Bundle DaType6HospBundleExample 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 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)

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

component

code: ASA 신체 등급

value: 2

component

code: BMI

value: 22.7 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

component

code: 주증상 (CC)

value: hematochezia

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

Entry 4

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: 당뇨병력

value: false

component

code: 폐질환력

value: false

component

code: 간질환력

value: false

component

code: 심장질환력

value: true

component

code: 신장질환력

value: false

component

code: 기타 기저질환 내역

value: 고혈압

component

code: 흡연력

value: 사용하였으나 중단함

component

code: 타 암종 병력

value: true

component

code: 타 암종 종류

value: 위암

component

code: 대장질환 병력

value: true

component

code: 암가족력

value: true

Entry 5

Resource Observation:

Profile: JanuSync Pretx Tumor Assessment Observation

status: Final

category: Survey

code: 치료 전 종양 평가

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

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

component

code: 치료 전 CEA 수치

value: 2.8 ng/mL (Details: UCUM codeng/mL = 'ng/mL')

component

code: 치료 전 CA19-9 수치

value: 18.4 U/mL (Details: UCUM codeU/mL = 'U/mL')

component

code: 치료 전 임상적 TNM 병기

value: T2N1M0

Entry 6

Resource Observation:

Profile: JanuSync Posttx Tumor Assessment Observation

status: Final

category: Survey

code: 치료 후 종양평가

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

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

component

code: 치료 후 CEA 수치

value: 2.1 ng/mL (Details: UCUM codeng/mL = 'ng/mL')

component

code: 치료 후 임상적 TNM 병기

value: T2N1M0

component

code: 치료 후 동시성 전이 존재 여부

value: false

Entry 7

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: sigmoid colon

component

code: 종양의 크기 (greatest)

value: 4.2 cm (Details: UCUM codecm = 'cm')

component

code: 병리학적 종양 분류

value: adenocarcinoma

component

code: 림프관/혈관 침윤

value: true

component

code: 신경주위 침윤

value: false

component

code: 병리학적 T 병기

value: pT3

component

code: 병리학적 N 병기

value: pN1

component

code: 병리학적 M 병기

value: pM0