Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build United States of America (USA)

Clinical Quality Framework Common FHIR Assets (US-Based), published by Clinical Quality Framework. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cqf-us/ and changes regularly. See the Directory of published versions

Bundle: null (Bundle)

Generated Narrative: Bundle tests-MBODA-example-continued-therapy-bundle

Bundle tests-MBODA-example-continued-therapy-bundle of type transaction


Entry 1 - fullUrl = https://www.hl7.org/fhir/medicationrequest-definitions.html

Resource MedicationRequest:

Generated Narrative with Details

id: negation-example

status: completed

intent: order

category: community (Details : {[not stated] code 'community' = 'community)

doNotPerform: true

medication: Antithrombotic Therapy value set (Details : {[not stated] code 'null' = 'null)

subject: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

authoredOn: Mar 26, 2015 12:32:52 AM

requester: Generated Summary: id: example; 23; active; Adam Careful

reasonCode: Drug treatment not indicated (situation) (Details : {SNOMED CT code '183966005' = 'Drug treatment not indicated', given as 'Drug treatment not indicated (situation)'})

Request:

PUT MedicationRequest/negation-example-continued-therapy

Entry 2 - fullUrl = https://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-medicationrequest.html

Resource MedicationRequest:

Generated Narrative

id: uscore-mo3

meta:

status: active

intent: order

medication: Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2; Nizatidine 15 MG/ML Oral Solution [Axid]

subject: Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20

authoredOn: 2008-04-05

requester: Ronald Bone, MD. Generated Summary: id: practitioner-1; id: 9941339108, id: 25456; Ronald Bone

Request:

PUT MedicationRequest/uscore-mo2-continued-therapy

Entry 3

Resource Organization:

Generated Narrative with Details

id: example

meta:

identifier: ??

active: true

type: Organizational team (Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'team' = 'Organizational team', given as 'Organizational team'})

name: Health Level Seven International

telecom: ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org

address: 3300 Washtenaw Avenue, Suite 227 Ann Arbor MI 48104 USA

Request:

PUT Organization/example-continued-therapy

Entry 4 - fullUrl = https://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-medicationrequest.html

Resource MedicationRequest:

Generated Narrative

id: uscore-mo3

meta:

status: active

intent: order

medication: Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2; Nizatidine 15 MG/ML Oral Solution [Axid]

subject: Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20

authoredOn: 2008-04-05

requester: Ronald Bone, MD. Generated Summary: id: practitioner-1; id: 9941339108, id: 25456; Ronald Bone

Request:

PUT MedicationRequest/uscore-mo3-continued-therapy

Entry 5 - fullUrl = https://build.fhir.org/allergyintolerance.html

Resource AllergyIntolerance:

Generated Narrative with Details

id: example

meta:

identifier: 49476534

clinicalStatus: Active (Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)

verificationStatus: Confirmed (Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = 'Confirmed)

type: allergy

category: food

criticality: high

code: Cashew nuts (Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})

patient: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

onset: Jan 1, 2004 12:00:00 AM

recordedDate: Oct 9, 2014 3:58:00 AM

recorder: Generated Summary: id: example; 23; active; Adam Careful

asserter: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

lastOccurrence: Jun 2, 2012 1:45:31 AM

note: The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.

reaction

substance: cashew nut allergenic extract Injectable Product (Details : {RxNorm code '1160593' = 'cashew nut allergenic extract Injectable Product', given as 'cashew nut allergenic extract Injectable Product'})

manifestation: Anaphylactic reaction (Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})

description: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered

onset: Jun 12, 2012 12:00:00 AM

severity: severe

exposureRoute: Subcutaneous route (Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})

reaction

manifestation: Urticaria (Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})

onset: Jan 1, 2004 12:00:00 AM

severity: moderate

note: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.

Request:

PUT AllergyIntolerance/example-continued-therapy

Entry 6 - fullUrl = https://build.fhir.org/encounter.html

Resource Encounter:

Generated Narrative with Details

id: example

meta:

status: in-progress

class: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')

type: Inpatient Hospital Care (Details : {http://www.ama-assn.org/go/cpt code '99223' = '99223', given as 'Inpatient Hospital Care'})

subject: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

Diagnoses

-ExtensionCondition
*Generated Summary: id: appendicitis-example; Active; Confirmed; Encounter Diagnosis; Severe (severity modifier); Appendicitis; Appendix structure; onset: May 24, 2012 12:00:00 AM; recordedDate: May 24, 2012 12:00:00 AM

Request:

PUT Encounter/example-continued-therapy

Entry 7 - fullUrl = https://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-medicationrequest.html

