Additional Resources Included in Document

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

Resource Composition:

Generated Narrative: Composition Med-2-Dental-Referral

Language: en-US

identifier: urn:ietf:rfc:3986/http://any.org/1

status: Final

type: Dentistry Referral note

encounter: PCP visit

date: 2020-01-14 03:10:14+0000

author: Dr. John M, MD

title: Referral Note

Attesters

-	Mode	Time	Party
*	Legal	2020-03-14 09:10:14+0000	Dr. John M, MD

custodian: Good Health Clinic

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

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/Communication/dental-education

Resource Communication:

Generated Narrative: Communication dental-education

status: Completed

category: Instruction

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

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Level 1 New Patient Office Visit; priority = routine; period = 2020-02-14 15:00:14-0500 --> 2020-02-14 15:30:14-0500

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

sender: Practitioner John M

Payloads

-	Content[x]
*	Pt. Education. Advised to see dentist regularly, brush 2x/day w/ fluoride toothpaste, floss

Entry 27 - 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 28 - 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 29 - 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 30 - 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 31 - 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