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)
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
{
"resourceType" : "Bundle",
"id" : "tests-MBODA-example-new-therapy-bundle",
"type" : "transaction",
"entry" : [
{
"fullUrl" : "https://www.hl7.org/fhir/us/qicore/MedicationRequest-negation-example.html",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "negation-example-new-therapy",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: negation-example</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>category</b>: community <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'community' = 'community)</span></p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: Antithrombotic Therapy value set <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'null' = 'null)</span></p><p><b>subject</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>authoredOn</b>: Mar 26, 2015 12:32:52 AM</p><p><b>requester</b>: <a href=\"https://hl7.org/fhir/practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>reasonCode</b>: Drug treatment not indicated (situation) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '183966005' = 'Drug treatment not indicated', given as 'Drug treatment not indicated (situation)'})</span></p></div>"
},
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"code" : "community"
}
]
}
],
"doNotPerform" : true,
"medicationCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201"
}
]
}
],
"text" : "Antithrombotic Therapy value set"
},
"subject" : {
"reference" : "Patient/example-new-therapy"
},
"authoredOn" : "2015-03-25T19:32:52-05:00",
"requester" : {
"reference" : "Practitioner/example-new-therapy"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "183966005",
"display" : "Drug treatment not indicated (situation)"
}
]
}
]
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/negation-example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-medicationrequest.html",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "uscore-mo2-continued-therapy",
"meta" : {
"versionId" : "1",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3-continued-therapy</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"#Medication_uscore-med2-continued-therapy\">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2-continued-therapy; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}\">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href=\"https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html\">Ronald Bone, MD. Generated Summary: id: practitioner-1-continued-therapy; id: 9941339108, id: 25456; Ronald Bone </a></p></div>"
},
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "Medication/uscore-med2-continued-therapy",
"display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
},
"subject" : {
"reference" : "Patient/example-new-therapy",
"display" : "Amy Shaw"
},
"authoredOn" : "2009-04-05T00:00:00.000-00:00",
"requester" : {
"reference" : "Practitioner/practitioner-1-continued-therapy",
"display" : "Ronald Bone, MD"
}
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/uscore-mo2-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/organization.html",
"resource" : {
"resourceType" : "Organization",
"id" : "example-new-therapy",
"meta" : {
"profile" : [
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: ??</p><p><b>active</b>: true</p><p><b>type</b>: Organizational team <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'team' = 'Organizational team', given as 'Organizational team'})</span></p><p><b>name</b>: Health Level Seven International</p><p><b>telecom</b>: ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Ann Arbor MI 48104 USA </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "team",
"display" : "Organizational team"
}
]
}
],
"name" : "Health Level Seven International",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 734-677-7777"
},
{
"system" : "fax",
"value" : "(+1) 734-677-6622"
},
{
"system" : "email",
"value" : "hq@HL7.org"
}
],
"address" : [
{
"line" : [
"3300 Washtenaw Avenue, Suite 227"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "48104",
"country" : "USA"
}
]
},
"request" : {
"method" : "PUT",
"url" : "Organization/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-medicationrequest.html",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "uscore-mo3-continued-therapy",
"meta" : {
"versionId" : "2",
"profile" : [
"https://build.fhir.org/medicationrequest.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3-continued-therapy</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"#Medication_uscore-med2-continued-therapy\">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2-continued-therapy; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}\">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href=\"https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html\">Ronald Bone, MD. Generated Summary: id: practitioner-1-continued-therapy; id: 9941339108, id: 25456; Ronald Bone </a></p></div>"
},
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "Medication/uscore-med2-continued-therapy",
"display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
},
"subject" : {
"reference" : "Patient/example-new-therapy",
"display" : "Amy Shaw"
},
"authoredOn" : "2008-04-05T00:00:00.000-00:00",
"requester" : {
"reference" : "Practitioner/practitioner-1-continued-therapy",
"display" : "Ronald Bone, MD"
}
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/uscore-mo3-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/allergyintolerance.html",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "example-new-therapy",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance",
