Example-Smith-Johnson-TOCBundle
type: Bundle
node role: treeRoot
id:
  v: Example-Smith-Johnson-TOCBundle
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Bundle
    l: TOC-Bundle
identifier:
  system:
    v: http://www.example.org/documents
    l: documents
  value:
    v: 12345
type:
  v: document
timestamp:
  v: 2024-05-10T14:25:34.001-05:00
entry:
  full url:
    v: http://www.example.org/fhir/Composition/BSJ-TOCComposition
    l: BSJ-TOCComposition
  resource: BSJ-TOCComposition
entry:
  full url:
    v: http://www.example.org/fhir/Patient/Example-Smith-Johnson-Patient1
    l: Example-Smith-Johnson-Patient1
  resource: Example-Smith-Johnson-Patient1
entry:
  full url:
    v: http://www.example.org/fhir/Encounter/BSJ-Encounter
    l: BSJ-Encounter
  resource: BSJ-Encounter
entry:
  full url:
    v: http://www.example.org/fhir/AllergyIntolerance/BSJ-AllergyACE
    l: BSJ-AllergyACE
  resource: BSJ-AllergyACE
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-AnemiaDiagnosis
    l: BSJ-AnemiaDiagnosis
  resource: BSJ-AnemiaDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-ConstipationDiagnosis
    l: BSJ-ConstipationDiagnosis
  resource: BSJ-ConstipationDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-DepressionDiagnosis
    l: BSJ-DepressionDiagnosis
  resource: BSJ-DepressionDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-DiabetesDiagnosis
    l: BSJ-DiabetesDiagnosis
  resource: BSJ-DiabetesDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-DressingConcern
    l: BSJ-DressingConcern
  resource: BSJ-DressingConcern
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HeartDiseaseDiagnosis
    l: BSJ-HeartDiseaseDiagnosis
  resource: BSJ-HeartDiseaseDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HemiparesisDiagnosis
    l: BSJ-HemiparesisDiagnosis
  resource: BSJ-HemiparesisDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HyperlipidemiaDiagnosis
    l: BSJ-HyperlipidemiaDiagnosis
  resource: BSJ-HyperlipidemiaDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HypertensionDiagnosis
    l: BSJ-HypertensionDiagnosis
  resource: BSJ-HypertensionDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-KidneyDiseaseDiagnosis
    l: BSJ-KidneyDiseaseDiagnosis
  resource: BSJ-KidneyDiseaseDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-NauseaAndVomiting
    l: BSJ-NauseaAndVomiting
  resource: BSJ-NauseaAndVomiting
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-NeuropathyDiagnosis
    l: BSJ-NeuropathyDiagnosis
  resource: BSJ-NeuropathyDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-StrokeDiagnosis
    l: BSJ-StrokeDiagnosis
  resource: BSJ-StrokeDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-UndressingConcern
    l: BSJ-UndressingConcern
  resource: BSJ-UndressingConcern
entry:
  full url:
    v: http://www.example.org/fhir/Condition/OT-ProblemList-Decondition
    l: OT-ProblemList-Decondition
  resource: OT-ProblemList-Decondition
entry:
  full url:
    v: http://www.example.org/fhir/Condition/OT-ProblemList-RightWeak
    l: OT-ProblemList-RightWeak
  resource: OT-ProblemList-RightWeak
entry:
  full url:
    v: http://www.example.org/fhir/Observation/BSJ-MDS-Doffing1
    l: BSJ-MDS-Doffing1
  resource: BSJ-MDS-Doffing1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/BSJ-MDS-Donning1
    l: BSJ-MDS-Donning1
  resource: BSJ-MDS-Donning1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/BSJ-MDS-Mobility-PT1
    l: BSJ-MDS-Mobility-PT1
  resource: BSJ-MDS-Mobility-PT1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/BSJ-MDS-SitStand1
    l: BSJ-MDS-SitStand1
  resource: BSJ-MDS-SitStand1
entry:
  full url:
    v: http://www.example.org/fhir/List/BSJ-SMPMedList
    l: BSJ-SMPMedList
  resource: BSJ-SMPMedList
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt1
    l: BSJ-SMPMedStmt1
  resource: BSJ-SMPMedStmt1
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt2
    l: BSJ-SMPMedStmt2
  resource: BSJ-SMPMedStmt2
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt3
    l: BSJ-SMPMedStmt3
  resource: BSJ-SMPMedStmt3
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt4
    l: BSJ-SMPMedStmt4
  resource: BSJ-SMPMedStmt4
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt5
    l: BSJ-SMPMedStmt5
  resource: BSJ-SMPMedStmt5
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt6
    l: BSJ-SMPMedStmt6
  resource: BSJ-SMPMedStmt6
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt7
    l: BSJ-SMPMedStmt7
  resource: BSJ-SMPMedStmt7
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt8
    l: BSJ-SMPMedStmt8
  resource: BSJ-SMPMedStmt8
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq1
    l: BSJ-SMPMedReq1
  resource: BSJ-SMPMedReq1
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq2
    l: BSJ-SMPMedReq2
  resource: BSJ-SMPMedReq2
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq3
    l: BSJ-SMPMedReq3
  resource: BSJ-SMPMedReq3
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq4
    l: BSJ-SMPMedReq4
  resource: BSJ-SMPMedReq4

BSJ-TOCComposition
type: Composition
id:
  v: BSJ-TOCComposition
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition
    l: TOC-Composition
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Composition BSJ-TOCComposition Language: en-US Profile: Transition of Care Composition identifier: http://example.org/GoodHealthClinic/id/76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD status: Final type: Physician Discharge summary date: 2024-05-10 08:49:58-0400 author: Practitioner Jen Cadbury title: Transitions of Care Document for Betsy Smith-Johnson custodian: Organization Happy Nursing Facility
identifier:
  system:
    v: http://example.org/GoodHealthClinic/id
    l: id
status:
  v: final
type:
  coding: https://loinc.org/rdf/11490-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11490-0
    display:
      v: Physician Discharge summary
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
date:
  v: 2024-05-10T08:49:58.313-04:00
author:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
title:
  v: Transitions of Care Document for Betsy Smith-Johnson
custodian:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
section:
  title:
    v: Advance directives for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/42348-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 42348-3
  text:
    status:
      v: additional
    div:
      v: Advance directives for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: List of allergies for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/48765-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 48765-2
  text:
    status:
      v: additional
    div:
      v: Allergies for Betsy Smith-Johnson
  entry:
    l: BSJ-AllergyACE
    reference:
      v: AllergyIntolerance/BSJ-AllergyACE
section:
  title:
    v: Behavioral health information for Betsy Smith-Johnson
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/pacio-toc/CodeSystem/toc-temp-cs
        l: toc-temp-cs
      code:
        v: behavioral_health_summary
  text:
    status:
      v: additional
    div:
      v: Behavioral health information for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: Functional status of Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/47420-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 47420-5
  text:
    status:
      v: additional
    div:
      v: Functional status of Betsy Smith-Johnson
  entry:
    l: BSJ-MDS-Doffing1
    reference:
      v: Observation/BSJ-MDS-Doffing1
  entry:
    l: BSJ-MDS-Donning1
    reference:
      v: Observation/BSJ-MDS-Donning1
  entry:
    l: BSJ-MDS-Mobility-PT1
    reference:
      v: Observation/BSJ-MDS-Mobility-PT1
  entry:
    l: BSJ-MDS-SitStand1
    reference:
      v: Observation/BSJ-MDS-SitStand1
section:
  title:
    v: List of immunizations for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/11369-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11369-6
  text:
    status:
      v: additional
    div:
      v: List of immunizations for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: Discharge instructions for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/69730-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 69730-0
  text:
    status:
      v: additional
    div:
      v: Discharge instructions for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: List of medical equipment needed by Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/46264-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 46264-8
  text:
    status:
      v: additional
    div:
      v: List of medical equipment needed by Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason

Example-Smith-Johnson-Patient1
type: Patient
id:
  v: Example-Smith-Johnson-Patient1
meta:
  last updated:
    v: 2021-03-29T14:25:34.001-05:00
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient Example-Smith-Johnson-Patient1 Last updated: 2021-03-29 14:25:34-0500; Language: en-US Profile: US Core Patient Profileversion: null8.0.1) Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) Active: true Marital Status: unknown Other Id: Medical Record Number/1032702 (use: usual, ) Contact Detail ph: 555-555-5555(Home) ph: (410) 444-5555 111 Maple Ct, Grand Rapids, MI 49503 Language: English (preferred) son: Charles Johnson 111 Maple Ct, Grand Rapids, MI 49503 ph: (210) 222-3333 daughter: Debra Johnson 333 W. Camden St., Baltimore, MD 21201 ph: (410) 444-5555 <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: Race & Ethnicity - CDC: 2106-3 (White) text: White
extension:
  extension:
    url:
      v: ombCategory
      l: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
        l: 2.16.840.1.113883.6.238
      code:
        v: 2106-3
      display:
        v: White
  extension:
    url:
      v: text
      l: text
    value: String
      v: White
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
    l: us-core-race
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
    text:
      v: Medical Record Number
  system:
    v: http://hospital.example.org
    l: hospital.example.org
  value:
    v: 1032702
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-medicare
    l: us-medicare
  value:
    v: 10A3D58WH1600
active:
  v: true
name:
  use:
    v: usual
  text:
    v: Smith-Johnson, Betsy
  family:
    v: Smith-Johnson
  given:
    v: Betsy
telecom:
  system:
    v: phone
  value:
    v: 555-555-5555
  use:
    v: home
telecom:
  system:
    v: phone
  value:
    v: (410) 444-5555
gender:
  v: female
birth date:
  v: 1958-11-01
address:
  text:
    v: 111 Maple Ct, Grand Rapids, MI 49503
  line:
    v: 111 Maple Ct
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US
  period:
    start:
      v: 2016-12-06
marital status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      l: v3-NullFlavor
    code:
      v: UNK
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: SONC
  name:
    text:
      v: Charles Johnson
  telecom:
    system:
      v: phone
    value:
      v: (210) 222-3333
  address:
    text:
      v: 111 Maple Ct, Grand Rapids, MI 49503
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: DAUC
  name:
    text:
      v: Debra Johnson
  telecom:
    system:
      v: phone
    value:
      v: (410) 444-5555
  address:
    text:
      v: 333 W. Camden St., Baltimore, MD 21201
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
        l: 47
      code:
        v: en
      display:
        v: English
  preferred:
    v: true

BSJ-Encounter
type: Encounter
id:
  v: BSJ-Encounter
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter BSJ-Encounter Profile: US Core Encounter Profileversion: null8.0.1) status: Finished class: ActCode: HH (Home Health) type: Evaluation and management of patient at home (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) Participants - Individual * PractitionerRole Occupational Therapist period: 2024-01-18 --> (ongoing)
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: HH
  display:
    v: Home Health
type:
  coding: http://snomed.info/id/50357006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 50357006
    display:
      v: Evaluation and management of patient at home (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
participant:
  individual:
    l: Role-OT-JenCadbury
    reference:
      v: PractitionerRole/Role-OT-JenCadbury
period:
  start:
    v: 2024-01-18

BSJ-AllergyACE
type: AllergyIntolerance
id:
  v: BSJ-AllergyACE
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance BSJ-AllergyACE Profile: US Core AllergyIntolerance Profileversion: null8.0.1) clinicalStatus: Active verificationStatus: Confirmed category: Medication criticality: High Risk code: Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance) patient: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) asserter: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) lastOccurrence: 2011-10 Reactions - Substance Manifestation * captopril 12.5 MG Oral Tablet Hyperkalemia caused by angiotensin-converting enzyme inhibitor (disorder)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
category:
  v: medication
criticality:
  v: high
code:
  coding: http://snomed.info/id/372733002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 372733002
    display:
      v: Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)
patient:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
asserter:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
last occurrence:
  v: 2011-10
reaction:
  substance:
    coding:
      system:
        v: http://www.nlm.nih.gov/research/umls/rxnorm
        l: rxnorm
      code:
        v: 308963
      display:
        v: captopril 12.5 MG Oral Tablet
  manifestation:
    coding: http://snomed.info/id/427195008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 427195008
      display:
        v: Hyperkalemia caused by angiotensin-converting enzyme inhibitor (disorder)

BSJ-AnemiaDiagnosis
type: Condition
id:
  v: BSJ-AnemiaDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-AnemiaDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2024-04-23 13:15:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) recordedDate: 2024-04-23 13:15:00-0400 note: See lab
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-23T13:15:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/691421000119108
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 691421000119108
    display:
      v: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2024-04-23T13:15:00-04:00
note:
  text:
    v: See lab

BSJ-ConstipationDiagnosis
type: Condition
id:
  v: BSJ-ConstipationDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-ConstipationDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2020-11 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Drug-induced constipation (disorder) bodySite: Colon structure (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2020-11
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/21782001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 21782001
    display:
      v: Drug-induced constipation (disorder)
body site:
  coding: http://snomed.info/id/71854001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 71854001
    display:
      v: Colon structure (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-DepressionDiagnosis
type: Condition
id:
  v: BSJ-DepressionDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-DepressionDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2005-02 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Depressive disorder (disorder) bodySite: Brain structure (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600)
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2005-02
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/35489007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 35489007
    display:
      v: Depressive disorder (disorder)
body site:
  coding: http://snomed.info/id/12738006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 12738006
    display:
      v: Brain structure (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1

BSJ-DiabetesDiagnosis
type: Condition
id:
  v: BSJ-DiabetesDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-DiabetesDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2017-06 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Diabetes mellitus type 2 in nonobese (disorder) bodySite: Structure of endocrine system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) onset: 2017-06 recordedDate: 2017-06-05 asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2017-06
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/359642000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 359642000
    display:
      v: Diabetes mellitus type 2 in nonobese (disorder)
body site:
  coding: http://snomed.info/id/113331007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113331007
    display:
      v: Structure of endocrine system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2017-06
recorded date:
  v: 2017-06-05
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-DressingConcern
type: Condition
id:
  v: BSJ-DressingConcern
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition BSJ-DressingConcern Profile: US Core Condition Problems and Health Concerns Profileversion: null8.0.1) clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Difficulty performing dressing activity (finding) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) recordedDate: 2024-04-27 15:40:00-0400 asserter: PractitionerRole Occupational Therapist note: Betsy is frustrated, embarrassed, and worried about not being able to dress herself
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: problem-list-item
    display:
      v: Problem List Item
code:
  coding: http://snomed.info/id/284972002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 284972002
    display:
      v: Difficulty performing dressing activity (finding)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2024-04-27T15:40:00-04:00
asserter:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
note:
  text:
    v: Betsy is frustrated, embarrassed, and worried about not being able to dress herself

