This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). 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
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"
},
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"date": "2013-02-01T12:30:02Z",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "28655-9"
}
],
"text": "Discharge Summary from Responsible Clinician"
},
"status": "final",
"confidentiality": "N",
"subject": {
"reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
"display": "Eve Everywoman"
},
"author": [
{
"reference": "Practitioner/example",
"display": "Doctor Dave"
}
],
"encounter": {
"reference": "http://fhir.healthintersections.com.au/open/Encounter/doc-example"
},
"section": [
{
"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": "example",
"meta": {
"lastUpdated": "2013-05-05T16:13:03Z"
},
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"identifier": [
{
"system": "http://www.acme.org/practitioners",
"value": "23"
}
],
"name": {
"family": [
"Careful"
],
"given": [
"Adam"
],
"prefix": [
"Dr"
]
},
"practitionerRole": [
{
"managingOrganization": {
"reference": "Organization/1"
},
"role": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0286",
"code": "RP"
}
]
},
"period": {
"start": "2012-01-01",
"end": "2012-03-31"
}
}
]
}
},
{
"resource": {
"resourceType": "Patient",
"id": "d1",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"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": "List",
"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": "8646-2",
"display": "Hospital admission diagnosis"
}
]
},
"subject": {
"reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
"display": "Peter Patient"
},
"status": "current",
"mode": "working",
"entry": [
{
"item": {
"reference": "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"
}
}
]
}
},
{
"base": "urn:uuid:",
"resource": {
"resourceType": "Observation",
"id": "541a72a8-df75-4484-ac89-ac4923f03b81",
"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"
}
]
},
"subject": {
"reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
"display": "Peter Patient"
},
"status": "current",
"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.info/sct",
"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": "#med1",
"display": "Theophylline 200mg BD"
},
"dosageInstruction": [
{
"additionalInstructions": {
"text": "Take with Food"
},
"scheduledTiming": {
"repeat": {
"frequency": 2,
"period": 1,
"periodUnits": "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"
}
]
},
"subject": {
"reference": "http://fhir.healthintersections.com.au/open/Patient/d1",
"display": "Peter Patient"
},
"status": "current",
"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",
"patient": {
"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": "http://example.org/system",
"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.