LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1 Sri Lanka flag

LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. 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/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions

Example Bundle: HHIMS Transactional Bundle with medical history

Generated Narrative: Bundle HHIMSTransactionalBundleExampleWithMedicalHistory

Bundle HHIMSTransactionalBundleExampleWithMedicalHistory of type transaction

Entry 1 - fullUrl = http://hapi-fhir:8080/fhir/Patient/PatientExample

Resource Patient:

Generated Narrative: Patient PatientExample

Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

Other Ids:
  • Passport number/Passport-1
  • Passport number/Passport-2
  • Driver's license number/Drivers license-1
  • Driver's license number/Drivers license-2
  • National identity number/National identity number-1
  • National identity number/National identity number-2
  • Senior Citizen Number/Senior citizen number-1
  • Senior Citizen Number/Senior citizen number-2
Contact Detail
Patient Registration System InformationDevice: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

PUT Patient/PatientExample

Entry 2 - fullUrl = http://hapi-fhir:8080/fhir/Encounter/TargetFacilityEncounterExample

Resource Encounter:

Generated Narrative: Encounter TargetFacilityEncounterExample

Not done yet

Request:

PUT Encounter/TargetFacilityEncounterExample

Entry 3 - fullUrl = http://hapi-fhir:8080/fhir/Condition/MedicalHistoryExample

Resource Condition:

Generated Narrative: Condition MedicalHistoryExample

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Type I diabetes mellitus without complication

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

recordedDate: 2023-10-06 13:28:17-0500

Request:

PUT Condition/MedicalHistoryExample

Entry 4 - fullUrl = http://hapi-fhir:8080/fhir/Communication/NotifiableDiseasesNotifiedExample

Resource Communication:

Generated Narrative: Communication NotifiableDiseasesNotifiedExample

status: Completed

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

sent: 2023-10-06 13:28:17-0500

sender: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

PUT Communication/NotifiableDiseasesNotifiedExample

Entry 5 - fullUrl = http://hapi-fhir:8080/fhir/Observation/WeightExample

Resource Observation:

Generated Narrative: Observation WeightExample

status: Final

category: Vital Signs

code: Body Weight

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

effective: 2022-11-30

performer:

value: 110 kg (Details: UCUM codekg = 'kg')

device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

PUT Observation/WeightExample

Entry 6 - fullUrl = http://hapi-fhir:8080/fhir/AllergyIntolerance/AllergiesExample

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance AllergiesExample

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

code: Allergy to food

patient: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

onset: 2023-10-11 17:21:33-0800

Request:

PUT AllergyIntolerance/AllergiesExample

Entry 7 - fullUrl = http://hapi-fhir:8080/fhir/MedicationRequest/MedicationRequestsExample

Resource MedicationRequest:

Generated Narrative: MedicationRequest MedicationRequestsExample

identifier: Prescription identifier/prescription-12345

status: Completed

intent: Order

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

authoredOn: 2023-10-11 17:21:33-0800

requester: Practitioner Tom Junes Smith

performer: Practitioner Tom Junes Smith

recorder: Practitioner Tom Junes Smith

note: Additional information regarding the patient's medication prescription (By Organization/OrganizationExample @2023-10-11 17:21:33-0800)

dosageInstruction

DispenseRequests

-Quantity
*5

Request:

PUT MedicationRequest/MedicationRequestsExample

Entry 8 - fullUrl = http://hapi-fhir:8080/fhir/MedicationDispense/DrugDispensationExample

Resource MedicationDispense:

Generated Narrative: MedicationDispense DrugDispensationExample

status: completed

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

Performers

-Actor
*Practitioner Tom Junes Smith

location: Location Name for the location

authorizingPrescription: MedicationRequest: identifier = Prescription identifier: prescription-12345; status = completed; intent = order; medication[x] = Tizanidine (as Hydrochloride) Tablet 2mg; authoredOn = 2023-10-11 17:21:33-0800; note = Additional information regarding the patient's medication prescription

whenHandedOver: 2023-10-11 17:21:33-0800

receiver: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

Request:

PUT MedicationDispense/DrugDispensationExample

Entry 9 - fullUrl = http://hapi-fhir:8080/fhir/ImagingStudy/ImagingExample

Resource ImagingStudy:

Generated Narrative: ImagingStudy ImagingExample

status: Registered

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

started: 2023-10-06 13:28:17-0500

basedOn: ServiceRequest X-Ray

referrer: Practitioner Tom Junes Smith

location: Location Name for the location

description: Imaging Description

series

uid: 2.16.124.113543.6003.1154777499.30246.19789.3503430045.1

modality: Digital Radiography

Performers

-Actor
*Practitioner Tom Junes Smith

Instances

-UidSopClass
*2.16.124.113543.6003.1154777499.30246.19789.3503430045.1.1unknown urn:oid:1.2.840.10008.5.1.4.1.1.2: urn:oid:1.2.840.10008.5.1.4.1.1.2

Request:

PUT ImagingStudy/ImagingExample

Entry 10 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/GeneralReferralServiceRequestExample

Resource ServiceRequest:

Generated Narrative: ServiceRequest GeneralReferralServiceRequestExample

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Patient referral)

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

occurrence: 2023-10-06 13:28:17-0500

requester: Practitioner Tom Junes Smith

Request:

PUT ServiceRequest/GeneralReferralServiceRequestExample

Entry 11 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/InvestigationsServiceRequestExample

Resource ServiceRequest:

Generated Narrative: ServiceRequest InvestigationsServiceRequestExample

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: FBC - WBC (th/uL))

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

occurrence: 2023-10-06 13:28:17-0500

authoredOn: 2023-10-06 13:28:17-0500

requester: Practitioner Tom Junes Smith

Request:

PUT ServiceRequest/InvestigationsServiceRequestExample

Entry 12 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/ImagingServiceRequestExample

Resource ServiceRequest:

Generated Narrative: ServiceRequest ImagingServiceRequestExample

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: X-Ray)

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

occurrence: 2023-10-06 13:28:17-0500

authoredOn: 2023-10-06 13:28:17-0500

requester: Practitioner Tom Junes Smith

Request:

PUT ServiceRequest/ImagingServiceRequestExample

Entry 13 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/ProcedureServiceRequestExample

Resource ServiceRequest:

Generated Narrative: ServiceRequest ProcedureServiceRequestExample

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Cleaning and Dressing)

subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

occurrence: 2023-10-06 13:28:17-0500

requester: Practitioner Tom Junes Smith

Request:

PUT ServiceRequest/ProcedureServiceRequestExample

Entry 14 - fullUrl = http://hapi-fhir:8080/fhir/Task/HHIMSReferralTaskExample

Resource Task:

Generated Narrative: Task HHIMSReferralTaskExample

status: Completed

intent: Order

priority: Routine

description: some information regarding the need for the referral request, if any.

focus: ServiceRequest Patient referral

for: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

authoredOn: 2023-10-06 13:28:17-0500

requester: Practitioner Tom Junes Smith

location: Location Name for the location

Request:

PUT Task/HHIMSReferralTaskExample

Entry 15 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/GeneralPractitionerExample

Resource Practitioner:

Generated Narrative: Practitioner GeneralPractitionerExample

name: Tom Junes Smith

telecom: ph: 27537652509(Work), someone@something.org

Request:

PUT Practitioner/GeneralPractitionerExample

Entry 16 - fullUrl = http://hapi-fhir:8080/fhir/Location/ProvidersLocationExample

Resource Location:

Generated Narrative: Location ProvidersLocationExample

identifier: Provider location identifier/Location-ID-1, Provider location identifier/Location-ID-2

status: Active

name: Name for the location

address: 177 Nawala Road Nugegoda Colombo 32350 LK

managingOrganization: Organization Some Health Facility

Request:

PUT Location/ProvidersLocationExample

Entry 17 - fullUrl = http://hapi-fhir:8080/fhir/Organization/OrganizationExample

Resource Organization:

Generated Narrative: Organization OrganizationExample

identifier: Organization identifier/facility1

name: Some Health Facility

Request:

PUT Organization/OrganizationExample

Entry 18 - fullUrl = http://hapi-fhir:8080/fhir/Device/DeviceInformationExample

Resource Device:

Generated Narrative: Device DeviceInformationExample

identifier: http://fhir.health.gov.lk/ips/identifier/system-id/OpenMRS-1234-1

status: Active

type: Medical record

Versions

-TypeValue
*OpenMRS2.5.0

owner: Organization Some Health Facility

location: Location Name for the location

Request:

PUT Device/DeviceInformationExample