. Page versions: R5 R4B R4 R3 R2This page is part of the FHIR Specification (v0.0.82: DSTU 1). 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",
"title": "Discharge Summary",
"id": "urn:uuid:500bee81-d973-4afe-b592-d39fe71e38",
"updated": "2013-05-28T22:12:21Z",
"category": [
{
"scheme": "http://hl7.org/fhir/tag",
"term": "http://hl7.org/fhir/tag/document"
}
],
"author": [
{
"name": "Dr Dave"
}
],
"entry": [
{
"title": "Composition",
"id": "urn:guid:180f219f-97a8-486d-99d9-ed631fe4fc57",
"updated": "2013-05-28T22:12:21Z",
"content": {
"resourceType": "Composition",
"text": {
"status": "generated",
"div": "<div>\n <p>\n <b>Generated Narrative</b>\n </p>\n <p>\n <b>date</b>: 1-Feb 2013 12:30\n </p>\n <p>\n <b>type</b>: \n <span title=\"Codes: {www.loinc.org 28655-9}\">Discharge Summary from Responsible Clinician</span>\n </p>\n <p>\n <b>status</b>: final_\n </p>\n <p>\n <b>confidentiality</b>: \n <span title=\"{www.nz.org 1234-5}\">Normal</span>\n </p>\n <p>\n <b>author</b>: Doctor Dave\n </p>\n </div>"
},
"date": "2013-02-01T12:30:02",
"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://hl7connect.healthintersections.com.au/svc/fhir/Patient/d1",
"display": "Eve Everywoman"
},
"author": [
{
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/Practitioner/example",
"display": "Doctor Dave"
}
],
"section": [
{
"title": "Encounter Information",
"content": {
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/Encounter/example"
}
},
{
"title": "Reason for admission",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46241-6"
}
]
},
"content": {
"reference": "urn:guid:d0dd51d3-3ab2-4c84-b697-a630c3e40e7a"
}
},
{
"title": "Medications on Discharge",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10183-2"
}
]
},
"content": {
"reference": "urn:guid:673f8db5-0ffd-4395-9657-6da00420bbc1"
}
},
{
"title": "Known allergies",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2"
}
]
},
"content": {
"reference": "urn:guid:68f86194-e6e1-4f65-b64a-5314256f8d7b"
}
}
]
}
},
{
"title": "Written by Doctor Dave",
"id": "http://hl7connect.healthintersections.com.au/svc/fhir/Practitioner/example",
"link": [
{
"rel": "self",
"href": "http://hl7connect.healthintersections.com.au/svc/fhir/Practitioner/example/history/1"
}
],
"updated": "2013-05-05T16:13:03Z",
"published": "2013-05-28T22:12:21Z",
"author": [
{
"name": "68.151.217.168"
}
],
"content": {
"resourceType": "Practitioner",
"text": {
"status": "generated",
"div": "<div>\n \n <h5>Doctor dave</h5>\n \n </div>"
},
"name": {
"text": "Doctor Dave"
}
}
},
{
"title": "About Eve Everywoman",
"id": "http://hl7connect.healthintersections.com.au/svc/fhir/Patient/d1",
"link": [
{
"rel": "self",
"href": "http://hl7connect.healthintersections.com.au/svc/fhir/Patient/d1/history/10"
}
],
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "68.151.217.168"
}
],
"content": {
"resourceType": "Patient",
"text": {
"status": "generated",
"div": "<div>\n \n <h5>Eve Everywoman</h5>\n \n </div>"
},
"identifier": [
{
"system": "nhi"
}
],
"name": [
{
"text": "Eve Everywoman",
"family": [
"Everywoman1"
],
"given": [
"Eve"
]
}
],
"telecom": [
{
"system": "phone",
"value": "555-555-2003",
"use": "work"
}
],
"gender": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/AdministrativeGender",
"code": "F",
"display": "Female"
}
]
},
"birthDate": "1955-01-06",
"address": [
{
"use": "home",
"line": [
"2222 Home Street"
]
}
],
"active": true
},
"summary": "<div>\n \n <h5>Eve Everywoman</h5>\n \n </div>"
},
{
"title": "Admission to Middlemore ",
"id": "http://hl7connect.healthintersections.com.au/svc/fhir/Encounter/example",
"link": [
{
"rel": "self",
"href": "http://hl7connect.healthintersections.com.au/svc/fhir/Encounter/example/history/1"
}
],
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "68.151.217.168"
}
],
"content": {
"resourceType": "Encounter",
"text": {
"status": "generated",
"div": "<div> Admitted to Orthopedics Service,\n Middlemore Hospital between Jan 20 and Feb ist 2013 </div>"
},
"identifier": [
{
"value": "S100"
}
],
"status": "finished",
"class": "inpatient",
"type": [
{
"text": "Orthopedic Admission"
}
],
"subject": {
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/Patient/d1"
},
"hospitalization": {
"period": {
"start": "2013-01-20T12:30:02",
"end": "2013-02-01T12:30:02"
},
"dischargeDisposition": {
"text": "Discharged to care of GP"
}
}
}
},
{
"title": "Admission Reason",
"id": "urn:guid:d0dd51d3-3ab2-4c84-b697-a630c3e40e7a",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "Observation",
