Virtually Healthcare HL7 FHIR Implementation Guide
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Virtually Healthcare HL7 FHIR 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/Virtually-Healthcare-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

: Bundle `Document` - Referral Letter - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "FHIRDocumentEOLCCarePlanBundle",
  "identifier" : {
    "system" : "urn:oid:2.16.724.4.8.10.200.10",
    "value" : "1d7155e8-b5b8-4406-adda-01a474d5ff6c"
  },
  "type" : "document",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "Composition-ReferralLetter-JackDawkins",
        "text" : {
          "status" : "generated",
          "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.stu2@2.1.0&amp;canonical=https://example.nhs.uk/Device/TransformationService\">Example NHS Trust Transformation Service</a></p><p><b>title</b>: Composition Referral Letter Jack Dawkins</p></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "25611000000107",
              "display" : "Referral letter"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9912003888"
          },
          "display" : "Jack DAWKINS"
        },
        "date" : "2024-10-13T10:33:00+00:00",
        "author" : [
          {
            "reference" : "https://example.nhs.uk/Device/TransformationService",
            "display" : "Example NHS Trust Transformation Service"
          }
        ],
        "title" : "Composition Referral Letter Jack Dawkins",
        "section" : [
          {
            "title" : "Problems",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list - Reported"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Dyspnoea</li></ul></div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"
              }
            ]
          },
          {
            "title" : "Medication Summary",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0",
                  "display" : "History of Medication use Narrative"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Aspirin</li></ul></div>"
            }
          },
          {
            "title" : "Allergies and Intolerances",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2",
                  "display" : "Allergies and adverse reactions Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Nil</li></ul></div>"
            }
          },
          {
            "title" : "Advance Directives",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "42348-3"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>"
            }
          },
          {
            "title" : "Alerts",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "104605-1"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>"
            }
          },
          {
            "title" : "Individual Requirements (PRSB)",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1078911000000106"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>"
            }
          },
          {
            "title" : "Results",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "18776-5"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Patient-JackDawkins-9912003888",
        "text" : {
          "status" : "generated",
          "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\u00a0(use:\u00a0official,\u00a0)</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>077021231231(Mobile)</li></ul></td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }
              ]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9912003888",
            "assigner" : {
              "identifier" : {
                "value" : "X24"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "https://hospitalpas.example.nhs.uk/Id/MRN",
            "value" : "A12356565",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RW1"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "https://gpsupplier.example.nhs.uk/Id/MRN",
            "value" : "633",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "YHMS"
              }
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "DAWKINS",
            "given" : [
              "Jack"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1937-10-02",
        "address" : [
          {
            "use" : "home",
            "type" : "both",
            "city" : "Leodis",
            "postalCode" : "LA19 5YN"
          }
        ],
        "contact" : [
          {
            "name" : {
              "use" : "official",
              "family" : "DAWKINS",
              "given" : [
                "Bob"
              ]
            },
            "telecom" : [
              {
                "value" : "077021231231",
                "use" : "mobile"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "Condition-Dyspnoea-9912003888",
        "text" : {
          "status" : "generated",
          "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>"
        },
        "identifier" : [
          {
            "system" : "https://tools.ietf.org/html/rfc4122",
            "value" : "71fae5af-0b9e-4b9e-b6af-3d1bb4e223a0"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "severity" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "24484000",
              "display" : "Severe"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "267036007",
              "display" : "Dyspnoea"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9912003888"
          },
          "display" : "Jack DAWKINS"
        },
        "onsetDateTime" : "2018-08-20",
        "asserter" : {
          "identifier" : {
            "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
            "value" : "C3456789"
          },
          "display" : "Dr Samuel Darwin"
        }
      }
    }
  ]
}