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-allergyintolerance.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = 'Confirmed)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>criticality</b>: high</p><p><b>code</b>: Cashew nuts <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>onset</b>: Jan 1, 2004 12:00:00 AM</p><p><b>recordedDate</b>: Oct 9, 2014 3:58:00 AM</p><p><b>recorder</b>: <a href=\"https://hl7.org/fhir/practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>asserter</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>lastOccurrence</b>: Jun 2, 2012 1:45:31 AM</p><p><b>note</b>: The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.</p><blockquote><p><b>reaction</b></p><p><b>substance</b>: cashew nut allergenic extract Injectable Product <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '1160593' = 'cashew nut allergenic extract Injectable Product', given as 'cashew nut allergenic extract Injectable Product'})</span></p><p><b>manifestation</b>: Anaphylactic reaction <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '39579001' = 'Anaphylaxis', given as 'Anaphylactic reaction'})</span></p><p><b>description</b>: Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered</p><p><b>onset</b>: Jun 12, 2012 12:00:00 AM</p><p><b>severity</b>: severe</p><p><b>exposureRoute</b>: Subcutaneous route <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})</span></p></blockquote><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: Urticaria <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '64305001' = 'Urticaria', given as 'Urticaria'})</span></p><p><b>onset</b>: Jan 1, 2004 12:00:00 AM</p><p><b>severity</b>: moderate</p><p><b>note</b>: The patient reports that the onset of urticaria was within 15 minutes of eating cashews.</p></blockquote></div>"
},
"identifier" : [
{
"system" : "http://acme.com/ids/patients/risks",
"value" : "49476534"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed"
}
]
},
"type" : "allergy",
"category" : [
"food"
],
"criticality" : "high",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "227493005",
"display" : "Cashew nuts"
}
]
},
"patient" : {
"reference" : "Patient/example-new-therapy"
},
"onsetDateTime" : "2004",
"recordedDate" : "2014-10-09T14:58:00+11:00",
"recorder" : {
"reference" : "Practitioner/example-new-therapy"
},
"asserter" : {
"reference" : "Patient/example-new-therapy"
},
"lastOccurrence" : "2012-06-02T01:45:31+00:00",
"note" : [
{
"text" : "The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."
}
],
"reaction" : [
{
"substance" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1160593",
"display" : "cashew nut allergenic extract Injectable Product"
}
]
},
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "39579001",
"display" : "Anaphylactic reaction"
}
]
}
],
"description" : "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered",
"onset" : "2012-06-12",
"severity" : "severe",
"exposureRoute" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "34206005",
"display" : "Subcutaneous route"
}
]
}
},
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "64305001",
"display" : "Urticaria"
}
]
}
],
"onset" : "2004",
"severity" : "moderate",
"note" : [
{
"text" : "The patient reports that the onset of urticaria was within 15 minutes of eating cashews."
}
]
}
]
},
"request" : {
"method" : "PUT",
"url" : "AllergyIntolerance/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/procedure.html",
"resource" : {
"resourceType" : "Procedure",
"id" : "example-new-therapy",
"meta" : {
"profile" : [
"https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-procedure.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_example-new-therapy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure example-new-therapy</b></p><a name=\"example-new-therapy\"> </a><a name=\"hcexample-new-therapy\"> </a><a name=\"example-new-therapy-en-US\"> </a><p><b>status</b>: Completed</p><p><b>subject</b>: <a href=\"Bundle-tests-MBODA-example-new-therapy-bundle.html#Patient_example-new-therapy\">Bundle: type = transaction</a></p></div>"
},
"status" : "completed",
"subject" : {
"reference" : "Patient/example-new-therapy"
}
},
"request" : {
"method" : "PUT",
"url" : "Procedure/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/encounter.html",
"resource" : {
"resourceType" : "Encounter",
"id" : "example-new-therapy",
"meta" : {
"versionId" : "1",
"profile" : [
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-encounter.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: in-progress</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Inpatient Hospital Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99223' = '99223', given as 'Inpatient Hospital Care'})</span></p><p><b>subject</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>Condition</b></td></tr><tr><td>*</td><td/><td><a href=\"https://hl7.org/fhir/us/qicore/Condition-appendicitis-example.html\">Generated Summary: id: appendicitis-example; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span>; <span title=\"Codes: {http://snomed.info/sct 24484000}\">Severe (severity modifier)</span>; <span title=\"Codes: {http://snomed.info/sct 74400008}\">Appendicitis</span>; <span title=\"Codes: {http://snomed.info/sct 66754008}\">Appendix structure</span>; onset: May 24, 2012 12:00:00 AM; recordedDate: May 24, 2012 12:00:00 AM</a></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80146002",
"display" : "Excision of appendix (procedure)"
}
],
"text" : "Excision of appendix (procedure)"
}
},
{
"url" : "rank",
"valuePositiveInt" : 1
},
{
"url" : "procedure",
"valueReference" : {
"reference" : "Procedure/example-new-therapy"
}
}
],
"url" : "https://www.hl7.org/fhir/encounter.html"
}
],
"status" : "in-progress",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99223",
"display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."