"text": {
"status": "additional",
"div": "<div> Acute Asthmatic attack. Was wheezing\n for days prior to admission. </div>"
},
"name": {
"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"
}
},
{
"title": "List of Medications",
"id": "urn:guid:673f8db5-0ffd-4395-9657-6da00420bbc1",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "List",
"text": {
"status": "additional",
"div": "<div>\n \n <table>\n \n <thead>\n \n <tr>\n \n <td>Medication</td>\n \n <td>Last Change</td>\n \n <td>Last ChangeReason</td>\n \n </tr>\n \n </thead>\n \n <tbody>\n \n <tr>\n \n <td>Theophylline 200mg BD after meals</td>\n \n <td>continued</td>\n \n </tr>\n \n <tr>\n \n <td>Ventolin Inhaler</td>\n \n <td>stopped</td>\n \n <td>Getting side effect of tremor</td>\n \n </tr>\n \n </tbody>\n\n \n </table>\n \n </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:guid:124a6916-5d84-4b8c-b250-10cefb8e6e86"
}
},
{
"flag": [
{
"coding": [
{
"system": "http://www.ithealthboard.health.nz/fhir/ValueSet/medicationStatus",
"code": "stopped"
}
]
}
],
"deleted": true,
"item": {
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/MedicationPrescription/1",
"display": "use of Ventolin Inhaler was discontinued"
}
}
]
}
},
{
"title": "Medication #1",
"id": "urn:guid:124a6916-5d84-4b8c-b250-10cefb8e6e86",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "MedicationPrescription",
"text": {
"status": "generated",
"div": "<div>\n \n <p>Theophylline 200mg twice a day</p>\n \n </div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med1",
"name": "Theophylline 200mg",
"code": {
"coding": [
{
"system": "http:/snomed.org",
"code": "66493003"
}
]
}
}
],
"patient": {
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/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"
},
"timingSchedule": {
"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"
}
}
]
}
},
{
"title": "List of Allergies",
"id": "urn:guid:68f86194-e6e1-4f65-b64a-5314256f8d7b",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "List",
"text": {
"status": "additional",
"div": "<div>\n \n <table>\n \n <thead>\n \n <tr>\n \n <td>Allergen</td>\n \n <td>Reaction</td>\n \n </tr>\n \n </thead>\n \n <tbody>\n \n <tr>\n \n <td>Doxycycline</td>\n \n <td>Hives</td>\n \n </tr>\n \n </tbody>\n\n \n </table>\n \n </div>"
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"mode": "working",
"entry": [
{
"item": {
"reference": "urn:guid:47600e0f-b6b5-4308-84b5-5dec157f7637"
}
}
]
}
},
{
"title": "Allergy to Doxycycline",
"id": "urn:guid:47600e0f-b6b5-4308-84b5-5dec157f7637",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "AllergyIntolerance",
"text": {
"status": "generated",
"div": "<div>Sensitivity to Doxycycline :\n Hives</div>"
},
"criticality": "fatal",
"sensitivityType": "allergy",
"recordedDate": "2012-09-17",
"status": "confirmed",
"subject": {
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/Patient/d1",
"display": "Eve Everywoman"
},
"substance": {
"reference": "urn:guid:4c2d16c0-b102-486c-aa7c-b266ce98709f",
"display": "Doxycycline"
},
"reaction": [
{
"reference": "urn:guid:25be7cdf-7055-40fa-80ac-defd531180dd",
"display": "Hives"
}
]
}
},
{
"title": "Adverse Reaction",
"id": "urn:guid:25be7cdf-7055-40fa-80ac-defd531180dd",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "AdverseReaction",
"text": {
"status": "generated",
"div": "<div>\n <p>\n <b>Generated Narrative</b>\n </p>\n <p>\n <b>subject</b>: Eve Everywoman\n </p>\n <p>\n <b>didNotOccurFlag</b>: false\n </p>\n <h3>Symptoms</h3>\n <table class=\"grid\">\n <tr>\n <td>\n <b>Code</b>\n </td>\n <td>\n <b>Severity</b>\n </td>\n </tr>\n <tr>\n <td>\n <span title=\"Codes: {sys xxx}\">Hives</span>\n </td>\n <td> </td>\n </tr>\n </table>\n </div>"
},
"subject": {
"reference": "http://hl7connect.healthintersections.com.au/svc/fhir/Patient/d1",
"display": "Eve Everywoman"
},
"didNotOccurFlag": false,
"symptom": [
{
"code": {
"coding": [
{
"system": "sys",
"code": "xxx",
"display": "Hives"
}
],
"text": "Hives"
}
}
]
}
},
{
"title": "Substance",
"id": "urn:guid:4c2d16c0-b102-486c-aa7c-b266ce98709f",
"updated": "2013-05-05T16:13:03Z",
"author": [
{
"name": "Dr Dave"
}
],
"content": {
"resourceType": "Substance",
"text": {
"status": "generated",
"div": "<div>Doxycycline</div>"
},
"type": {
"coding": [
{
"system": "codesys",
"code": "123445",
"display": "Doxycycline"
}
]
}
}
}
]
}
© HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:09+1000.
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