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="DaType6HospBundleExample"/>
<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>
<Observation>
<id
value="DaType6HospTumorPreopClinicalAssessmentObservationExample"/>
<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>
<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="exam.bmi"/>
<display value="BMI"/>
</coding>
</code>
<valueQuantity>
<value value="22.7"/>
<unit value="kg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg/m2"/>
</valueQuantity>
</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="hematochezia"/>
</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>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType6HospPatientHistoryEncounter"/>
<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.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>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.hepatic"/>
<display value="간질환력"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.cardiovascular"/>
<display value="심장질환력"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.renal"/>
<display value="신장질환력"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.others"/>
<display value="기타 기저질환 내역"/>
</coding>
</code>
<valueString value="고혈압"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.smoking-status"/>
<display value="흡연력"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-substance-use-status"/>
<code value="former"/>
<display value="사용하였으나 중단함"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.other-cancer"/>
<display value="타 암종 병력"/>
</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="위암"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.colon"/>
<display value="대장질환 병력"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="hx.family.cancer"/>
<display value="암가족력"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType6HospPretxTumorAssessmentObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-pretx-tumor-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="pretx-tumor-assessment"/>
<display value="치료 전 종양 평가"/>
</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="tumor.marker.cea.pretx"/>
<display value="치료 전 CEA 수치"/>
</coding>
</code>
<valueQuantity>
<value value="2.8"/>
<unit value="ng/mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="ng/mL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.marker.ca19-9.pretx"/>
<display value="치료 전 CA19-9 수치"/>
</coding>
</code>
<valueQuantity>
<value value="18.4"/>
<unit value="U/mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/mL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.clinical.tnm.pretx"/>
<display value="치료 전 임상적 TNM 병기"/>
</coding>
</code>
<valueString value="T2N1M0"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType6HospPosttxTumorAssessmentObservationExample"/>
<meta>
<profile
value="http://connectdtx.kr/fhir/StructureDefinition/janusync-posttx-tumor-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="posttx-tumor-assessment"/>
<display value="치료 후 종양평가"/>
</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.marker.cea.posttx"/>
<display value="치료 후 CEA 수치"/>
</coding>
</code>
<valueQuantity>
<value value="2.1"/>
<unit value="ng/mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="ng/mL"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.clinical.tnm.posttx"/>
<display value="치료 후 임상적 TNM 병기"/>
</coding>
</code>
<valueString value="T2N1M0"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.metastasis.synchronous.posttx"/>
<display value="치료 후 동시성 전이 존재 여부"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="DaType6HospTumorPathologyObservationExample"/>
<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"/>
<display value="병리학적 종양 위치"/>
</coding>
</code>
<valueCodeableConcept>
<text value="sigmoid colon"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.size.greatest"/>
<display value="종양의 크기 (greatest)"/>
</coding>
</code>
<valueQuantity>
<value value="4.2"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.type"/>
<display value="병리학적 종양 분류"/>
</coding>
</code>
<valueString value="adenocarcinoma"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.invasion.lymphovascular"/>
<display value="림프관/혈관 침윤"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.invasion.perineural"/>
<display value="신경주위 침윤"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.pathologic.t"/>
<display value="병리학적 T 병기"/>
</coding>
</code>
<valueString value="pT3"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.pathologic.n"/>
<display value="병리학적 N 병기"/>
</coding>
</code>
<valueString value="pN1"/>
</component>
<component>
<code>
<coding>
<system
value="http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component"/>
<code value="tumor.stage.pathologic.m"/>
<display value="병리학적 M 병기"/>
</coding>
</code>
<valueString value="pM0"/>
</component>
</Observation>
</resource>
</entry>
</Bundle>