Additional Resources Included in Document

Entry 1 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Composition/Dental-2-Med-Consult

Resource Composition:

Generated Narrative: Composition Dental-2-Med-Consult

Language: en-US

identifier: urn:ietf:rfc:3986/urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b

status: Final

type: Dentistry Consult note

encounter: Dental Referral with patient A

date: 2020-02-16 09:10:14+0000

author: Dentist D, DMD

title: Consultation Note

Attesters

-	Mode	Time	Party
*	Legal	2020-03-28 09:10:14+0000	Dentist Dentist D, DMD

custodian: Good Oral Health Clinic

Events

-	Period	Detail
*	2020-02-16 --> 2020-02-16	No display for Composition.event.detail (concept: Care Provision)

Entry 2 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Patient/example-dental

Resource Patient:

Patient A

Identifier	5152020
Address	123 Test Dr. Denver CO US
Date of birth	01 January 1990

Entry 3 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Encounter/Med-visit-1

Resource Encounter:

Generated Narrative: Encounter Med-visit-1

Not done yet

Entry 4 - fullUrl = http://example.org/fhir/us/dental-data-exchange/PractitionerRole/PractitionerRole-M

Resource PractitionerRole:

Generated Narrative: PractitionerRole PractitionerRole-M

practitioner: Dr. John M

organization: Good Health Clinic

specialty: General practice (specialty)

Entry 5 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-M

Resource Practitioner:

Generated Narrative: Practitioner practitioner-M

identifier: http://hl7.org/fhir/sid/us-npi/1234569999

name: John M

telecom: ph: 303-303-6443(Work)

gender: Male

birthDate: 1975-06-09

Entry 6 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Organization/GHC-organization

Resource Organization:

Generated Narrative: Organization GHC-organization

identifier: http://hl7.org/fhir/sid/us-npi/1316452725

active: true

type: Healthcare Provider

name: Good Health Clinic

contact

telecom: ph: (+1) 555-677-7777, customer-service@GHclinic.org

address: 7551 W Alameda Ave Lakewood CO 80226 USA

Entry 7 - fullUrl = http://example.org/fhir/us/dental-data-exchange/AllergyIntolerance/Allergy-example-dental

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance Allergy-example-dental

clinicalStatus: Active

verificationStatus: Confirmed

category: Medication

criticality: High Risk

code: Penicillin G (Ingredient)

patient: Patient A

onset: 1998-05-01

Entry 8 - fullUrl = http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Lisinopril-medreq

Resource MedicationRequest:

Generated Narrative: MedicationRequest Lisinopril-medreq

status: Active

intent: Plan

subject: Patient A

authoredOn: 2020-02-14

requester: Dr. John M, MD

DosageInstructions

-	Text	Timing	Route
*	Take 1 tab once a day	Once	Oral use

Entry 9 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Medication/Lisinopril-med-example

Resource Medication:

Lisinopril 10 mg tab

Entry 10 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/HTN-example

Resource Condition:

Generated Narrative: Condition HTN-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem

code: Hypertensive disorder (disorder)

subject: Patient A

onset: 2013-07-06

Entry 11 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/DM1-example

Resource Condition:

Generated Narrative: Condition DM1-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem

code: Diabetes mellitus type I

subject: Patient A

onset: 2013-07-06

Entry 12 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Dental-plaque-example

Resource Condition:

Generated Narrative: Condition Dental-plaque-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Health Concern

code: Teeth covered in plaque (finding)

subject: Patient A

onset: 2013-07-06

Entry 13 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-UNK

Resource Practitioner:

Generated Narrative: Practitioner practitioner-UNK

identifier: http://hl7.org/fhir/sid/us-npi/555555555

name: UNK

Entry 14 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/toothache-example

Resource Condition:

Generated Narrative: Condition toothache-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Health Concern

code: Toothache (finding)

subject: Patient A

onset: 2020-02-14

Entry 15 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Swollen-gums-example

