{ "resourceType" : "Bundle", "id" : "ex-fhir-document-bundle", "meta" : { "lastUpdated" : "2013-05-28T22:12:21Z" }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" }, "type" : "document", "timestamp" : "2013-05-28T22:12:21Z", "entry" : [{ "fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57", "resource" : { "resourceType" : "Composition", "id" : "180f219f-97a8-486d-99d9-ed631fe4fc57", "meta" : { "lastUpdated" : "2013-05-28T22:12:21Z" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Composition 180f219f-97a8-486d-99d9-ed631fe4fc57

Last updated: 2013-05-28 22:12:21+0000

status: Final

type: Discharge Summary from Responsible Clinician

encounter: Encounter: identifier = http://www.example.org/encounters#S100; status = completed; class = inpatient encounter; type = ; actualPeriod = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000

date: 2013-02-01 12:30:02+0000

author: Practitioner Adam Careful

title: Discharge Summary

" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "28655-9" }], "text" : "Discharge Summary from Responsible Clinician" }, "subject" : [{ "reference" : "Patient/fdoc-patient" }], "encounter" : { "reference" : "Encounter/fdoc-encounter" }, "date" : "2013-02-01T12:30:02Z", "author" : [{ "reference" : "Practitioner/fdoc-practitioner" }], "title" : "Discharge Summary", "section" : [{ "title" : "Reason for admission", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29299-5", "display" : "Reason for visit Narrative" }] }, "text" : { "status" : "additional", "div" : "
Details
Acute Asthmatic attack. Was wheezing for days prior to admission.
" }, "entry" : [{ "reference" : "Observation/fdoc-observation" }] }, { "title" : "Medications on Discharge", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10183-2", "display" : "Hospital discharge medications Narrative" }] }, "text" : { "status" : "additional", "div" : "
MedicationLast ChangeLast ChangeReason
Theophylline 200mg BD after mealscontinued
Ventolin InhalerstoppedGetting side effect of tremor
" }, "entry" : [{ "reference" : "MedicationRequest/fdoc-medicationrequest" }, { "reference" : "MedicationStatement/fdoc-medicationstatement" }] }, { "title" : "Known allergies", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "48765-2", "display" : "Allergies and adverse reactions Document" }] }, "text" : { "status" : "additional", "div" : "
AllergenReaction
DoxycyclineHives
" }, "entry" : [{ "reference" : "AllergyIntolerance/fdoc-allergyintolerance" }] }] } }, { "fullUrl" : "http://example.org/fhir/Practitioner/fdoc-practitioner", "resource" : { "resourceType" : "Practitioner", "id" : "fdoc-practitioner", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner fdoc-practitioner

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

name: Adam Careful

" }, "identifier" : [{ "system" : "http://www.acme.org/practitioners", "value" : "23" }], "name" : [{ "family" : "Careful", "given" : ["Adam"], "prefix" : ["Dr"] }] } }, { "fullUrl" : "http://example.org/fhir/Patient/fdoc-patient", "resource" : { "resourceType" : "Patient", "id" : "fdoc-patient", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient fdoc-patient

Eve Everywoman Female, DoB: 1955-01-06

Active:true
Contact Detail
  • ph: 555-555-2003(Work)
  • 2222 Home Street (home)
" }, "active" : true, "name" : [{ "text" : "Eve Everywoman", "family" : "Everywoman1", "given" : ["Eve"] }], "telecom" : [{ "system" : "phone", "value" : "555-555-2003", "use" : "work" }], "gender" : "female", "birthDate" : "1955-01-06", "address" : [{ "use" : "home", "line" : ["2222 Home Street"] }] } }, { "fullUrl" : "http://example.org/fhir/Encounter/fdoc-encounter", "resource" : { "resourceType" : "Encounter", "id" : "fdoc-encounter", "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter fdoc-encounter