}
]
}
],
"subject" : {
"reference" : "Patient/example-new-therapy"
},
"diagnosis" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
"code" : "Y",
"display" : "Yes"
}
]
}
}
],
"condition" : {
"reference" : "https://build.fhir.org/ig/HL7/fhir-qi-core//Condition-appendicitis-example.html"
}
}
]
},
"request" : {
"method" : "PUT",
"url" : "Encounter/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-medicationrequest.html",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "uscore-mo2-continued-therapy-with-dosage-continued-therapy",
"meta" : {
"versionId" : "3",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3-continued-therapy</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"#Medication_uscore-med2-continued-therapy\">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2-continued-therapy; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}\">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href=\"https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html\">Ronald Bone, MD. Generated Summary: id: practitioner-1-continued-therapy; id: 9941339108, id: 25456; Ronald Bone </a></p></div>"
},
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "Medication/uscore-med2-continued-therapy",
"display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
},
"subject" : {
"reference" : "Patient/example-new-therapy",
"display" : "Amy Shaw"
},
"authoredOn" : "2023-04-05T00:00:00.000-00:00",
"requester" : {
"reference" : "Practitioner/practitioner-1-continued-therapy",
"display" : "Ronald Bone, MD"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"frequency" : 3,
"period" : 1,
"periodUnit" : "d"
}
},
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "447964005"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 5,
"unit" : "ml",
"system" : "http://unitsofmeasure.org",
"code" : "ml"
}
}
]
}
],
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 1,
"quantity" : {
"value" : 480,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
},
"expectedSupplyDuration" : {
"value" : 30,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/uscore-mo2-continued-therapy-with-dosage-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/practitioner.html",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-1-continued-therapy",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: practitioner-1-continued-therapy</p><p><b>meta</b>: </p><p><b>identifier</b>: 9941339108, 25456</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "9941339108"
},
{
"system" : "http://www.acme.org/practitioners",
"value" : "25456"
}
],
"name" : [
{
"family" : "Bone",
"given" : [
"Ronald"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "home",
"line" : [
"1003 Healthcare Drive"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "01002"
}
]
},
"request" : {
"method" : "PUT",
"url" : "Practitioner/practitioner-1-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/coverage.html",
"resource" : {
"resourceType" : "Coverage",
"id" : "example-new-therapy",
"meta" : {
"profile" : [
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-coverage.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 12345</p><p><b>status</b>: active</p><p><b>type</b>: Other Private Insurance <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.3.221.5 code '59' = '59', given as 'Other Private Insurance'})</span></p><p><b>policyHolder</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>subscriber</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>beneficiary</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>period</b>: May 23, 2011 12:00:00 AM --> May 23, 2012 12:00:00 AM</p><p><b>payor</b>: <a href=\"https://www.hl7.org/fhir/organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>order</b>: 9</p></div>"
},
"identifier" : [
{
"system" : "http://benefitsinc.com/certificate",
"value" : "12345"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.3.221.5",
"code" : "59",
"display" : "Other Private Insurance"
}
]
},
"policyHolder" : {
"reference" : "Patient/example-new-therapy"
},
"subscriber" : {
"reference" : "Patient/example-new-therapy"
},
"subscriberId" : "subscriber-id-example-new-therapy",
"beneficiary" : {
"reference" : "Patient/example-new-therapy"
},
"dependent" : "0",
"relationship" : {
"coding" : [
{
"code" : "self"
}
]
},
"period" : {
"start" : "2011-05-23",
"end" : "2012-05-23"
},
"payor" : [
{
"reference" : "Organization/example-new-therapy"
}
],
"order" : 9
},
"request" : {
"method" : "PUT",
"url" : "Coverage/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/medication.html",
"resource" : {
"resourceType" : "Medication",
"id" : "uscore-med2-continued-therapy",
"meta" : {
"versionId" : "1",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: uscore-med2-continued-therapy</p><p><b>meta</b>: </p><p><b>code</b>: Nizatidine 15 MG/ML Oral Solution [Axid] <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '582620' = 'Nizatidine 15 MG/ML Oral Solution [Axid]', given as 'Nizatidine 15 MG/ML Oral Solution [Axid]'})</span></p></div>"