Resource MedicationRequest:

Generated Narrative

id: uscore-mo3

meta:

status: active

intent: order

medication: Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2; Nizatidine 15 MG/ML Oral Solution [Axid]

subject: Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20

authoredOn: 2008-04-05

requester: Ronald Bone, MD. Generated Summary: id: practitioner-1; id: 9941339108, id: 25456; Ronald Bone

Request:

PUT MedicationRequest/uscore-mo2-with-dosage-continued-therapy

Entry 8

Resource Practitioner:

Generated Narrative with Details

id: practitioner-1

meta:

identifier: 9941339108, 25456

name: Ronald Bone

address: 1003 Healthcare Drive Amherst MA 01002 (HOME)

Request:

PUT Practitioner/practitioner-1-continued-therapy

Entry 9 - fullUrl = https://build.fhir.org/coverage.html

Resource Coverage:

Generated Narrative with Details

id: example

meta:

identifier: 12345

status: active

type: Other Private Insurance (Details : {urn:oid:2.16.840.1.113883.3.221.5 code '59' = '59', given as 'Other Private Insurance'})

policyHolder: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

subscriber: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

beneficiary: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

dependent: 0

relationship: self (Details : {[not stated] code 'self' = 'self)

period: May 23, 2011 12:00:00 AM --> May 23, 2012 12:00:00 AM

payor: Generated Summary: id: example; ??; active; Organizational team; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org

order: 9

Request:

PUT Coverage/example-continued-therapy

Entry 10

Resource Medication:

Generated Narrative with Details

id: uscore-med2

meta:

code: Nizatidine 15 MG/ML Oral Solution [Axid] (Details : {RxNorm code '582620' = 'Nizatidine 15 MG/ML Oral Solution [Axid]', given as 'Nizatidine 15 MG/ML Oral Solution [Axid]'})

Request:

PUT Medication/uscore-med2-continued-therapy

Entry 11

Resource Medication:

Generated Narrative with Details

id: uscore-med1-new-therapy

meta:

code: lisinopril oral 10 mg (Details : {RxNorm code '206765' = 'Prinivil 10 MG Oral Tablet', given as 'Lisinopril 10 MG Oral Tablet [Prinivil]'})

Request:

PUT Medication/uscore-med1-continued-therapy

Entry 12

Resource Practitioner:

Generated Narrative with Details

id: example

meta:

identifier: 23

active: true

name: Adam Careful

address: 534 Erewhon St PleasantVille UT 84414 (HOME)

Qualifications

-IdentifierCodePeriodIssuer
*12345Bachelor of Science (Details : {http://terminology.hl7.org/CodeSystem/v2-0360|2.7 code 'BS' = 'Bachelor of Science', given as 'Bachelor of Science'})Jan 1, 1995 12:00:00 AM --> (ongoing)Example University

Request:

PUT Practitioner/example-continued-therapy

Entry 13 - fullUrl = https://build.fhir.org/patient.html

Resource Patient:

Generated Narrative with Details

id: example

meta:

identifier: Medical record number = 12345 (USUAL)

active: true

name: Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN)

telecom: ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD)

gender: male

birthDate: 1974-12-25

deceased: false

address: 534 Erewhon St PeasantVille, Utah 84414(HOME)

Contacts

-RelationshipNameTelecomAddressGenderPeriod
*Next-of-Kin (Details : {http://terminology.hl7.org/CodeSystem/v2-0131 code 'N' = 'Next-of-Kin)Bénédicte du Marché ph: +33 (237) 998327534 Erewhon St PleasantVille VT 3999 (HOME)femaleJan 1, 2012 12:00:00 AM --> (ongoing)

managingOrganization: Generated Summary: id: example; ??; active; Organizational team; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org

Request:

PUT Patient/example-continued-therapy

Entry 14 - fullUrl = https://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-body-height.html

Resource Observation:

Generated Narrative with Details

id: height

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: height (Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'})

subject: Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20

encounter: GP Visit

effective: 02/07/1999 12:00:00 AM

value: 111.506 cm (Details: UCUM code cm = 'cm')

Request:

PUT Observation/height-continued-therapy

Entry 15 - fullUrl = https://build.fhir.org/ig/HL7/US-Core/MedicationRequest-self-tylenol.html

Resource MedicationRequest:

Generated Narrative with Details

id: self-tylenol

identifier: 12345689 (OFFICIAL)

status: active

intent: order

reported: true

medication: Tylenol PM Pill (Details : {RxNorm code '1187314' = 'Tylenol PM Pill', given as 'Tylenol PM Pill'})

subject: Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20

encounter: Office Visit. Generated Summary: id: example-1-new-therapy; status: finished; ambulatory; Office Visit; period: 02/11/2015 9:00:14 AM --> 02/11/2015 10:00:14 AM

authoredOn: 24/06/2019 12:00:00 AM

requester: **self-prescribed**. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20

dosageInstruction:

