FHIR Clinical Documents
1.0.0-ballot - STU1 Ballot International flag

FHIR Clinical Documents, published by HL7 International / Structured Documents. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-clinical-document/ and changes regularly. See the Directory of published versions

Example Bundle: clinical-document-bundle-example1

Document Details

Generated Narrative: Bundle Discharge Summary

Document Subject

Unable to resolve subject '->Eve Everiewoman'

Document Content

Discharge Summary

CC: Dr. BettaB Careful

status: final

patient: Eve Everiewoman

author: Doctor Dave / Good Health Clinic

encounter: Inpatient encounter, 2024-05-03 - 2024-05-07

confidentiality: N

Contained sections:

  • Reason for admission
  • Medications on Discharge
  • Known allergies

Reason for admission

Details
Acute Asthmatic attack. Was wheezing for days prior to admission.

Medications on Discharge

MedicationLast ChangeLast ChangeReason
Theophylline 200mg BD after mealscontinued
Ventolin InhalerstoppedGetting side effect of tremor

Known allergies

AllergenReaction
DoxycyclineHives

Additional Resources Included in Document

Entry 1 - fullUrl = https://example.com/Composition/clinical-document-composition-example1

Resource Composition:

Discharge Summary

CC: Dr. BettaB Careful

status: final

patient: Eve Everiewoman

author: Doctor Dave / Good Health Clinic

encounter: Inpatient encounter, 2024-05-03 - 2024-05-07

confidentiality: N

Contained sections:

  • Reason for admission
  • Medications on Discharge
  • Known allergies

Entry 2 - fullUrl = https://example.com/Organization/custodianOrganization

Resource Organization:

Generated Narrative: Organization custodianOrganization

identifier: Uniform Resource Identifier (URI)/urn:uuid:2.16.840.1.113883.19.5

name: Good Health Clinic

Entry 3 - fullUrl = https://example.com/Practitioner/example

Resource Practitioner:

Generated Narrative: Practitioner example

Last updated: 2013-05-05 16:13:03+0000

identifier: http://www.acme.org/practitioners/23

name: Adam Careful

Entry 4 - fullUrl = https://example.com/Practitioner/example2

Resource Practitioner:

Generated Narrative: Practitioner example2

Last updated: 2013-05-05 16:13:03+0000

identifier: http://www.acme.org/practitioners/27

name: BettaB Careful

Entry 5 - fullUrl = https://example.com/Patient/d1

Resource Patient:

Generated Narrative: Patient d1

Eve Everiewoman Female, DoB: 1955-01-06

Active:true
Contact Detail
  • ph: 555-555-2003(Work)
  • 2222 Home Street (home)

Entry 6 - fullUrl = https://example.com/Encounter/doc-example

Resource Encounter:

Generated Narrative: Encounter doc-example

Last updated: 2024-05-07 11:28:17+0000

Not done yet

Entry 7 - fullUrl = https://example.com/Observation/541a72a8-df75-4484-ac89-ac4923f03b81

Resource Observation:

Acute Asthmatic attack. Was wheezing for days prior to admission.

Entry 8 - fullUrl = https://example.com/MedicationRequest/124a6916-5d84-4b8c-b250-10cefb8e6e86

Resource MedicationRequest:

Generated Narrative: MedicationRequest 124a6916-5d84-4b8c-b250-10cefb8e6e86

Last updated: 2024-05-07 11:28:17+0000

status: Unknown

intent: Order

subject: Eve Everiewoman

requester: Peter Practitioner

dosageInstruction

Entry 9 - fullUrl = https://example.com/MedicationStatement/673f8db5-0ffd-4395-9657-6da00420bbc1

Resource MedicationStatement:

Generated Narrative: MedicationStatement 673f8db5-0ffd-4395-9657-6da00420bbc1

status: recorded

subject: Eve Everiewoman

dateAsserted: 2024-05-07 11:28:17+0000

Entry 10 - fullUrl = https://example.com/AllergyIntolerance/47600e0f-b6b5-4308-84b5-5dec157f7637

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 47600e0f-b6b5-4308-84b5-5dec157f7637

Last updated: 2024-05-07 11:28:17+0000

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

criticality: High Risk

code: Doxycycline

patient: Eve Everiewoman

recordedDate: 2012-09-17

Reactions

-Manifestation
*No display for AllergyIntolerance.reaction.manifestation (concept: )

Entry 11 - fullUrl = https://example.com/ServiceRequest/service1

Resource ServiceRequest:

Generated Narrative: ServiceRequest service1

Last updated: 2024-05-07 11:28:17+0000

status: Active

intent: Order

code: No display for ServiceRequest.code (concept: )

subject: Eve Everiewoman

Entry 12 - fullUrl = https://example.com/Consent/consent1

Resource Consent:

Generated Narrative: Consent consent1

Last updated: 2024-05-07 11:28:17+0000

status: Active

category: Consent Document