},
"code" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "582620",
"display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
}
],
"text" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
}
},
"request" : {
"method" : "PUT",
"url" : "Medication/uscore-med2-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/medication.html",
"resource" : {
"resourceType" : "Medication",
"id" : "uscore-med1-continued-therapy",
"meta" : {
"versionId" : "2",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: uscore-med1-continued-therapy</p><p><b>meta</b>: </p><p><b>code</b>: lisinopril oral 10 mg <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '206765' = 'Prinivil 10 MG Oral Tablet', given as 'Lisinopril 10 MG Oral Tablet [Prinivil]'})</span></p></div>"
},
"code" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "206765",
"display" : "Lisinopril 10 MG Oral Tablet [Prinivil]"
}
],
"text" : "lisinopril oral 10 mg"
}
},
"request" : {
"method" : "PUT",
"url" : "Medication/uscore-med1-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/patient.html",
"resource" : {
"resourceType" : "Practitioner",
"id" : "example-new-therapy",
"meta" : {
"versionId" : "1",
"profile" : [
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitioner.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 23</p><p><b>active</b>: true</p><p><b>name</b>: Adam Careful </p><p><b>address</b>: 534 Erewhon St PleasantVille UT 84414 (HOME)</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td><td><b>Period</b></td><td><b>Issuer</b></td></tr><tr><td>*</td><td>12345</td><td>Bachelor of Science <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0360|2.7 code 'BS' = 'Bachelor of Science', given as 'Bachelor of Science'})</span></td><td>Jan 1, 1995 12:00:00 AM --> (ongoing)</td><td>Example University</td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/practitioners",
"value" : "23"
}
],
"active" : true,
"name" : [
{
"family" : "Careful",
"given" : [
"Adam"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "home",
"line" : [
"534 Erewhon St"
],
"city" : "PleasantVille",
"state" : "UT",
"postalCode" : "84414"
}
],
"qualification" : [
{
"identifier" : [
{
"system" : "http://example.org/UniversityIdentifier",
"value" : "12345"
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0360|2.7",
"code" : "BS",
"display" : "Bachelor of Science"
}
],
"text" : "Bachelor of Science"
},
"period" : {
"start" : "1995"
},
"issuer" : {
"display" : "Example University"
}
}
]
},
"request" : {
"method" : "PUT",
"url" : "Practitioner/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/patient.html",
"resource" : {
"resourceType" : "Patient",
"id" : "example-new-therapy",
"meta" : {
"versionId" : "2",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient",
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number = 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN)</p><p><b>telecom</b>: ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1974-12-25</p><p><b>deceased</b>: false</p><p><b>address</b>: 534 Erewhon St PeasantVille, Utah 84414(HOME)</p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td><td><b>Gender</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>Next-of-Kin <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0131 code 'N' = 'Next-of-Kin)</span></td><td>Bénédicte du Marché </td><td>ph: +33 (237) 998327</td><td>534 Erewhon St PleasantVille VT 3999 (HOME)</td><td>female</td><td>Jan 1, 2012 12:00:00 AM --> (ongoing)</td></tr></table><p><b>managingOrganization</b>: <a href=\"https://www.hl7.org/fhir/organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1735-0",
"display" : "Alaska Native"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "urn:oid:1.2.36.146.595.217.0.1",
"value" : "12345",
"period" : {
"start" : "2001-05-06"
},
"assigner" : {
"display" : "Acme Healthcare"
}
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Chalmers",
"given" : [
"Peter",
"James"
]
},
{
"use" : "usual",
"family" : "Chalmers",
"given" : [
"Jim"
]
},
{
"use" : "maiden",
"family" : "Windsor",
"given" : [
"Peter",
"James"
],
"period" : {
"end" : "2002"
}
}
],
"telecom" : [
{
"system" : "phone",
"value" : "(03) 5555 6473",
"use" : "work",
"rank" : 1
},
{
"system" : "phone",
"value" : "(03) 3410 5613",
"use" : "mobile",
"rank" : 2
},
{
"system" : "phone",
"value" : "(03) 5555 8834",
"use" : "old",
"period" : {
"end" : "2014"
}
}
],
"gender" : "male",
"birthDate" : "1974-12-25",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
"valueDateTime" : "1974-12-25T14:35:45-05:00"
}
]
},
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"type" : "both",
"text" : "534 Erewhon St PeasantVille, Utah 84414",
"line" : [
"534 Erewhon St"
],
