LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1
LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1
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
Document Subject
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Document Content
Generated Narrative: MedicationRequest
Resource MedicationRequest "NoPrescriptionsExample"
Profile: Prescription Not Available
status: completed
intent: order
medication: No information about medications (Absent and Unknown Data - IPS#no-medication-info)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
note: Additional information (By Organization-OrganizationExample @Oct 12, 2023, 1:21:33)
Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "NoAllergiesExample"
Profile: Allergy Intolerance
clinicalStatus: Inactive (AllergyIntolerance Clinical Status Codes#inactive)
type: allergy
code: No information about allergies (Absent and Unknown Data - IPS#no-allergy-info)
patient: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
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)
recordedDate: 2023-10-06 13:28:17-0500
recorder: Practitioner Tom Junes Smith
asserter: Practitioner Tom Junes Smith
Generated Narrative: Observation
Resource Observation "BloodPressureExample"
Profile: Blood Pressure Observation
status: final
category: Vital Signs ( Observation Category Codes#vital-signs)
code: Blood Pressure ( LOINC#85354-9)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
component
code: BP sys ( LOINC#8480-6)
value: 106 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
component
code: BP dias ( LOINC#8462-4)
value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
Generated Narrative: Observation
Resource Observation "HeightExample"
Profile: Patient Height Observation
status: final
category: Vital Signs ( Observation Category Codes#vital-signs)
code: Body Height ( LOINC#8302-2)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: 185 cm (Details: UCUM code cm = 'cm')
Generated Narrative: Observation
Resource Observation "BMIExample"
Profile: Patient BMI Observation
status: final
category: Vital Signs ( Observation Category Codes#vital-signs)
code: Body mass index (BMI) ( LOINC#39156-5)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: 16.2 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')
derivedFrom:
Generated Narrative: Observation
Resource Observation "RiskBehaviourPhysicalActivityExample"
Profile: Physical Activity Status Observation
status: final
category: Activity (Observation Category Codes#activity)
code: Physical Activity (SNOMED CT#106020009)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: Physically not active (SNOMED CT#9011000175102)
Generated Narrative: Observation
Resource Observation "RandomBloodSugarExample"
Profile: Random Blood Sugar Observation
status: final
category: Laboratory (Observation Category Codes#laboratory)
code: Glucose (LOINC#15074-8)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: 6.3 mmol/L (Details: UCUM code mmol/L = 'mmol/L')
interpretation: High (ObservationInterpretation#H)
| Low | High | Type |
| 3.1 mmol/L (Details: UCUM code mmol/L = 'mmol/L') | 6.2 mmol/L (Details: UCUM code mmol/L = 'mmol/L') | Type (Observation Reference Range Meaning Codes#type) |
Generated Narrative: Observation
Resource Observation "FastingBloodSugarExample"
Profile: Fasting Blood Sugar Observation
status: final
category: Laboratory (Observation Category Codes#laboratory)
code: Fasting glucose (LOINC#76629-5)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: 5.4 mmol/L (Details: UCUM code mmol/L = 'mmol/L')
interpretation: Normal (ObservationInterpretation#N)
| Low | High | Type |
| 3.9 mmol/L (Details: UCUM code mmol/L = 'mmol/L') | 5.6 mmol/L (Details: UCUM code mmol/L = 'mmol/L') | Type (Observation Reference Range Meaning Codes#type) |
Generated Narrative: Observation
Resource Observation "TotalCholesterolExample"
Profile: Total Cholesterol Observation
status: final
category: Laboratory (Observation Category Codes#laboratory)
code: Cholesterol (LOINC#2093-3)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: 6.3 mmol/L (Details: UCUM code mmol/L = 'mmol/L')
interpretation: High (ObservationInterpretation#H)
| High | Type |
| 5 mmol/L (Details: UCUM code mmol/L = 'mmol/L') | Type (Observation Reference Range Meaning Codes#type) |
Generated Narrative: Observation
Resource Observation "RiskBehaviourTobaccoSmokerExample"
Profile: Tobacco Smoker Observation
status: final
category: Social History (Observation Category Codes#social-history)
code: Tobacco smoking status for tobacco smoker (LOINC#81229-7)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
effective: 2022-11-30
performer:
value: Light tobacco smoker (LOINC#LA18982-1)
