Instance: patient-swart InstanceOf: Patient Title: "Patient: Dutch Patient" Description: "Patine reosurce representing Fiona Swart, a Dutch patient." Usage: #example * identifier.system = "http://fhir.nl/fhir/NamingSystem/bsn" * identifier.value = "999901448" * name.extension.url = "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order" * name.extension.valueCode = #NL1 * name.text = "Fiona XXX_Swart" * name.family.extension.url = "http://hl7.org/fhir/StructureDefinition/humanname-own-name" * name.family.extension.valueString = "XXX_Swart" * name.family = "XXX_Swart" * name.given[0] = "Fiona" * name.given[+] = "F" * name.given[0].extension.url = "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" * name.given[=].extension.valueCode = #BR * name.given[+].extension.url = "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" * name.given[=].extension.valueCode = #IN * telecom.system = #phone * telecom.value = "0655223366" * telecom.use = #mobile * gender = #female * birthDate = "1985-12-23" * address.use = #home * address.type = #physical * address.line = "Knolweg 1000" * address.line.extension[0].url = "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" * address.line.extension[=].valueString = "Knolweg" * address.line.extension[+].url = "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" * address.line.extension[=].valueString = "1000" * address.city = "STITSWERD" * address.postalCode = "9999XA" * address.country = "NL" * multipleBirthBoolean = false Instance: organization-sophia InstanceOf: Organization Title: "Organization: Erasmus MC" Description: "Organization representing the Erasmus MC, Sophia kinderziekenhuis." Usage: #example * identifier.system = "http://fhir.nl/fhir/NamingSystem/agb-z" * identifier.value = "06020806" * type[0].coding.version = "2.16.840.1.113883.2.4.6.7" * type[=].coding = urn:oid:2.16.840.1.113883.2.4.6.7#0300 "Medisch specialist" * name = "Erasmus MC, Sophia kinderziekenhuis" * telecom[0].system = #phone * telecom[=].value = "0107040116" * telecom[+].system = #email * telecom[=].value = "info@erasmusmc.nl" * address.use = #work * address.line = "Dr. Molewaterplein 60" * address.line.extension[0].url = "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" * address.line.extension[=].valueString = "Dr. Molewaterplein" * address.line.extension[+].url = "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" * address.line.extension[=].valueString = "60" * address.city = "ROTTERDAM" * address.postalCode = "3015GJ" * address.country = "NL" Instance: gewicht-swart InstanceOf: $vitalsigns Title: "Observation: Body weight" Description: "Vital Signs observation representng the Body weight of the patient." Usage: #example * status = #final * category[VSCat] = $observation-category#vital-signs "Vital Signs" * code = $loinc#29463-7 "Body weight" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * valueQuantity = 63 'kg' "kg" Instance: bloeddruk-swart InstanceOf: $vitalsigns Title: "Blood pressure" Usage: #inline * status = #final * category[VSCat] = $observation-category#vital-signs "Vital Signs" * code.coding[0] = $loinc#85354-9 "Blood pressure panel with all children optional" * code.coding[+] = $loinc#55284-4 "Blood pressure systolic and diastolic" * code.coding[+] = $sct#46973005 "Blood pressure taking" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * component[0].code = $loinc#8480-6 "Systolic blood pressure" * component[=].valueQuantity = 120 $ucum#mm[Hg] "mmHg" * component[+].code = $loinc#8462-4 "Diastolic blood pressure" * component[=].valueQuantity = 70 $ucum#mm[Hg] "mmHg" Instance: levenvoelen-swart InstanceOf: Observation Title: "Observation: Fetal movement" Usage: #inline * identifier.system = "urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6" * identifier.value = "38e436bf-6b35-11ec-2213-020000000000" * status = #final * code = $sct#364618000 "Pattern of fetal movement" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * valueCodeableConcept = $sct#289431008 "Fetal movements present" Instance: condition-meerling InstanceOf: ConditionEuHdr Title: "Observation: Twin pregnancy" Usage: #inline * clinicalStatus = $condition-clinical#resolved * code = $sct#459168005 "Monochorionic diamniotic twin pregnancy" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * onsetDateTime = 2025-02-08 Instance: condition-growth InstanceOf: Condition Title: "Condition: Fetal growth restriction" Usage: #inline * clinicalStatus = $condition-clinical#resolved * code = $sct#22033007 "Fetal growth restriction" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * onsetDateTime = 2025-02-08 Instance: ziekenhuisopname-swart InstanceOf: EncounterEuHdr Title: "Encounter: Planned hospital admission for twin delivery" Description: "A planned hospital admission for the delivery of twins." Usage: #inline * status = $encounter-status#finished * class = $v3-ActCode#IMP * subject = Reference(patient-swart) "Fiona F XXX_Swart" * period.start = "2025-02-08T10:00:00+00:00" * period.end = "2025-02-12T12:00:00+00:00" * reasonCode = $sct#65147003 "Twin pregnancy" * reasonReference = Reference(condition-meerling) "Twin pregnancy" * diagnosis[0].condition = Reference(condition-meerling) "monochoriale diamniotische tweelingzwangerschap" Instance: alcohol-swart InstanceOf: Observation Title: "Alcohol consumption" Usage: #inline * status = #final * code = $sct#228273003 "Alcohol drinking behaviour" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * valueCodeableConcept = $sct#105542008 "Current non-drinker of alcohol" Instance: tobacco-swart InstanceOf: Observation Title: "Tobacco smoking" Usage: #inline * status = #final * code = $sct#365980008 "Finding of tobacco use and exposure (finding)" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * valueCodeableConcept = $sct#230059006 "Occasional cigarette smoker" * component[0].code = $sct#53661000146106 "Type of tobacco used (observable entity)" * component[=].valueCodeableConcept = $sct#722499006 "Electronic cigarette user" * component[+].code = $sct#266918002 "Tobacco smoking consumption (observable entity)" * component[=].valueQuantity = 6 '{keer per dag inhaleren}' "keer per dag inhaleren" Instance: sectio-swart InstanceOf: ProcedureEuHdr Title: "Procedure: Sectio caesarea" Description: "A planned cesarean section procedure." Usage: #example * status = #completed * category = $sct#386637004 "Obstetric procedure" // * code = $sct#80771000146107 "Planned cesarean section" * code = $sct#11466000 "Cesarean section" * subject = Reference(patient-swart) "Fiona F XXX_Swart" * performedPeriod.start = "2025-02-10T10:03:00+02:00" * performedPeriod.end = "2025-02-10T11:48:00+02:00" // Validator complains about k[arb'U]/L , but it is valid // Instance: lab-swart-1 // InstanceOf: Observation // Title: "Hepatitis B-virusoppervlakte Ag" // Usage: #example // * status = #final // * code = $loinc#58452-4 "Hepatitis B virus surface Ag [Units/volume] in Serum" // * subject = Reference(patient-swart) "Fiona F XXX_Swart" // * valueQuantity = 0 $ucum#k[arb'U]/L "k[arb'U]/L" // Instance: lab-swart-2 // InstanceOf: Observation // Title: "Toxoplasma gondii IgG Antibody" // Usage: #example // * status = #final // * code = $loinc#8039-0 "Toxoplasma gondii IgG Ab [Units/volume] in Serum" // * subject = Reference(patient-swart) "Fiona F XXX_Swart" // * valueQuantity = 9 $ucum#k[arb'U]/L "k[arb'U]/L" Instance: lab-swart-3 InstanceOf: ObservationResultsLaboratoryEu Title: "Observation: ABO group" Description: "ABO blood group type in blood." Usage: #example * status = #final * code = $loinc#883-9 "ABO group [Type] in Blood" * category[laboratory] = $observation-category#laboratory "Laboratory" * subject = Reference(http://example.org/Patient/patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * performer = Reference(http://example.org/Organization/organization-sophia) * valueCodeableConcept = $sct#58460004 "Blood group O" Instance: lab-swart-4 InstanceOf: ObservationResultsLaboratoryEu Title: "Rh D factor" Usage: #inline * id = "a7c687cd-27dd-4b42-88c2-5e32418847ae" * status = #final * code = $loinc#1305-2 "D Ag [Presence] in Blood" * category[laboratory] = $observation-category#laboratory "Laboratory" * subject = Reference(http://example.org/Patient/patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * performer = Reference(http://example.org/Organization/organization-sophia) * valueCodeableConcept = $sct#165747007 "RhD positive" Instance: lab-swart-5 InstanceOf: ObservationResultsLaboratoryEu Title: "Hemoglobine" Usage: #inline * id = "5863804b-b0aa-4292-8bc2-13a769ad50d7" * status = #final * code = $loinc#93846-4 "Hemoglobin [Moles/volume] in Venous blood" * category[laboratory] = $observation-category#laboratory "Laboratory" * subject = Reference(http://example.org/Patient/patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * performer = Reference(http://example.org/Organization/organization-sophia) * valueQuantity = 7.3 $ucum#mmol/L "mmol/L" Instance: lab-swart-6 InstanceOf: ObservationResultsLaboratoryEu Title: "HIV 1 As [aanwezigheid] in serum of plasma d.m.v. immunoassay" Usage: #inline * id = "2640f290-85c4-426f-b912-4b5051f4f35a" * status = #final * code = $loinc#29893-5 "HIV 1 Ab [Presence] in Serum or Plasma by Immunoassay" * category[laboratory] = $observation-category#laboratory "Laboratory" * subject = Reference(http://example.org/Patient/patient-swart) "Fiona F XXX_Swart" * effectiveDateTime = 2025-02-08 * performer = Reference(http://example.org/Organization/organization-sophia) * valueCodeableConcept = $sct#165815009 "HIV not detected" Instance: composition-swart InstanceOf: CompositionEuHdr Usage: #inline * status = #final * type = $loinc#34105-7 "Hospital Discharge summary" * subject = Reference(http://example.org/Patient/patient-swart) * encounter = Reference(ziekenhuisopname-swart) * date = "2025-02-08T10:18:13.947+00:00" * author = Reference(http://example.org/Organization/organization-sophia) * title = "Hospital Discharge summary" * confidentiality = #N // section 0 * section[sectionAdmissionEvaluation].title = "Admission evaluation" * section[sectionAdmissionEvaluation].code = $loinc#67851-6 "Admission evaluation note" * section[sectionAdmissionEvaluation].text.status = #generated * section[sectionAdmissionEvaluation].text.div = "
Patient Fiona Swart was admitted to the hospital for a planned cesarean section.