Resource Condition:

Generated Narrative: Condition Swollen-gums-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Health Concern, Dental

code: Swollen gums (finding)

subject: Patient A

onset: 2020-02-14

Entry 16 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Bleeding-gums-example

Resource Condition:

Generated Narrative: Condition Bleeding-gums-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Health Concern, Dental

code: Bleeding gums

subject: Patient A

onset: 2020-02-14

Entry 17 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Caries-risk

Resource Condition:

Generated Narrative: Condition Caries-risk

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem, Dental

code: At high risk for dental caries (finding)

subject: Patient A

onset: 2020-02-14

Entry 18 - fullUrl = http://example.org/fhir/us/dental-data-exchange/ServiceRequest/example-dental-referral-1

Resource ServiceRequest:

Generated Narrative: ServiceRequest example-dental-referral-1

identifier: urn:ietf:rfc:3986/urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4

status: Active

intent: Plan

category: Evaluation and management of patient (procedure)

priority: ASAP

code: No display for ServiceRequest.code (concept: Patient referral for dental care (procedure))

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

requester: Practitioner John M

Entry 19 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Encounter/Comp-oral-eval

Resource Encounter:

Generated Narrative: Encounter Comp-oral-eval

Not done yet

Entry 20 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Immunization/imm-1

Resource Immunization:

Generated Narrative: Immunization imm-1

status: Completed

vaccineCode: hepatitis B vaccine, pediatric or pediatric/adolescent dosage

patient: Patient A

occurrence: 2020-01-04

primarySource: false

Entry 21 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Procedure/Insulin-pump-insertion

Resource Procedure:

Generated Narrative: Procedure Insulin-pump-insertion

identifier: urn:ietf:rfc:3986/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff

status: Completed

code: Insertion of insulin pump (procedure)

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

Entry 22 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/Smoker-obs-example-dental

Resource Observation:

Generated Narrative: Observation Smoker-obs-example-dental

status: Final

category: Social History

code: Tobacco smoking status

subject: Patient A

effective: 2020-01-15 05:27:04+0000

issued: 2020-01-15 05:27:04+0000

value: Never smoked tobacco (finding)

Entry 23 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/Education-level-example-dental

Resource Observation:

Generated Narrative: Observation Education-level-example-dental

status: Final

code: Highest Level of Education

subject: Patient A

effective: 2012-01-01 --> 2016-01-01

value: Received higher education college education (finding)

Entry 24 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/Present-job-example-dental

Resource Observation:

Generated Narrative: Observation Present-job-example-dental

status: Final

code: History of Occupation

subject: Patient A

effective: 2015-01-01 --> (ongoing)

value: Accountants and Auditors

Entry 25 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/vitals-panel

Resource Observation:

Generated Narrative: Observation vitals-panel

status: Final

category: Vital Signs

code: Vital signs Panel

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

effective: 2020-02-14

hasMember:

• Respiratory Rate
• Heart Rate
• Blood Pressure
• Body Temperature

Entry 26 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/respiratory-rate

Resource Observation:

Generated Narrative: Observation respiratory-rate

status: Final

category: Vital Signs

code: Respiratory rate

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

effective: 2020-02-14

value: 20 breaths/minute (Details: UCUM code/min = '/min')

Entry 27 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/heart-rate

Resource Observation:

Generated Narrative: Observation heart-rate

status: Final

category: Vital Signs

code: Heart rate

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

effective: 1999-07-02

value: 78 beats/minute (Details: UCUM code/min = '/min')

Entry 28 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/blood-pressure

Resource Observation:

Generated Narrative: Observation blood-pressure

identifier: urn:ietf:rfc:3986/urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281

basedOn: Identifier: https://acme.org/identifiers/1234

status: Final

category: Vital Signs

code: Blood pressure systolic & diastolic

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

effective: 2020-02-14

component

code: Systolic blood pressure

value: 120 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 80 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 29 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/body-temperature

