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FHIR Extension Specification: Definition of eCS Diagnosis Type (JP-CLINS)

JP eCS Disgnostic Type Extension - 電子カルテ情報共有サービス2文書5情報+患者サマリー ...

July 9, 2025日本医療情報学会

Summary

The Japan Society for Medical Informatics has published the specification for the FHIR extension, 'JP eCS Diagnosis Type Extension,' aimed at classifying diagnosis information in electronic medical records. This standard allows assigning a type—such as whether it is the primary condition of care—to standardize how diagnoses are handled during clinical information sharing.

Details

This document provides the definition of an extension specification for FHIR, intended as part of the implementation guide for the eCS (Electronic Medical Record Information Sharing Service). The extension, named `JP_eCS_DiagnosisType`, is designed to attach a type—such as 'primary condition of care' or other types—to specific diagnosis information. Technically, this extension can be applied to elements like Condition within FHIR resources and utilizes a CodeableConcept structure. This capability allows not only the existence of a diagnosis but also the attachment of contextual information (context) regarding whether that diagnosis is primary to the current care episode. The standardization achieved by this specification significantly contributes to improving the accuracy of clinical information sharing and ensuring data linkage reliability among electronic medical record systems in Japan. The specification is managed by the Japan Society for Medical Informatics, built upon FHIR standards, and is expected to play a crucial role in the future Japanese healthcare IT infrastructure.

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