clinical-document-bundle-revision
type: Bundle
node role: treeRoot
id:
  v: clinical-document-bundle-revision
meta:
  last updated:
    v: 2024-05-08T12:28:34.000+00:00
  profile:
    v: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-bundle
    l: clinical-document-bundle
language:
  v: en
identifier:
  system:
    v: https://example.com/bundleId
    l: bundleId
type:
  v: document
timestamp:
  v: 2024-05-08T12:28:34.000+00:00
entry:
  full url:
    v: https://example.com/Composition/clinical-document-composition-revision
    l: clinical-document-composition-revision
  resource: clinical-document-composition-revision
entry:
  full url:
    v: https://example.com/Organization/revised-custodianOrganization
    l: revised-custodianOrganization
  resource: revised-custodianOrganization
entry:
  full url:
    v: https://example.com/Practitioner/Doctor1
    l: Doctor1
  resource: Doctor1
entry:
  full url:
    v: https://example.com/Practitioner/Doctor2
    l: Doctor2
  resource: Doctor2
entry:
  full url:
    v: https://example.com/Patient/revised-Patient
    l: revised-Patient
  resource: revised-Patient
entry:
  full url:
    v: https://example.com/Encounter/revised-encounter-example
    l: revised-encounter-example
  resource: revised-encounter-example
entry:
  full url:
    v: https://example.com/Observation/revised-Observation-541a72a8-df75-4484-ac89-ac4923f03b81
entry:
  full url:
    v: https://example.com/MedicationRequest/revised-MedRequest-124a6916-5d84-4b8c-b250-10cefb8e6e86
entry:
  full url:
    v: https://example.com/MedicationStatement/revised-MedStatement-673f8db5-0ffd-4395-9657-6da00420bbc1
entry:
  full url:
    v: https://example.com/AllergyIntolerance/revised-AllergyIntolerance-47600e0f-b6b5-4308-84b5-5dec157f7637
entry:
  full url:
    v: https://example.com/ServiceRequest/revised-service1
    l: revised-service1
  resource: revised-service1
entry:
  full url:
    v: https://example.com/Consent/revised-consent1
    l: revised-consent1
  resource: revised-consent1

clinical-document-composition-revision
type: Composition
id:
  v: clinical-document-composition-revision
meta:
  last updated:
    v: 2024-05-07T13:28:17.000+00:00
  profile:
    v: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition
    l: clinical-document-composition
language:
  v: en
text:
  status:
    v: additional
  div:
    v: 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
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
    l: extension-Composition.version
  value: String
    v: 1715171314
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
  extension:
    url:
      v: party
      l: party
    value: Reference
      l: Doctor2
      reference:
        v: Practitioner/Doctor2
  url:
    v: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension
    l: information-recipient-extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/event-basedOn
    l: event-basedOn
  value: Reference
    l: revised-service1
    reference:
      v: ServiceRequest/revised-service1
extension:
  url:
    v: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension
    l: consent-extension
  value: Reference
    l: revised-consent1
    reference:
      v: Consent/revised-consent1
extension:
  extension:
    url:
      v: change
      l: change
    value: Annotation
      author: Reference
        l: Doctor1
      time:
        v: 2024-05-07T13:28:17.000+00:00
      text:
        v: Subject's name was corrected becuase of a misspelling.
  extension:
    url:
      v: version-changed
      l: version-changed
    value: Reference
  url:
    v: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade
    l: ChangeMade
identifier:
  system:
    v: https://example.com/compId
    l: compId
status:
  v: final
type:
  coding: https://loinc.org/rdf/28655-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 28655-9
  text:
    v: Attending Discharge summary
category:
  coding: https://loinc.org/rdf/107903-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 107903-7
    display:
      v: Clinical note
subject:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
encounter:
  l: revised-encounter-example
  reference:
    v: Encounter/revised-encounter-example
date:
  v: 2024-05-08T11:28:17.000+00:00
author:
  l: Doctor1
  reference:
    v: Practitioner/Doctor1
  display:
    v: Doctor Dave
title:
  v: Discharge Summary Revision
confidentiality:
  v: N
attester:
  mode:
    v: legal
  time:
    v: 2024-05-07
  party:
    l: Doctor1
    reference:
      v: Practitioner/Doctor1
    display:
      v: Doctor Dave
custodian:
  l: revised-custodianOrganization
  reference:
    v: Organization/revised-custodianOrganization
  display:
    v: Good Health Clinic
relates to:
  code:
    v: replaces
  target: Identifier
    system:
      v: https://example.com/bundleId
      l: bundleId
section:
  title:
    v: Reason for admission
  code:
    coding: https://loinc.org/rdf/29299-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 29299-5
      display:
        v: Reason for visit Narrative
  text:
    status:
      v: additional
    div:
      v: Details Acute Asthmatic attack. Was wheezing for days prior to admission.
section:
  title:
    v: Medications on Discharge
  code:
    coding: https://loinc.org/rdf/10183-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 10183-2
      display:
        v: Hospital discharge medications Narrative
  text:
    status:
      v: additional
    div:
      v: Medication Last Change Last ChangeReason Theophylline 200mg BD after meals continued Ventolin Inhaler stopped Getting side effect of tremor
section:
  title:
    v: Known allergies
  code:
    coding: https://loinc.org/rdf/48765-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 48765-2
      display:
        v: Allergies and adverse reactions Document
  text:
    status:
      v: additional
    div:
      v: Allergen Reaction Doxycycline Hives