BSJ-HeartDiseaseDiagnosis
type: Condition
id:
  v: BSJ-HeartDiseaseDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HeartDiseaseDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2019-06 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Ischemic heart disease (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) recordedDate: 2019-06-08 14:15:00-0400 asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2019-06
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/414545008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 414545008
    display:
      v: Ischemic heart disease (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2019-06-08T14:15:00-04:00
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-HemiparesisDiagnosis
type: Condition
id:
  v: BSJ-HemiparesisDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HemiparesisDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2024-04-18 13:30:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Right hemiparesis (disorder) bodySite: Right upper arm structure (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) onset: 2024-04-17 15:40:00-0400 recordedDate: 2024-04-18 13:30:00-0400 asserter: PractitionerRole Neurology Physician note: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-18T13:30:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/278286009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 278286009
    display:
      v: Right hemiparesis (disorder)
body site:
  coding: http://snomed.info/id/368209003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 368209003
    display:
      v: Right upper arm structure (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2024-04-17T15:40:00-04:00
recorded date:
  v: 2024-04-18T13:30:00-04:00
asserter:
  l: Role-Neuro-NuraMekel
  reference:
    v: PractitionerRole/Role-Neuro-NuraMekel
note:
  text:
    v: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.

BSJ-HyperlipidemiaDiagnosis
type: Condition
id:
  v: BSJ-HyperlipidemiaDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HyperlipidemiaDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2018-06 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Hyperlipidemia (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2018-06
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-HypertensionDiagnosis
type: Condition
id:
  v: BSJ-HypertensionDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HypertensionDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2011-09 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Hypertensive disorder, systemic arterial (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) onset: 2011-08 recordedDate: 2011-09-17 asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2011-09
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003
    display:
      v: Hypertensive disorder, systemic arterial (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2011-08
recorded date:
  v: 2011-09-17
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-KidneyDiseaseDiagnosis
type: Condition
id:
  v: BSJ-KidneyDiseaseDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-KidneyDiseaseDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2021-04 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder) bodySite: Both kidneys (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) recordedDate: 2021-04-10 15:00:00-0400 asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2021-04
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/731000119105
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 731000119105
    display:
      v: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder)
body site:
  coding: http://snomed.info/id/17373004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 17373004
    display:
      v: Both kidneys (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2021-04-10T15:00:00-04:00
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-NauseaAndVomiting
type: Condition
id:
  v: BSJ-NauseaAndVomiting
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-NauseaAndVomiting Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2024-04-18 16:30:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Nausea and Vomiting (disorder) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) onset: 2024-04-18 16:30:00-0400 recordedDate: 2024-04-18 16:30:00-0400 note: Patient pressed call button for vomiting. She reports she started feeling nauseated about ten minutes ago.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-18T16:30:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/16932000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 16932000
    display:
      v: Nausea and Vomiting (disorder)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2024-04-18T16:30:00-04:00
recorded date:
  v: 2024-04-18T16:30:00-04:00
note:
  text:
    v: Patient pressed call button for vomiting. She reports she started feeling nauseated about ten minutes ago.

BSJ-NeuropathyDiagnosis
type: Condition
id:
  v: BSJ-NeuropathyDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-NeuropathyDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2020-07 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Chronic painful neuropathy due to diabetes mellitus (disorder) bodySite: Both lower legs (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2020-07
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/193184006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 193184006
    display:
      v: Chronic painful neuropathy due to diabetes mellitus (disorder)
body site:
  coding: http://snomed.info/id/40927001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 40927001
    display:
      v: Both lower legs (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-StrokeDiagnosis
type: Condition
id:
  v: BSJ-StrokeDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-StrokeDiagnosis Profile: US Core Condition Encounter Diagnosis Profileversion: null8.0.1) Condition Asserted Date: 2024-04-17 15:40:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Ischemic Stroke (disorder) bodySite: Structure of middle cerebral artery M1 segment (body structure), Left subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) onset: 2024-04-17 15:40:00-0400 recordedDate: 2023-12-15 18:40:00-0400 asserter: PractitionerRole Neurology Physician note: Partial occlusion of MCA. Stroke event witnessed. EMS response / patient arrived within 45 minutes of symptom onset. Verified by CT with contrast. tPA administered within 2 hours of symptom onset.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-17T15:40:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/422504002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 422504002
    display:
      v: Ischemic Stroke (disorder)
body site:
  coding: http://snomed.info/id/414722000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 414722000
    display:
      v: Structure of middle cerebral artery M1 segment (body structure)
body site:
  coding: http://snomed.info/id/7771000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 7771000
    display:
      v: Left
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2024-04-17T15:40:00-04:00
recorded date:
  v: 2023-12-15T18:40:00-04:00
asserter:
  l: Role-Neuro-NuraMekel
  reference:
    v: PractitionerRole/Role-Neuro-NuraMekel
note:
  text:
    v: Partial occlusion of MCA. Stroke event witnessed. EMS response / patient arrived within 45 minutes of symptom onset. Verified by CT with contrast. tPA administered within 2 hours of symptom onset.

BSJ-UndressingConcern
type: Condition
id:
  v: BSJ-UndressingConcern
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition BSJ-UndressingConcern Profile: US Core Condition Problems and Health Concerns Profileversion: null8.0.1) clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Difficulty undressing (finding) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) recordedDate: 2024-04-27 15:40:00-0400 asserter: PractitionerRole Occupational Therapist note: Betsy is frustrated, embarrassed, and worried about not being able to undress herself
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: problem-list-item
    display:
      v: Problem List Item
code:
  coding: http://snomed.info/id/284989005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 284989005
    display:
      v: Difficulty undressing (finding)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2024-04-27T15:40:00-04:00
asserter:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
note:
  text:
    v: Betsy is frustrated, embarrassed, and worried about not being able to undress herself

OT-ProblemList-Decondition
type: Condition
id:
  v: OT-ProblemList-Decondition
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition OT-ProblemList-Decondition Profile: US Core Condition Problems and Health Concerns Profileversion: null8.0.1) Condition Asserted Date: 2024-04-30 15:40:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Physical deconditioning (finding) bodySite: Entire lower body (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) onset: 2024-04-26 15:40:00-0400 recordedDate: 2024-04-30 15:40:00-0400 asserter: PractitionerRole Occupational Therapist Evidences - Detail * Observation Sit to stand - functional goal during assessment period [CMS Assessment] note: The weakness in the patient's lower extremities is secondary to deconditioning. According to the report from Neurology, patient did not have motor or sensory deficits below upper chest. High rehab potential.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-30T15:40:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: problem-list-item
    display:
      v: Problem List Item
code:
  coding: http://snomed.info/id/31031000119102
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 31031000119102
    display:
      v: Physical deconditioning (finding)
body site:
  coding: http://snomed.info/id/362875007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 362875007
    display:
      v: Entire lower body (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2024-04-26T15:40:00-04:00
recorded date:
  v: 2024-04-30T15:40:00-04:00
asserter:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
evidence:
  detail:
    l: BSJ-MDS-SitStand1
    reference:
      v: Observation/BSJ-MDS-SitStand1
note:
  text:
    v: The weakness in the patient's lower extremities is secondary to deconditioning. According to the report from Neurology, patient did not have motor or sensory deficits below upper chest. High rehab potential.

