<creation value="2013-05-28T22:12:21Z"/> </attachment> <format> <system value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/> <code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/> </format> </content> <context> <encounter> <identifier> <system value="https://www.example.org/encounters"/> <value value="S100"/> </identifier> </encounter> <facilityType> <coding> <system value="http://snomed.info/sct"/> <code value="82242000"/> </coding> </facilityType> <practiceSetting> <coding> <system value="http://snomed.info/sct"/> <code value="408467006"/> </coding> </practiceSetting> <sourcePatientInfo> <reference value="#aaaaaaaa-bbbb-cccc-dddd-e00888800004"/> </sourcePatientInfo> </context> </DocumentReference> </resource> <request> <method value="POST"/> <url value="DocumentReference"/> </request> </entry> <entry> <fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003"/> <resource> <Bundle> <id value="ex-fhir-document-bundle"/> <meta> <lastUpdated value="2013-05-28T22:12:21Z"/> </meta> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/> </identifier> <type value="document"/> <timestamp value="2013-05-28T22:12:21Z"/> <entry> <fullUrl value="http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"/> <resource> <Composition> <id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/> <meta> <lastUpdated value="2013-05-28T22:12:21Z"/> </meta> <status value="final"/> <type> <coding> <system value="http://loinc.org"/> <code value="28655-9"/> </coding> <text value="Discharge Summary from Responsible Clinician"/> </type> <subject> <reference value="Patient/fdoc-patient"/> </subject> <encounter> <reference value="Encounter/fdoc-encounter"/> </encounter> <date value="2013-02-01T12:30:02Z"/> <author> <reference value="Practitioner/fdoc-practitioner"/> </author> <title value="Discharge Summary"/> <section> <title value="Reason for admission"/> <code> <coding> <system value="http://loinc.org"/> <code value="29299-5"/> <display value="Reason for visit Narrative"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><td>Details</td><td/></tr></thead><tbody><tr><td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td><td/></tr></tbody></table></div> </text> <entry> <reference value="Observation/fdoc-observation"/> </entry> </section> <section> <title value="Medications on Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="10183-2"/> <display value="Hospital discharge medications Narrative"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><td>Medication</td><td>Last Change</td><td>Last ChangeReason</td></tr></thead><tbody><tr><td>Theophylline 200mg BD after meals</td><td>continued</td></tr><tr><td>Ventolin Inhaler</td><td>stopped</td><td>Getting side effect of tremor</td></tr></tbody></table></div> </text> <entry> <reference value="MedicationRequest/fdoc-medicationrequest"/> </entry> <entry> <reference value="MedicationStatement/fdoc-medicationstatement"/> </entry> </section> <section> <title value="Known allergies"/> <code> <coding> <system value="http://loinc.org"/> <code value="48765-2"/> <display value="Allergies and adverse reactions Document"/> </coding> </code> <text> <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><td>Allergen</td><td>Reaction</td></tr></thead><tbody><tr><td>Doxycycline</td><td>Hives</td></tr></tbody></table></div> </text> <entry> <reference value="AllergyIntolerance/fdoc-allergyintolerance"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Practitioner/fdoc-practitioner"/> <resource> <Practitioner> <id value="fdoc-practitioner"/> <identifier> <system value="http://www.acme.org/practitioners"/> <value value="23"/> </identifier> <name> <family value="Careful"/> <given value="Adam"/> <prefix value="Dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Patient/fdoc-patient"/> <resource> <Patient> <id value="fdoc-patient"/> <active value="true"/> <name> <text value="Eve Everywoman"/> <family value="Everywoman1"/> <given value="Eve"/> </name> <telecom> <system value="phone"/> <value value="555-555-2003"/> <use value="work"/> </telecom> <gender value="female"/> <birthDate value="1955-01-06"/> <address> <use value="home"/> <line value="2222 Home Street"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Encounter/fdoc-encounter"/> <resource> <Encounter> <id value="fdoc-encounter"/> <identifier> <system value="http://www.example.org/encounters"/> <value value="S100"/> </identifier> <status value="finished"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> <display value="inpatient encounter"/> </class> <type> <text value="Orthopedic Admission"/> </type> <subject> <reference value="Patient/fdoc-patient"/> </subject> <period> <start value="2013-01-20T12:30:02Z"/> <end value="2013-02-01T12:30:02Z"/> </period> <hospitalization> <dischargeDisposition> <text value="Discharged to care of GP"/> </dischargeDisposition> </hospitalization> </Encounter> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/Observation/fdoc-observation"/> <resource> <Observation> <id value="fdoc-observation"/> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="46241-6"/> </coding> <text value="Reason for admission"/> </code> <subject> <reference value="Patient/fdoc-patient"/> </subject> <encounter> <reference value="Encounter/fdoc-encounter"/> </encounter> <valueString value="Acute Asthmatic attack. Was wheezing for days prior to admission."/> </Observation> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/MedicationRequest/fdoc-medicationrequest"/> <resource> <MedicationRequest> <id value="fdoc-medicationrequest"/> <status value="unknown"/> <intent value="order"/> <medicationCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="66493003"/> </coding> <text value="Theophylline 200mg"/> </medicationCodeableConcept> <subject> <reference value="Patient/fdoc-patient"/> </subject> <requester> <reference value="Practitioner/fdoc-practitioner"/> </requester> <reasonCode> <text value="Management of Asthma"/> </reasonCode> <dosageInstruction> <additionalInstruction> <text value="Take with Food"/> </additionalInstruction> <timing> <repeat> <frequency value="2"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <route> <coding> <system value="http://snomed.info/sct"/> <code value="394899003"/> <display value="oral administration of treatment"/> </coding> </route> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="ordered"/> <display value="Ordered"/> </coding> </type> <doseQuantity> <value value="1"/> <unit value="tablet"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </doseQuantity> </doseAndRate> </dosageInstruction> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/MedicationStatement/fdoc-medicationstatement"/> <resource> <MedicationStatement> <id value="fdoc-medicationstatement"/> <status value="active"/> <statusReason> <text value="Management of Asthma"/> </statusReason> <medicationCodeableConcept> <text value="Ventolin Inhaler"/> </medicationCodeableConcept> <subject> <reference value="Patient/fdoc-patient"/> </subject> <dateAsserted value="2013-05-05T16:13:03Z"/> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance"/> <resource> <AllergyIntolerance> <id value="fdoc-allergyintolerance"/> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> <display value="Active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> <display value="Confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <criticality value="high"/> <code> <text value="Doxycycline"/> </code> <patient> <reference value="Patient/fdoc-patient"/> </patient> <recordedDate value="2012-09-17"/> <reaction> <manifestation> <text value="Hives"/> </manifestation> </reaction> </AllergyIntolerance> </resource> </entry> </Bundle> </resource> <request> <method value="POST"/> <url value="Bundle"/> </request> </entry> </Bundle>

Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-dddd-e00888800002

Profile: MHD DocumentReference Comprehensive

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

identifier: Identifier type for XDS UniqueId/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0, Identifier type for XDS entryUUID/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d

status: Current

type: Attending Discharge summary

category: History of Immunization note

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

date: 2020-02-01 23:50:50-0500

author: Practitioner Adam Careful

securityLabel: normal

content
Attachments
- ContentType Language Url Title Creation
* application/fhir+json English Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+0000 Discharge Summary from Responsible Clinician 2013-05-28 22:12:21+0000
format: IHE Format Code set for use with Document Sharing: urn:ihe:iti:xds:2017:mimeTypeSufficient (mimeType Sufficient)

Contexts

- Encounter FacilityType PracticeSetting SourcePatientInfo

* Identifier: https://www.example.org/encounters/S100 Children's hospital Adult mental illness - specialty (qualifier value) Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)

Generated Narrative: Practitioner #fdoc-practitioner

identifier: http://www.acme.org/practitioners/23
name: Adam Careful

Generated Narrative: Patient #aaaaaaaa-bbbb-cccc-dddd-e00888800004

Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)

Date: 2004-10-25 23:50:50-0500	Mode: Working List	Status: Current	Code: SubmissionSet as a FHIR List
Subject: Eve Everywoman Female, DoB: 1955-01-06