revised-custodianOrganization
type: Organization
id:
  v: revised-custodianOrganization
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization revised-custodianOrganization identifier: <a href="http://terminology.hl7.org/7.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:2.16.840.1.113883.19.5 name: Good Health Clinic
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:uuid:2.16.840.1.113883.19.5
name:
  v: Good Health Clinic

Doctor1
type: Practitioner
id:
  v: Doctor1
meta:
  last updated:
    v: 2013-05-05T16:13:03Z
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Doctor1 Last updated: 2013-05-05 16:13:03+0000 identifier: http://www.acme.org/practitioners/23 name: Adam Careful
identifier:
  system:
    v: http://www.acme.org/practitioners
    l: practitioners
  value:
    v: 23
name:
  family:
    v: Careful
  given:
    v: Adam
  prefix:
    v: Dr

Doctor2
type: Practitioner
id:
  v: Doctor2
meta:
  last updated:
    v: 2013-05-05T16:13:03Z
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Doctor2 Last updated: 2013-05-05 16:13:03+0000 identifier: http://www.acme.org/practitioners/27 name: BettaB Careful
identifier:
  system:
    v: http://www.acme.org/practitioners
    l: practitioners
  value:
    v: 27
name:
  family:
    v: Careful
  given:
    v: BettaB
  prefix:
    v: Dr

revised-Patient
type: Patient
id:
  v: revised-Patient
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient revised-Patient Eve Everywoman Female, DoB: 1955-01-06 Active: true Contact Detail ph: 555-555-2003(Work) 2222 Home Street (home)
active:
  v: true
name:
  text:
    v: Eve Everywoman
  family:
    v: Everywoman1
  given:
    v: Eve
telecom:
  system:
    v: phone
  value:
    v: 555-555-2003
  use:
    v: work
gender:
  v: female
birth date:
  v: 1955-01-06
address:
  use:
    v: home
  line:
    v: 2222 Home Street

revised-encounter-example
type: Encounter
id:
  v: revised-encounter-example
meta:
  last updated:
    v: 2024-05-07T11:28:17.000+00:00
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter revised-encounter-example Last updated: 2024-05-07 11:28:17+0000 identifier: S100 status: Finished class: v3 Code System ActCode: IMP (inpatient encounter) type: Orthopedic Admission subject: Eve Everywoman period: 2024-05-03 13:28:17+0000 --> 2024-05-07 11:28:17+0000 Hospitalizations - DischargeDisposition * Discharged to care of GP
identifier:
  value:
    v: S100
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: IMP
  display:
    v: inpatient encounter
type:
  text:
    v: Orthopedic Admission
subject:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
period:
  start:
    v: 2024-05-03T13:28:17.000+00:00
  end:
    v: 2024-05-07T11:28:17.000+00:00
hospitalization:
  discharge disposition:
    text:
      v: Discharged to care of GP

https://example.com/Observation/revised-Observation-541a72a8-df75-4484-ac89-ac4923f03b81
type: Observation
meta:
  last updated:
    v: 2024-05-03T14:28:17.000+00:00
language:
  v: en
text:
  status:
    v: additional
  div:
    v: Acute Asthmatic attack. Was wheezing for days prior to admission.
status:
  v: final
code:
  coding: https://loinc.org/rdf/46241-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 46241-6
  text:
    v: Reason for admission
subject:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
encounter:
  display:
    v: http://fhir.healthintersections.com.au/open/Encounter/revised-encounter-example
effective: DateTime
  v: 2023-08-03
performer:
  l: Doctor2
  reference:
    v: Practitioner/Doctor2
  display:
    v: Dr Careful
value: String
  v: Acute Asthmatic attack. Was wheezing for days prior to admission.