Resource Observation:

Generated Narrative: Observation body-temperature

status: Final

category: Vital Signs

code: Body temperature

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

effective: 2020-02-14

value: 36.9 C (Details: UCUM codeCel = 'Cel')

Entry 30 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Coverage/Dental-Aetna

Resource Coverage:

Generated Narrative: Coverage Dental-Aetna

identifier: http://benefitsAetna.com/certificate/12345

status: Active

type: dental care policy

subscriber: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

subscriberId: 123456

beneficiary: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

dependent: 0

relationship: Self

period: 2020-01-01 --> 2020-01-01

Classes

-	Type	Value	Name
*	Plan	B37FC	Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

Entry 31 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Tooth-infection18

Resource Condition:

Generated Narrative: Condition Tooth-infection18

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item, Dental

code: Infection of tooth

bodySite: Mandibular left second molar tooth

subject: Patient A

Entry 32 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Mandibular-perm18-example

Resource Condition:

Generated Narrative: Condition Mandibular-perm18-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem, Dental, Disorder of mouth (disorder)

code: Dental caries (disorder)

bodySite: Mandibular left second molar tooth

subject: Patient A

onset: 2020-02-16

Entry 33 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Maxillary-perm7-example

Resource Condition:

Generated Narrative: Condition Maxillary-perm7-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem, Dental

code: Dental caries (disorder)

bodySite: Entire permanent maxillary right lateral incisor tooth (body structure)

subject: Patient A

onset: 2019-06-10

Entry 34 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Observation/Overjet

Resource Observation:

Generated Narrative: Observation Overjet

status: Final

category: Exam, Dental

code: Overjet

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

effective: 2020-02-16

value: 3 mm

Entry 35 - fullUrl = http://example.org/fhir/us/dental-data-exchange/MedicationRequest/erythromycin-medreq-2

Resource MedicationRequest:

Generated Narrative: MedicationRequest erythromycin-medreq-2

status: Active

intent: Plan

subject: Patient A

authoredOn: 2017-12-06

requester: Dr. John M, MD

DosageInstructions

-	Text	Timing
*	Take 1 tablet every six hours X10 days	Once

dispenseRequest

numberOfRepeatsAllowed: 1

quantity: 500 mg (Details: UCUM codemg = 'mg')

ExpectedSupplyDurations

-	Value	Unit	System	Code
*	10	days	http://unitsofmeasure.org	d

Entry 36 - fullUrl = http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Ibuprofen-medreq-2

Resource MedicationRequest:

Generated Narrative: MedicationRequest Ibuprofen-medreq-2

status: Completed

intent: Plan

subject: Patient A

authoredOn: 2019-12-06

requester: Dr. John M, MD

DosageInstructions

-	Text	Timing
*	Take 2-3 tablets every 8 hours as needed for pain	Once

dispenseRequest

numberOfRepeatsAllowed: 1

quantity: 200 mg (Details: UCUM codemg = 'mg')

ExpectedSupplyDurations

-	Value	Unit	System	Code
*	30	days	http://unitsofmeasure.org	d

Entry 37 - fullUrl = http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Tylenol-med-dental

Resource MedicationRequest:

Generated Narrative: MedicationRequest Tylenol-med-dental

status: Active

intent: Plan

subject: Patient A

authoredOn: 2020-03-30

requester: Dr. Dental D, DMD

DosageInstructions

-	Text	Route
*	take 1 tablet every 4 hours as needed for pain	Oral use

dispenseRequest

numberOfRepeatsAllowed: 10

quantity: 300 mg (Details: UCUM codemg = 'mg')

ExpectedSupplyDurations

-	Value	Unit	System	Code
*	30	days	http://unitsofmeasure.org	d

Entry 38 - fullUrl = http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Dental-extraction-example

Resource ServiceRequest:

Generated Narrative: ServiceRequest Dental-extraction-example

status: Active

intent: Plan

category: Surgical procedure

code: No display for ServiceRequest.code (concept: Extraction, erupted tooth or exposed root (elevation and/or forceps removal))

