Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft Australia flag

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

: Narrative Only version of the Event Summary Document Bundle for Mr Zhang Wei (2020) - XML Representation

Raw xml | Download



<Bundle xmlns="http://hl7.org/fhir">
  <!-- WORK IN PROGRESS -->
  <id value="es-narrative-02-doc"/>
  <meta>
    <lastUpdated value="2020-06-03T11:00:00+10:00"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-document-1"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2020-06-03T11:00:00+10:00"/>
  <entry>
    <fullUrl value="urn:uuid:2384da13-ff91-4e05-930f-2d7a034ea713"/>
    <resource>
      <Composition>
        <id value="2384da13-ff91-4e05-930f-2d7a034ea713"/>
        <meta>
          <lastUpdated value="2020-06-03T11:00:00+10:00"/>
          <profile
                   value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-es-narrative-1"/>
        </meta>
        <language value="en-AU"/>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                    <h1>Event Summary</h1>
                    <p><b>subject</b>: ZHANG Wei; MC = 29533070311; IHI = 8003608000228437; gender = male</p>
                    <p><b>status</b>: final</p>
                    <p><b>date</b>: 30/05/2020 10:00:00 AM</p>
                    <p><b>author</b>: Dr Greg Algrester,  HPI-I = 8003614900041243; Contact: 0491579760 or 
                        drgreg@algregstermedical.example.com</p>
                    <p><b>attester</b>: Dr Greg Algrester,  HPI-I = 8003614900041243; Contact: 0491579760 or 
                        drgreg@algregstermedical.example.com</p>
                    <p><b>custodian</b>: Algregster Medical Centre; HPI-O = 8003621566699776;
                        info@algregstermedical.example.com; ph: (07) 5550 2427</p>
                </div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:f028f914-f7a6-4ddf-ab70-9fb6f0ee00ad"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="34133-9"/>
            <display value="Summary of episode note"/>
          </coding>
        </type>
        <category>
          <coding>
            <system value="http://loinc.org"/>
            <code value="34133-9"/>
            <display value="Summary of episode note"/>
          </coding>
        </category>
        <subject>
          <reference value="urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="NI"/>
                <display value="National unique individual identifier"/>
              </coding>
              <text value="IHI"/>
            </type>
            <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
            <value value="8003608000228437"/>
          </identifier>
        </subject>
        <encounter>
          <reference value="urn:uuid:6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"/>
        </encounter>
        <date value="2020-05-30T10:00:00+10:00"/>
        <author>
          <reference value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
        </author>
        <title value="Event Summary"/>
        <attester>
          <mode value="legal"/>
          <time value="2020-05-30T10:00:00+10:00"/>
          <party>
            <reference value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
          </party>
        </attester>
        <custodian>
          <reference value="urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306"/>
        </custodian>
        <section>
          <title value="Allergies and Adverse Reactions"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
            </coding>
          </code>
          <text>
            <status value="additional"/>
            <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                        <p>No known allergies</p>
                    </div>
          </text>
        </section>
        <section>
          <title value="Medications"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10160-0"/>
            </coding>
          </code>
          <text>
            <status value="additional"/>
            <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                        <table border="1">
                            <caption>Medicines List</caption>
                            <thead>
                                <tr>
                                    <th>Medicine</th>
                                    <th>Directions</th>
                                    <th>Clinical Indication/Change description</th>
                                    <th>Status</th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr>
                                    <td><b>Bactrim</b> DS - tablet</td>
                                    <td>Take 2 tablets twice a day</td>
                                    <td>To treat bacterial infections</td>
                                    <td>New prescription</td>
                                </tr>
                                <tr>
                                    <td><b>Panadol</b> 500mg - tablet</td>
                                    <td>Take 1 tablet four times a day</td>
                                    <td>For pain</td>
                                    <td>New</td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
          </text>
        </section>
        <section>
          <title value="Problems"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11450-4"/>
            </coding>
            <coding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
              <code value="101.16117"/>
            </coding>
          </code>
          <text>
            <status value="additional"/>
            <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                        <table border="1">
                            <caption>Condition Details</caption>
                            <thead>
                                <tr>
                                    <th>Condition</th>
                                    <th>Onset Date Time</th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr>
                                    <td>Urinary tract infection</td>
                                    <td>2020-05-10</td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
