FHIR CI-Build
FoundationThis is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
| Responsible Owner: Structured Documents Work Group | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Example of a discharge summary
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Bundle/father> a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "father"] ; #
fhir:meta [
fhir:security ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-Confidentiality>
] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "normal" ]
] )
] ; #
fhir:identifier [
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>
] ;
fhir:value [ fhir:v "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" ]
] ; #
fhir:type [ fhir:v "document"] ; #
fhir:timestamp [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime] ; #
fhir:entry ( [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/Practitioner/example"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/Practitioner/example>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/Practitioner/example> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/Patient/d1"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/Patient/d1>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/Patient/d1> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/Encounter/doc-example"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/Encounter/doc-example>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/Encounter/doc-example> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/Observation/example1"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/Observation/example1>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/Observation/example1> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/MedicationRequest/example2"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/MedicationRequest/example2>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/MedicationRequest/example2> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/MedicationStatement/example3"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/MedicationStatement/example3>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/MedicationStatement/example3> )
] [
fhir:fullUrl [
fhir:v "http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4"^^xsd:anyURI ;
fhir:l <http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4>
] ;
fhir:resource ( <http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4> )
] ) . # The Composition resource
<http://fhir.healthintersections.com.au/open/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57> a fhir:Composition ;
fhir:id [ fhir:v "180f219f-97a8-486d-99d9-ed631fe4fc57"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 180f219f-97a8-486d-99d9-ed631fe4fc57</b></p><a name=\"180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><a name=\"hc180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a><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\">Last updated: 2013-05-28T22:12:21Z</p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 28655-9}\">Discharge Summary from Responsible Clinician</span></p><p><b>encounter</b>: <a href=\"broken-link.html\">http://fhir.healthintersections.com.au/open/Encounter/doc-example</a></p><p><b>date</b>: 2013-02-01T12:30:02Z</p><p><b>author</b>: <a href=\"practitioner-example.html\">Doctor Dave</a></p><p><b>title</b>: Discharge Summary</p></div>"^^rdf:XMLLiteral ]
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:type [
fhir:coding ( [
a loinc:28655-9 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>
] ;
fhir:code [ fhir:v "28655-9" ]
] ) ;
fhir:text [ fhir:v "Discharge Summary from Responsible Clinician" ]
] ; #
fhir:subject ( [
fhir:l <http://fhir.healthintersections.com.au/open/Patient/d1> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Patient/d1" ] ;
fhir:display [ fhir:v "Eve Everywoman" ]
] ) ; #
fhir:encounter [
fhir:l <http://fhir.healthintersections.com.au/open/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Encounter/doc-example" ]
] ; # The Encounter resource. Points directly to an Encounter resource. Contains the dates of admission, specialtyu etc.
fhir:date [ fhir:v "2013-02-01T12:30:02Z"^^xsd:dateTime] ; #
fhir:author ( [
fhir:l <http://hl7.org/fhir/Practitioner/example> ;
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Doctor Dave" ]
] ) ; #
fhir:title [ fhir:v "Discharge Summary"] ; #
fhir:section ( [
fhir:title [ fhir:v "Reason for admission" ] ;
fhir:code [
fhir:coding ( [
a loinc:29299-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>
] ;
fhir:code [ fhir:v "29299-5" ] ;
fhir:display [ fhir:v "Reason for visit Narrative" ]
] )
] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Details</td>\n\n <td/>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>\n\n <td/>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"^^rdf:XMLLiteral ]
] ;
fhir:entry ( [
fhir:l <http://fhir.healthintersections.com.au/open/Observation/example1> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Observation/example1" ]
] )
] [
fhir:title [ fhir:v "Medications on Discharge" ] ;
fhir:code [
fhir:coding ( [
a loinc:10183-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>
] ;
fhir:code [ fhir:v "10183-2" ] ;
fhir:display [ fhir:v "Hospital discharge medications Narrative" ]
] )
] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Medication</td>\n\n <td>Last Change</td>\n\n <td>Last ChangeReason</td>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Theophylline 200mg BD after meals</td>\n\n <td>continued</td>\n\n </tr>\n\n <tr>\n\n <td>Ventolin Inhaler</td>\n\n <td>stopped</td>\n\n <td>Getting side effect of tremor</td>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"^^rdf:XMLLiteral ]
] ;
fhir:entry ( [
fhir:l <http://fhir.healthintersections.com.au/open/MedicationRequest/example2> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/MedicationRequest/example2" ]
] [
fhir:l <http://fhir.healthintersections.com.au/open/MedicationStatement/example3> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/MedicationStatement/example3" ]
] ) # This is an entry that refers to a MedicationRequest resource in this document.\n It is a new medication (as indicated by the flag)
] [
fhir:title [ fhir:v "Known allergies" ] ;
fhir:code [
fhir:coding ( [
a loinc:48765-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>
] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]
] )
] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <table>\n\n <thead>\n\n <tr>\n\n <td>Allergen</td>\n\n <td>Reaction</td>\n\n </tr>\n\n </thead>\n\n <tbody>\n\n <tr>\n\n <td>Doxycycline</td>\n\n <td>Hives</td>\n\n </tr>\n\n </tbody>\n\n </table>\n\n </div>"^^rdf:XMLLiteral ]
] ;
fhir:entry ( [
fhir:l <http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4" ]
] )
] ) . #
<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .
<http://fhir.healthintersections.com.au/open/Practitioner/example> a fhir:Practitioner ;
fhir:id [ fhir:v "example"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <p>Dr Adam Careful</p>\n\n </div>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "http://www.acme.org/practitioners"^^xsd:anyURI ;
fhir:l <http://www.acme.org/practitioners>
] ;
fhir:value [ fhir:v "23" ]
] ) ; #
fhir:name ( [
fhir:family [ fhir:v "Careful" ] ;
fhir:given ( [ fhir:v "Adam" ] ) ;
fhir:prefix ( [ fhir:v "Dr" ] )
] ) . #
<http://fhir.healthintersections.com.au/open/Patient/d1> a fhir:Patient ;
fhir:id [ fhir:v "d1"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <h1>Eve Everywoman</h1>\n\n </div>"^^rdf:XMLLiteral ]
] ; #
fhir:active [ fhir:v true] ; #
fhir:name ( [
fhir:text [ fhir:v "Eve Everywoman" ] ;
fhir:family [ fhir:v "Everywoman1" ] ;
fhir:given ( [ fhir:v "Eve" ] )
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "555-555-2003" ] ;
fhir:use [ fhir:v "work" ]
] ) ; #
fhir:gender [ fhir:v "female"] ; #
fhir:birthDate [ fhir:v "1955-01-06"^^xsd:date] ; #
fhir:address ( [
fhir:use [ fhir:v "home" ] ;
fhir:line ( [ fhir:v "2222 Home Street" ] )
] ) . #
<http://fhir.healthintersections.com.au/open/Encounter/doc-example> a fhir:Encounter ;
fhir:id [ fhir:v "doc-example"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Admitted to Orthopedics Service,\n Middlemore Hospital between Jan 20 and Feb ist 2013 </div>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:value [ fhir:v "S100" ]
] ) ; #
fhir:status [ fhir:v "completed"] ; #
fhir:class ( [
fhir:coding ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>
] ;
fhir:code [ fhir:v "IMP" ] ;
fhir:display [ fhir:v "inpatient encounter" ]
] )
] ) ; #
fhir:type ( [
fhir:text [ fhir:v "Orthopedic Admission" ]
] ) ; #
fhir:subject [
fhir:l <http://hl7.org/fhir/Patient/d1> ;
fhir:reference [ fhir:v "Patient/d1" ]
] ; #
fhir:actualPeriod [
fhir:start [ fhir:v "2013-01-20T12:30:02Z"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2013-02-01T12:30:02Z"^^xsd:dateTime ]
] ; #
fhir:admission [
fhir:dischargeDisposition [
fhir:text [ fhir:v "Discharged to care of GP" ]
]
] . #
<http://hl7.org/fhir/Patient/d1> a fhir:Patient .
<http://fhir.healthintersections.com.au/open/Observation/example1> a fhir:Observation ;
fhir:id [ fhir:v "example1"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Acute Asthmatic attack. Was wheezing\n for days prior to admission. </div>"^^rdf:XMLLiteral ]
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
fhir:coding ( [
a loinc:46241-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>
] ;
fhir:code [ fhir:v "46241-6" ]
] ) ;
fhir:text [ fhir:v "Reason for admission" ]
] ; #
fhir:subject [
fhir:l <http://fhir.healthintersections.com.au/open/Patient/d1> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Patient/d1" ] ;
fhir:display [ fhir:v "Eve Everywoman" ]
] ; #
fhir:encounter [
fhir:l <http://fhir.healthintersections.com.au/open/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Encounter/doc-example" ]
] ; #
fhir:value [
a fhir:String ;
fhir:v "Acute Asthmatic attack. Was wheezing for days prior to admission."
