MyHealtheVet PHR FHIR API
0.3.9-current - ci-build United States of America flag

MyHealtheVet PHR FHIR API, published by VA Digital Services. This guide is not an authorized publication; it is the continuous build for version 0.3.9-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/department-of-veterans-affairs/mhv-fhir-phr-mapping/ and changes regularly. See the Directory of published versions

Example DocumentReference: Note 4

Page standards status: Informative

Derived from the following mock NoteTO:

<noteTO>
    <id>5281877</id>
    <timestamp>3220809.134123</timestamp>
    <localTitle>Discharge Summary</localTitle>
    <standardTitle>DISCHARGE SUMMARY</standardTitle>
    <author>
        <id>36556</id>
        <name>AHMED,MARUF</name>
    </author>
    <cosigner>
        <id>37569</id>
        <name>KHAN,MUAZZAM</name>
        <signature>MUAZZAM KHAN Physician</signature>
    </cosigner>
    <location>
        <id>552</id>
        <name>DAYTON</name>
    </location>
    <text>LOCAL TITLE: Discharge Summary                                  
STANDARD TITLE: DISCHARGE SUMMARY                               
   DICT DATE: AUG 09, 2022@13:42     ENTRY DATE: AUG 09, 2022@13:43:02      
 DICTATED BY: AHMED,MARUF             ATTENDING: AHMED,NAJEEB                 
     URGENCY: routine                    STATUS: COMPLETED                     

 
 
DATE OF ADMISSION:
DATE OF DISCHARGE: Aug 9,2022
 
PRINCIPLE DISCHARGE DIAGNOSIS: TEST DISGNOSIS, Maruf Ahmed.
ADDITIONAL DIAGNOSES:
 
CONSULTANT(S):
PROCEDURE(S):
 
BRIEF ADMISSION HISTORY:
71 year old MALE test
 
BRIEF ADMISSION PHYSICAL EXAM:  test exam
 
ADMISSION LAB/EKG/X-RAY RESULTS:  test again
 
HOSPITAL COURSE:
  via2via transstition
 
CONDITION ON DISCHARGE: test
 
DISCHARGE INSTRUCTIONS:
   Activity:    test1
   Diet:        test2
   Medications: test3
   Special Instructions: test again
   Follow-up Plans: test again again
 
/es/ MARUF AHMED
PHYSICIAN
Signed: 08/09/2022 13:44
 
/es/ MUAZZAM KHAN
Physician
Cosigned: 08/12/2022 12:17
for NAJEEB AHMED                                  
AMOD</text>
    <approvedBy>
        <id>36556</id>
        <name>AHMED,MARUF</name>
        <signature>MARUF AHMED PHYSICIAN</signature>
    </approvedBy>
    <status>completed</status>
    <type>DS</type>
    <procTimestamp>3220809.134459</procTimestamp>
</noteTO>

Generated Narrative: DocumentReference ex-MHV-note-4

identifier: urn:oid:2.16.840.1.113883.4.349.4.989/NoteTO.5281877 (use: usual, )

status: Current

type: DISCHARGE SUMMARY

category: Clinical Note

subject: MTPZEROTWO DAYTSHR Male, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#1 (use: usual, ))

date: 2022-08-09 13:41:23+0000

author: Practitioner AHMED,MARUF

authenticator: Practitioner AHMED,MARUF

content

Attachments

-ContentTypeDataTitle
*text/plain(base64 data - 1,440 base64 chars)Discharge Summary

Contexts

-Related
*Location DAYTON

Generated Narrative: Practitioner #ex-MHV-practitioner-36556

identifier: urn:oid:2.16.840.1.113883.4.349.4.989/AuthorTO.37556 (use: usual, )

name: AHMED,MARUF


Generated Narrative: Location #ex-MHV-location-552

identifier: urn:oid:2.16.840.1.113883.4.349.4.989/HospitalLocationTO.552 (use: usual, )

name: DAYTON