" * section[sectionAdmissionEvaluation].section[0].title = "Vital signs" * section[sectionAdmissionEvaluation].section[=].code = $loinc#8716-3 "Vital signs" * section[sectionAdmissionEvaluation].section[=].text.status = #generated * section[sectionAdmissionEvaluation].section[=].text.div = "
Body weight 63 kg
Blood pressure panel with all children optional
Systolic blood pressure 120 mmHg
Diastolic blood pressure 70 mmHg
Pattern of fetal movement Fetal movements present
" * section[sectionAdmissionEvaluation].section[=].entry[0] = Reference(gewicht-swart) "63 kg" * section[sectionAdmissionEvaluation].section[=].entry[+] = Reference(bloeddruk-swart) "70/120 mmHg" * section[sectionAdmissionEvaluation].section[=].entry[+] = Reference(levenvoelen-swart) "foetale bewegingen aanwezig" // section 1 * section[sectionPatientHx].title = "35090-0" * section[sectionPatientHx].code = $loinc#35090-0 "Patient History" * section[sectionPatientHx].section[+].title = "Social history" * section[sectionPatientHx].section[=].code = $loinc#29762-2 "Social history Narrative" * section[sectionPatientHx].section[=].text.status = #generated * section[sectionPatientHx].section[=].text.div = "
Alcohol drinking behaviour Current non-drinker of alcohol
Finding of tobacco use and exposure (finding) Occasional cigarette smoker
Type of tobacco used (observable entity) Electronic cigarette user
Tobacco smoking consumption (observable entity) 6 keer per dag inhaleren
" * section[sectionPatientHx].section[=].entry[0] = Reference(alcohol-swart) "does not drink alcohol" * section[sectionPatientHx].section[=].entry[+] = Reference(tobacco-swart) "smokes occasionally cigarettes" * section[sectionPatientHx].section[+].title = "Significant procedures" * section[sectionPatientHx].section[=].code = $loinc#10185-7 "Hospital discharge procedures Narrative" * section[sectionPatientHx].section[=].text.status = #generated * section[sectionPatientHx].section[=].text.div = "
Obstetric procedure Cesarean section
" * section[sectionPatientHx].section[=].entry[0] = Reference(sectio-swart) "planned primary sectio caesarea" // section 2 * section[sectionProblemList].title = "Problem List" * section[sectionProblemList].code = $loinc#11450-4 "Problem list - Reported" * section[sectionProblemList].text.status = #generated * section[sectionProblemList].text.div = "
Monochorionic diamniotic twin pregnancy resolved
Fetal growth restriction resolved
" * section[sectionProblemList].entry[0] = Reference(condition-meerling) * section[sectionProblemList].entry[+] = Reference(http://example.org/Condition/condition-growth) // section 3 * section[sectionHospitalCourse].title = "Hospital Course" * section[sectionHospitalCourse].code = $loinc#8648-8 "Hospital Course" * section[sectionHospitalCourse].text.status = #generated * section[sectionHospitalCourse].text.div = """
The scheduled cesarean section procedure was performed on the day of admission without complications. Intraoperative and postoperative courses were uneventful. Postoperative pain was managed effectively with standard analgesia. Vital signs remained stable throughout the stay, and there were no signs of infection or other complications. The patient was mobilized on postoperative day one and tolerated oral intake well. Mother and newborn received routine postnatal care.