OT-ProblemList-RightWeak
type: Condition
id:
  v: OT-ProblemList-RightWeak
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition OT-ProblemList-RightWeak Profile: US Core Condition Problems and Health Concerns Profileversion: null8.0.1) Condition Asserted Date: 2024-04-17 15:40:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Muscle weakness of upper limb (finding) bodySite: Right upper arm structure (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) recordedDate: 2024-04-27 15:40:00-0400 asserter: PractitionerRole Occupational Therapist Evidences - Detail * Condition Right hemiparesis (disorder) note: The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-17T15:40:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: problem-list-item
    display:
      v: Problem List Item
code:
  coding: http://snomed.info/id/713512009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 713512009
    display:
      v: Muscle weakness of upper limb (finding)
body site:
  coding: http://snomed.info/id/368209003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 368209003
    display:
      v: Right upper arm structure (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2024-04-27T15:40:00-04:00
asserter:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
evidence:
  detail:
    l: BSJ-HemiparesisDiagnosis
    reference:
      v: Condition/BSJ-HemiparesisDiagnosis
note:
  text:
    v: The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.

BSJ-MDS-Doffing1
type: Observation
id:
  v: BSJ-MDS-Doffing1
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-observation-single
    l: pfe-observation-single
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Observation BSJ-MDS-Doffing1 Profile: Personal Functioning and Engagement Single Observation Event Location: Location Happy Nursing Facility status: Final category: Survey, Functional Status, Taking off clothes code: Upper body dressing - functional goal during assessment period [CMS Assessment] subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) effective: 2024-05-16 14:30:00-0400 performer: PractitionerRole Occupational Therapist value: Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/event-location
    l: event-location
  value: Reference
    l: org-Loc-SNF-Happy-Nursing-Facility
    reference:
      v: Location/org-Loc-SNF-Happy-Nursing-Facility
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: survey
    display:
      v: Survey
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/us-core-category
      l: us-core-category
    code:
      v: functional-status
    display:
      v: Functional Status
category:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icf
      l: icf
    code:
      v: d5401
code:
  coding: https://loinc.org/rdf/89387-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 89387-5
    display:
      v: Upper body dressing - functional goal during assessment period [CMS Assessment]
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
effective: DateTime
  v: 2024-05-16T14:30:00-04:00
performer:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
value: CodeableConcept
  coding: LA27998-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA27998-6
    display:
      v: Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

BSJ-MDS-Donning1
type: Observation
id:
  v: BSJ-MDS-Donning1
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-observation-single
    l: pfe-observation-single
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Observation BSJ-MDS-Donning1 Profile: Personal Functioning and Engagement Single Observation Event Location: Location Happy Nursing Facility status: Final category: Survey, Functional Status, Putting on clothes code: Lower body dressing - functional goal during assessment period [CMS Assessment] subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) effective: 2024-05-16 14:30:00-0400 performer: PractitionerRole Occupational Therapist value: Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/event-location
    l: event-location
  value: Reference
    l: org-Loc-SNF-Happy-Nursing-Facility
    reference:
      v: Location/org-Loc-SNF-Happy-Nursing-Facility
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: survey
    display:
      v: Survey
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/us-core-category
      l: us-core-category
    code:
      v: functional-status
    display:
      v: Functional Status
category:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icf
      l: icf
    code:
      v: d5400
code:
  coding: https://loinc.org/rdf/89406-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 89406-3
    display:
      v: Lower body dressing - functional goal during assessment period [CMS Assessment]
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
effective: DateTime
  v: 2024-05-16T14:30:00-04:00
performer:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
value: CodeableConcept
  coding: LA27998-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA27998-6
    display:
      v: Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

BSJ-MDS-Mobility-PT1
type: Observation
id:
  v: BSJ-MDS-Mobility-PT1
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-collection
    l: pfe-collection
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Observation BSJ-MDS-Mobility-PT1 Profile: Personal Functioning and Engagement Collection Event Location: Location Happy Nursing Facility status: Final category: Survey, Functional Status, MOBILITY code: MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) effective: 2024-05-16 14:30:00-0400 performer: PractitionerRole Occupational Therapist hasMember: Observation Sit to stand - functional goal during assessment period [CMS Assessment]
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/event-location
    l: event-location
  value: Reference
    l: org-Loc-SNF-Happy-Nursing-Facility
    reference:
      v: Location/org-Loc-SNF-Happy-Nursing-Facility
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: survey
    display:
      v: Survey
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/us-core-category
      l: us-core-category
    code:
      v: functional-status
    display:
      v: Functional Status
category:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icf
      l: icf
    code:
      v: d4
code:
  coding: https://loinc.org/rdf/101107-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 101107-1
    display:
      v: MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
effective: DateTime
  v: 2024-05-16T14:30:00-04:00
performer:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
has member:
  l: BSJ-MDS-SitStand1
  reference:
    v: Observation/BSJ-MDS-SitStand1

BSJ-MDS-SitStand1
type: Observation
id:
  v: BSJ-MDS-SitStand1
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-observation-single
    l: pfe-observation-single
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Observation BSJ-MDS-SitStand1 Profile: Personal Functioning and Engagement Single Observation Event Location: Location Happy Nursing Facility status: Final category: Survey, Functional Status, Standing code: Sit to stand - functional goal during assessment period [CMS Assessment] subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) effective: 2024-05-16 14:30:00-0400 performer: PractitionerRole Occupational Therapist value: Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/event-location
    l: event-location
  value: Reference
    l: org-Loc-SNF-Happy-Nursing-Facility
    reference:
      v: Location/org-Loc-SNF-Happy-Nursing-Facility
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: survey
    display:
      v: Survey
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/us-core-category
      l: us-core-category
    code:
      v: functional-status
    display:
      v: Functional Status
category:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icf
      l: icf
    code:
      v: d4104
code:
  coding: https://loinc.org/rdf/89392-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 89392-5
    display:
      v: Sit to stand - functional goal during assessment period [CMS Assessment]
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
effective: DateTime
  v: 2024-05-16T14:30:00-04:00
performer:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
value: CodeableConcept
  coding: LA11759-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA11759-0
    display:
      v: Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