          </text>
        </section>
        <section>
          <title value="Diagnostic Investigations"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30954-2"/>
            </coding>
          </code>
          <text>
            <status value="additional"/>
            <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                        <table border="1">
                            <caption>Diagnostic results</caption>
                            <thead>
                                <tr>
                                    <th>Test</th>
                                    <th>Result</th>
									<th>Date</th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr>
                                    <td>Culture and sensitivity</td>
                                    <td>Escherichia coli grown</td>
									<td>2020-05-10</td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
          </text>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
    <resource>
      <Patient>
        <id value="3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_3a72f2d2-c9ed-40a4-beac-01c14dcf244a"> </a><p><b>Generated Narrative: Patient </b><a name="3a72f2d2-c9ed-40a4-beac-01c14dcf244a"> </a><a name="hc3a72f2d2-c9ed-40a4-beac-01c14dcf244a"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePatient &quot;3a72f2d2-c9ed-40a4-beac-01c14dcf244a&quot; </p></div><p><b>Patient Birth Place</b>: China</p><p><b>Australian Indigenous Status</b>: Neither Aboriginal nor Torres Strait Islander origin (Details: australian-indigenous-status-1 code 4  = ' Neither Aboriginal nor Torres Strait Islander origin ', stated as ' Neither Aboriginal nor Torres Strait Islander origin ')</p><p><b>Patient Interpreter Required</b>: true</p><p><b>Date of Arrival in Australia</b>: 2017</p><p><b>identifier</b>: IHI/8003608000228437, Medicare Number/29533070311</p><p><b>name</b>: Wei Zhang </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1972-05-03</p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>Cantonese <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#yue)</span></td><td>true</td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
          <valueAddress>
            <text value="China"/>
            <country value="CHN"/>
          </valueAddress>
        </extension>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/indigenous-status">
          <valueCoding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"/>
            <code value="4"/>
            <display
                     value="Neither Aboriginal nor Torres Strait Islander origin"/>
          </valueCoding>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/date-of-arrival">
          <valueDate value="2017"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NI"/>
            </coding>
            <text value="IHI"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
          <value value="8003608000228437"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MC"/>
            </coding>
            <text value="Medicare Number"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/medicare-number"/>
          <value value="29533070311"/>
        </identifier>
        <name>
          <family value="Zhang"/>
          <given value="Wei"/>
          <prefix value="Mr"/>
        </name>
        <gender value="male"/>
        <birthDate value="1972-05-03"/>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="yue"/>
            </coding>
            <text value="Cantonese"/>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1"/>
    <resource>
      <Practitioner>
        <id value="40a94071-8373-4d53-a788-63b79c75a3c1"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_40a94071-8373-4d53-a788-63b79c75a3c1"> </a><p><b>Generated Narrative: Practitioner </b><a name="40a94071-8373-4d53-a788-63b79c75a3c1"> </a><a name="hc40a94071-8373-4d53-a788-63b79c75a3c1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner &quot;40a94071-8373-4d53-a788-63b79c75a3c1&quot; </p></div><p><b>identifier</b>: HPI-I/8003614900041243</p><p><b>name</b>: Greg Algrester </p><p><b>telecom</b>: <a href="mailto:drgreg@algregstermedical.example.com">drgreg@algregstermedical.example.com</a></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NPI"/>
              <display value="National provider identifier"/>
            </coding>
            <text value="HPI-I"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
          <value value="8003614900041243"/>
        </identifier>
        <name>
          <family value="Algrester"/>
          <given value="Greg"/>
          <prefix value="Dr."/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="drgreg@algregstermedical.example.com"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
    <resource>
      <PractitionerRole>
        <id value="45cad6ac-e9a3-418a-8480-4e64132849f2"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_45cad6ac-e9a3-418a-8480-4e64132849f2"> </a><p><b>Generated Narrative: PractitionerRole </b><a name="45cad6ac-e9a3-418a-8480-4e64132849f2"> </a><a name="hc45cad6ac-e9a3-418a-8480-4e64132849f2"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole &quot;45cad6ac-e9a3-418a-8480-4e64132849f2&quot; </p></div><p><b>identifier</b>: Employee Number/AMC-GA-001, HPI-I/8003614900041243</p><p><b>practitioner</b>: See on this page: urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1</p><p><b>organization</b>: See on this page: urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306</p><p><b>code</b>: General Practitioner <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#62247001)</span></p><p><b>telecom</b>: ph: 0491579760, <a href="mailto:drgreg@algregstermedical.example.com">drgreg@algregstermedical.example.com</a></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="EI"/>
              <display value="Employee number"/>
            </coding>
            <text value="Employee Number"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/hpio-scoped/service-provider-individual/1.0/8003621566699776"/>
          <value value="AMC-GA-001"/>
          <assigner>
            <display value="Algregster Medical Center QLD"/>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NPI"/>
              <display value="National provider identifier"/>