""" // section 4 * section[sectionSignificantResults].title = "Results" * section[sectionSignificantResults].code = $loinc#30954-2 "Relevant diagnostic tests/laboratory data Narrative" * section[sectionSignificantResults].text.status = #generated * section[sectionSignificantResults].text.div = "
ABO group [Type] in Blood Blood group O
D Ag [Presence] in Blood RhD positive
Hemoglobin [Moles/volume] in Venous blood 7.3 mmol/L
HIV 1 Ab [Presence] in Serum or Plasma by Immunoassay HIV not detected
" // * section[=].entry[0] = Reference(lab-swart-1) "HBsAg" // * section[=].entry[+] = Reference(lab-swart-2) "Toxoplasma IgG" * section[sectionSignificantResults].entry[labResult][0] = Reference(lab-swart-3) "ABO group" * section[sectionSignificantResults].entry[labResult][+] = Reference(urn:uuid:a7c687cd-27dd-4b42-88c2-5e32418847ae) "Rh D factor" * section[sectionSignificantResults].entry[labResult][+] = Reference(urn:uuid:5863804b-b0aa-4292-8bc2-13a769ad50d7) "hemoglobin" * section[sectionSignificantResults].entry[labResult][+] = Reference(urn:uuid:2640f290-85c4-426f-b912-4b5051f4f35a) "HIV 1 As" * section[sectionDischargeDetails].title = "Discharge details" * section[sectionDischargeDetails].code = $loinc#8650-4 "Hospital discharge disposition Narrative" * section[sectionDischargeDetails].text.status = #generated * section[sectionDischargeDetails].text.div = "
Patient Fiona Swart was discharged after cesarean section with healthy twin.
" Instance: bundle-swart InstanceOf: BundleEuHdr Title: "Bundle: complete HL7 Europe Hospital Discharge Report (4)" Description: "HL7 FHIR Bundle example for HL7 Europe Hospital Discharge Report (HDR) Fiona Swart" Usage: #example * identifier.system = "urn:ietf:rfc:4122" * identifier.value = "3e594fe5-3ed5-4305-a214-99c87e1f3bfa" * type = #document * timestamp = "2025-05-11T10:18:14.632+00:00" * entry[composition][0].fullUrl = "http://example.org/Composition/composition-swart" * entry[composition][=].resource = composition-swart //1 * entry[condition][+].fullUrl = "http://example.org/Condition/condition-growth" * entry[condition][=].resource = condition-growth * entry[condition][+].fullUrl = "http://example.org/Condition/condition-meerling" * entry[condition][=].resource = condition-meerling //3 * entry[encounter][+].fullUrl = "http://example.org/Encounter/ziekenhuisopname-swart" * entry[encounter][=].resource = ziekenhuisopname-swart * entry[observation][+].fullUrl = "http://example.org/Observation/alcohol-swart" * entry[observation][=].resource = alcohol-swart * entry[observation][+].fullUrl = "http://example.org/Observation/bloeddruk-swart" //6 * entry[observation][=].resource = bloeddruk-swart * entry[observation][+].fullUrl = "http://example.org/Observation/gewicht-swart" * entry[observation][=].resource = gewicht-swart // * entry[+].fullUrl = "http://example.org/Observation/lab-swart-1" // * entry[=].resource = lab-swart-1 // * entry[+].fullUrl = "http://example.org/Observation/lab-swart-2" // * entry[=].resource = lab-swart-2 * entry[observation][+].fullUrl = "http://example.org/Observation/lab-swart-3" * entry[observation][=].resource = lab-swart-3 //8 * entry[observation][+].fullUrl = "urn:uuid:a7c687cd-27dd-4b42-88c2-5e32418847ae" * entry[observation][=].resource = lab-swart-4 * entry[observation][+].fullUrl = "urn:uuid:5863804b-b0aa-4292-8bc2-13a769ad50d7" * entry[observation][=].resource = lab-swart-5 * entry[observation][+].fullUrl = "urn:uuid:2640f290-85c4-426f-b912-4b5051f4f35a" * entry[observation][=].resource = lab-swart-6 * entry[observation][+].fullUrl = "http://example.org/Observation/levenvoelen-swart" * entry[observation][=].resource = levenvoelen-swart * entry[observation][+].fullUrl = "http://example.org/Observation/tobacco-swart" * entry[observation][=].resource = tobacco-swart * entry[organization][+].fullUrl = "http://example.org/Organization/organization-sophia" * entry[organization][=].resource = organization-sophia * entry[patient][+].fullUrl = "http://example.org/Patient/patient-swart" * entry[patient][=].resource = patient-swart * entry[procedure][+].fullUrl = "http://example.org/Procedure/sectio-swart" * entry[procedure][=].resource = sectio-swart