FHIR Clinical Documents
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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-revision

Document Details

Generated Narrative: Bundle Discharge Summary Revision


Document Subject

Unable to resolve subject '->Eve Everywoman'


Document Content

Discharge Summary

CC: Dr. BettaB Careful

status: final

patient: Eve Everywoman

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-revision

Resource Composition:

Discharge Summary

CC: Dr. BettaB Careful

status: final

patient: Eve Everywoman

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/revised-custodianOrganization

Resource Organization:

Generated Narrative: Organization revised-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/revised-example

Resource Practitioner:

Generated Narrative: Practitioner revised-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/revised-example2

Resource Practitioner:

Generated Narrative: Practitioner revised-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/revised-d1

Resource Patient:

Generated Narrative: Patient revised-d1

Eve Everywoman 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/revised-doc-example

Resource Encounter:

Generated Narrative: Encounter revised-doc-example

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

Not done yet

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

Resource Observation:

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

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

Resource MedicationRequest:

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

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

status: Unknown

intent: Order

subject: Eve Everywoman

requester: Peter Practitioner

dosageInstruction


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

Resource MedicationStatement:

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

status: recorded

subject: Eve Everywoman

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


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

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance revised-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 Everywoman

recordedDate: 2012-09-17

Reactions

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

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

Resource ServiceRequest:

Generated Narrative: ServiceRequest revised-service1

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

status: Active

intent: Order

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

subject: Eve Everywoman


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

Resource Consent:

Generated Narrative: Consent revised-consent1

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

status: Active

category: Consent Document