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

requester: Practitioner John D

bodySite: Structure of mandibular left second molar tooth

Entry 39 - fullUrl = http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Resin-restore-example

Resource ServiceRequest:

Generated Narrative: ServiceRequest Resin-restore-example

status: Active

intent: Plan

code: No display for ServiceRequest.code (concept: Preventive resin restoration in a moderate to high caries risk patient-permanent tooth)

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

requester: Practitioner John D

bodySite: Entire maxillary right lateral incisor tooth

Entry 40 - fullUrl = http://example.org/fhir/us/dental-data-exchange/ServiceRequest/prophylaxis-example

Resource ServiceRequest:

Generated Narrative: ServiceRequest prophylaxis-example

status: Active

intent: Plan

code: No display for ServiceRequest.code (concept: Preventive resin restoration in a moderate to high caries risk patient-permanent tooth)

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

requester: Practitioner John D

bodySite: Entire maxillary right lateral incisor tooth

Entry 41 - fullUrl = http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Radiograph-survey

Resource ServiceRequest:

Generated Narrative: ServiceRequest Radiograph-survey

status: Active

intent: Plan

code: No display for ServiceRequest.code (concept: Full mouth radiographic survey)

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

requester: Practitioner John D

Entry 42 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Procedure/Dental-flouride-tx-example

Resource Procedure:

Generated Narrative: Procedure Dental-flouride-tx-example

identifier: urn:ietf:rfc:3986/urn:uuid:c2a737f2-2fdb-49c1-b097-dac173d07aff

status: Completed

code: topical application of fluoride varnish

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

Performers

-	Actor
*	Practitioner John D

Entry 43 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Communication/dental-education2

Resource Communication:

Generated Narrative: Communication dental-education2

status: Completed

subject: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Encounter for problem; priority = routine; period = 2020-02-16 15:00:14-0500 --> 2020-02-16 15:30:14-0500

sent: 2020-02-16 18:01:10-0800

received: 2020-01-16 18:01:11-0800

recipient: Patient A Male, DoB: 1990-01-01 ( Medical Record Number: 5152020 (use: usual, ))

sender: Practitioner John D

Payloads

-	Content[x]
*	Patient educated on the benefits of using a fluoride toothpaste, daily flossing, and bi-annual routine dental cleaning visits.

Entry 44 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-D

Resource Practitioner:

Generated Narrative: Practitioner practitioner-D

identifier: http://hl7.org/fhir/sid/us-npi/1234560000

name: John D

telecom: ph: 720-555-6443(Work)

gender: Male

birthDate: 1990-06-09

Entry 45 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Encounter/Dental-encounter

Resource Encounter:

Generated Narrative: Encounter Dental-encounter

Not done yet

Entry 46 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Organization/GOHC-organization

Resource Organization:

Generated Narrative: Organization GOHC-organization

identifier: http://hl7.org/fhir/sid/us-npi/2316452725

active: true

type: Healthcare Provider

name: Good Oral Health Clinic

contact

telecom: ph: (+1) 720-677-7777, customer2-service@GHclinic.org

address: 7552 W Alameda Ave Lakewood CO 80226 USA

Entry 47 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Dental-caries

Resource Condition:

Generated Narrative: Condition Dental-caries

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem, Dental

code: Dental caries (disorder)

subject: Patient A

onset: 2020-02-16

Entry 48 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/no-chew

Resource Condition:

Generated Narrative: Condition no-chew

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item, Dental

code: Unable to chew (finding)

subject: Patient A

Entry 49 - fullUrl = http://example.org/fhir/us/dental-data-exchange/Condition/Chronic-periodontitis-example

Resource Condition:

Generated Narrative: Condition Chronic-periodontitis-example

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem, Dental, Dental Problem List

code: Chronic periodontitis (disorder)

subject: Patient A

onset: 2020-02-14