"city" : "PleasantVille",
"district" : "Rainbow",
"state" : "UT",
"postalCode" : "84414",
"period" : {
"start" : "1974-12-25"
}
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M"
}
]
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "N"
}
]
}
],
"name" : {
"family" : "du Marché",
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
"valueString" : "VV"
}
]
},
"given" : [
"Bénédicte"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "+33 (237) 998327"
}
],
"address" : {
"use" : "home",
"type" : "both",
"line" : [
"534 Erewhon St"
],
"city" : "PleasantVille",
"district" : "Rainbow",
"state" : "VT",
"postalCode" : "3999",
"period" : {
"start" : "1974-12-25"
}
},
"gender" : "female",
"period" : {
"start" : "2012"
}
}
],
"managingOrganization" : {
"reference" : "Organization/example-new-therapy"
}
},
"request" : {
"method" : "PUT",
"url" : "Patient/example-new-therapy"
}
},
{
"fullUrl" : "https://build.fhir.org/ig/HL7/US-Core/StructureDefinition-us-core-body-height.html",
"resource" : {
"resourceType" : "Observation",
"id" : "height-continued-therapy",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/bodyheight"🔗 ,
"http://hl7.org/fhir/StructureDefinition/vitalsigns"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: height</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: height <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'})</span></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>encounter</b>: GP Visit</p><p><b>effective</b>: 02/07/1999 12:00:00 AM</p><p><b>value</b>: 111.506 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cm = 'cm')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8302-2",
"display" : "Body height"
}
],
"text" : "height"
},
"subject" : {
"reference" : "Patient/example-new-therapy",
"display" : "Amy Shaw"
},
"encounter" : {
"display" : "GP Visit"
},
"effectiveDateTime" : "1999-07-02",
"valueQuantity" : {
"value" : 111.506,
"unit" : "cm",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
},
"request" : {
"method" : "PUT",
"url" : "Observation/height-continued-therapy"
}
},
{
"fullUrl" : "https://hl7.org/fhir/us/core/STU5.0.1/MedicationRequest-self-tylenol.html",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "self-tylenol-continued-therapy",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: self-tylenol-continued-therapy</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>reported</b>: true</p><p><b>medication</b>: Tylenol PM Pill <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '1187314' = 'Tylenol PM Pill', given as 'Tylenol PM Pill'})</span></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>encounter</b>: <a href=\"https://hl7.org/fhir/us/core/2024Jan/Encounter-example-1.html\">Office Visit. Generated Summary: id: example-1; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office Visit</span>; period: 02/11/2015 9:00:14 AM --> 02/11/2015 10:00:14 AM</a></p><p><b>authoredOn</b>: 24/06/2019 12:00:00 AM</p><p><b>requester</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">**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</a></p><p><b>dosageInstruction</b>: </p></div>"
},
"identifier" : [
{
"use" : "official",
"system" : "http://acme.org/prescriptions",
"value" : "12345689"
}
],
"status" : "active",
"intent" : "order",
"reportedBoolean" : true,
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1187314",
"display" : "Tylenol PM Pill"
}
],
"text" : "Tylenol PM Pill"
},
"subject" : {
"reference" : "Patient/example",
"display" : "Amy V. Shaw"
},
"encounter" : {
"reference" : "Encounter/example-1",
"display" : "Office Visit"
},
"authoredOn" : "2019-06-24",
"requester" : {
"reference" : "Patient/example",
"display" : "**self-prescribed**"
},
"dosageInstruction" : [
{
"text" : "Takes 1-2 tablets once daily at bedtime as needed for restless legs"
}
]
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/self-tylenol-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/encounter.html",
"resource" : {
"resourceType" : "Encounter",
"id" : "example-1",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2017-05-26T11:56:57.250-04:00",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-1</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99201' = '99201)</span></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>period</b>: 02/11/2015 9:00:14 AM --> 02/11/2015 10:00:14 AM</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99202"
}
],
"text" : "Office Visit"
}
],
"subject" : {
"reference" : "Patient/example-new-therapy"
},
"period" : {
"start" : "2015-11-01T17:00:14-05:00",
"end" : "2015-11-01T18:00:14-05:00"
}
},
"request" : {
"method" : "PUT",
"url" : "Encounter/example-1"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/dstu2/qicore/allergyintolerance-example-refuted.html",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "example-refuted-new-therapy",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance",