https://example.com/MedicationRequest/revised-MedRequest-124a6916-5d84-4b8c-b250-10cefb8e6e86
type: MedicationRequest
meta:
  last updated:
    v: 2024-05-07T11:28:17.000+00:00
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest revised-MedRequest-124a6916-5d84-4b8c-b250-10cefb8e6e86 Last updated: 2024-05-07 11:28:17+0000 status: Unknown intent: Order medication: Theophylline 200mg subject: Eve Everywoman requester: Peter Practitioner reasonCode: Management of Asthma dosageInstruction additionalInstruction: Take with Food timing: 2 per 1 day route: oral administration of treatment DoseAndRates - Type Dose[x] * Ordered 1 tablet (Details: UCUM code{tablet} = '{tablet}')
status:
  v: unknown
intent:
  v: order
medication: CodeableConcept
  coding: http://snomed.info/id/66493003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 66493003
  text:
    v: Theophylline 200mg
subject:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
requester:
  l: Doctor1
  reference:
    v: Practitioner/Doctor1
  display:
    v: Peter Practitioner
reason code:
  text:
    v: Management of Asthma
dosage instruction:
  additional instruction:
    text:
      v: Take with Food
  timing:
    repeat:
      frequency:
        v: 2
      period:
        v: 1
      period unit:
        v: d
  route:
    coding: http://snomed.info/id/394899003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 394899003
      display:
        v: oral administration of treatment
  dose and rate:
    dose: Quantity
      value:
        v: 1
      unit:
        v: tablet
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: {tablet}

https://example.com/MedicationStatement/revised-MedStatement-673f8db5-0ffd-4395-9657-6da00420bbc1
type: MedicationStatement
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement revised-MedStatement-673f8db5-0ffd-4395-9657-6da00420bbc1 status: Active statusReason: Management of Asthma medication: Ventolin Inhaler subject: Eve Everywoman dateAsserted: 2024-05-07 11:28:17+0000
status:
  v: active
status reason:
  text:
    v: Management of Asthma
medication: CodeableConcept
  text:
    v: Ventolin Inhaler
subject:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
date asserted:
  v: 2024-05-07T11:28:17.000+00:00

https://example.com/AllergyIntolerance/revised-AllergyIntolerance-47600e0f-b6b5-4308-84b5-5dec157f7637
type: AllergyIntolerance
meta:
  last updated:
    v: 2024-05-07T11:28:17.000+00:00
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance revised-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 Everywoman recordedDate: 2012-09-17 Reactions - Manifestation * Hives
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: allergy
criticality:
  v: high
code:
  text:
    v: Doxycycline
patient:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
recorded date:
  v: 2012-09-17
reaction:
  manifestation:
    text:
      v: Hives

revised-service1
type: ServiceRequest
id:
  v: revised-service1
meta:
  last updated:
    v: 2024-05-07T11:28:17.000+00:00
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest revised-service1 Last updated: 2024-05-07 11:28:17+0000 status: Active intent: Order code: Discharge to home subject: Eve Everywoman
status:
  v: active
intent:
  v: order
code:
  text:
    v: Discharge to home
subject:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman

revised-consent1
type: Consent
id:
  v: revised-consent1
meta:
  last updated:
    v: 2024-05-07T11:28:17.000+00:00
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Consent revised-consent1 Last updated: 2024-05-07 11:28:17+0000 Participants Role Details Patient Eve Everywoman This consent is made under the regulation opt-in . The subject has given their consent.
status:
  v: active
scope:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentscope
      l: consentscope
    code:
      v: patient-privacy
category:
  coding: https://loinc.org/rdf/59284-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 59284-0
patient:
  l: revised-Patient
  reference:
    v: Patient/revised-Patient
  display:
    v: Eve Everywoman
policy rule:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActCode
      l: v3-ActCode
    code:
      v: OPTIN

v: PRCP

v: primary information recipient

v: Practitioner/Doctor1

v: Doctor Dave

v: ordered

v: Ordered