This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Document-example-dischargesummary.json

Raw JSON (canonical form)
Example of a discharge summary
{
  "resourceType": "Bundle",
  "id": "father",
  "meta": {
    "lastUpdated": "2013-05-28T22:12:21Z",
    "tag": [
      {
        "system": "http://hl7.org/fhir/tag",
        "code": "document"
      }
    ]
  },
  "type": "document",
  "base": "http://fhir.healthintersections.com.au/open",
  "entry": [
    {
      "base": "urn:uuid:",
      "resource": {
        "resourceType": "Composition",
        "id": "180f219f-97a8-486d-99d9-ed631fe4fc57",
        "meta": {
          "lastUpdated": "2013-05-28T22:12:21Z"
        },
        "date": "2013-02-01T12:30:02Z",
        "type": {
          "coding": [
            {
              "system": "www.loinc.org",
              "code": "28655-9"
            }
          ],
          "text": "Discharge Summary from Responsible Clinician"
        },
        "status": "final",
        "confidentiality": {
          "system": "www.nz.org",
          "code": "1234-5",
          "display": "Normal"
        },
        "subject": {
          "reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
          "display": "Eve Everywoman"
        },
        "author": [
          {
            "reference": "Practitioner/example",
            "display": "Doctor Dave"
          }
        ],
        "section": [
          {
            "title": "Encounter Information",
            "content": {
              "reference": "http://fhir.healthintersections.com.au/open/Encounter/doc-example"
            }
          },
          {
            "title": "Reason for admission",
            "content": {
              "reference": "urn:uuid:d0dd51d3-3ab2-4c84-b697-a630c3e40e7a"
            }
          },
          {
            "title": "Medications on Discharge",
            "content": {
              "reference": "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"
            }
          },
          {
            "title": "Known allergies",
            "content": {
              "reference": "urn:uuid:68f86194-e6e1-4f65-b64a-5314256f8d7b"
            }
          }
        ]
      }
    },
    {
      "resource": {
        "resourceType": "Practitioner",
        "id": "doc-example",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "generated",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "name": {
          "text": "Doctor Dave"
        }
      }
    },
    {
      "resource": {
        "resourceType": "Patient",
        "id": "d1",
        "text": {
          "status": "generated",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "identifier": [
          {
            "system": "nhi"
          }
        ],
        "name": [
          {
            "text": "Eve Everywoman",
            "family": [
              "Everywoman1"
            ],
            "given": [
              "Eve"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-555-2003",
            "use": "work"
          }
        ],
        "gender": "female",
        "birthDate": "1955-01-06",
        "address": [
          {
            "use": "home",
            "line": [
              "2222 Home Street"
            ]
          }
        ],
        "active": true
      }
    },
    {
      "resource": {
        "resourceType": "Encounter",
        "id": "doc-example",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "generated",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "identifier": [
          {
            "value": "S100"
          }
        ],
        "status": "finished",
        "class": "inpatient",
        "type": [
          {
            "text": "Orthopedic Admission"
          }
        ],
        "patient": {
          "reference": "Patient/d1"
        },
        "period": {
          "start": "2013-01-20T12:30:02Z",
          "end": "2013-02-01T12:30:02Z"
        },
        "hospitalization": {
          "dischargeDisposition": {
            "text": "Discharged to care of GP"
          }
        }
      }
    },
    {
      "base": "urn:uuid:",
      "resource": {
        "resourceType": "Observation",
        "id": "d0dd51d3-3ab2-4c84-b697-a630c3e40e7a",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "additional",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "46241-6"
            }
          ],
          "text": "Reason for admission"
        },
        "valueString": "Acute Asthmatic attack. Was wheezing for days prior to admission.",
        "status": "final",
        "reliability": "ok"
      }
    },
    {
      "base": "urn:uuid:",
      "resource": {
        "resourceType": "List",
        "id": "673f8db5-0ffd-4395-9657-6da00420bbc1",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "additional",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "10183-2",
              "display": "Hospital discharge medications"
            }
          ]
        },
        "mode": "working",
        "entry": [
          {
            "flag": [
              {
                "coding": [
                  {
                    "system": "http://www.ithealthboard.health.nz/fhir/ValueSet/medicationStatus",
                    "code": "started"
                  }
                ]
              }
            ],
            "item": {
              "reference": "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"
            }
          },
          {
            "flag": [
              {
                "coding": [
                  {
                    "system": "http://www.ithealthboard.health.nz/fhir/ValueSet/medicationStatus",
                    "code": "stopped"
                  }
                ]
              }
            ],
            "deleted": true,
            "item": {
              "reference": "MedicationPrescription/1",
              "display": "use of Ventolin Inhaler was discontinued"
            }
          }
        ]
      }
    },
    {
      "base": "urn:uuid:",
      "resource": {
        "resourceType": "MedicationPrescription",
        "id": "124a6916-5d84-4b8c-b250-10cefb8e6e86",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "generated",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "contained": [
          {
            "resourceType": "Medication",
            "id": "med1",
            "name": "Theophylline 200mg",
            "code": {
              "coding": [
                {
                  "system": "http:/snomed.org",
                  "code": "66493003"
                }
              ]
            }
          }
        ],
        "patient": {
          "reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
          "display": "Peter Patient"
        },
        "prescriber": {
          "reference": "Practitioner/example",
          "display": "Peter Practitioner"
        },
        "reasonCodeableConcept": {
          "text": "Management of Asthma"
        },
        "medication": {
          "reference": "Medication/example",
          "display": "Theophylline 200mg BD"
        },
        "dosageInstruction": [
          {
            "additionalInstructions": {
              "text": "Take with Food"
            },
            "scheduledTiming": {
              "repeat": {
                "frequency": 2,
                "duration": 1,
                "units": "d"
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "394899003",
                  "display": "oral administration of treatment"
                }
              ]
            },
            "doseQuantity": {
              "value": 1,
              "units": "tablet",
              "system": "http://unitsofmeasure.org",
              "code": "tbl"
            }
          }
        ]
      }
    },
    {
      "base": "urn:uuid:",
      "resource": {
        "resourceType": "List",
        "id": "68f86194-e6e1-4f65-b64a-5314256f8d7b",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "additional",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "48765-2",
              "display": "Allergies and adverse reactions Document"
            }
          ]
        },
        "mode": "working",
        "entry": [
          {
            "item": {
              "reference": "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"
            }
          }
        ]
      }
    },
    {
      "base": "urn:uuid:",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "47600e0f-b6b5-4308-84b5-5dec157f7637",
        "meta": {
          "lastUpdated": "2013-05-05T16:13:03Z"
        },
        "text": {
          "status": "generated",
          "div": "<div>!-- Snipped for Brevity --></div>"
        },
        "recordedDate": "2012-09-17",
        "subject": {
          "reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
          "display": "Eve Everywoman"
        },
        "substance": {
          "text": "Doxycycline"
        },
        "status": "confirmed",
        "criticality": "high",
        "type": "immune",
        "event": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "sys",
                    "code": "xxx",
                    "display": "Hives"
                  }
                ],
                "text": "Hives"
              }
            ]
          }
        ]
      }
    }
  ]
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.