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
{
"resourceType" : "Composition",
"id" : "HIMSCompositionExample",
"meta" : {
"profile" : [
🔗 "http://fhir.health.gov.lk/ips/StructureDefinition/hims-composition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition HIMSCompositionExample</b></p><a name=\"HIMSCompositionExample\"> </a><a name=\"hcHIMSCompositionExample\"> </a><a name=\"HIMSCompositionExample-en-US\"> </a><p><b>identifier</b>: <code>http://fhir.health.gov.lk/ips/identifier/hims-ips-document</code>/PAT0001-v1</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 60591-5}\">Patient summary Document</span></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia</a></p><p><b>date</b>: 2024-02-20</p><p><b>author</b>: </p><ul><li><a href=\"Practitioner-GeneralPractitionerExample.html\">Practitioner Tom Junes Smith </a></li><li><a href=\"Organization-OrganizationExample.html\">Organization Some Health Facility</a></li></ul><p><b>title</b>: LK NEHR Sri Lanka Patient Summary for HIMS</p></div>"
},
"identifier" : {
"system" : "http://fhir.health.gov.lk/ips/identifier/hims-ips-document",
"value" : "PAT0001-v1"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"encounter" : {
🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
},
"date" : "2024-02-20",
"author" : [
{
🔗 "reference" : "Practitioner/GeneralPractitionerExample"
},
{
🔗 "reference" : "Organization/OrganizationExample"
}
],
"title" : "LK NEHR Sri Lanka Patient Summary for HIMS",
"section" : [
{
"title" : "Medication Summary section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"NoPrescriptionsExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "NoPrescriptionsExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-no-medication-requested.html\">Prescription Not Available</a></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>medication</b>: No information about medications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/uv/ips/STU1.1/CodeSystem-absent-unknown-uv-ips.html\">Absent and Unknown Data - IPS</a>#no-medication-info)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>note</b>: Additional information (By Organization-OrganizationExample @Oct 12, 2023, 1:21:33)</p></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationRequest/NoPrescriptionsExample"
}
]
},
{
"title" : "IPS Allergies and Intolerances Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"NoAllergiesExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource AllergyIntolerance "NoAllergiesExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-allergy-intolerance.html\">Allergy Intolerance</a></p></div><p><b>clinicalStatus</b>: Inactive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#inactive)</span></p><p><b>type</b>: allergy</p><p><b>code</b>: No information about allergies <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/uv/ips/STU1.1/CodeSystem-absent-unknown-uv-ips.html\">Absent and Unknown Data - IPS</a>#no-allergy-info)</span></p><p><b>patient</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p></div>"
},
"entry" : [
{
🔗 "reference" : "AllergyIntolerance/NoAllergiesExample"
}
]
},
{
"title" : "IPS Problems Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition MedicalHistoryExample</b></p><a name=\"MedicalHistoryExample\"></a><a name=\"hcMedicalHistoryExample\"> </a><a name=\"MedicalHistoryExample-en-US\"></a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 313435000}\">Type I diabetes mellitus without complication</span></p><p><b>subject</b>: <a href=\"Patient-PatientExample.html\">Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number:\u00a0personal health number)</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia</a></p><p><b>recordedDate</b>: 2023-10-06 13:28:17-0500</p><p><b>recorder</b>: <a href=\"Practitioner-GeneralPractitionerExample.html\">Practitioner Tom Junes Smith</a></p><p><b>asserter</b>: <a href=\"Practitioner-GeneralPractitionerExample.html\">Practitioner Tom Junes Smith</a></p></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/MedicalHistoryExample"
}
]
},
{
"title" : "IPS Vital Signs Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8716-3"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b> <a name=\"BloodPressureExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "BloodPressureExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-blood-pressure.html\">Blood Pressure Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Blood Pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#85354-9)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><blockquote><p><b>component</b></p><p><b>code</b>: BP sys <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8480-6)</span></p><p><b>value</b>: 106 mmHg <span style=\"background: LightGoldenRodYellow\">(Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: BP dias <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8462-4)</span></p><p><b>value</b>: 60 mmHg <span style=\"background: LightGoldenRodYellow\">(Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p></blockquote><p><b>Generated Narrative: Observation</b> <a name=\"HeightExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "HeightExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-height.html\">Patient Height Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Body Height <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8302-2)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: 185 cm <span style=\"background: LightGoldenRodYellow\">(Details: UCUM code cm = 'cm')</span></p><br/><p><b>Generated Narrative: Observation</b> <a name=\"BMIExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "BMIExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-bmi.html\">Patient BMI Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Body mass index (BMI) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#39156-5)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: 16.2 kg/m2 <span style=\"background: LightGoldenRodYellow\">(Details: UCUM code kg/m2 = 'kg/m2')</span></p><p><b>derivedFrom</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-WeightExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-HeightExample)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/BloodPressureExample"