BSJ-SMPMedList
type: List
id:
  v: BSJ-SMPMedList
text:
  status:
    v: generated
  div:
    v: Generated Narrative: List BSJ-SMPMedList Home Medication List Date: 2024-08-11 Mode: Working List Status: Current Code: Patient generated medication list [Identifier] Episode Pharmacy Subject: Betsy Smith-Johnson Items Date atorvastatin 40 MG Oral Tablet 2024-08-11 sertraline 25 MG Oral Tablet 2024-08-11 furosemide 20 MG Oral Tablet 2024-08-11 carvedilol 6.25 MG Oral Tablet 2024-08-11 24 HR glipizide 2.5 MG Extended Release Oral Tablet 2024-08-11 rosuvastatin calcium 5 MG Oral Tablet 2024-08-11 acetaminophen 650 MG Oral Tablet 2024-08-11 ferrous sulfate 325 MG (iron 65 MG) Oral Tablet 2024-08-11
status:
  v: current
mode:
  v: working
title:
  v: Home Medication List
code:
  coding: https://loinc.org/rdf/104205-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 104205-0
    display:
      v: Patient generated medication list [Identifier] Episode Pharmacy
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date:
  v: 2024-08-11
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt1
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt1
    display:
      v: atorvastatin 40 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt2
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt2
    display:
      v: sertraline 25 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt3
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt3
    display:
      v: furosemide 20 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt4
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt4
    display:
      v: carvedilol 6.25 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt5
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt5
    display:
      v: 24 HR glipizide 2.5 MG Extended Release Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt6
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt6
    display:
      v: rosuvastatin calcium 5 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt7
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt7
    display:
      v: acetaminophen 650 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt8
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt8
    display:
      v: ferrous sulfate 325 MG (iron 65 MG) Oral Tablet

BSJ-SMPMedStmt1
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt1
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt1 basedOn: MedicationRequest: status = active; intent = order; medication[x] = atorvastatin 40 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Hyperlipidemia status: Active medication: atorvastatin 40 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Hyperlipidemia Dosages - Sequence Text * 1 po nightly
based on:
  l: BSJ-SMPMedReq1
  reference:
    v: MedicationRequest/BSJ-SMPMedReq1
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 617311
    display:
      v: atorvastatin 40 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia
dosage:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedStmt2
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt2
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt2 basedOn: MedicationRequest: status = active; intent = order; medication[x] = sertraline 25 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Depressive disorder (disorder) status: Active medication: sertraline 25 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Depressive disorder (disorder) Dosages - Sequence Text * 1 po nightly
based on:
  l: BSJ-SMPMedReq2
  reference:
    v: MedicationRequest/BSJ-SMPMedReq2
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 312940
    display:
      v: sertraline 25 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/35489007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 35489007
    display:
      v: Depressive disorder (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedStmt3
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt3
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt3 basedOn: MedicationRequest: status = active; intent = order; medication[x] = furosemide 20 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder) status: Active medication: furosemide 20 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder) Dosages - Sequence Text * 1 po daily
based on:
  l: BSJ-SMPMedReq3
  reference:
    v: MedicationRequest/BSJ-SMPMedReq3
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 310429
    display:
      v: furosemide 20 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/731000119105
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 731000119105
    display:
      v: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: po daily

BSJ-SMPMedStmt4
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt4
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt4 basedOn: MedicationRequest: status = active; intent = order; medication[x] = carvedilol 6.25 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Hypertensive disorder, systemic arterial (disorder) status: Active medication: carvedilol 6.25 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Hypertensive disorder, systemic arterial (disorder) Dosages - Sequence Text * 1 po twice daily
based on:
  l: BSJ-SMPMedReq4
  reference:
    v: MedicationRequest/BSJ-SMPMedReq4
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 200031
    display:
      v: carvedilol 6.25 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003
    display:
      v: Hypertensive disorder, systemic arterial (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: po twice daily

BSJ-SMPMedStmt5
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt5
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt5 basedOn: MedicationRequest: status = active; intent = order; medication[x] = 24 HR glipizide 2.5 MG Extended Release Oral Tablet; authoredOn = 2024-08-11; reasonCode = Diabetes mellitus type 2 in nonobese (disorder) status: Active medication: 24 HR glipizide 2.5 MG Extended Release Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Diabetes mellitus type 2 in nonobese (disorder) Dosages - Sequence Text * 1 daily
based on:
  l: BSJ-SMPMedReq5
  reference:
    v: MedicationRequest/BSJ-SMPMedReq5
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 310489
    display:
      v: 24 HR glipizide 2.5 MG Extended Release Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/359642000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 359642000
    display:
      v: Diabetes mellitus type 2 in nonobese (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: daily

BSJ-SMPMedStmt6
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt6
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt6 basedOn: MedicationRequest: status = active; intent = order; medication[x] = rosuvastatin calcium 5 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Osteopenia status: Active medication: rosuvastatin calcium 5 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Osteopenia Dosages - Sequence Text * 1 Calcium 500 mg
based on:
  l: BSJ-SMPMedReq6
  reference:
    v: MedicationRequest/BSJ-SMPMedReq6
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 859424
    display:
      v: rosuvastatin calcium 5 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/312894000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 312894000
    display:
      v: Osteopenia
dosage:
  sequence:
    v: 1
  text:
    v: Calcium 500 mg

BSJ-SMPMedStmt7
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt7
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt7 basedOn: MedicationRequest: status = active; intent = order; medication[x] = acetaminophen 650 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Osteoarthritis (disorder) status: Active medication: acetaminophen 650 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Osteoarthritis (disorder) Dosages - Sequence Text * 1 every 6 hours or as needed for pain
based on:
  l: BSJ-SMPMedReq7
  reference:
    v: MedicationRequest/BSJ-SMPMedReq7
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 198444
    display:
      v: acetaminophen 650 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/396275006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 396275006
    display:
      v: Osteoarthritis (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: every 6 hours or as needed for pain

BSJ-SMPMedStmt8
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt8
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt8 basedOn: MedicationRequest: status = active; intent = order; medication[x] = ferrous sulfate 325 MG (iron 65 MG) Oral Tablet; authoredOn = 2024-08-11; reasonCode = Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder) status: Active medication: ferrous sulfate 325 MG (iron 65 MG) Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Happy Nursing Facility reasonCode: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder) Dosages - Sequence Text * 1 three times a day before meals
based on:
  l: BSJ-SMPMedReq8
  reference:
    v: MedicationRequest/BSJ-SMPMedReq8
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 310325
    display:
      v: ferrous sulfate 325 MG (iron 65 MG) Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
reason code:
  coding: http://snomed.info/id/691421000119108
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 691421000119108
    display:
      v: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: three times a day before meals

BSJ-SMPMedReq1
type: MedicationRequest
id:
  v: BSJ-SMPMedReq1
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq1 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: atorvastatin 40 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Hyperlipidemia DosageInstructions - Sequence Text * 1 po nightly
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 617311
    display:
      v: atorvastatin 40 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia
dosage instruction:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedReq2
type: MedicationRequest
id:
  v: BSJ-SMPMedReq2
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq2 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: sertraline 25 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Depressive disorder (disorder) DosageInstructions - Sequence Text * 1 po nightly
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 312940
    display:
      v: sertraline 25 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/35489007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 35489007
    display:
      v: Depressive disorder (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedReq3
type: MedicationRequest
id:
  v: BSJ-SMPMedReq3
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq3 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: furosemide 20 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder) DosageInstructions - Sequence Text * 1 po daily
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 310429
    display:
      v: furosemide 20 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/731000119105
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 731000119105
    display:
      v: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: po daily

BSJ-SMPMedReq4
type: MedicationRequest
id:
  v: BSJ-SMPMedReq4
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq4 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: carvedilol 6.25 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Hypertensive disorder, systemic arterial (disorder) DosageInstructions - Sequence Text * 1 po twice daily
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 200031
    display:
      v: carvedilol 6.25 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003
    display:
      v: Hypertensive disorder, systemic arterial (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: po twice daily