Generated Narrative: RiskAssessment
Resource RiskAssessment "CVDRiskCategoryExample"
Profile: Cardiovascular Risk Assessment
status: final
code: Assessment for risk of cardiovascular disease (SNOMED CT#441829007)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
occurrence: 2023-10-06 13:28:17-0500
performer: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)
basis:
| Outcome | Probability[x] | QualitativeRisk | When[x] |
| Risk of heart attack (SNOMED CT#395112001) | 0.02 | Risk Category (Cardiovascular Risk Categories#Critical) | 39-49 years |
Generated Narrative: ServiceRequest
Resource ServiceRequest "FollowUpPlanServiceRequestExample"
Profile: Referral Request For Follow-up Plan
status: completed
intent: order
code: Follow up at HLC (SNOMED CT#410321003)
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
occurrence: Count 1 times, Duration 3?ngen-7?, Once
requester: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)
locationReference: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Location/ProvidersLocationExample)
reasonCode: Followed in 6 months at HLC (Follow up at HLC#Followed-in-3-years-at-hlc)
Resource CarePlan "FollowUpAtHLCExample"
Profile: Follow-up at HLC
status: active
intent: order
subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)
period: 2022-12-01 --> (ongoing)
contributor: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
| Reference |
| See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/ServiceRequest/FollowUpPlanServiceRequestExample) |
Resource Location "ProvidersLocationExample"
Profile: Providers Location
identifier: Provider location identifier/Location-ID-1, Provider location identifier/Location-ID-2
status: active
name: Name for the location
telecom: +27829999999, someone@something.com, someone2@something.com
address: 177 Nawala Road Nugegoda Colombo 32350 LK
managingOrganization: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
Resource Device "DeviceInformationExample"
Profile: Device Information
identifier: http://fhir.health.gov.lk/ips/identifier/system-id/OpenMRS-1234-1
status: active
type: Medical record (SNOMED CT#129465004)
| Type | Value |
| OpenMRS (Device Classification Codes#OpenMRS) | 2.5.0 |
owner: Organization/OrganizationExample "Some Health Facility"
location: Location/ProvidersLocationExample "Name for the location"
Entry 1 - fullUrl = http://hapi-fhir:8080/fhir/Composition/HIMSCompositionExample
Resource Composition:
Generated Narrative: Composition HIMSCompositionExample
identifier:
http://fhir.health.gov.lk/ips/identifier/hims-ips-document/PAT0001-v1status: Final
type: Patient summary Document
date: 2024-02-20
author:
title: LK NEHR Sri Lanka Patient Summary for HIMS
Entry 2 - 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
- +27829999999
- someone@something.com
- someone2@something.com
- 177 Nawala Road Nugegoda Colombo 32350 LK
Patient Registration System Information Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record
Entry 3 - fullUrl = http://hapi-fhir:8080/fhir/Encounter/TargetFacilityEncounterExample
Resource Encounter:
Generated Narrative: Encounter TargetFacilityEncounterExample
Not done yet
Entry 4 - 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)
recordedDate: 2023-10-06 13:28:17-0500
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)
effective: 2022-11-30
performer:
value: 110 kg (Details: UCUM codekg = 'kg')
Entry 6 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RiskBehaviourTobaccoSmokerExample
Resource Observation:
Generated Narrative: Observation RiskBehaviourTobaccoSmokerExample
status: Final
category: Social History
code: Tobacco smoking status for tobacco smoker
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: Light tobacco smoker
Entry 7 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RiskBehaviourPhysicalActivityExample
Resource Observation:
Generated Narrative: Observation RiskBehaviourPhysicalActivityExample
status: Final
category: Activity
code: Physical Activity
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: Physically not active
Entry 8 - fullUrl = http://hapi-fhir:8080/fhir/Observation/BloodPressureExample
Resource Observation:
Generated Narrative: Observation BloodPressureExample
status: Final
category: Vital Signs
code: Blood Pressure
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
component
code: Systolic blood pressure
value: 106 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
Entry 9 - fullUrl = http://hapi-fhir:8080/fhir/Observation/HeightExample
Resource Observation:
Generated Narrative: Observation HeightExample
status: Final
category: Vital Signs
code: Body Height
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: 185 cm (Details: UCUM codecm = 'cm')
