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

Example Bundle: FHIR Document EMIS IM1 Consultation Note 30 Jun 2002

Document Details

Generated Narrative: Bundle Clinical note

Document Subject

Generated Narrative: Patient b8b8f845-75da-48c5-8b17-8a0a2113d8f8

William Dyer Male, DoB: 1919-05-27 ( Medical record number (use: usual, ))

Active:true
Other Id:National Health Plan Identifier/2939425320 (use: official, )
Contact Detail74 Victoria Street Brockadale Calverley S72
Links:
  • General Practitioner: Identifier: https://fhir.nhs.uk/Id/ods-organization-code/F83004

Document Content

Problem

Congestive heart failure

History

Breathless - mild exertion

Examination

O/E - height, 161 cm

O/E - weight, 70 Kg

Body Mass Index, 27.01

Social

Alcohol consumption, 0 units/week

Enjoys moderate exercise

Comment

In pain

Medication

Ramipril Capsules 10 mg 28 capsule(s) TAKE ONE DAILY

Additional

Beta blocker contraindicated

Salicylate prophylaxis

CHD monitoring

Additional

Blood Pressure 146/72 mmHg

Additional Resources Included in Document

Entry 1 - fullUrl = urn:uuid:4fd2407b-d044-49d7-b9b8-6c4006c897a2

Resource Composition:

Generated Narrative: Composition e119d231-def6-43a7-af40-56d7754977bd

identifier: https://tools.ietf.org/html/rfc4122/4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, )

status: Final

type: Clinical note

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

date: 2002-06-30 00:00:00+0000

author: Mrs Jean Mitchell

title: Clinical note

Entry 2 - fullUrl = urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8

Resource Patient:

Generated Narrative: Patient b8b8f845-75da-48c5-8b17-8a0a2113d8f8

William Dyer Male, DoB: 1919-05-27 ( Medical record number (use: usual, ))

Active:true
Other Id:National Health Plan Identifier/2939425320 (use: official, )
Contact Detail74 Victoria Street Brockadale Calverley S72
Links:
  • General Practitioner: Identifier: https://fhir.nhs.uk/Id/ods-organization-code/F83004

Entry 3 - fullUrl = urn:uuid:0b218a7e-d179-48c9-bf6c-67236009537a

Resource Observation:

Generated Narrative: Observation 0b218a7e-d179-48c9-bf6c-67236009537a

identifier: https://emis.com/Id/Event/DBID/610365 (use: secondary, ), https://emis.com/Id/Event/GUID/0b218a7e-d179-48c9-bf6c-67236009537a (use: usual, )

status: Unknown

category: Exam

code: Congestive heart failure

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

Entry 4 - fullUrl = urn:uuid:b08cd0b8-048b-4dca-9e43-02cdd4ddc3de

Resource Observation:

Generated Narrative: Observation b08cd0b8-048b-4dca-9e43-02cdd4ddc3de

identifier: https://emis.com/Id/Event/DBID/610366 (use: secondary, ), https://emis.com/Id/Event/GUID/b08cd0b8-048b-4dca-9e43-02cdd4ddc3de (use: usual, )

status: Unknown

category: Exam

code: Breathless - mild exertion

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

Entry 5 - fullUrl = urn:uuid:c4cb2c6f-66e0-49e6-bf10-04e087cae2a0

Resource Observation:

Generated Narrative: Observation c4cb2c6f-66e0-49e6-bf10-04e087cae2a0

identifier: https://emis.com/Id/Event/DBID/610367 (use: secondary, ), https://emis.com/Id/Event/GUID/c4cb2c6f-66e0-49e6-bf10-04e087cae2a0 (use: usual, )

status: Unknown

category: Laboratory

code: O/E - height, 161 cm

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

value: 161.0 cm (Details: UCUM codecm = 'cm')

Entry 6 - fullUrl = urn:uuid:609ba048-2eca-43c9-b4a1-85fa695c572c

Resource Observation:

Generated Narrative: Observation 609ba048-2eca-43c9-b4a1-85fa695c572c

identifier: https://emis.com/Id/Event/DBID/610368 (use: secondary, ), https://emis.com/Id/Event/GUID/609ba048-2eca-43c9-b4a1-85fa695c572c (use: usual, )

status: Unknown

category: Vital Signs

code: O/E - weight, 70 Kg

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

value: 70.0 Kg (Details: UCUM codekg = 'kg')

Entry 7 - fullUrl = urn:uuid:574785a1-b8fa-4e45-97c0-a971498396d4

Resource Observation:

Generated Narrative: Observation 574785a1-b8fa-4e45-97c0-a971498396d4

identifier: https://emis.com/Id/Event/DBID/610369 (use: secondary, ), https://emis.com/Id/Event/GUID/574785a1-b8fa-4e45-97c0-a971498396d4 (use: usual, )

status: Unknown

category: Vital Signs

code: Body Mass Index, 27.01

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

value: 27.01

Entry 8 - fullUrl = urn:uuid:829f303a-55c5-402b-bfb8-f8f892b92af6

Resource Observation:

Generated Narrative: Observation 829f303a-55c5-402b-bfb8-f8f892b92af6

identifier: https://emis.com/Id/Event/DBID/610370 (use: secondary, ), https://emis.com/Id/Event/GUID/829f303a-55c5-402b-bfb8-f8f892b92af6 (use: usual, )

status: Unknown

category: Laboratory

code: Alcohol consumption, 0 units/week

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

value: 0.0 units/week (Details: UCUM code/wk = '/wk')

Entry 9 - fullUrl = urn:uuid:f1f7f14b-0da1-4121-a8d4-1db82752cecd

Resource Observation:

Generated Narrative: Observation f1f7f14b-0da1-4121-a8d4-1db82752cecd

identifier: https://emis.com/Id/Event/DBID/610371 (use: secondary, ), https://emis.com/Id/Event/GUID/f1f7f14b-0da1-4121-a8d4-1db82752cecd (use: usual, )

status: Unknown

category: Exam

code: Enjoys moderate exercise

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

Entry 10 - fullUrl = urn:uuid:586be240-ef5b-43ff-9c4d-2b710c5c17fe

Resource Observation:

Generated Narrative: Observation 586be240-ef5b-43ff-9c4d-2b710c5c17fe

identifier: https://emis.com/Id/Event/DBID/610374 (use: secondary, ), https://emis.com/Id/Event/GUID/586be240-ef5b-43ff-9c4d-2b710c5c17fe (use: usual, )

status: Unknown

category: Exam

code: Beta blocker contraindicated

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

Entry 11 - fullUrl = urn:uuid:2660f9e7-d338-4818-82af-f8b40b5ebff1

Resource Observation:

Generated Narrative: Observation 2660f9e7-d338-4818-82af-f8b40b5ebff1

identifier: https://emis.com/Id/Event/DBID/610375 (use: secondary, ), https://emis.com/Id/Event/GUID/2660f9e7-d338-4818-82af-f8b40b5ebff1 (use: usual, )

status: Unknown

category: Exam

code: Salicylate prophylaxis

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

Entry 12 - fullUrl = urn:uuid:be3f4196-dee7-42e4-b384-b230a2433ecf

Resource Observation:

Generated Narrative: Observation be3f4196-dee7-42e4-b384-b230a2433ecf

identifier: https://emis.com/Id/Event/DBID/610376 (use: secondary, ), https://emis.com/Id/Event/GUID/be3f4196-dee7-42e4-b384-b230a2433ecf (use: usual, )

status: Unknown

category: Exam

code: CHD monitoring

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

Entry 13 - fullUrl = urn:uuid:bcb18eed-b73b-45b5-aff3-d0e07d845326

Resource Observation:

Generated Narrative: Observation bcb18eed-b73b-45b5-aff3-d0e07d845326

identifier: https://emis.com/Id/Event/DBID/61087 (use: secondary, ), https://emis.com/Id/Event/GUID/bcb18eed-b73b-45b5-aff3-d0e07d845326 (use: usual, )

status: Unknown

category: Vital Signs

code: Blood Pressure 146/72 mmHg

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

effective: 2002-06-30 00:00:00+0000

issued: 2002-06-30 00:00:00+0000

performer: Mrs Jean Mitchell

component

code: Systolic blood pressure, 146 mm Hg

value: 146.0 mm Hg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure, 72 mm Hg

value: 72.0 mm Hg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 14 - fullUrl = urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2

Resource Practitioner:

Generated Narrative: Practitioner 9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2

identifier: https://fhir.hl7.org.uk/Id/gmp-number/G8667998

name: Mrs Jean Mitchell

Entry 15 - fullUrl = urn:uuid:e119d231-def6-43a7-af40-56d7754977bd

Resource Encounter:

Generated Narrative: Encounter e119d231-def6-43a7-af40-56d7754977bd

status: completed

class: ambulatory

type: 0090f724-0a37-5e49-3f14-11fee4d46f93

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000

participant

Locations

-Location
*Identifier: https://emis.com/Id/Location/GUID/d5753427-76ec-48e8-ab19-7f3308d5ca3d