] . #
<http://fhir.healthintersections.com.au/open/MedicationRequest/example2> a fhir:MedicationRequest ;
fhir:id [ fhir:v "example2"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <p>Theophylline 200mg twice a day</p>\n\n </div>"^^rdf:XMLLiteral ]
] ; # The Human readible version of the script
fhir:status [ fhir:v "unknown"] ; # The patient details will generally be in the Document resource in the Document bundle, but could just as easily
# point to a patient resource on a server
fhir:intent [ fhir:v "order"] ; #
fhir:medication [
fhir:concept [
fhir:coding ( [
a sct:66493003 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>
] ;
fhir:code [ fhir:v "66493003" ]
] ) ;
fhir:text [ fhir:v "Theophylline 200mg" ]
]
] ; #
fhir:subject [
fhir:l <http://fhir.healthintersections.com.au/open/Patient/d1> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Patient/d1" ] ;
fhir:display [ fhir:v "Peter Patient" ]
] ; #
fhir:requester [
fhir:l <http://hl7.org/fhir/Practitioner/example> ;
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Peter Practitioner" ]
] ; # The prescriber details could also be within the bundle, but has the same options as patient
fhir:reason ( [
fhir:concept [
fhir:text [ fhir:v "Management of Asthma" ]
]
] ) ; #
fhir:dosageInstruction [] . # a reference to the medication being prescribed. As described earlier, this could be contained (as is the example here), separately
# within the document bundle or simply a reference to a remote server. See comment in the contained resource
<http://fhir.healthintersections.com.au/open/MedicationStatement/example3> a fhir:MedicationStatement ;
fhir:id [ fhir:v "example3"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n <p>Ventolin inhaler discontinued</p>\n\n </div>"^^rdf:XMLLiteral ]
] ; # The Human readible version of the medication statement
fhir:status [ fhir:v "recorded"] ; # The patient details will generally be in the Document resource in the Document bundle, but could just as easily
# point to a patient resource on a server
fhir:medication [
fhir:concept [
fhir:text [ fhir:v "Ventolin Inhaler" ]
]
] ; # a reference to the medication being prescribed. As described earlier, this could be contained (as is the example here), separately
# within the document bundle or simply a reference to a remote server. See comment in the contained resource
fhir:subject [
fhir:l <http://fhir.healthintersections.com.au/open/Patient/d1> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Patient/d1" ] ;
fhir:display [ fhir:v "Peter Patient" ]
] ; #
fhir:dateAsserted [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime] ; #
fhir:reason ( [
fhir:concept [
fhir:text [ fhir:v "Management of Asthma" ]
]
] ) . #
<http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4> a fhir:AllergyIntolerance ;
fhir:id [ fhir:v "example4"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Sensitivity to Doxycycline :\n Hives</div>"^^rdf:XMLLiteral ]
] ; #
fhir:clinicalStatus [
fhir:coding ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical>
] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]
] )
] ; #
fhir:verificationStatus [
fhir:coding ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/allergyintolerance-verification>
] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]
] )
] ; #
fhir:type [
fhir:coding ( [
fhir:system [
fhir:v "http://hl7.org/fhir/allergy-intolerance-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/allergy-intolerance-type>
] ;
fhir:code [ fhir:v "allergy" ] ;
fhir:display [ fhir:v "Allergy" ]
] )
] ; #
fhir:criticality [ fhir:v "high"] ; #
fhir:code [
fhir:text [ fhir:v "Doxycycline" ]
] ; #
fhir:patient [
fhir:l <http://fhir.healthintersections.com.au/open/Patient/d1> ;
fhir:reference [ fhir:v "http://fhir.healthintersections.com.au/open/Patient/d1" ] ;
fhir:display [ fhir:v "Eve Everywoman" ]
] ; #
fhir:recordedDate [ fhir:v "2012-09-17"^^xsd:date] ; #
fhir:reaction ( [
fhir:manifestation ( [
fhir:concept [
fhir:coding ( [
fhir:system [
fhir:v "http://example.org/system"^^xsd:anyURI ;
fhir:l <http://example.org/system>
] ;
fhir:code [ fhir:v "xxx" ] ;
fhir:display [ fhir:v "Hives" ]
] ) ;
fhir:text [ fhir:v "Hives" ]
]
] )
] ) . #
# -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.r6.core#6.0.0-ballot4 generated on Wed, Jul 8, 2026 21:14+0000.
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