Request:

PUT MedicationRequest/self-tylenol-continued-therapy

Entry 16 - fullUrl = https://build.fhir.org/encounter.html

Resource Encounter:

Generated Narrative with Details

id: example-1-new-therapy

meta:

status: finished

class: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')

type: Office Visit (Details : {http://www.ama-assn.org/go/cpt code '99201' = '99201)

subject: Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20

period: 02/11/2015 9:00:14 AM --> 02/11/2015 10:00:14 AM

Request:

PUT Encounter/example-1-continued-therapy

Entry 17 - fullUrl = https://www.hl7.org/fhir/allergyintolerance.html

Resource AllergyIntolerance:

Generated Narrative with Details

id: example-refuted

meta:

identifier: 49476534

clinicalStatus: Inactive (Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'inactive' = 'Inactive)

verificationStatus: Refuted (Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'refuted' = 'Refuted)

type: allergy

category: food

code: Cashew nuts (Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})

patient: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

recordedDate: Oct 9, 2014 3:58:00 AM

recorder: Generated Summary: id: example; 23; active; Adam Careful

asserter: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

Request:

PUT AllergyIntolerance/example-refuted-continued-therapy

Entry 18 - fullUrl = https://www.hl7.org/fhir/condition.html

Resource Condition:

Generated Narrative with Details

id: example

meta:

clinicalStatus: Active (Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)

verificationStatus: Confirmed (Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)

category: Problem List Item (Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})

severity: Severe (severity modifier) (Details : {SNOMED CT code '24484000' = 'Severe', given as 'Severe (severity modifier)'})

code: Burnt Ear (Details : {SNOMED CT code '39065001' = 'Burn of ear', given as 'Burn of ear'})

bodySite: Left Ear (Details : {SNOMED CT code '49521004' = 'Left external ear', given as 'Left external ear structure'})

subject: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

encounter: Generated Summary: id: example; status: in-progress; inpatient encounter; Inpatient Hospital Care

onset: May 24, 2012 12:00:00 AM

recordedDate: May 24, 2012 12:00:00 AM

Stages

-Summary
*stage II (Details : {SNOMED CT code '258219007' = 'Stage 2', given as 'stage II'})

Request:

PUT Condition/example-continued-therapy

Entry 19 - fullUrl = https://www.hl7.org/fhir/medicationrequest.html

Resource MedicationRequest:

Generated Narrative with Details

id: example

meta:

status: active

intent: order

medication: Generated Summary: id: example; alemtuzumab 10 MG/ML [Lemtrada]; Conventional release solution for injection (dose form)

subject: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

authoredOn: Mar 26, 2015 12:32:52 AM

requester: Generated Summary: id: example; 23; active; Adam Careful

dosageInstruction:

DispenseRequests

-Quantity
*100 ml (Details: UCUM code ml = 'ml')

Request:

PUT MedicationRequest/example-continued-therapy

Entry 20 - fullUrl = https://build.fhir.org/ig/HL7/cimi-vital-signs/StructureDefinition-body-weight-definitions.html

Resource Observation:

Generated Narrative with Details

id: weight

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: weight (Details : {LOINC code '29463-7' = 'Body weight', given as 'Body Weight'})

subject: Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20

encounter: GP Visit

effective: 02/07/1999 12:00:00 AM

value: 20.09414 kg (Details: UCUM code kg = 'kg')

Request:

PUT Observation/weight-continued-therapy

Entry 21

Resource Medication:

Generated Narrative with Details

id: example

meta:

contained:

code: alemtuzumab 10 MG/ML [Lemtrada] (Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'alemtuzumab 10 MG/ML [Lemtrada]'})

manufacturer: unknown resource contained

form: Conventional release solution for injection (dose form) (Details : {SNOMED CT code '385219001' = 'Solution for injection', given as 'Conventional release solution for injection (dose form)'})

Ingredients

-Item[x]Strength
*Alemtuzumab (substance) (Details : {SNOMED CT code '129472003' = 'Alemtuzumab', given as 'Alemtuzumab (substance)'})12 mg (Details: UCUM code mg = 'mg')/1.2 mL (Details: UCUM code mL = 'mL')

Batches

-LotNumberExpirationDate
*9494788May 22, 2017 12:00:00 AM

Request:

PUT Medication/example-continued-therapy