<section> <title value="Reason for admission"/> <code> <coding> <system value="http://loinc.org"/> <code value="29299-5"/> <display value="Reason for visit Narrative"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <td>Details</td> <td/> </tr> </thead> <tbody> <tr> <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="http://fhir.healthintersections.com.au/open/Observation/example1"/> </entry> </section>  <section> <title value="Medications on Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="10183-2"/> <display value="Hospital discharge medications Narrative"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <td>Medication</td> <td>Last Change</td> <td>Last ChangeReason</td> </tr> </thead> <tbody> <tr> <td>Theophylline 200mg BD after meals</td> <td>continued</td> </tr> <tr> <td>Ventolin Inhaler</td> <td>stopped</td> <td>Getting side effect of tremor</td> </tr> </tbody> </table> </div> </text>  <entry> <reference value="http://fhir.healthintersections.com.au/open/MedicationRequest/example2"/> </entry> <entry> <reference value="http://fhir.healthintersections.com.au/open/MedicationStatement/example3"/> </entry> </section>  <section> <title value="Known allergies"/> <code> <coding> <system value="http://loinc.org"/> <code value="48765-2"/> <display value="Allergies and adverse reactions Document"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <td>Allergen</td> <td>Reaction</td> </tr> </thead> <tbody> <tr> <td>Doxycycline</td> <td>Hives</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4"/> </entry> </section> </Composition> </resource> </entry>  <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Practitioner/example"/> <resource> <Practitioner> <id value="example"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"> <p>Dr Adam Careful</p> </div> </text> <identifier> <system value="http://www.acme.org/practitioners"/> <value value="23"/> </identifier> <name> <family value="Careful"/> <given value="Adam"/> <prefix value="Dr"/> </name> </Practitioner> </resource> </entry>  <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <resource> <Patient> <id value="d1"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"> <h1>Eve Everywoman</h1> </div> </text> <active value="true"/> <name> <text value="Eve Everywoman"/> <family value="Everywoman1"/> <given value="Eve"/> </name> <telecom> <system value="phone"/> <value value="555-555-2003"/> <use value="work"/> </telecom> <gender value="female"/> <birthDate value="1955-01-06"/> <address> <use value="home"/> <line value="2222 Home Street"/> </address> </Patient> </resource> </entry>  <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/> <resource> <Encounter> <id value="doc-example"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service, Middlemore Hospital between Jan 20 and Feb ist 2013 </div> </text> <identifier> <value value="S100"/> </identifier> <status value="completed"/> <class> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> <display value="inpatient encounter"/> </coding> </class> <type> <text value="Orthopedic Admission"/> </type> <subject> <reference value="Patient/d1"/> </subject> <actualPeriod> <start value="2013-01-20T12:30:02Z"/> <end value="2013-02-01T12:30:02Z"/> </actualPeriod> <admission> <dischargeDisposition> <text value="Discharged to care of GP"/> </dischargeDisposition> </admission> </Encounter> </resource> </entry> <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Observation/example1"/> <resource> <Observation> <id value="example1"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing for days prior to admission. </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="46241-6"/> </coding> <text value="Reason for admission"/> </code> <subject> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Eve Everywoman"/> </subject> <encounter> <reference value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/> </encounter> <valueString value="Acute Asthmatic attack. Was wheezing for days prior to admission."/> </Observation> </resource> </entry>  <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/MedicationRequest/example2"/> <resource> <MedicationRequest> <id value="example2"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta>  <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"> <p>Theophylline 200mg twice a day</p> </div> </text>  <status value="unknown"/> <intent value="order"/> <medication> <concept> <coding> <system value="http://snomed.info/sct"/> <code value="66493003"/> </coding> <text value="Theophylline 200mg"/> </concept> </medication> <subject> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Peter Patient"/> </subject>  <requester> <reference value="Practitioner/example"/> <display value="Peter Practitioner"/> </requester> <reason> <concept> <text value="Management of Asthma"/> </concept> </reason>  <dosageInstruction/> </MedicationRequest> </resource> </entry>  <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/MedicationStatement/example3"/> <resource> <MedicationStatement> <id value="example3"/>  <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"> <p>Ventolin inhaler discontinued</p> </div> </text>  <status value="recorded"/>  <medication> <concept> <text value="Ventolin Inhaler"/> </concept> </medication> <subject> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Peter Patient"/> </subject> <dateAsserted value="2013-05-05T16:13:03Z"/> <reason> <concept> <text value="Management of Asthma"/> </concept> </reason> </MedicationStatement> </resource> </entry>  <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4"/> <resource> <AllergyIntolerance> <id value="example4"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline : Hives</div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> <display value="Active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> <display value="Confirmed"/> </coding> </verificationStatus> <type> <coding> <system value="http://hl7.org/fhir/allergy-intolerance-type"/> <code value="allergy"/> <display value="Allergy"/> </coding> </type> <criticality value="high"/> <code> <text value="Doxycycline"/> </code> <patient> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Eve Everywoman"/> </patient> <recordedDate value="2012-09-17"/> <reaction> <manifestation> <concept> <coding> <system value="http://example.org/system"/> <code value="xxx"/> <display value="Hives"/> </coding> <text value="Hives"/> </concept> </manifestation> </reaction> </AllergyIntolerance> </resource> </entry> </Bundle>


