
<reference value="Organization/janusync-organization-example"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospDiagnosticResultObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-composite-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group"/>
<code value="postop-diagnostic-result"/>
<display value="수술 후 검사"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/DaType5HospEncounter"/>
</encounter>
<effectiveDateTime value="2026-05-03T09:00:00+09:00"/>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.cbc.wbc"/>
<display value="WBC"/>
</coding>
</code>
<valueQuantity>
<value value="6.5"/>
<unit value="10^3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.cbc.hct"/>
<display value="Hct"/>
</coding>
</code>
<valueQuantity>
<value value="42.1"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.cbc.hgb"/>
<display value="Hb(Hgb)"/>
</coding>
</code>
<valueQuantity>
<value value="13.8"/>
<unit value="g/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.cbc.plt"/>
<display value="PLT"/>
</coding>
</code>
<valueQuantity>
<value value="251"/>
<unit value="10^3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.crp"/>
<display value="CRP"/>
</coding>
</code>
<valueQuantity>
<value value="0.32"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.tbil"/>
<display value="T.b"/>
</coding>
</code>
<valueQuantity>
<value value="0.78"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.ast"/>
<display value="AST"/>
</coding>
</code>
<valueQuantity>
<value value="28"/>
<unit value="U/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.alt"/>
<display value="ALT"/>
</coding>
</code>
<valueQuantity>
<value value="24"/>
<unit value="U/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.amylase"/>
<display value="Amylase"/>
</coding>
</code>
<valueQuantity>
<value value="82"/>
<unit value="U/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.lipase"/>
<display value="Lipase"/>
</coding>
</code>
<valueQuantity>
<value value="36"/>
<unit value="U/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.bun"/>
<display value="BUN"/>
</coding>
</code>
<valueQuantity>
<value value="14.7"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.creatinine"/>
<display value="Creatinine"/>
</coding>
</code>
<valueQuantity>
<value value="0.86"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.na"/>
<display value="Na"/>
</coding>
</code>
<valueQuantity>
<value value="140"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.chem.k"/>
<display value="K"/>
</coding>
</code>
<valueQuantity>
<value value="4.2"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.gas.ph"/>
<display value="pH"/>
</coding>
</code>
<valueQuantity>
<value value="7.4"/>
<unit value="pH"/>
<system value="http://unitsofmeasure.org"/>
<code value="[pH]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.gas.hco3"/>
<display value="HCO3"/>
</coding>
</code>
<valueQuantity>
<value value="24.1"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.blood.gas.lactate"/>
<display value="Lactic acid"/>
</coding>
</code>
<valueQuantity>
<value value="1.3"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.drain.hemovac.amylase"/>
<display value="Hemovac drain fluid amylase"/>
</coding>
</code>
<valueQuantity>
<value value="120"/>
<unit value="U/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="lab.drain.hemovac.triglyceride"/>
<display value="Hemovac drain fluid triglyceride"/>
</coding>
</code>
<valueQuantity>
<value value="87"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType5HospExpireNoteObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-composite-observation"/>
</meta>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="47046-8"/>
<display value="Summary of death note"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/janusync-deidentified-patient-example"/>
</subject>
<effectiveDateTime value="2026-05-10"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81954-0"/>
<display value="Date of death [Date]"/>
</coding>
</code>
<valueDateTime value="2026-05-10"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69453-9"/>
<display value="Cause of death"/>
</coding>
</code>
<valueString value="수술 후 합병증"/>
</component>
</Observation>
</resource>
</entry>
</Bundle>