HIMS Transactional Bundle - LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide v0.1.0

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: HIMS Transactional Bundle

Generated Narrative: Bundle HIMSTransactionalBundleExample

Bundle HIMSTransactionalBundleExample 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
+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

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/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:
Organization Some Health Facility
Practitioner Tom Junes Smith
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 5 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: Light tobacco smoker
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

PUT Observation/RiskBehaviourTobaccoSmokerExample

Entry 6 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: Physically not active
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

PUT Observation/RiskBehaviourPhysicalActivityExample

Entry 7 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record
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]')

Request:

PUT Observation/BloodPressureExample

Entry 8 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: 185 cm (Details: UCUM codecm = 'cm')
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

PUT Observation/HeightExample

Entry 9 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: 16.2 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record
derivedFrom:
Observation Body weight
Observation Body height

Request:

PUT Observation/BMIExample

Entry 10 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: 6.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
interpretation: High
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record
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

Request:

PUT Observation/RandomBloodSugarExample

Entry 11 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: 5.4 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
interpretation: Normal
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record
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

Request:

PUT Observation/FastingBloodSugarExample

Entry 12 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
effective: 2022-11-30
performer:
Organization Some Health Facility
Practitioner Tom Junes Smith
value: 6.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
interpretation: High
device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record
ReferenceRanges
- High Type
* 5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') Type

Request:

PUT Observation/TotalCholesterolExample

Entry 13 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

Request:

PUT AllergyIntolerance/NoAllergiesExample

Entry 14 - 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)
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
note: Additional information (By Organization/OrganizationExample @2023-10-11 17:21:33-0800)

Request:

PUT MedicationRequest/NoPrescriptionsExample

Entry 15 - 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)
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
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

Request:

PUT RiskAssessment/CVDRiskCategoryExample

Entry 16 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
period: 2022-12-01 --> (ongoing)
contributor: Organization Some Health Facility
activity

Request:

PUT CarePlan/FollowUpAtHLCExample

Entry 17 - 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)
encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia
occurrence: Count 1 times, Duration 3?ngen-7? , Once
requester: Practitioner Tom Junes Smith

Request:

PUT ServiceRequest/FollowUpPlanServiceRequestExample

Entry 18 - 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 19 - 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 20 - 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 21 - 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
- Type Value
* OpenMRS 2.5.0
owner: Organization Some Health Facility
location: Location Name for the location

Request:

PUT Device/DeviceInformationExample