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-allergyintolerance.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-refuted</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>clinicalStatus</b>: Inactive <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'inactive' = 'Inactive)</span></p><p><b>verificationStatus</b>: Refuted <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'refuted' = 'Refuted)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: food</p><p><b>code</b>: Cashew nuts <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew nuts'})</span></p><p><b>patient</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>recordedDate</b>: Oct 9, 2014 3:58:00 AM</p><p><b>recorder</b>: <a href=\"https://hl7.org/fhir/practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>asserter</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "MED",
"display" : "Medical Status Altered"
}
]
}
}
],
"identifier" : [
{
"system" : "http://acme.com/ids/patients/risks",
"value" : "49476534"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "inactive"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "refuted"
}
]
},
"type" : "allergy",
"category" : [
"food"
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "227493005",
"display" : "Cashew nuts"
}
]
},
"patient" : {
"reference" : "Patient/example-new-therapy"
},
"recordedDate" : "2014-10-09T14:58:00+11:00",
"recorder" : {
"reference" : "Practitioner/example-new-therapy"
},
"asserter" : {
"reference" : "Patient/example-new-therapy"
}
},
"request" : {
"method" : "PUT",
"url" : "AllergyIntolerance/example-refuted-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/condition.html",
"resource" : {
"resourceType" : "Condition",
"id" : "example-new-therapy",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition",
"https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-condition-encounter-diagnosis.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span></p><p><b>severity</b>: Severe (severity modifier) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '24484000' = 'Severe', given as 'Severe (severity modifier)'})</span></p><p><b>code</b>: Burnt Ear <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '39065001' = 'Burn of ear', given as 'Burn of ear'})</span></p><p><b>bodySite</b>: Left Ear <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '49521004' = 'Left external ear', given as 'Left external ear structure'})</span></p><p><b>subject</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>encounter</b>: <a href=\"https://build.fhir.org/ig/HL7/fhir-qi-core//Encounter-encounter-ed-example.html\">Generated Summary: id: example; status: in-progress; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99223}\">Inpatient Hospital Care</span></a></p><p><b>onset</b>: May 24, 2012 12:00:00 AM</p><p><b>recordedDate</b>: May 24, 2012 12:00:00 AM</p><h3>Stages</h3><table class=\"grid\"><tr><td>-</td><td><b>Summary</b></td></tr><tr><td>*</td><td>stage II <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '258219007' = 'Stage 2', given as 'stage II'})</span></td></tr></table></div>"
},
"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"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
}
],
"severity" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "24484000",
"display" : "Severe (severity modifier)"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "39065001",
"display" : "Burn of ear"
}
],
"text" : "Burnt Ear"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "49521004",
"display" : "Left external ear structure"
}
],
"text" : "Left Ear"
}
],
"subject" : {
"reference" : "Patient/example-new-therapy"
},
"encounter" : {
"reference" : "Encounter/example-new-therapy"
},
"onsetDateTime" : "2012-05-24T00:00:00+00:00",
"recordedDate" : "2012-05-24T00:00:00+00:00",
"stage" : [
{
"summary" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "258219007",
"display" : "stage II"
}
]
}
}
]
},
"request" : {
"method" : "PUT",
"url" : "Condition/example-new-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/medicationrequest.html",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "example-new-therapy",
"meta" : {
"profile" : [
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medicationrequest.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"Medication-example.html\">Generated Summary: id: example; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1594660}\">alemtuzumab 10 MG/ML [Lemtrada]</span>; <span title=\"Codes: {http://snomed.info/sct 385219001}\">Conventional release solution for injection (dose form)</span></a></p><p><b>subject</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">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; </a></p><p><b>authoredOn</b>: Mar 26, 2015 12:32:52 AM</p><p><b>requester</b>: <a href=\"https://hl7.org/fhir/practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>100 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ml = 'ml')</span></td></tr></table></div>"