BSJ-SMPMedReq5
type: MedicationRequest
id:
  v: BSJ-SMPMedReq5
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq5 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: 24 HR glipizide 2.5 MG Extended Release Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Diabetes mellitus type 2 in nonobese (disorder) DosageInstructions - Sequence Text * 1 daily
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 310489
    display:
      v: 24 HR glipizide 2.5 MG Extended Release Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/359642000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 359642000
    display:
      v: Diabetes mellitus type 2 in nonobese (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: daily

BSJ-SMPMedReq6
type: MedicationRequest
id:
  v: BSJ-SMPMedReq6
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq6 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: rosuvastatin calcium 5 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Osteopenia DosageInstructions - Sequence Text * 1 Calcium 500 mg
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 859424
    display:
      v: rosuvastatin calcium 5 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/312894000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 312894000
    display:
      v: Osteopenia
dosage instruction:
  sequence:
    v: 1
  text:
    v: Calcium 500 mg

BSJ-SMPMedReq7
type: MedicationRequest
id:
  v: BSJ-SMPMedReq7
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq7 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: acetaminophen 650 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Osteoarthritis (disorder) DosageInstructions - Sequence Text * 1 every 6 hours or as needed for pain
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 198444
    display:
      v: acetaminophen 650 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/396275006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 396275006
    display:
      v: Osteoarthritis (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: every 6 hours or as needed for pain

BSJ-SMPMedReq8
type: MedicationRequest
id:
  v: BSJ-SMPMedReq8
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq8 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: ferrous sulfate 325 MG (iron 65 MG) Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder) DosageInstructions - Sequence Text * 1 three times a day before meals
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 310325
    display:
      v: ferrous sulfate 325 MG (iron 65 MG) Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/691421000119108
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 691421000119108
    display:
      v: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: three times a day before meals

BSJ-SNFDischargeCarePlan
type: CarePlan
id:
  v: BSJ-SNFDischargeCarePlan
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CarePlan BSJ-SNFDischargeCarePlan Profile: US Core CarePlan Profileversion: null8.0.1) status: Active intent: Plan category: Assessment and Plan of Treatment subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) activity reference: ServiceRequest Follow-up visit (procedure) activity reference: ServiceRequest Informing doctor (procedure) activity reference: ServiceRequest Occupational therapy assessment (procedure) activity reference: ServiceRequest Speech therapy assessment (procedure) activity reference: ServiceRequest Decreased protein and/or protein derivative diet (regime/therapy) activity reference: ServiceRequest Decreased sodium diet (regime/therapy) activity reference: ServiceRequest Blood chemistry (procedure) activity reference: ServiceRequest Complete blood count without differential (procedure) activity reference: ServiceRequest Physical therapy assessment (procedure)
status:
  v: active
intent:
  v: plan
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/careplan-category
      l: careplan-category
    code:
      v: assess-plan
    display:
      v: Assessment and Plan of Treatment
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
activity:
  reference:
    l: BSJ-PCPFollowUp
    reference:
      v: ServiceRequest/BSJ-PCPFollowUp
activity:
  reference:
    l: BSJ-SNFDischargeCallOrder
    reference:
      v: ServiceRequest/BSJ-SNFDischargeCallOrder
activity:
  reference:
    l: BSJ-SNFDischargeCallOTRefer
    reference:
      v: ServiceRequest/BSJ-SNFDischargeCallOTRefer
activity:
  reference:
    l: BSJ-SNFDischargeCallSLPRefer
    reference:
      v: ServiceRequest/BSJ-SNFDischargeCallSLPRefer
activity:
  reference:
    l: BSJ-SNFDischargeDietProtein
    reference:
      v: ServiceRequest/BSJ-SNFDischargeDietProtein
activity:
  reference:
    l: BSJ-SNFDischargeDietSalt
    reference:
      v: ServiceRequest/BSJ-SNFDischargeDietSalt
activity:
  reference:
    l: BSJ-SNFDischargeLabOrderBMP
    reference:
      v: ServiceRequest/BSJ-SNFDischargeLabOrderBMP
activity:
  reference:
    l: BSJ-SNFDischargeLabOrderCBC
    reference:
      v: ServiceRequest/BSJ-SNFDischargeLabOrderCBC
activity:
  reference:
    l: BSJ-SNFDischargePTRefer
    reference:
      v: ServiceRequest/BSJ-SNFDischargePTRefer

BSJ-PCPFollowUp
type: ServiceRequest
id:
  v: BSJ-PCPFollowUp
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-PCPFollowUp Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Follow-up visit (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-28 authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/185389009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 185389009
    display:
      v: Follow-up visit (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: DateTime
  v: 2024-05-28
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark

BSJ-SNFDischargeCallOrder
type: ServiceRequest
id:
  v: BSJ-SNFDischargeCallOrder
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeCallOrder Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Informing doctor (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/304562007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 304562007
    display:
      v: Informing doctor (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark

BSJ-SNFDischargeCallOTRefer
type: ServiceRequest
id:
  v: BSJ-SNFDischargeCallOTRefer
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeCallOTRefer Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Occupational therapy assessment (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Right hemiparesis (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/410155007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 410155007
    display:
      v: Occupational therapy assessment (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HemiparesisDiagnosis
  reference:
    v: Condition/BSJ-HemiparesisDiagnosis

BSJ-SNFDischargeCallSLPRefer
type: ServiceRequest
id:
  v: BSJ-SNFDischargeCallSLPRefer
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeCallSLPRefer Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Speech therapy assessment (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/410161005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 410161005
    display:
      v: Speech therapy assessment (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark

BSJ-SNFDischargeDietProtein
type: ServiceRequest
id:
  v: BSJ-SNFDischargeDietProtein
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeDietProtein Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Decreased protein and/or protein derivative diet (regime/therapy) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/1055201009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1055201009
    display:
      v: Decreased protein and/or protein derivative diet (regime/therapy)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-KidneyDiseaseDiagnosis
  reference:
    v: Condition/BSJ-KidneyDiseaseDiagnosis

BSJ-SNFDischargeDietSalt
type: ServiceRequest
id:
  v: BSJ-SNFDischargeDietSalt
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeDietSalt Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Decreased sodium diet (regime/therapy) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Ischemic heart disease (disorder) Condition Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/437421000124105
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 437421000124105
    display:
      v: Decreased sodium diet (regime/therapy)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HeartDiseaseDiagnosis
  reference:
    v: Condition/BSJ-HeartDiseaseDiagnosis
reason reference:
  l: BSJ-KidneyDiseaseDiagnosis
  reference:
    v: Condition/BSJ-KidneyDiseaseDiagnosis