},
{
🔗 "reference" : "Observation/WeightExample"
},
{
🔗 "reference" : "Observation/HeightExample"
},
{
🔗 "reference" : "Observation/BMIExample"
}
]
},
{
"title" : "Physical Activities Summary section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "77242-6"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"RiskBehaviourPhysicalActivityExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "RiskBehaviourPhysicalActivityExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-risk-behaviour-physical-activity.html\">Physical Activity Status Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Activity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity)</span></p><p><b>code</b>: Physical Activity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#106020009)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: Physically not active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#9011000175102)</span></p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/RiskBehaviourPhysicalActivityExample"
}
]
},
{
"title" : "IPS Results Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"RandomBloodSugarExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "RandomBloodSugarExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-random-blood-sugar.html\">Random Blood Sugar Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Glucose <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#15074-8)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: 6.3 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></p><p><b>interpretation</b>: High <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#H)</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>3.1 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>6.2 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#type)</span></td></tr></table><br/><p><b>Generated Narrative: Observation</b><a name=\"FastingBloodSugarExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "FastingBloodSugarExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fasting-blood-sugar.html\">Fasting Blood Sugar Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Fasting glucose <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#76629-5)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: 5.4 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></p><p><b>interpretation</b>: Normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>3.9 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>5.6 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#type)</span></td></tr></table><br/><p><b>Generated Narrative: Observation</b><a name=\"TotalCholesterolExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "TotalCholesterolExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-total-cholesterol.html\">Total Cholesterol Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Cholesterol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#2093-3)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: 6.3 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></p><p><b>interpretation</b>: High <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#H)</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>5 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#type)</span></td></tr></table><br/><p><b>Generated Narrative: Observation</b><a name=\"RiskBehaviourTobaccoSmokerExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "RiskBehaviourTobaccoSmokerExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-risk-behaviour-tobacco-smoker.html\">Tobacco Smoker Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Tobacco smoking status for tobacco smoker <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#81229-7)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</li></ul><p><b>value</b>: Light tobacco smoker <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#LA18982-1)</span></p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/RandomBloodSugarExample"
},
{
🔗 "reference" : "Observation/FastingBloodSugarExample"
},
{
🔗 "reference" : "Observation/TotalCholesterolExample"
},
{
🔗 "reference" : "Observation/RiskBehaviourTobaccoSmokerExample"
}
]
},
{