},
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "Medication/example-new-therapy"
},
"subject" : {
"reference" : "Patient/example-new-therapy"
},
"authoredOn" : "2015-03-25T19:32:52-05:00",
"requester" : {
"reference" : "Practitioner/example-new-therapy"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"frequency" : 3,
"period" : 1,
"periodUnit" : "d"
}
},
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "447964005"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394899003",
"display" : "oral administration of treatment"
}
]
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 5,
"unit" : "ml",
"system" : "http://unitsofmeasure.org",
"code" : "ml"
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 100,
"unit" : "ml",
"system" : "http://unitsofmeasure.org",
"code" : "ml"
}
}
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/example-new-therapy"
}
},
{
"fullUrl" : "https://build.fhir.org/ig/HL7/cimi-vital-signs/StructureDefinition-body-weight-definitions.html",
"resource" : {
"resourceType" : "Observation",
"id" : "weight-continued-therapy",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/bodyweight"🔗 ,
"http://hl7.org/fhir/StructureDefinition/vitalsigns"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: weight</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: weight <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '29463-7' = 'Body weight', given as 'Body Weight'})</span></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">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</a></p><p><b>encounter</b>: GP Visit</p><p><b>effective</b>: 02/07/1999 12:00:00 AM</p><p><b>value</b>: 20.09414 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code kg = 'kg')</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29463-7",
"display" : "Body Weight"
}
],
"text" : "weight"
},
"subject" : {
"reference" : "Patient/example-new-therapy",
"display" : "Amy Shaw"
},
"encounter" : {
"display" : "GP Visit"
},
"effectiveDateTime" : "1999-07-02",
"valueQuantity" : {
"value" : 20.09414,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
},
"request" : {
"method" : "PUT",
"url" : "Observation/weight-continued-therapy"
}
},
{
"fullUrl" : "https://www.hl7.org/fhir/medication.html",
"resource" : {
"resourceType" : "Medication",
"id" : "example-new-therapy",
"meta" : {
"versionId" : "3",
"profile" : [
"https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medication.html"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>code</b>: alemtuzumab 10 MG/ML [Lemtrada] <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'alemtuzumab 10 MG/ML [Lemtrada]'})</span></p><p><b>manufacturer</b>: unknown resource contained</p><p><b>form</b>: Conventional release solution for injection (dose form) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '385219001' = 'Solution for injection', given as 'Conventional release solution for injection (dose form)'})</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td>Alemtuzumab (substance) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '129472003' = 'Alemtuzumab', given as 'Alemtuzumab (substance)'})</span></td><td>12 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1.2 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table><h3>Batches</h3><table class=\"grid\"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>May 22, 2017 12:00:00 AM</td></tr></table></div>"
},
"contained" : [
{
"resourceType" : "Organization",
"id" : "org6",
"identifier" : [
{
"system" : "http://example.org/identifier",
"value" : "ORG-006"
}
],
"active" : true,
"name" : "Genzyme",
"telecom" : [
{
"system" : "url",
"value" : "https://www.sanofigenzyme.com/",
"use" : "work"
}
],
"address" : [
{
"use" : "work",
"city" : "Cambridge",
"state" : "MA",
"country" : "USA"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1594660",
"display" : "alemtuzumab 10 MG/ML [Lemtrada]"
}
]
},
"manufacturer" : {
"reference" : "#org6"
},
"form" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385219001",
"display" : "Conventional release solution for injection (dose form)"
}
]
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "129472003",
"display" : "Alemtuzumab (substance)"
}
]
},
"strength" : {
"numerator" : {
"value" : 12,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1.2,
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
}
}
],
"batch" : {
"lotNumber" : "9494788",
"expirationDate" : "2017-05-22"
}
},
"request" : {
"method" : "PUT",
"url" : "Medication/example-new-therapy"
}
}
]
}
IG © 2019+ Clinical Quality Framework. Package fhir.cqf.us.common#0.1.0 based on FHIR 4.0.1. Generated 2024-11-18
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