BSJ-SNFDischargeLabOrderBMP
type: ServiceRequest
id:
  v: BSJ-SNFDischargeLabOrderBMP
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeLabOrderBMP Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Laboratory procedure priority: Routine code: Blood chemistry (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-28 authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder) Condition Hyperlipidemia (disorder) Condition Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder) Condition Diabetes mellitus type 2 in nonobese (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/108252007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 108252007
    display:
      v: Laboratory procedure
priority:
  v: routine
code:
  coding: http://snomed.info/id/166312007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 166312007
    display:
      v: Blood chemistry (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: DateTime
  v: 2024-05-28
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-AnemiaDiagnosis
  reference:
    v: Condition/BSJ-AnemiaDiagnosis
reason reference:
  l: BSJ-HyperlipidemiaDiagnosis
  reference:
    v: Condition/BSJ-HyperlipidemiaDiagnosis
reason reference:
  l: BSJ-KidneyDiseaseDiagnosis
  reference:
    v: Condition/BSJ-KidneyDiseaseDiagnosis
reason reference:
  l: BSJ-DiabetesDiagnosis
  reference:
    v: Condition/BSJ-DiabetesDiagnosis

BSJ-SNFDischargeLabOrderCBC
type: ServiceRequest
id:
  v: BSJ-SNFDischargeLabOrderCBC
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeLabOrderCBC Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Laboratory procedure priority: Routine code: Complete blood count without differential (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-28 authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/108252007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 108252007
    display:
      v: Laboratory procedure
priority:
  v: routine
code:
  coding: http://snomed.info/id/43789009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 43789009
    display:
      v: Complete blood count without differential (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: DateTime
  v: 2024-05-28
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-AnemiaDiagnosis
  reference:
    v: Condition/BSJ-AnemiaDiagnosis

BSJ-SNFDischargePTRefer
type: ServiceRequest
id:
  v: BSJ-SNFDischargePTRefer
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargePTRefer Profile: US Core ServiceRequest Profileversion: null8.0.1) status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Physical therapy assessment (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Right hemiparesis (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/410158009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 410158009
    display:
      v: Physical therapy assessment (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HemiparesisDiagnosis
  reference:
    v: Condition/BSJ-HemiparesisDiagnosis

org-Loc-Neuro-Care-Inc
type: Location
id:
  v: org-Loc-Neuro-Care-Inc
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-Neuro-Care-Inc Profile: US Core Location Profileversion: null8.0.1) status: Active name: Neuro Care Inc. address: 177 Branching Tree Blvd, Grand Rapids, MI 49509
status:
  v: active
name:
  v: Neuro Care Inc.
address:
  text:
    v: 177 Branching Tree Blvd, Grand Rapids, MI 49509
  line:
    v: 177 Branching Tree Blvd
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49509
  country:
    v: US

org-Loc-PC-Primary-Care-Michigan
type: Location
id:
  v: org-Loc-PC-Primary-Care-Michigan
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-PC-Primary-Care-Michigan Profile: US Core Location Profileversion: null8.0.1) status: Active name: Michigan Primary Health Care Associates address: 123 Spruce Dr. Grand Rapids, MI 49503
status:
  v: active
name:
  v: Michigan Primary Health Care Associates
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US

org-Loc-SNF-Happy-Nursing-Facility
type: Location
id:
  v: org-Loc-SNF-Happy-Nursing-Facility
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-SNF-Happy-Nursing-Facility Profile: US Core Location Profileversion: null8.0.1) status: Active name: Happy Nursing Facility address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
status:
  v: active
name:
  v: Happy Nursing Facility
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US

org-Neuro-Care-Inc
type: Organization
id:
  v: org-Neuro-Care-Inc
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-Neuro-Care-Inc Profile: US Core Organization Profileversion: null8.0.1) active: true name: Neuro Care Inc. telecom: ph: (210) 555 5555 address: 177 Branching Tree Blvd, Grand Rapids, MI 49509
active:
  v: true
name:
  v: Neuro Care Inc.
telecom:
  system:
    v: phone
  value:
    v: (210) 555 5555
address:
  text:
    v: 177 Branching Tree Blvd, Grand Rapids, MI 49509
  line:
    v: 177 Branching Tree Blvd
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49509
  country:
    v: US

org-PC-Primary-Care-Michigan
type: Organization
id:
  v: org-PC-Primary-Care-Michigan
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-PC-Primary-Care-Michigan Profile: US Core Organization Profileversion: null8.0.1) active: true name: Michigan Primary Health Care Associates telecom: ph: (616) 555-1212 address: 123 Spruce Dr. Grand Rapids, MI 49503
active:
  v: true
name:
  v: Michigan Primary Health Care Associates
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US

org-SNF-Happy-Nursing-Facility
type: Organization
id:
  v: org-SNF-Happy-Nursing-Facility
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-SNF-Happy-Nursing-Facility Profile: US Core Organization Profileversion: null8.0.1) active: true name: Happy Nursing Facility telecom: ph: (210) 555 1871 address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
active:
  v: true
name:
  v: Happy Nursing Facility
telecom:
  system:
    v: phone
  value:
    v: (210) 555 1871
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US

Example-AnitaChu
type: Practitioner
id:
  v: Example-AnitaChu
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-AnitaChu Profile: US Core Practitioner Profileversion: null8.0.1) identifier: United States National Provider Identifier/8134258523 active: true name: Anita Chu telecom: ph: (616) 555-1212 address: 123 Spruce Dr. Grand Rapids, MI 49503 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 8134258523
active:
  v: true
name:
  text:
    v: Anita Chu
  family:
    v: Chu
  given:
    v: Anita
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US
gender:
  v: female

Example-GeraldPark
type: Practitioner
id:
  v: Example-GeraldPark
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-GeraldPark Profile: US Core Practitioner Profileversion: null8.0.1) identifier: United States National Provider Identifier/8554084011 active: true name: Gerald Park telecom: ph: (555) 566 3494 address: 8100 Pinebrook Dr, Grand Rapids, MI 49504 gender: Male
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 8554084011
active:
  v: true
name:
  text:
    v: Gerald Park
  family:
    v: Park
  given:
    v: Gerald
telecom:
  system:
    v: phone
  value:
    v: (555) 566 3494
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US
gender:
  v: male

Example-JenCadbury
type: Practitioner
id:
  v: Example-JenCadbury
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-JenCadbury Profile: US Core Practitioner Profileversion: null8.0.1) identifier: United States National Provider Identifier/9635749481 active: true name: Jen Cadbury telecom: ph: (210) 555 1871 address: 8100 Pinebrook Dr, Grand Rapids, MI 49504 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 9635749481
active:
  v: true
name:
  text:
    v: Jen Cadbury
  family:
    v: Cadbury
  given:
    v: Jen
telecom:
  system:
    v: phone
  value:
    v: (210) 555 1871
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US
gender:
  v: female

Example-NuraMekel
type: Practitioner
id:
  v: Example-NuraMekel
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-NuraMekel Profile: US Core Practitioner Profileversion: null8.0.1) identifier: United States National Provider Identifier/8224780964 active: true name: Nura Mekel telecom: ph: (210) 555 5555 address: 177 Branching Tree Blvd, Grand Rapids, MI 49509 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 8224780964
active:
  v: true
name:
  text:
    v: Nura Mekel
  family:
    v: Mekel
  given:
    v: Nura
telecom:
  system:
    v: phone
  value:
    v: (210) 555 5555
address:
  text:
    v: 177 Branching Tree Blvd, Grand Rapids, MI 49509
  line:
    v: 177 Branching Tree Blvd
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49509
  country:
    v: US
gender:
  v: female