Entry 10 - fullUrl = http://hapi-fhir:8080/fhir/Observation/BMIExample
Resource Observation:
Generated Narrative: Observation BMIExample
status: Final
category: Vital Signs
code: Body mass index (BMI)
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: 16.2 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
derivedFrom:
Entry 11 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RandomBloodSugarExample
Resource Observation:
Generated Narrative: Observation RandomBloodSugarExample
status: Final
category: Laboratory
code: Glucose
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: 6.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
interpretation: High
ReferenceRanges
Low High Type 3.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L') 6.2 mmol/L (Details: UCUM codemmol/L = 'mmol/L') Type
Entry 12 - fullUrl = http://hapi-fhir:8080/fhir/Observation/FastingBloodSugarExample
Resource Observation:
Generated Narrative: Observation FastingBloodSugarExample
status: Final
category: Laboratory
code: Fasting glucose
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: 5.4 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
interpretation: Normal
ReferenceRanges
Low High Type 3.9 mmol/L (Details: UCUM codemmol/L = 'mmol/L') 5.6 mmol/L (Details: UCUM codemmol/L = 'mmol/L') Type
Entry 13 - fullUrl = http://hapi-fhir:8080/fhir/Observation/TotalCholesterolExample
Resource Observation:
Generated Narrative: Observation TotalCholesterolExample
status: Final
category: Laboratory
code: Cholesterol
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
effective: 2022-11-30
performer:
value: 6.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
interpretation: High
ReferenceRanges
High Type 5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') Type
Entry 14 - fullUrl = http://hapi-fhir:8080/fhir/AllergyIntolerance/NoAllergiesExample
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance NoAllergiesExample
clinicalStatus: Inactive
type: Allergy
code: No information about allergies
patient: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
Entry 15 - fullUrl = http://hapi-fhir:8080/fhir/MedicationRequest/NoPrescriptionsExample
Resource MedicationRequest:
Generated Narrative: MedicationRequest NoPrescriptionsExample
status: Completed
intent: Order
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
authoredOn: 2023-10-06 13:28:17-0500
note: Additional information (By Organization/OrganizationExample @2023-10-11 17:21:33-0800)
Entry 16 - fullUrl = http://hapi-fhir:8080/fhir/RiskAssessment/CVDRiskCategoryExample
Resource RiskAssessment:
Generated Narrative: RiskAssessment CVDRiskCategoryExample
status: Final
code: Assessment for risk of cardiovascular disease
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
occurrence: 2023-10-06 13:28:17-0500
performer: Practitioner Tom Junes Smith
basis:
- Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
- Observation Tobacco smoking status for tobacco smoker
- Observation Cholesterol [Mass/volume] in Serum or Plasma
- Observation Blood pressure panel with all children optional
- Observation Glucose [Moles/volume] in Blood
- Observation Fasting glucose [Moles/volume] in Blood
Predictions
Outcome Probability[x] QualitativeRisk When[x] Risk of heart attack 0.02 Risk Category 39-49 years
Entry 17 - fullUrl = http://hapi-fhir:8080/fhir/CarePlan/FollowUpAtHLCExample
Resource CarePlan:
Generated Narrative: CarePlan FollowUpAtHLCExample
status: Active
intent: Order
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
period: 2022-12-01 --> (ongoing)
contributor: Organization Some Health Facility
activity
Entry 18 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/FollowUpPlanServiceRequestExample
Resource ServiceRequest:
Generated Narrative: ServiceRequest FollowUpPlanServiceRequestExample
status: Completed
intent: Order
code: No display for ServiceRequest.code (concept: Wellness health teaching, guidance, and counselling)
subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
occurrence: Count 1 times, Duration 3?ngen-7? , Once
requester: Practitioner Tom Junes Smith
Entry 19 - 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
Entry 20 - 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
Entry 21 - fullUrl = http://hapi-fhir:8080/fhir/Organization/OrganizationExample
Resource Organization:
Generated Narrative: Organization OrganizationExample
identifier: Organization identifier/facility1
name: Some Health Facility
Entry 22 - 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-1234-1status: Active
type: Medical record
Versions
Type Value OpenMRS 2.5.0 owner: Organization Some Health Facility
location: Location Name for the location