Virtually Healthcare HL7 FHIR R4 Implementation Guide
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Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

: Bundle `Document` - Referral Letter - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "FHIRDocumentEOLCCarePlanBundle"] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:oid:2.16.724.4.8.10.200.10"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1d7155e8-b5b8-4406-adda-01a474d5ff6c" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2024-10-13T10:33:00+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80> )
  ] ) . # 

<urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d> a fhir:Composition ;
  fhir:id [ fhir:v "Composition-ReferralLetter-JackDawkins"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_Composition-ReferralLetter-JackDawkins\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition Composition-ReferralLetter-JackDawkins</b></p><a name=\"Composition-ReferralLetter-JackDawkins\"> </a><a name=\"hcComposition-ReferralLetter-JackDawkins\"> </a><a name=\"Composition-ReferralLetter-JackDawkins-en-GB\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 25611000000107}\">Referral letter</span></p><p><b>date</b>: 2024-10-13 10:33:00+0000</p><p><b>author</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.15-pre-release&amp;canonical=https://fhir.virtually.healthcare/Device/TransformationService\">Example NHS Trust Transformation Service</a></p><p><b>title</b>: Composition Referral Letter Jack Dawkins</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a sct:25611000000107 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "25611000000107" ] ;
fhir:display [ fhir:v "Referral letter" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9912003888" ]     ] ;
fhir:display [ fhir:v "Jack DAWKINS" ]
  ] ; # 
  fhir:date [ fhir:v "2024-10-13T10:33:00+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:link <https://fhir.virtually.healthcare/Device/TransformationService> ;
fhir:reference [ fhir:v "https://fhir.virtually.healthcare/Device/TransformationService" ] ;
fhir:display [ fhir:v "Example NHS Trust Transformation Service" ]
  ] ) ; # 
  fhir:title [ fhir:v "Composition Referral Letter Jack Dawkins"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Problems" ] ;
fhir:code [
      ( fhir:coding [
a loinc:57852-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "57852-6" ] ;
fhir:display [ fhir:v "Problem list Narrative - Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Dyspnoea</li></ul></div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80" ]     ] )
  ] [
fhir:title [ fhir:v "Medication Summary" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10160-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10160-0" ] ;
fhir:display [ fhir:v "History of Medication use Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Aspirin</li></ul></div>"     ]
  ] [
fhir:title [ fhir:v "Allergies and Intolerances" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Nil</li></ul></div>"     ]
  ] [
fhir:title [ fhir:v "Advance Directives" ] ;
fhir:code [
      ( fhir:coding [
a loinc:42348-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "42348-3" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Nil</li></ul></div>"     ]
  ] [
fhir:title [ fhir:v "Individual Requirements" ] ;
fhir:code [
      ( fhir:coding [
a loinc:69730-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "69730-0" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Nil</li></ul></div>"     ]
  ] [
fhir:title [ fhir:v "Results" ] ;
fhir:code [
      ( fhir:coding [
a loinc:18776-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18776-5" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Nil</li></ul></div>"     ]
  ] ) . # 

<urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd> a fhir:Patient ;
  fhir:id [ fhir:v "Patient-JackDawkins-9912003888"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-JackDawkins-9912003888\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-JackDawkins-9912003888</b></p><a name=\"Patient-JackDawkins-9912003888\"> </a><a name=\"hcPatient-JackDawkins-9912003888\"> </a><a name=\"Patient-JackDawkins-9912003888-en-GB\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jack DAWKINS (official) Male, DoB: 1937-10-02 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>National Health Plan Identifier/9912003888 (use: official, )</li><li>Medical record number/633</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Leodis LA19 5YN (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>"
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NH" ]       ] )     ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9912003888" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "X24" ]       ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:system [ fhir:v "https://hospitalpas.example.nhs.uk/Id/MRN"^^xsd:anyURI ] ;
fhir:value [ fhir:v "A12356565" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "RW1" ]       ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:system [ fhir:v "https://gpsupplier.example.nhs.uk/Id/MRN"^^xsd:anyURI ] ;
fhir:value [ fhir:v "633" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "YHMS" ]       ]     ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "DAWKINS" ] ;
    ( fhir:given [ fhir:v "Jack" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [ fhir:v "1937-10-02"^^xsd:date] ; # 
  fhir:address ( [
fhir:use [ fhir:v "home" ] ;
fhir:type [ fhir:v "both" ] ;
fhir:city [ fhir:v "Leodis" ] ;
fhir:postalCode [ fhir:v "LA19 5YN" ]
  ] ) ; # 
  fhir:contact ( [
fhir:name [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "DAWKINS" ] ;
      ( fhir:given [ fhir:v "Bob" ] )     ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "077021231231" ] ;
fhir:use [ fhir:v "mobile" ]     ] )
  ] ) . # 

<urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80> a fhir:Condition ;
  fhir:id [ fhir:v "Condition-Dyspnoea-9912003888"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_Condition-Dyspnoea-9912003888\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition Condition-Dyspnoea-9912003888</b></p><a name=\"Condition-Dyspnoea-9912003888\"> </a><a name=\"hcCondition-Dyspnoea-9912003888\"> </a><a name=\"Condition-Dyspnoea-9912003888-en-GB\"> </a><p><b>identifier</b>: <code>https://tools.ietf.org/html/rfc4122</code>/71fae5af-0b9e-4b9e-b6af-3d1bb4e223a0</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 267036007}\">Dyspnoea</span></p><p><b>subject</b>: Jack DAWKINS (Identifier: <code>https://fhir.nhs.uk/Id/nhs-number</code>/9912003888)</p><p><b>onset</b>: 2018-08-20</p><p><b>asserter</b>: Dr Samuel Darwin (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C3456789)</p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://tools.ietf.org/html/rfc4122"^^xsd:anyURI ] ;
fhir:value [ fhir:v "71fae5af-0b9e-4b9e-b6af-3d1bb4e223a0" ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ]     ] )
  ] ; # 
  fhir:severity [
    ( fhir:coding [
a sct:24484000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "24484000" ] ;
fhir:display [ fhir:v "Severe" ]     ] )
  ] ; # 
  fhir:code [
    ( fhir:coding [
a sct:267036007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "267036007" ] ;
fhir:display [ fhir:v "Dyspnoea" ]     ] )
  ] ; # 
  fhir:subject [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9912003888" ]     ] ;
fhir:display [ fhir:v "Jack DAWKINS" ]
  ] ; # 
  fhir:onset [ fhir:v "2018-08-20"^^xsd:date] ; # 
  fhir:asserter [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.hl7.org.uk/Id/gmc-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "C3456789" ]     ] ;
fhir:display [ fhir:v "Dr Samuel Darwin" ]
  ] . #