{ "resourceType" : "Bundle", "id" : "us-ph-document-bundle-example", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"] }, "language" : "en", "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda53b" }, "type" : "document", "timestamp" : "2022-06-02T22:13:23Z", "entry" : [{ "fullUrl" : "http://example.org/fhir/Composition/us-ph-composition-example", "resource" : { "resourceType" : "Composition", "id" : "us-ph-composition-example", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-composition"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Composition us-ph-composition-example

Profile: US Public Health Composition

Extension Definition for Composition.version for Version 5.0: 1

Information Recipient Extension

US Public Health Initiation Reason Extension: Suspicion of Zika

identifier: c03eab8c-11e8-4d0c-ad2a-b385395e27db

status: Final

type: Public Health Case Report

category: Clinical note

encounter: Ambulatory Office Visit

date: 2018-01-02 22:13:23+0000

author: Henry Seven, MD

title: US Public Health Composition Example

custodian: Salem Medical Center

" }, "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version", "valueString" : "1" }, { "extension" : [{ "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "PRCP", "display" : "primary information recipient" }] } }, { "url" : "party", "valueReference" : { "reference" : "PractitionerRole/us-ph-practitionerrole-henry-seven" } }], "url" : "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension" }, { "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-initiation-reason-extension", "valueString" : "Suspicion of Zika" }], "identifier" : { "value" : "c03eab8c-11e8-4d0c-ad2a-b385395e27db" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "55751-2", "display" : "Public Health Case Report" }] }, "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "107903-7", "display" : "Clinical note" }], "text" : "Clinical note" }], "subject" : { "reference" : "Patient/us-ph-patient-eve-everywoman", "display" : "Eve Everywoman" }, "encounter" : { "reference" : "Encounter/us-ph-encounter-eve-everywoman-outpatient", "display" : "Ambulatory Office Visit" }, "date" : "2018-01-02T22:13:23Z", "author" : [{ "reference" : "PractitionerRole/us-ph-practitionerrole-henry-seven", "display" : "Henry Seven, MD" }], "title" : "US Public Health Composition Example", "custodian" : { "reference" : "Organization/us-ph-organization-salem-medical-center", "display" : "Salem Medical Center" }, "section" : [{ "title" : "History of Present Illness Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10164-2", "display" : "History of Present illness Narrative" }] }, "text" : { "status" : "generated", "div" : "
title
History of Present Illness Section
code
Persistent Cough REPORTED starting on 2018/03/05
Whooping Respiration not reported
Paroxysms Of Coughing REPORTED starting on 2018/03/06
Post-tussive vomiting not reported
" } }, { "title" : "Reason for Visit Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29299-5", "display" : "Reason for visit Narrative" }] }, "text" : { "status" : "generated", "div" : "
title
Reason for Visit Section
code

Reason for Visit: Bad cough

" } }, { "title" : "Chief Complaint", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10154-3", "display" : "Chief complaint Narrative - Reported" }] }, "text" : { "status" : "generated", "div" : "
title
Chief complaint Narrative - Reported
code

Chief Complaint: Bad cough

" } }] } }, { "fullUrl" : "http://example.org/fhir/Encounter/us-ph-encounter-eve-everywoman-outpatient", "resource" : { "resourceType" : "Encounter", "id" : "us-ph-encounter-eve-everywoman-outpatient", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-encounter"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter us-ph-encounter-eve-everywoman-outpatient

Profile: US Public Health Encounter

identifier: http://example.org/hospital-smarthealthit/9937012

status: Finished

class: ActCode: AMB (ambulatory)

type: Office Visit

subject: Eve Everywoman

Participants

-TypeIndividual
*attenderHenry Seven, MD

period: 2018-04-01 10:00:00-0500 --> 2018-04-02 10:15:00-0500

Diagnoses

-ConditionUse
*Condition Diabetes mellitus (disorder)Chief complaint

Locations

-Location
*Clinic Bldg A, Salem Medical Center, 4444 Healthcare Drive, Ann Arbor MI, 99999

serviceProvider: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999

" }, "identifier" : [{ "system" : "http://example.org/hospital-smarthealthit", "value" : "9937012" }], "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "ambulatory" }, "type" : [{ "coding" : [{ "system" : "http://www.ama-assn.org/go/cpt", "code" : "99202" }], "text" : "Office Visit" }], "subject" : { "reference" : "Patient/us-ph-patient-eve-everywoman", "display" : "Eve Everywoman" }, "participant" : [{ "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ATND", "display" : "attender" }] }], "individual" : { "reference" : "PractitionerRole/us-ph-practitionerrole-henry-seven", "display" : "Henry Seven, MD" } }], "period" : { "start" : "2018-04-01T10:00:00-05:00", "end" : "2018-04-02T10:15:00-05:00" }, "diagnosis" : [{ "condition" : { "reference" : "Condition/us-ph-condition-encounter-diagnosis-diabetes" }, "use" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code" : "CC" }] } }], "location" : [{ "location" : { "reference" : "Location/us-ph-location-salem-medical-center", "display" : "Clinic Bldg A, Salem Medical Center, 4444 Healthcare Drive, Ann Arbor MI, 99999" } }], "serviceProvider" : { "reference" : "Organization/us-ph-organization-salem-medical-center", "display" : "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999" } } }, { "fullUrl" : "http://example.org/fhir/PractitionerRole/us-ph-practitionerrole-henry-seven", "resource" : { "resourceType" : "PractitionerRole", "id" : "us-ph-practitionerrole-henry-seven", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-practitionerrole"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole us-ph-practitionerrole-henry-seven

