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-to-transaction-bundle

Generated Narrative: Bundle clinical-document-to-transaction-bundle

Last updated: 2024-05-07 13:28:17+0000

Bundle clinical-document-to-transaction-bundle of type transaction

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

Request:

POST Composition

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

Request:

POST Organization

Entry 3 - fullUrl = https://example.com/Practitioner/Doctor1

Resource Practitioner:

Generated Narrative: Practitioner Doctor1

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

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

name: Adam Careful

Request:

POST Practitioner

Entry 4 - fullUrl = https://example.com/Practitioner/Doctor2

Resource Practitioner:

Generated Narrative: Practitioner Doctor2

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

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

name: BettaB Careful

Request:

POST Practitioner

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

Resource Patient:

Generated Narrative: Patient patient-example

Eve Everiewoman Female, DoB: 1955-01-06

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

Request:

POST Patient

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

Resource Encounter:

Generated Narrative: Encounter encounter-example

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

identifier: S100

status: completed

class: inpatient encounter

type: Orthopedic Admission

subject: Eve Everiewoman

Request:

POST Encounter

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

Resource Observation:

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

Request:

POST Observation

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

Resource MedicationRequest:

Generated Narrative: MedicationRequest MedRequest-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

additionalInstruction: Take with Food

timing: 2 per 1 days

route: oral administration of treatment

DoseAndRates

-TypeDose[x]
*Ordered1 tablet (Details: UCUM code{tablet} = '{tablet}')

Request:

POST MedicationRequest

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

Resource MedicationStatement:

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

status: recorded

subject: Eve Everiewoman

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

Request:

POST MedicationStatement

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

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 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: )

Request:

POST AllergyIntolerance

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

Request:

POST ServiceRequest

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

Request:

POST Consent