"title" : "Risk Assessments Summary section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75492-9"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RiskAssessment</b><a name=\"CVDRiskCategoryExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource RiskAssessment "CVDRiskCategoryExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cvd-risk-category.html\">Cardiovascular Risk Assessment</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Assessment for risk of cardiovascular disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#441829007)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>occurrence</b>: 2023-10-06 13:28:17-0500</p><p><b>performer</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</p><p><b>basis</b>:</p><ul><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-RiskBehaviourTobaccoSmokerExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-TotalCholesterolExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-BloodPressureExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-RandomBloodSugarExample)</li><li>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-FastingBloodSugarExample)</li></ul><h3>Predictions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Outcome</b></td><td><b>Probability[x]</b></td><td><b>QualitativeRisk</b></td><td><b>When[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Risk of heart attack <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#395112001)</span></td><td>0.02</td><td>Risk Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-cs-cvd-risk-category.html\">Cardiovascular Risk Categories</a>#Critical)</span></td><td>39-49 years</td></tr></table></div>"
},
"entry" : [
{
🔗 "reference" : "RiskAssessment/CVDRiskCategoryExample"
}
]
},
{
"title" : "Referrals Summary section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57133-1"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"FollowUpPlanServiceRequestExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest "FollowUpPlanServiceRequestExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-follow-up-plan.html\">Referral Request For Follow-up Plan</a></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: Follow up at HLC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#410321003)</span></p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>occurrence</b>: Count 1 times, Duration 3?ngen-7?, Once</p><p><b>requester</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)</p><p><b>locationReference</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Location/ProvidersLocationExample)</p><p><b>reasonCode</b>: Followed in 6 months at HLC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-cs-follow-up-reasons.html\">Follow up at HLC</a>#Followed-in-3-years-at-hlc)</span></p></div>"
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/FollowUpPlanServiceRequestExample"
}
]
},
{
"title" : "IPS Plan of Care Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b><a name=\"FollowUpAtHLCExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CarePlan "FollowUpAtHLCExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-follow-up-at-hlc.html\">Follow-up at HLC</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)</p><p><b>encounter</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)</p><p><b>period</b>: 2022-12-01 --> (ongoing)</p><p><b>contributor</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td>See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/ServiceRequest/FollowUpPlanServiceRequestExample)</td></tr></table></div>"
},
"entry" : [
{
🔗 "reference" : "CarePlan/FollowUpAtHLCExample"
}
]
},
{
"title" : "List of Encounter Locations section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80412-0"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"ProvidersLocationExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Location "ProvidersLocationExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-providers-location.html\">Providers Location</a></p></div><p><b>identifier</b>: Provider location identifier/Location-ID-1, Provider location identifier/Location-ID-2</p><p><b>status</b>: active</p><p><b>name</b>: Name for the location</p><p><b>telecom</b>: <a href=\"tel:+27829999999\">+27829999999</a>, <a href=\"mailto:someone@something.com\">someone@something.com</a>, <a href=\"mailto:someone2@something.com\">someone2@something.com</a></p><p><b>address</b>: 177 Nawala Road Nugegoda Colombo 32350 LK</p><p><b>managingOrganization</b>: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)</p></div>"
},
"entry" : [
{
🔗 "reference" : "Location/ProvidersLocationExample"
}
]
},
{
"title" : "List of Used Devices section",
"code" : {
"coding" : [
{
"system" : "http://fhir.health.gov.lk/ips/CodeSystem/cs-composition-codes",
"code" : "Device-Information"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Device</b><a name=\"DeviceInformationExample\"> </a><a name=\"hcDeviceInformationExample\"></a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Device "DeviceInformationExample"</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-device-information.html\">Device Information</a></p></div><p><b>identifier</b>: <code>http://fhir.health.gov.lk/ips/identifier/system-id</code>/OpenMRS-1234-1</p><p><b>status</b>: active</p><p><b>type</b>: Medical record <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#129465004)</span></p><h3>Versions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>OpenMRS <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-cs-device-classification.html\">Device Classification Codes</a>#OpenMRS)</span></td><td>2.5.0</td></tr></table><p><b>owner</b>: <a href=\"Organization-OrganizationExample.html\">Organization/OrganizationExample</a> "Some Health Facility"</p><p><b>location</b>: <a href=\"Location-ProvidersLocationExample.html\">Location/ProvidersLocationExample</a> "Name for the location"</p></div>"
},
"entry" : [
{
🔗 "reference" : "Device/DeviceInformationExample"
}
]
}
]
}