  
  
    
    
  
  
  
  
  
    
    
      
        
        
          
        
        
          Generated Narrative: Composition 180f219f-97a8-486d-99d9-ed631fe4fc57
  Last updated: 2013-05-28T22:12:21Z
status: Final
type: Discharge Summary from Responsible Clinician
encounter: http://fhir.healthintersections.com.au/open/Encounter/doc-example
date: 2013-02-01T12:30:02Z
author: Doctor Dave
title: Discharge Summary
        
        
        
          
            
            
          
          
        
        
          
          
        
        
        
          
        
        
        
          
          
        
        
        <section>
          <title value="Reason for admission"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="29299-5"/>
              <display value="Reason for visit Narrative"/>
            </coding>
          </code>
          <text>
            <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml">

              <table>

                <thead>

                  <tr>

                    <td>Details</td>

                    <td/>

                  </tr>

                </thead>

                <tbody>

                  <tr>

                    <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>

                    <td/>

                  </tr>

                </tbody>

              </table>

            </div>
          </text>
          <entry>
            <reference value="http://fhir.healthintersections.com.au/open/Observation/example1"/>
          </entry>
        </section>
        <!-- Points to the  medications on discharge -->
        <section>
          <title value="Medications on Discharge"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10183-2"/>
              <display value="Hospital discharge medications Narrative"/>
            </coding>
          </code>
          <text>
            <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml">

              <table>

                <thead>

                  <tr>

                    <td>Medication</td>

                    <td>Last Change</td>

                    <td>Last ChangeReason</td>

                  </tr>

                </thead>

                <tbody>

                  <tr>

                    <td>Theophylline 200mg BD after meals</td>

                    <td>continued</td>

                  </tr>

                  <tr>

                    <td>Ventolin Inhaler</td>

                    <td>stopped</td>

                    <td>Getting side effect of tremor</td>

                  </tr>

                </tbody>

              </table>

            </div>
          </text>
          <!-- This is an entry that refers to a MedicationRequest resource in this document.
                It is a new medication (as indicated by the flag) -->
          <entry>
            <reference value="http://fhir.healthintersections.com.au/open/MedicationRequest/example2"/>
          </entry>
          <entry>
            <reference value="http://fhir.healthintersections.com.au/open/MedicationStatement/example3"/>
          </entry>
        </section>
        <!-- Points to the  allergies -->
        <section>
          <title value="Known allergies"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml">

              <table>

                <thead>

                  <tr>

                    <td>Allergen</td>

                    <td>Reaction</td>

                  </tr>

                </thead>

                <tbody>

                  <tr>

                    <td>Doxycycline</td>

                    <td>Hives</td>

                  </tr>

                </tbody>

              </table>

            </div>
          </text>
          <entry>
            <reference value="http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <!-- The Practitioner Resource. In this document they are the author of the document
    (There is a reference from the document resource). Note that, strictly, it doesn't need to be within the document as the
    recipient knows where to go and get it if they need it - assuming it is available on-line of course. -->
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/Practitioner/example"/>
    <resource>
      <Practitioner>
        <id value="example"/>
        <meta>
          <lastUpdated value="2013-05-05T16:13:03Z"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">

            <p>Dr Adam Careful</p>

          </div>
        </text>
        <identifier>
          <system value="http://www.acme.org/practitioners"/>
          <value value="23"/>
        </identifier>
        <name>
          <family value="Careful"/>
          <given value="Adam"/>
          <prefix value="Dr"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <!-- The Patient who is the subject of the document. Same coments as practitioner. -->
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
    <resource>
      <Patient>
        <id value="d1"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">