Profile: US Public Health PractitionerRole

practitioner: Henry Seven, MD

organization: Salem Medical Center

code: Primary Care Clinic/Center

specialty: Family practice

location: Salem Medical Center

telecom: henry.seven@example.org

" }, "practitioner" : { "reference" : "Practitioner/us-core-practitioner-henry-seven", "display" : "Henry Seven, MD" }, "organization" : { "reference" : "Organization/us-ph-organization-salem-medical-center", "display" : "Salem Medical Center" }, "code" : [{ "coding" : [{ "system" : "http://nucc.org/provider-taxonomy", "code" : "261QP2300X", "display" : "Primary Care Clinic/Center" }] }], "specialty" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419772000", "display" : "Family practice" }] }], "location" : [{ "reference" : "Location/us-ph-location-salem-medical-center", "display" : "Salem Medical Center" }], "telecom" : [{ "system" : "email", "value" : "henry.seven@example.org" }] } }, { "fullUrl" : "http://example.org/fhir/Patient/us-ph-patient-eve-everywoman", "resource" : { "resourceType" : "Patient", "id" : "us-ph-patient-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient us-ph-patient-eve-everywoman

Profile: US Public Health Patient

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))

Active:trueDeceased:false
Contact Detail
Language:English
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
  • isEnrolled: true
" }, "extension" : [{ "extension" : [{ "url" : "text", "valueString" : "White" }, { "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2106-3", "display" : "White" } }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "extension" : [{ "url" : "text", "valueString" : "Not Hispanic or Latino" }, { "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2186-5", "display" : "Not Hispanic or Latino" } }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }, { "extension" : [{ "url" : "tribalAffiliation", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS", "code" : "91", "display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada" }] } }, { "url" : "isEnrolled", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical Record Number" }] }, "system" : "http://example.org/hospital-smarthealthit", "value" : "1032702" }], "active" : true, "name" : [{ "family" : "Everywoman", "given" : ["Eve", "L"] }], "telecom" : [{ "system" : "phone", "value" : "1-(404)555-1212", "use" : "home" }, { "system" : "email", "value" : "eve.everywoman@example.org" }], "gender" : "female", "birthDate" : "1974-11-24", "deceasedBoolean" : false, "address" : [{ "line" : ["2222 Home Street"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999", "country" : "US" }], "communication" : [{ "language" : { "coding" : [{ "system" : "urn:ietf:bcp:47", "code" : "en", "display" : "English" }] } }] } }, { "fullUrl" : "http://example.org/fhir/Location/us-ph-location-salem-medical-center", "resource" : { "resourceType" : "Location", "id" : "us-ph-location-salem-medical-center", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-location"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Location us-ph-location-salem-medical-center

Profile: US Public Health Location

identifier: United States National Provider Identifier/1063494177

status: Active

name: Clinic Bldg A, Salem Medical Center

type: Hospital

telecom: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, mail@smc.org

address: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999

managingOrganization: Organization Salem Medical Center

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1063494177" }], "status" : "active", "name" : "Clinic Bldg A, Salem Medical Center", "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "HOSP", "display" : "Hospital" }] }], "telecom" : [{ "system" : "phone", "value" : "(+1) (555)555-3001" }, { "system" : "fax", "value" : "(+1) (555)555-3002" }, { "system" : "email", "value" : "mail@smc.org" }], "address" : { "line" : ["Clinic Bldg A", "4444 Healthcare Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999" }, "managingOrganization" : { "reference" : "Organization/us-ph-organization-salem-medical-center" } } }, { "fullUrl" : "http://example.org/fhir/Practitioner/us-core-practitioner-henry-seven", "resource" : { "resourceType" : "Practitioner", "id" : "us-core-practitioner-henry-seven", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner us-core-practitioner-henry-seven

Profile: US Core Practitioner Profile

identifier: United States National Provider Identifier/9941339100

name: Seven Henry

telecom: henry.seven@example.org

address: 1002 Healthcare Drive Ann Arbor MI 99999 US

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9941339100" }], "name" : [{ "family" : "Henry", "given" : ["Seven"], "suffix" : ["M.D."] }], "telecom" : [{ "system" : "email", "value" : "henry.seven@example.org" }], "address" : [{ "line" : ["1002 Healthcare Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/Condition/us-ph-condition-encounter-diagnosis-diabetes", "resource" : { "resourceType" : "Condition", "id" : "us-ph-condition-encounter-diagnosis-diabetes", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition us-ph-condition-encounter-diagnosis-diabetes

Profile: US Public Health Condition Encounter Diagnosis

category: Encounter Diagnosis

code: Diabetes mellitus (disorder)

subject: Eve Everywoman

onset: 2017-08-23

asserter: Henry Seven, MD

" }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "73211009", "display" : "Diabetes mellitus (disorder)" }] }, "subject" : { "reference" : "Patient/us-ph-patient-eve-everywoman", "display" : "Eve Everywoman" }, "onsetDateTime" : "2017-08-23", "asserter" : { "reference" : "Practitioner/us-core-practitioner-henry-seven", "display" : "Henry Seven, MD" } } }, { "fullUrl" : "http://example.org/fhir/Organization/us-ph-organization-salem-medical-center", "resource" : { "resourceType" : "Organization", "id" : "us-ph-organization-salem-medical-center", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization us-ph-organization-salem-medical-center

Profile: US Public Health Organization

identifier: United States National Provider Identifier/1407071236

active: true

name: Salem Medical Center

telecom: +1-555-555-1111, mail@salemmedicalcenter.com

address: 22222 Health Authority Drive Ann Arbor MI 99999

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1407071236" }], "active" : true, "name" : "Salem Medical Center", "telecom" : [{ "system" : "phone", "value" : "+1-555-555-1111" }, { "system" : "email", "value" : "mail@salemmedicalcenter.com" }], "address" : [{ "line" : ["22222 Health Authority Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999" }] } }] }