identifier: http://www.example.org/encounters/S100

status: Completed

class: inpatient encounter

type: Orthopedic Admission

subject: Eve Everywoman Female, DoB: 1955-01-06

actualPeriod: 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000

Admissions

-DischargeDisposition
*Discharged to care of GP
" }, "identifier" : [{ "system" : "http://www.example.org/encounters", "value" : "S100" }], "status" : "completed", "class" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }] }], "type" : [{ "text" : "Orthopedic Admission" }], "subject" : { "reference" : "Patient/fdoc-patient" }, "actualPeriod" : { "start" : "2013-01-20T12:30:02Z", "end" : "2013-02-01T12:30:02Z" }, "admission" : { "dischargeDisposition" : { "text" : "Discharged to care of GP" } } } }, { "fullUrl" : "http://example.org/fhir/Observation/fdoc-observation", "resource" : { "resourceType" : "Observation", "id" : "fdoc-observation", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation fdoc-observation

status: Final

code: Reason for admission

subject: Eve Everywoman Female, DoB: 1955-01-06

encounter: Encounter: identifier = http://www.example.org/encounters#S100; status = completed; class = inpatient encounter; type = ; actualPeriod = 2013-01-20 12:30:02+0000 --> 2013-02-01 12:30:02+0000

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

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "46241-6" }], "text" : "Reason for admission" }, "subject" : { "reference" : "Patient/fdoc-patient" }, "encounter" : { "reference" : "Encounter/fdoc-encounter" }, "valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission." } }, { "fullUrl" : "http://example.org/fhir/MedicationRequest/fdoc-medicationrequest", "resource" : { "resourceType" : "MedicationRequest", "id" : "fdoc-medicationrequest", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest fdoc-medicationrequest

status: Unknown

intent: Order

Medications

-Concept
*Theophylline 200mg

subject: Eve Everywoman Female, DoB: 1955-01-06

requester: Practitioner Adam Careful

Reasons

-Concept
*Management of Asthma

dosageInstruction

additionalInstruction: Take with Food

timing: 2 per 1 day

route: oral administration of treatment

DoseAndRates

-TypeDose[x]
*Ordered1 tablet (Details: Orderable Drug Form codeTAB = 'Tablet')
" }, "status" : "unknown", "intent" : "order", "medication" : { "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "66493003" }], "text" : "Theophylline 200mg" } }, "subject" : { "reference" : "Patient/fdoc-patient" }, "requester" : { "reference" : "Practitioner/fdoc-practitioner" }, "reason" : [{ "concept" : { "text" : "Management of Asthma" } }], "dosageInstruction" : [{ "additionalInstruction" : [{ "text" : "Take with Food" }], "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "394899003", "display" : "oral administration of treatment" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 1, "unit" : "tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }] }] } }, { "fullUrl" : "http://example.org/fhir/MedicationStatement/fdoc-medicationstatement", "resource" : { "resourceType" : "MedicationStatement", "id" : "fdoc-medicationstatement", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationStatement fdoc-medicationstatement

status: Recorded

Medications

-Concept
*Ventolin Inhaler

subject: Eve Everywoman Female, DoB: 1955-01-06

dateAsserted: 2013-05-05 16:13:03+0000

Reasons

-Concept
*Management of Asthma
" }, "status" : "recorded", "medication" : { "concept" : { "text" : "Ventolin Inhaler" } }, "subject" : { "reference" : "Patient/fdoc-patient" }, "dateAsserted" : "2013-05-05T16:13:03Z", "reason" : [{ "concept" : { "text" : "Management of Asthma" } }] } }, { "fullUrl" : "http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "fdoc-allergyintolerance", "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance fdoc-allergyintolerance

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

criticality: High Risk

code: Doxycycline

patient: Eve Everywoman Female, DoB: 1955-01-06

recordedDate: 2012-09-17

reaction

Manifestations

-Concept
*Hives
" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code" : "confirmed", "display" : "Confirmed" }] }, "type" : { "coding" : [{ "system" : "http://hl7.org/fhir/allergy-intolerance-type", "code" : "allergy" }] }, "criticality" : "high", "code" : { "text" : "Doxycycline" }, "patient" : { "reference" : "Patient/fdoc-patient" }, "recordedDate" : "2012-09-17", "reaction" : [{ "manifestation" : [{ "concept" : { "text" : "Hives" } }] }] } }] }