            </coding>
            <text value="HPI-I"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
          <value value="8003614900041243"/>
        </identifier>
        <practitioner>
          <reference value="urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1"/>
        </practitioner>
        <organization>
          <reference value="urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306"/>
        </organization>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="62247001"/>
          </coding>
          <text value="General Practitioner"/>
        </code>
        <telecom>
          <system value="phone"/>
          <value value="0491579760"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="drgreg@algregstermedical.example.com"/>
        </telecom>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306"/>
    <resource>
      <Organization>
        <id value="021fff67-c5ec-438f-9520-ce9bafee1306"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_021fff67-c5ec-438f-9520-ce9bafee1306"> </a><p><b>Generated Narrative: Organization </b><a name="021fff67-c5ec-438f-9520-ce9bafee1306"> </a><a name="hc021fff67-c5ec-438f-9520-ce9bafee1306"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceOrganization &quot;021fff67-c5ec-438f-9520-ce9bafee1306&quot; </p></div><p><b>identifier</b>: HPI-O/8003621566699776</p><p><b>type</b>: Medical Centre <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#288565001 &quot;Medical centre&quot;)</span></p><p><b>name</b>: Algregster Medical Centre</p><p><b>telecom</b>: <a href="mailto:info@algregstermedical.example.com">info@algregstermedical.example.com</a>, ph: (07) 5550 2427(WORK)</p><p><b>address</b>: 87 Western Esp Tindal RAAF QLD 4655 AU </p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
              <code value="NOI"/>
            </coding>
            <text value="HPI-O"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/hpio/1.0"/>
          <value value="8003621566699776"/>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="288565001"/>
            <display value="Medical centre"/>
          </coding>
          <text value="Medical Centre"/>
        </type>
        <name value="Algregster Medical Centre"/>
        <telecom>
          <system value="email"/>
          <value value="info@algregstermedical.example.com"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="(07) 5550 2427"/>
          <use value="work"/>
        </telecom>
        <address>
          <line value="87 Western Esp"/>
          <city value="Tindal RAAF"/>
          <state value="QLD"/>
          <postalCode value="4655"/>
          <country value="AU"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"/>
    <resource>
      <Encounter>
        <id value="6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"> </a><p><b>Generated Narrative: Encounter </b><a name="6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"> </a><a name="hc6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceEncounter &quot;6c39fd65-2a5f-42d0-b3db-20b6416e2b9a&quot; </p></div><p><b>Encounter Description</b>: Patient presented for follow-up with urinary tract infection on 30 May. Complaining of frequent and painful urinating.                          Midstream urine test was done and revealed urinary infection. Culture and sensitivity test discovered escherichia coli sensitive to Bactrim.                         Patient was prescribed Bactrim 2 tablets twice a day, and Panadol one tablet 4 times a day. Patient has no allergies.</p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: ActCode code AMB  = ' ambulatory ', stated as ' ambulatory ')</p><p><b>type</b>: Follow-up encounter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#390906007)</span></p><p><b>serviceType</b>: General medical service <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#700232004)</span></p><p><b>subject</b>: See on this page: urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a</p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td>primary performer <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a>#PPRF)</span></td><td>See on this page: urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2</td></tr></table><p><b>period</b>: 2020-05-30 09:00:00+1000 --&gt; 2020-05-30 09:30:00+1000</p></div>
        </text>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/encounter-description">
          <valueString
                       value="Patient presented for follow-up with urinary tract infection on 30 May. Complaining of frequent and painful urinating.                          Midstream urine test was done and revealed urinary infection. Culture and sensitivity test discovered escherichia coli sensitive to Bactrim.                         Patient was prescribed Bactrim 2 tablets twice a day, and Panadol one tablet 4 times a day. Patient has no allergies."/>
        </extension>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="390906007"/>
            <display value="Follow-up encounter"/>
          </coding>
        </type>
        <serviceType>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="700232004"/>
            <display value="General medical service"/>
          </coding>
        </serviceType>
        <subject>
          <reference value="urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="NI"/>
                <display value="National unique individual identifier"/>
              </coding>
              <text value="IHI"/>
            </type>
            <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
            <value value="8003608000228437"/>
          </identifier>
        </subject>
        <participant>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
              <code value="PPRF"/>
              <display value="primary performer"/>
            </coding>
          </type>
          <individual>
            <reference value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
          </individual>
        </participant>
        <period>
          <start value="2020-05-30T09:00:00+10:00"/>
          <end value="2020-05-30T09:30:00+10:00"/>
        </period>
      </Encounter>
    </resource>
  </entry>
</Bundle>