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
<Composition xmlns="http://hl7.org/fhir">
<id value="HIMSCompositionExample"/>
<meta>
<profile
value="http://fhir.health.gov.lk/ips/StructureDefinition/hims-composition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system
value="http://fhir.health.gov.lk/ips/identifier/hims-ips-document"/>
<value value="PAT0001-v1"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<encounter>🔗
<reference value="Encounter/TargetFacilityEncounterExample"/>
</encounter>
<date value="2024-02-20"/>
<author>🔗
<reference value="Practitioner/GeneralPractitionerExample"/>
</author>
<author>🔗
<reference value="Organization/OrganizationExample"/>
</author>
<title value="LK NEHR Sri Lanka Patient Summary for HIMS"/>
<section>
<title value="Medication Summary section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="MedicationRequest/NoPrescriptionsExample"/>
</entry>
</section>
<section>
<title value="IPS Allergies and Intolerances Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="AllergyIntolerance/NoAllergiesExample"/>
</entry>
</section>
<section>
<title value="IPS Problems Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
</coding>
</code>
<text>
<status value="generated"/>
<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: personal 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>
</text>
<entry>🔗
<reference value="Condition/MedicalHistoryExample"/>
</entry>
</section>
<section>
<title value="IPS Vital Signs Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8716-3"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Observation/BloodPressureExample"/>
</entry>
<entry>🔗
<reference value="Observation/WeightExample"/>
</entry>
<entry>🔗
<reference value="Observation/HeightExample"/>
</entry>
<entry>🔗
<reference value="Observation/BMIExample"/>
</entry>
</section>
<section>
<title value="Physical Activities Summary section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="77242-6"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Observation/RiskBehaviourPhysicalActivityExample"/>
</entry>
</section>
<section>
<title value="IPS Results Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Observation/RandomBloodSugarExample"/>
</entry>
<entry>🔗
<reference value="Observation/FastingBloodSugarExample"/>
</entry>
<entry>🔗
<reference value="Observation/TotalCholesterolExample"/>
</entry>
<entry>🔗
<reference value="Observation/RiskBehaviourTobaccoSmokerExample"/>
</entry>
</section>
<section>
<title value="Risk Assessments Summary section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="75492-9"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="RiskAssessment/CVDRiskCategoryExample"/>
</entry>
</section>
<section>
<title value="Referrals Summary section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57133-1"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="ServiceRequest/FollowUpPlanServiceRequestExample"/>
</entry>
</section>
<section>
<title value="IPS Plan of Care Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="CarePlan/FollowUpAtHLCExample"/>
</entry>
</section>
<section>
<title value="List of Encounter Locations section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80412-0"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Location/ProvidersLocationExample"/>
</entry>
</section>
<section>
<title value="List of Used Devices section"/>
<code>
<coding>
<system
value="http://fhir.health.gov.lk/ips/CodeSystem/cs-composition-codes"/>
<code value="Device-Information"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Device/DeviceInformationExample"/>
</entry>
</section>
</Composition>