            <h1>Eve Everywoman</h1>

          </div>
        </text>
        <active value="true"/>
        <name>
          <text value="Eve Everywoman"/>
          <family value="Everywoman1"/>
          <given value="Eve"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="555-555-2003"/>
          <use value="work"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1955-01-06"/>
        <address>
          <use value="home"/>
          <line value="2222 Home Street"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <!-- The encounter that is being documented. -->
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/>
    <resource>
      <Encounter>
        <id value="doc-example"/>
        <meta>
          <lastUpdated value="2013-05-05T16:13:03Z"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service,
                        Middlemore Hospital between Jan 20 and Feb ist 2013 </div>
        </text>
        <identifier>
          <value value="S100"/>
        </identifier>
        <status value="completed"/>
        <class>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="IMP"/>
            <display value="inpatient encounter"/>
          </coding>
        </class>
        <type>
          <text value="Orthopedic Admission"/>
        </type>
        <subject>
          <reference value="Patient/d1"/>
        </subject>
        <actualPeriod>
          <start value="2013-01-20T12:30:02Z"/>
          <end value="2013-02-01T12:30:02Z"/>
        </actualPeriod>
        <admission>
          <dischargeDisposition>
            <text value="Discharged to care of GP"/>
          </dischargeDisposition>
        </admission>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/Observation/example1"/>
    <resource>
      <Observation>
        <id value="example1"/>
        <meta>
          <lastUpdated value="2013-05-05T16:13:03Z"/>
        </meta>
        <text>
          <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing
                        for days prior to admission. </div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46241-6"/>
          </coding>
          <text value="Reason for admission"/>
        </code>
        <subject>
          <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
          <display value="Eve Everywoman"/>
        </subject>
        <encounter>
          <reference value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/>
        </encounter>
        <valueString value="Acute Asthmatic attack. Was wheezing for days prior to admission."/>
      </Observation>
    </resource>
  </entry>
  <!-- The first medication in the medications list -->
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/MedicationRequest/example2"/>
    <resource>
      <MedicationRequest>
        <id value="example2"/>
        <meta>
          <lastUpdated value="2013-05-05T16:13:03Z"/>
        </meta>
        <!-- The Human readible version of the script -->
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">

            <p>Theophylline 200mg twice a day</p>

          </div>
        </text>
        <!-- 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 -->
        <status value="unknown"/>
        <intent value="order"/>
        <medication>
          <concept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="66493003"/>
            </coding>
            <text value="Theophylline 200mg"/>
          </concept>
        </medication>
        <subject>
          <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
          <display value="Peter Patient"/>
        </subject>
        <!-- The prescriber details could also be within the bundle, but has the same options as patient -->
        <requester>
          <reference value="Practitioner/example"/>
          <display value="Peter Practitioner"/>
        </requester>
        <reason>
          <concept>
            <text value="Management of Asthma"/>
          </concept>
        </reason>
        <!-- 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 -->
        <dosageInstruction/>
      </MedicationRequest>
    </resource>
  </entry>
  <!-- The second medication in the medications list -->
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/MedicationStatement/example3"/>
    <resource>
      <MedicationStatement>
        <id value="example3"/>
        <!-- The Human readible version of the medication statement -->
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">

            <p>Ventolin inhaler discontinued</p>

          </div>
        </text>
        <!-- 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 -->
        <status value="recorded"/>
        <!-- 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 -->
        <medication>
          <concept>
            <text value="Ventolin Inhaler"/>
          </concept>
        </medication>
        <subject>
          <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
          <display value="Peter Patient"/>
        </subject>
        <dateAsserted value="2013-05-05T16:13:03Z"/>
        <reason>
          <concept>
            <text value="Management of Asthma"/>
          </concept>
        </reason>
      </MedicationStatement>
    </resource>
  </entry>
  <!-- The Allergy. -->
  <entry>
    <fullUrl value="http://fhir.healthintersections.com.au/open/AllergyIntolerance/example4"/>
    <resource>
      <AllergyIntolerance>
        <id value="example4"/>
        <meta>
          <lastUpdated value="2013-05-05T16:13:03Z"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline :
                        Hives</div>
        </text>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
        </verificationStatus>
        <type>
          <coding>
            <system value="http://hl7.org/fhir/allergy-intolerance-type"/>
            <code value="allergy"/>
            <display value="Allergy"/>
          </coding>
        </type>
        <criticality value="high"/>
        <code>
          <text value="Doxycycline"/>
        </code>
        <patient>
          <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/>
          <display value="Eve Everywoman"/>
        </patient>
        <recordedDate value="2012-09-17"/>
        <reaction>
          <manifestation>
            <concept>
              <coding>
                <system value="http://example.org/system"/>
                <code value="xxx"/>
                <display value="Hives"/>
              </coding>
              <text value="Hives"/>
            </concept>
          </manifestation>
        </reaction>
      </AllergyIntolerance>
    </resource>
  </entry>
</Bundle>