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" : "DaType6HospBundleExample",
"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" : "Observation",
"id" : "DaType6HospTumorPreopClinicalAssessmentObservationExample",
"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"
},
"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" : "exam.bmi",
"display" : "BMI"
}
]
},
"valueQuantity" : {
"value" : 22.7,
"unit" : "kg/m2",
"system" : "http://unitsofmeasure.org",
"code" : "kg/m2"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "symptom.chief-complaint",
"display" : "주증상 (CC)"
}
]
},
"valueString" : "hematochezia"
},
{
"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
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType6HospPatientHistoryEncounter",
"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.diabetes",
"display" : "당뇨병력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.pulmonary",
"display" : "폐질환력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.hepatic",
"display" : "간질환력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.cardiovascular",
"display" : "심장질환력"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.renal",
"display" : "신장질환력"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.others",
"display" : "기타 기저질환 내역"
}
]
},
"valueString" : "고혈압"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.smoking-status",
"display" : "흡연력"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-substance-use-status",
"code" : "former",
"display" : "사용하였으나 중단함"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.other-cancer",
"display" : "타 암종 병력"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.other-cancer-type",
"display" : "타 암종 종류"
}
]
},
"valueString" : "위암"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.colon",
"display" : "대장질환 병력"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "hx.family.cancer",
"display" : "암가족력"
}
]
},
"valueBoolean" : true
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType6HospPretxTumorAssessmentObservationExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-pretx-tumor-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" : "pretx-tumor-assessment",
"display" : "치료 전 종양 평가"
}
]
},
"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" : "tumor.marker.cea.pretx",
"display" : "치료 전 CEA 수치"
}
]
},
"valueQuantity" : {
"value" : 2.8,
"unit" : "ng/mL",
"system" : "http://unitsofmeasure.org",
"code" : "ng/mL"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.marker.ca19-9.pretx",
"display" : "치료 전 CA19-9 수치"
}
]
},
"valueQuantity" : {
"value" : 18.4,
"unit" : "U/mL",
"system" : "http://unitsofmeasure.org",
"code" : "U/mL"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.stage.clinical.tnm.pretx",
"display" : "치료 전 임상적 TNM 병기"
}
]
},
"valueString" : "T2N1M0"
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType6HospPosttxTumorAssessmentObservationExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-posttx-tumor-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" : "posttx-tumor-assessment",
"display" : "치료 후 종양평가"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"effectiveDateTime" : "2026-04-24T09:00:00+09:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.marker.cea.posttx",
"display" : "치료 후 CEA 수치"
}
]
},
"valueQuantity" : {
"value" : 2.1,
"unit" : "ng/mL",
"system" : "http://unitsofmeasure.org",
"code" : "ng/mL"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.stage.clinical.tnm.posttx",
"display" : "치료 후 임상적 TNM 병기"
}
]
},
"valueString" : "T2N1M0"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.metastasis.synchronous.posttx",
"display" : "치료 후 동시성 전이 존재 여부"
}
]
},
"valueBoolean" : false
}
]
}
},
{
"resource" : {
"resourceType" : "Observation",
"id" : "DaType6HospTumorPathologyObservationExample",
"meta" : {
"profile" : [
🔗 "http://connectdtx.kr/fhir/StructureDefinition/janusync-tumor-pathology-observation"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "22637-3",
"display" : "Pathology report final diagnosis Narrative"
}
]
},
"subject" : {
🔗 "reference" : "Patient/janusync-deidentified-patient-example"
},
"effectiveDateTime" : "2026-04-24T09:00:00+09:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.site",
"display" : "병리학적 종양 위치"
}
]
},
"valueCodeableConcept" : {
"text" : "sigmoid colon"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.size.greatest",
"display" : "종양의 크기 (greatest)"
}
]
},
"valueQuantity" : {
"value" : 4.2,
"unit" : "cm",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.type",
"display" : "병리학적 종양 분류"
}
]
},
"valueString" : "adenocarcinoma"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.invasion.lymphovascular",
"display" : "림프관/혈관 침윤"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.invasion.perineural",
"display" : "신경주위 침윤"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.stage.pathologic.t",
"display" : "병리학적 T 병기"
}
]
},
"valueString" : "pT3"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.stage.pathologic.n",
"display" : "병리학적 N 병기"
}
]
},
"valueString" : "pN1"
},
{
"code" : {
"coding" : [
{
"system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
"code" : "tumor.stage.pathologic.m",
"display" : "병리학적 M 병기"
}
]
},
"valueString" : "pM0"
}
]
}
}
]
}