Role-IMMD-AnitaChu
type: PractitionerRole
id:
  v: Role-IMMD-AnitaChu
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-IMMD-AnitaChu Profile: US Core PractitionerRole Profileversion: null8.0.1) active: true practitioner: Dr. Anita Chu organization: Michigan Primary Health Care Associates code: Internal Medicine Physician location: Location Michigan Primary Health Care Associates telecom: ph: (616) 555-1212
active:
  v: true
practitioner:
  l: Example-AnitaChu
  reference:
    v: Practitioner/Example-AnitaChu
  display:
    v: Dr. Anita Chu
organization:
  l: org-PC-Primary-Care-Michigan
  reference:
    v: Organization/org-PC-Primary-Care-Michigan
  display:
    v: Michigan Primary Health Care Associates
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 207R00000X
    display:
      v: Internal Medicine Physician
location:
  l: org-Loc-PC-Primary-Care-Michigan
  reference:
    v: Location/org-Loc-PC-Primary-Care-Michigan
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212

Role-Neuro-NuraMekel
type: PractitionerRole
id:
  v: Role-Neuro-NuraMekel
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-Neuro-NuraMekel Profile: US Core PractitionerRole Profileversion: null8.0.1) active: true practitioner: Nura Mekel organization: Neuro Care Inc. code: Neurology Physician location: Location Neuro Care Inc. telecom: ph: (210) 555 5555
active:
  v: true
practitioner:
  l: Example-NuraMekel
  reference:
    v: Practitioner/Example-NuraMekel
  display:
    v: Nura Mekel
organization:
  l: org-Neuro-Care-Inc
  reference:
    v: Organization/org-Neuro-Care-Inc
  display:
    v: Neuro Care Inc.
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 2084N0400X
    display:
      v: Neurology Physician
location:
  l: org-Loc-Neuro-Care-Inc
  reference:
    v: Location/org-Loc-Neuro-Care-Inc
telecom:
  system:
    v: phone
  value:
    v: (210) 555 5555

Role-OT-JenCadbury
type: PractitionerRole
id:
  v: Role-OT-JenCadbury
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-OT-JenCadbury Profile: US Core PractitionerRole Profileversion: null8.0.1) active: true practitioner: Jen Cadbury organization: Happy Nursing Facility code: Occupational Therapist location: Location Happy Nursing Facility telecom: ph: (210) 555 1871
active:
  v: true
practitioner:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Jen Cadbury
organization:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 225X00000X
    display:
      v: Occupational Therapist
location:
  l: org-Loc-SNF-Happy-Nursing-Facility
  reference:
    v: Location/org-Loc-SNF-Happy-Nursing-Facility
telecom:
  system:
    v: phone
  value:
    v: (210) 555 1871

Role-SNFDoc-GeraldPark
type: PractitionerRole
id:
  v: Role-SNFDoc-GeraldPark
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-SNFDoc-GeraldPark Profile: US Core PractitionerRole Profileversion: null8.0.1) active: true practitioner: Gerald Park organization: Happy Nursing Facility code: Geriatric Medicine (Family Medicine) Physician location: Location Happy Nursing Facility telecom: ph: (555) 566 3494
active:
  v: true
practitioner:
  l: Example-GeraldPark
  reference:
    v: Practitioner/Example-GeraldPark
  display:
    v: Gerald Park
organization:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 207QG0300X
    display:
      v: Geriatric Medicine (Family Medicine) Physician
location:
  l: org-Loc-SNF-Happy-Nursing-Facility
  reference:
    v: Location/org-Loc-SNF-Happy-Nursing-Facility
telecom:
  system:
    v: phone
  value:
    v: (555) 566 3494

v: nilknown

title:
  v: List of medications prescribed for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/10160-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10160-0
text:
  status:
    v: additional
  div:
    v: List of medications prescribed for Betsy Smith-Johnson
entry:
  l: BSJ-SMPMedList
  reference:
    v: List/BSJ-SMPMedList

title:
  v: Discharge care plan for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/18776-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18776-5
text:
  status:
    v: additional
  div:
    v: Discharge care plan for Betsy Smith-Johnson
entry:
  l: BSJ-SNFDischargeCarePlan
  reference:
    v: CarePlan/BSJ-SNFDischargeCarePlan

title:
  v: List of problem conditions and observations for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/11450-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11450-4
text:
  status:
    v: additional
  div:
    v: List of problem conditions and observations for Betsy Smith-Johnson
entry:
  l: BSJ-AnemiaDiagnosis
  reference:
    v: Condition/BSJ-AnemiaDiagnosis
entry:
  l: BSJ-ConstipationDiagnosis
  reference:
    v: Condition/BSJ-ConstipationDiagnosis
entry:
  l: BSJ-DepressionDiagnosis
  reference:
    v: Condition/BSJ-DepressionDiagnosis
entry:
  l: BSJ-DiabetesDiagnosis
  reference:
    v: Condition/BSJ-DiabetesDiagnosis
entry:
  l: BSJ-DressingConcern
  reference:
    v: Condition/BSJ-DressingConcern
entry:
  l: BSJ-HeartDiseaseDiagnosis
  reference:
    v: Condition/BSJ-HeartDiseaseDiagnosis
entry:
  l: BSJ-HemiparesisDiagnosis
  reference:
    v: Condition/BSJ-HemiparesisDiagnosis
entry:
  l: BSJ-HyperlipidemiaDiagnosis
  reference:
    v: Condition/BSJ-HyperlipidemiaDiagnosis
entry:
  l: BSJ-HypertensionDiagnosis
  reference:
    v: Condition/BSJ-HypertensionDiagnosis
entry:
  l: BSJ-KidneyDiseaseDiagnosis
  reference:
    v: Condition/BSJ-KidneyDiseaseDiagnosis
entry:
  l: BSJ-NauseaAndVomiting
  reference:
    v: Condition/BSJ-NauseaAndVomiting
entry:
  l: BSJ-NeuropathyDiagnosis
  reference:
    v: Condition/BSJ-NeuropathyDiagnosis
entry:
  l: BSJ-StrokeDiagnosis
  reference:
    v: Condition/BSJ-StrokeDiagnosis
entry:
  l: BSJ-UndressingConcern
  reference:
    v: Condition/BSJ-UndressingConcern
entry:
  l: OT-ProblemList-Decondition
  reference:
    v: Condition/OT-ProblemList-Decondition
entry:
  l: OT-ProblemList-RightWeak
  reference:
    v: Condition/OT-ProblemList-RightWeak

title:
  v: List of procedures prescribed for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/47519-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 47519-4
text:
  status:
    v: additional
  div:
    v: List of procedures prescribed for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown

title:
  v: Reason for referring Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/42349-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 42349-1
text:
  status:
    v: additional
  div:
    v: Reason for referring Betsy Smith-Johnson
entry:
  l: BSJ-Encounter
  reference:
    v: Encounter/BSJ-Encounter

title:
  v: List of test results for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/30954-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 30954-2
text:
  status:
    v: additional
  div:
    v: List of test results for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown

title:
  v: Social history for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/29762-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29762-2
text:
  status:
    v: additional
  div:
    v: Social history for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown

title:
  v: Vital signs for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/8716-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8716-3
text:
  status:
    v: additional
  div:
    v: Vital signs for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown