Dental Data Exchange
1.0.0 - STU 1
Dental Data Exchange
1.0.0 - STU 1
This page is part of the Dental Data Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "Complete-Dental-Consult-Note-Document-Bundle-Example",
"meta" : {
"versionId" : "17",
"lastUpdated" : "2021-08-27T15:48:21.262+00:00",
"source" : "#0QvC0RTdwuXOfzzP",
"profile" : [
"http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:c417cad7-57b3-47a6-bab8-33fdae616840"
},
"type" : "document",
"timestamp" : "2021-06-25T10:30:00.000-08:00",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Composition/Dental-2-Med-Consult",
"resource" : {
"resourceType" : "Composition",
"id" : "Dental-2-Med-Consult",
"language" : "en-US",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 34756-7}\">Dentistry Consult note</span></p><p><b>encounter</b>: <a href=\"#Encounter_Dental-encounter\">Dental Referral with patient A. Generated Summary: status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span>; period: Feb 16, 2020 8:00:14 PM --> Feb 16, 2020 8:30:14 PM</a></p><p><b>date</b>: Feb 16, 2020 9:10:14 AM</p><p><b>author</b>: <a href=\"#Practitioner_practitioner-D\">Dentist D, DMD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><p><b>title</b>: Consultation Note</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Mar 28, 2020 9:10:14 AM</td><td><a href=\"#Practitioner_practitioner-D\">Dentist Dentist D, DMD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></td></tr></table><p><b>custodian</b>: <a href=\"#Organization_GOHC-organization\">Good Oral Health Clinic. Generated Summary: id: 2316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Good Oral Health Clinic; Phone: (+1) 720-677-7777, customer2-service@GHclinic.org</a></p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}\">Care Provision</span></td><td>2020-02-16 --> 2020-02-16</td></tr></table></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34756-7",
"display" : "Dentistry Consult note"
}
]
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"encounter" : {
"reference" : "Encounter/Dental-encounter",
"display" : "Dental Referral with patient A"
},
"date" : "2020-02-16T09:10:14Z",
"author" : [
{
"reference" : "Practitioner/practitioner-D",
"display" : "Dentist D, DMD"
}
],
"title" : "Consultation Note",
"attester" : [
{
"mode" : "legal",
"time" : "2020-03-28T09:10:14Z",
"party" : {
"reference" : "Practitioner/practitioner-D",
"display" : "Dentist Dentist D, DMD"
}
}
],
"custodian" : {
"reference" : "Organization/GOHC-organization",
"display" : "Good Oral Health Clinic"
},
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
"code" : "PCPR",
"display" : "Care Provision"
}
]
}
],
"period" : {
"start" : "2020-02-16",
"end" : "2020-02-16"
}
}
],
"section" : [
{
"title" : "Allergies and Intolerances Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Substance</b>\n </td>\n <td>\n <b>Overall Severity</b>\n </td>\n <td>\n <b>Reaction</b>\n </td>\n <td>\n <b>Reaction Severity</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n </tr>\n <tr>\n <td>Penicillin G (Ingredient)</td>\n <td>Mild</td>\n <td>Skin rash</td>\n <td>Mild</td>\n <td>Active</td>\n </tr>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "AllergyIntolerance/Allergy-example-dental"
}
]
},
{
"title" : "History of Present Illness Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10164-2",
"display" : "History of Present illness Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>The patient has not visited a dentist or received fluoride treatments in the past four years while away at college</p>\n </div>"
}
},
{
"title" : "Problem Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Mild, Hypertension</p>\n <p>Type 1 diabetes</p>\n <p>Dental caries</p>\n <p>Unable to chew</p>\n <p>Teeth covered in plague</p>\n <p>Toothache</p>\n <p>Chronic periodontitis</p>\n <p>Infection of tooth</p>\n <p>At high risk for dental caries (finding)</p>\n </div>"
},
"entry" : [
{
"reference" : "Condition/HTN-example"
},
{
"reference" : "Condition/DM1-example"
},
{
"reference" : "Condition/Dental-caries"
},
{
"reference" : "Condition/no-chew"
},
{
"reference" : "Condition/Dental-plaque-example"
},
{
"reference" : "Condition/toothache-example"
},
{
"reference" : "Condition/Chronic-periodontitis-example"
},
{
"reference" : "Condition/Tooth-infection18"
},
{
"reference" : "Condition/Caries-risk"
}
]
},
{
"title" : "Medication Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Medication</b>\n </td>\n <td>\n <b>Directions</b>\n </td>\n <td>\n <b>Start Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Indications</b>\n </td>\n <td>\n <b>Fill Instructions</b>\n </td>\n </tr>\n <tr>\n <td>erythromycin 500 mg</td>\n <td>Take 1 tablet every six hours X10 days</td>\n <td/>\n <td>Active</td>\n <td/>\n <td/>\n </tr>\n <tr>\n <td>ibuprofen (OTC) 200 mg tab</td>\n <td>Take 2-3 tablets every 8 hours as needed for pain</td>\n <td>Take 2-3 tablets every 8 hours as needed for pain</td>\n <td/>\n <td>Active</td>\n <td/>\n <td/>\n </tr>\n <tr>\n <td>acetaminophen (OTC) 325 mg</td>\n <td>Take 2 tablets every 4-6 hours as needed for pain</td>\n <td/>\n <td>Active</td>\n <td/>\n <td/>\n </tr>\n <tr>\n <td>Lisinopril 10 mg tab</td>\n <td>1 tab once a day</td>\n <td/>\n <td>Active</td>\n <td/>\n <td/>\n </tr>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "MedicationRequest/erythromycin-medreq-2"
},
{
"reference" : "MedicationRequest/Ibuprofen-medreq-2"
},
{
"reference" : "MedicationRequest/Tylenol-med-dental"
},
{
"reference" : "MedicationRequest/Lisinopril-medreq"
}
]
},
{
"title" : "Assessment Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "51848-0",
"display" : "Evaluation note"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p> Patient reports inability to chew on left side due to pain and\n sensitivity, a condition that has increased in severity in the two days\n since his medical appointment </p>\n <p> Significant decay on the left lower second molar (tooth #18)\n with signs of infection </p>\n <p> Early signs of a caries lesion (decay) on the right upper\n lateral incisor (tooth #7) </p>\n <p> Recommend an extraction of the left lower second molar(tooth\n #18) and a restoration on the right upper lateral incisor (tooth #7) due\n to a caries lesion </p>\n </div>"
}
},
{
"title" : "Immunizations Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Vaccine</th>\n <th>Date</th>\n <th>Status</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>\n Hepatitis B vaccine\n </td>\n <td>January 4, 2020</td>\n <td>Completed</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Immunization/imm-1"
}
]
},
{
"title" : "Medical Equipment Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8",
"display" : "History of medical device use"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Device Type</th>\n <th>Procedure</th>\n <th>Implant Date</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Insulin Pump</td>\n <td>Insertion of insulin pump (procedure)</td>\n <td>November 3, 2013</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Procedure/Insulin-pump-insertion"
}
]
},
{
"title" : "Plan of Treatment Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Date</th>\n <th>Code</th>\n <th>Description</th>\n <th>Mouth Location</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Feb 23, 2020</td>\n <td>D7140</td>\n <td>Extraction, erupted tooth or exposed root (elevation and/or\n forceps removal)</td>\n <td>Tooth #18</td>\n </tr>\n <tr>\n <td>Mar 3, 2020</td>\n <td>D1352</td>\n <td>Preventive resin restoration in a moderate to high caries\n risk patient-permanent tooth</td>\n <td>Tooth #7</td>\n </tr>\n <tr>\n <td>Mar 10, 2020</td>\n <td>D0150</td>\n <td>comprehensive oral evaluation - new or established\n patient</td>\n <td>N/A</td>\n </tr>\n <tr>\n <td>Mar 10, 2020</td>\n <td>D1110</td>\n <td>Prophylaxis - Adult</td>\n <td>N/A</td>\n </tr>\n <tr>\n <td>Mar 10, 2020</td>\n <td>D0210</td>\n <td>Full mouth radiographic survey</td>\n <td>N/A</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "ServiceRequest/Dental-extraction-example"
},
{
"reference" : "ServiceRequest/Resin-restore-example"
},
{
"reference" : "ServiceRequest/prophylaxis-example"
},
{
"reference" : "ServiceRequest/Radiograph-survey"
}
]
},
{
"title" : "Procedures Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "History of Procedures Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Date</th>\n <th>Code</th>\n <th>Description</th>\n <th>Mouth Location</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Feb 16, 2020</td>\n <td>D1206</td>\n <td>topical application of fluoride varnish</td>\n <td>N/A</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Procedure/Dental-flouride-tx-example"
}
]
},
{
"title" : "Reason for Visit Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Patient referred for evaluation and treatment for toothache lower left</p>\n </div>"
}
},
{
"title" : "Social History Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2",
"display" : "Social history Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Social History Element</b>\n </td>\n <td>\n <b>Description</b>\n </td>\n <td>\n <b>Effective Dates</b>\n </td>\n </tr>\n <tr>\n <td>Smoking Status - Meaningful Use</td>\n <td>Never smoked tobacco</td>\n <td>Feb 14, 2020</td>\n </tr>\n <tr>\n <td>Highest Education Level</td>\n <td>College Education</td>\n <td>2005/05/01 - 2010/02/28</td>\n </tr>\n <tr>\n <td>Employment</td>\n <td>Accountaint, Full Time</td>\n <td>2005/05/01 - 2010/02/28</td>\n </tr>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Observation/Smoker-obs-example-dental"
},
{
"reference" : "Observation/Education-level-example-dental"
},
{
"reference" : "Observation/Present-job-example-dental"
}
]
},
{
"title" : "Vital Signs Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8716-3",
"display" : "Vital signs"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Observation Type</th>\n <th>Value</th>\n <th>Units</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Body Temperature</td>\n <td>99</td>\n <td>[degF]</td>\n </tr>\n <tr>\n <td>Heart Rate</td>\n <td>82</td>\n <td>/min</td>\n </tr>\n <tr>\n <td>Blood Pressure - Diastolic</td>\n <td>80</td>\n <td>mmHg</td>\n </tr>\n <tr>\n <td>Blood Pressure - Systolic</td>\n <td>120</td>\n <td>mmHg</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Observation/body-temperature"
},
{
"reference" : "Observation/heart-rate"
},
{
"reference" : "Observation/blood-pressure"
}
]
},
{
"title" : "Instructions Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69730-0",
"display" : "Instructions"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Patient educated on the benefits of using a fluoride toothpaste, daily\n flossing, and bi-annual routine dental cleaning visits.</p>\n </div>"
},
"entry" : [
{
"reference" : "Communication/dental-education2"
}
]
},
{
"title" : "Payers Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48768-6",
"display" : "Payment sources Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Aetna Comprehensive Medical /Dental Insurance</p>\n </div>"
},
"entry" : [
{
"reference" : "Coverage/Dental-Aetna"
}
]
},
{
"title" : "Dental Findings Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8704-9",
"display" : "Physical findings of Mouth and Throat and Teeth"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Finding Type</th>\n <th>Value</th>\n <th>Location</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Problem</td>\n <td>Dental Caries</td>\n <td>Tooth #18</td>\n </tr>\n <tr>\n <td>Problem</td>\n <td>Infection of Tooth</td>\n <td>Tooth #18</td>\n </tr>\n <tr>\n <td>Problem</td>\n <td>Dental Caries</td>\n <td>Tooth #7</td>\n </tr>\n <tr>\n <td>Result</td>\n <td>Overjet</td>\n <td>3mm</td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"entry" : [
{
"reference" : "Condition/Mandibular-perm18-example"
},
{
"reference" : "Condition/Tooth-infection18"
},
{
"reference" : "Condition/Maxillary-perm7-example"
},
{
"reference" : "Observation/Overjet"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Patient/example-dental",
"resource" : {
"resourceType" : "Patient",
"id" : "example-dental",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Patient \n \n \n \n \n \n <b>A </b>\n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>5152020</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>123 Test Dr. </span>\n <br/>\n <span>Denver </span>\n <span>CO </span>\n <span>US </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>01 January 1990</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1516-4",
"display" : "Zuni"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://clinic.goodhealth.org",
"value" : "5152020"
}
],
"active" : true,
"name" : [
{
"family" : "A",
"given" : [
"Patient"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "123-456-7890",
"use" : "home"
},
{
"system" : "email",
"value" : "testA@email.com"
}
],
"gender" : "male",
"birthDate" : "1990-01-01",
"address" : [
{
"line" : [
"123 Test Dr."
],
"city" : "Denver",
"state" : "CO",
"postalCode" : "80204",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Encounter/Med-visit-1",
"resource" : {
"resourceType" : "Encounter",
"id" : "Med-visit-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office Visit</span></p><p><b>priority</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>period</b>: Feb 14, 2020 8:00:14 PM --> Feb 14, 2020 8:30:14 PM</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99201",
"display" : "Level 1 New Patient Office Visit"
}
],
"text" : "Office Visit"
}
],
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
"code" : "R",
"display" : "routine"
}
]
},
"subject" : {
"reference" : "Patient/example-dental"
},
"period" : {
"start" : "2020-02-14T15:00:14-05:00",
"end" : "2020-02-14T15:30:14-05:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/PractitionerRole/PractitionerRole-M",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-M",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#Practitioner_practitioner-M\">Dr. John M. Generated Summary: id: 1234569999; John M ; Phone: 303-303-6443; gender: male; birthDate: 1975-06-09</a></p><p><b>organization</b>: <a href=\"#Organization_GHC-organization\">Good Health Clinic. Generated Summary: id: 1316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Good Health Clinic; Phone: (+1) 555-677-7777, customer-service@GHclinic.org</a></p><p><b>specialty</b>: <span title=\"Codes: {http://snomed.info/sct 394814009}\">General practice (specialty)</span></p><p><b>telecom</b>: ph: 5555557777</p></div>"
},
"practitioner" : {
"reference" : "Practitioner/practitioner-M",
"display" : "Dr. John M"
},
"organization" : {
"reference" : "Organization/GHC-organization",
"display" : "Good Health Clinic"
},
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394814009",
"display" : "General practice (specialty)"
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "5555557777"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-M",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-M",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1234569999</p><p><b>name</b>: John M </p><p><b>telecom</b>: ph: 303-303-6443(WORK)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1975-06-09</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1234569999"
}
],
"name" : [
{
"family" : "M",
"given" : [
"John"
],
"prefix" : [
"Dr"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "303-303-6443",
"use" : "work"
}
],
"gender" : "male",
"birthDate" : "1975-06-09"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Organization/GHC-organization",
"resource" : {
"resourceType" : "Organization",
"id" : "GHC-organization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1316452725</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Good Health Clinic</p><p><b>telecom</b>: ph: (+1) 555-677-7777, <a href=\"mailto:customer-service@GHclinic.org\">customer-service@GHclinic.org</a></p><p><b>address</b>: 7551 W Alameda Ave Lakewood CO 80226 USA </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1316452725"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Good Health Clinic",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 555-677-7777"
},
{
"system" : "email",
"value" : "customer-service@GHclinic.org"
}
],
"address" : [
{
"line" : [
"7551 W Alameda Ave"
],
"city" : "Lakewood",
"state" : "CO",
"postalCode" : "80226",
"country" : "USA"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/AllergyIntolerance/Allergy-example-dental",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "Allergy-example-dental",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>category</b>: medication</p><p><b>criticality</b>: high</p><p><b>code</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 7980}\">Penicillin G (Ingredient)</span></p><p><b>patient</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 1998-05-01</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed"
}
]
},
"category" : [
"medication"
],
"criticality" : "high",
"code" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "7980",
"display" : "Penicillin G"
}
],
"text" : "Penicillin G (Ingredient)"
},
"patient" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "1998-05-01"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Lisinopril-medreq",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "Lisinopril-medreq",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>medication</b>: <a href=\"#Medication_Lisinopril-med-example\">See above (Medication/Lisinopril-med-example)</a></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>authoredOn</b>: 2020-02-14</p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-M\">Dr. John M, MD. Generated Summary: id: 1234569999; John M ; Phone: 303-303-6443; gender: male; birthDate: 1975-06-09</a></p><p><b>reasonReference</b>: <a href=\"#Condition_HTN-example\">See above (Condition/HTN-example)</a></p></div>"
},
"status" : "active",
"intent" : "plan",
"medicationReference" : {
"reference" : "Medication/Lisinopril-med-example"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"authoredOn" : "2020-02-14",
"requester" : {
"reference" : "Practitioner/practitioner-M",
"display" : "Dr. John M, MD"
},
"reasonReference" : [
{
"reference" : "Condition/HTN-example"
}
],
"dosageInstruction" : [
{
"text" : "Take 1 tab once a day",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2020-01-03"
}
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral use"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Medication/Lisinopril-med-example",
"resource" : {
"resourceType" : "Medication",
"id" : "Lisinopril-med-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Lisinopril 10 mg tab</div>\n </div>"
},
"code" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "314076",
"display" : "Lisinopril 10 mg Oral Tablet"
}
],
"text" : "Lisinopril 10 mg Oral Tablet"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/HTN-example",
"resource" : {
"resourceType" : "Condition",
"id" : "HTN-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 38341003}, {http://www.ada.org/snodent 175027D}\">Hypertensive disorder (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2013-07-06</p><p><b>asserter</b>: <a href=\"#Practitioner_practitioner-UNK\">See above (Practitioner/practitioner-UNK)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "38341003",
"display" : "High blood pressure"
},
{
"system" : "http://www.ada.org/snodent",
"code" : "175027D",
"display" : "High blood pressure"
}
],
"text" : "Hypertensive disorder (disorder)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2013-07-06",
"asserter" : {
"reference" : "Practitioner/practitioner-UNK"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/DM1-example",
"resource" : {
"resourceType" : "Condition",
"id" : "DM1-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 46635009}, {http://www.ada.org/snodent 175321D}\">Diabetes mellitus type I</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2013-07-06</p><p><b>asserter</b>: <a href=\"#Practitioner_practitioner-UNK\">See above (Practitioner/practitioner-UNK)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "46635009",
"display" : "Diabetes mellitus type I"
},
{
"system" : "http://www.ada.org/snodent",
"code" : "175321D",
"display" : "Diabetes mellitus type I"
}
],
"text" : "Diabetes mellitus type I"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2013-07-06",
"asserter" : {
"reference" : "Practitioner/practitioner-UNK"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Dental-plaque-example",
"resource" : {
"resourceType" : "Condition",
"id" : "Dental-plaque-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 276453000}, {http://www.ada.org/snodent 108723D}\">Teeth covered in plaque (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2013-07-06</p><p><b>asserter</b>: <a href=\"#Practitioner_practitioner-UNK\">See above (Practitioner/practitioner-UNK)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code" : "health-concern",
"display" : "Health Concern"
}
],
"text" : "Health Concern"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "276453000",
"display" : "Teeth covered in plaque (finding)"
},
{
"system" : "http://www.ada.org/snodent",
"code" : "108723D",
"display" : "Teeth covered in plaque (finding)"
}
],
"text" : "Teeth covered in plaque (finding)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2013-07-06",
"asserter" : {
"reference" : "Practitioner/practitioner-UNK"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-UNK",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-UNK",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 555555555</p><p><b>name</b>: UNK </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "555555555"
}
],
"name" : [
{
"family" : "UNK",
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/toothache-example",
"resource" : {
"resourceType" : "Condition",
"id" : "toothache-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 27355003}, {http://www.ada.org/snodent 131687D}\">Toothache (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code" : "health-concern",
"display" : "Health Concern"
}
],
"text" : "Health Concern"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "27355003",
"display" : "Toothache (finding)"
},
{
"system" : "http://www.ada.org/snodent",
"code" : "131687D",
"display" : "Toothache (finding)"
}
],
"text" : "Toothache (finding)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-14"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Swollen-gums-example",
"resource" : {
"resourceType" : "Condition",
"id" : "Swollen-gums-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 148393D}, {http://snomed.info/sct 309685001}\">Swollen gums (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code" : "health-concern",
"display" : "Health Concern"
}
],
"text" : "Health Concern"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "148393D",
"display" : "Swollen gums (finding)"
},
{
"system" : "http://snomed.info/sct",
"code" : "309685001",
"display" : "Swollen gums (finding)"
}
],
"text" : "Swollen gums (finding)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-14"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Bleeding-gums-example",
"resource" : {
"resourceType" : "Condition",
"id" : "Bleeding-gums-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 148393D}, {http://snomed.info/sct 86276007}\">Bleeding gums</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code" : "health-concern",
"display" : "Health Concern"
}
],
"text" : "Health Concern"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "148393D",
"display" : "Bleeding gums"
},
{
"system" : "http://snomed.info/sct",
"code" : "86276007",
"display" : "Bleeding gums"
}
],
"text" : "Bleeding gums"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-14"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Caries-risk",
"resource" : {
"resourceType" : "Condition",
"id" : "Caries-risk",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 179051D}, {http://snomed.info/sct 609402003}\">At high risk for dental caries (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "179051D",
"display" : "At high risk for dental caries (finding)"
},
{
"system" : "http://snomed.info/sct",
"code" : "609402003",
"display" : "At high risk for dental caries (finding)"
}
],
"text" : "At high risk for dental caries (finding)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-14"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/ServiceRequest/example-dental-referral-1",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "example-dental-referral-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4</p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 14736009}\">Evaluation and management of patient (procedure)</span></p><p><b>priority</b>: asap</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 103697008}\">Patient referral for dental care (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-M\">See above (Practitioner/practitioner-M)</a></p><p><b>reasonReference</b>: </p><ul><li><a href=\"#Condition_toothache-example\">See above (Condition/toothache-example)</a></li><li><a href=\"Condition-LLQP-example.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>, <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern problem</span>; <span title=\"Codes: {http://snomed.info/sct 301716002}\">Left lower quadrant pain</span></a></li><li><a href=\"#Condition_Bleeding-gums-example\">See above (Condition/Bleeding-gums-example)</a></li></ul></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4"
}
],
"status" : "active",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "14736009",
"display" : "History and physical examination with evaluation and management of patient (procedure)"
}
],
"text" : "Evaluation and management of patient (procedure)"
}
],
"priority" : "asap",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103697008",
"display" : "Patient referral for dental care (procedure)"
}
],
"text" : "Patient referral for dental care (procedure)"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"requester" : {
"reference" : "Practitioner/practitioner-M"
},
"reasonReference" : [
{
"reference" : "Condition/toothache-example"
},
{
"reference" : "Condition/LLQP-example"
},
{
"reference" : "Condition/Bleeding-gums-example"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Encounter/Comp-oral-eval",
"resource" : {
"resourceType" : "Encounter",
"id" : "Comp-oral-eval",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: planned</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://ada.org/cdt D0150}\">Comprehensive Oral Evaluation</span></p><p><b>priority</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>period</b>: Mar 10, 2020 8:00:14 PM --> Mar 10, 2020 8:30:14 PM</p></div>"
},
"status" : "planned",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://ada.org/cdt",
"code" : "D0150"
}
],
"text" : "Comprehensive Oral Evaluation"
}
],
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
"code" : "R",
"display" : "routine"
}
]
},
"subject" : {
"reference" : "Patient/example-dental"
},
"period" : {
"start" : "2020-03-10T15:00:14-05:00",
"end" : "2020-03-10T15:30:14-05:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Immunization/imm-1",
"resource" : {
"resourceType" : "Immunization",
"id" : "imm-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/cvx 08}\">hepatitis B vaccine, pediatric or pediatric/adolescent dosage</span></p><p><b>patient</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>occurrence</b>: 2020-01-04</p><p><b>primarySource</b>: false</p></div>"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "08",
"display" : "hepatitis B vaccine, pediatric or pediatric/adolescent dosage"
}
]
},
"patient" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"occurrenceDateTime" : "2020-01-04",
"primarySource" : false
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Procedure/Insulin-pump-insertion",
"resource" : {
"resourceType" : "Procedure",
"id" : "Insulin-pump-insertion",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff</p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 443263006}\">Insertion of insulin pump (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>performed</b>: 2013-11-03</p></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "443263006"
}
],
"text" : "Insertion of insulin pump (procedure)"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"performedDateTime" : "2013-11-03"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/Smoker-obs-example-dental",
"resource" : {
"resourceType" : "Observation",
"id" : "Smoker-obs-example-dental",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>effective</b>: Jan 15, 2020 5:27:04 AM</p><p><b>issued</b>: Jan 15, 2020 5:27:04 AM</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 266919005}\">Never smoked tobacco (finding)</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history",
"display" : "Social History"
}
],
"text" : "Social History"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72166-2",
"display" : "Tobacco smoking status"
}
],
"text" : "Tobacco smoking status"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"effectiveDateTime" : "2020-01-15T05:27:04Z",
"issued" : "2020-01-15T05:27:04Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "266919005",
"display" : "Never smoked tobacco (finding)"
}
],
"text" : "Never smoked tobacco (finding)"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/Education-level-example-dental",
"resource" : {
"resourceType" : "Observation",
"id" : "Education-level-example-dental",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 82589-3}\">Highest Level of Education</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>effective</b>: 2012-01-01 --> 2016-01-01</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 224302000}\">Received higher education college education (finding)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82589-3",
"display" : "Highest Level of Education"
}
]
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"effectivePeriod" : {
"start" : "2012-01-01",
"end" : "2016-01-01"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "224302000",
"display" : "Received higher education college education (finding)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/Present-job-example-dental",
"resource" : {
"resourceType" : "Observation",
"id" : "Present-job-example-dental",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 11341-5}\">History of Occupation</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>effective</b>: 2015-01-01 --> (ongoing)</p><p><b>value</b>: <span title=\"Codes: {urn:oid:2.16.840.1.114222.4.11.7186 0800}\">Accountants and Auditors</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11341-5",
"display" : "History of Occupation"
}
]
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"effectivePeriod" : {
"start" : "2015-01-01"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.11.7186",
"code" : "0800",
"display" : "Accountants and Auditors"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/vitals-panel",
"resource" : {
"resourceType" : "Observation",
"id" : "vitals-panel",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 85353-1}\">Vital signs Panel</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><p><b>hasMember</b>: </p><ul><li><a href=\"#Observation_respiratory-rate\">Respiratory Rate. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 9279-1}\">Respiratory rate</span>; effective: 2020-02-14; 20 breaths/minute</a></li><li><a href=\"#Observation_heart-rate\">Heart Rate. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 8867-4}\">Heart rate</span>; effective: 1999-07-02; 78 beats/minute</a></li><li><a href=\"#Observation_blood-pressure\">Blood Pressure. Generated Summary: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 85354-9}\">Blood pressure systolic & diastolic</span>; effective: 2020-02-14</a></li><li><a href=\"#Observation_body-temperature\">Body Temperature. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 8310-5}\">Body temperature</span>; effective: 2020-02-14; 36.9 C</a></li></ul></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85353-1",
"display" : "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
}
],
"text" : "Vital signs Panel"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"effectiveDateTime" : "2020-02-14",
"hasMember" : [
{
"reference" : "Observation/respiratory-rate",
"display" : "Respiratory Rate"
},
{
"reference" : "Observation/heart-rate",
"display" : "Heart Rate"
},
{
"reference" : "Observation/blood-pressure",
"display" : "Blood Pressure"
},
{
"reference" : "Observation/body-temperature",
"display" : "Body Temperature"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/respiratory-rate",
"resource" : {
"resourceType" : "Observation",
"id" : "respiratory-rate",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9279-1}\">Respiratory rate</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><p><b>value</b>: 20 breaths/minute</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9279-1",
"display" : "Respiratory rate"
}
],
"text" : "Respiratory rate"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"effectiveDateTime" : "2020-02-14",
"valueQuantity" : {
"value" : 20,
"unit" : "breaths/minute",
"system" : "http://unitsofmeasure.org",
"code" : "/min"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/heart-rate",
"resource" : {
"resourceType" : "Observation",
"id" : "heart-rate",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8867-4}\">Heart rate</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 1999-07-02</p><p><b>value</b>: 78 beats/minute</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8867-4",
"display" : "Heart rate"
}
],
"text" : "Heart rate"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"effectiveDateTime" : "1999-07-02",
"valueQuantity" : {
"value" : 78,
"unit" : "beats/minute",
"system" : "http://unitsofmeasure.org",
"code" : "/min"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/blood-pressure",
"resource" : {
"resourceType" : "Observation",
"id" : "blood-pressure",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>basedOn</b>: <span></span></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 85354-9}\">Blood pressure systolic & diastolic</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8480-6}, {http://snomed.info/sct 271649006}\">Systolic blood pressure</span></p><p><b>value</b>: 120 mmHg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 80 mmHg</p></blockquote></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
}
],
"basedOn" : [
{
"identifier" : {
"system" : "https://acme.org/identifiers",
"value" : "1234"
}
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
],
"text" : "Blood pressure systolic & diastolic"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"effectiveDateTime" : "2020-02-14",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
},
{
"system" : "http://snomed.info/sct",
"code" : "271649006",
"display" : "Systolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 120,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 80,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/body-temperature",
"resource" : {
"resourceType" : "Observation",
"id" : "body-temperature",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8310-5}\">Body temperature</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><p><b>value</b>: 36.9 C</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8310-5",
"display" : "Body temperature"
}
],
"text" : "Body temperature"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"effectiveDateTime" : "2020-02-14",
"valueQuantity" : {
"value" : 36.9,
"unit" : "C",
"system" : "http://unitsofmeasure.org",
"code" : "Cel"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Coverage/Dental-Aetna",
"resource" : {
"resourceType" : "Coverage",
"id" : "Dental-Aetna",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345</p><p><b>status</b>: active</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode DENTAL}\">dental care policy</span></p><p><b>subscriber</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>subscriberId</b>: 123456</p><p><b>beneficiary</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2020-01-01 --> 2020-01-01</p><p><b>payor</b>: <a href=\"Organization-Aetna-organization.html\">Generated Summary: id: 9316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span>; name: Aetna Insurance; Phone: (+1) 720-677-7777, customer2-service@Aetna.org</a></p><h3>Classes</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></td><td>B37FC</td><td>Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://benefitsAetna.com/certificate",
"value" : "12345"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "DENTAL",
"display" : "dental care policy"
}
]
},
"subscriber" : {
"reference" : "Patient/example-dental"
},
"subscriberId" : "123456",
"beneficiary" : {
"reference" : "Patient/example-dental"
},
"dependent" : "0",
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self",
"display" : "Self"
}
]
},
"period" : {
"start" : "2020-01-01",
"end" : "2020-01-01"
},
"payor" : [
{
"reference" : "Organization/Aetna-organization"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "plan"
}
]
},
"value" : "B37FC",
"name" : "Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Tooth-infection18",
"resource" : {
"resourceType" : "Condition",
"id" : "Tooth-infection18",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 181608D}, {http://snomed.info/sct 427898007}\">Infection of tooth</span></p><p><b>bodySite</b>: <span title=\"Codes: {http://www.ada.org/snodent 161372D}, {http://snomed.info/sct 48402004}\">Mandibular left second molar tooth</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem List Item"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "181608D",
"display" : "Infection of tooth"
},
{
"system" : "http://snomed.info/sct",
"code" : "427898007",
"display" : "Infection of tooth"
}
],
"text" : "Infection of tooth"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "161372D",
"display" : "Permanent lower left second molar tooth"
},
{
"system" : "http://snomed.info/sct",
"code" : "48402004",
"display" : "Mandibular left second molar tooth"
}
],
"text" : "Mandibular left second molar tooth"
}
],
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Mandibular-perm18-example",
"resource" : {
"resourceType" : "Condition",
"id" : "Mandibular-perm18-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>, <span title=\"Codes: {http://www.ada.org/snodent 118666D}, {http://snomed.info/sct 118938008}\">Disorder of mouth (disorder)</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 118065D}, {http://snomed.info/sct 80967001}\">Dental caries (disorder)</span></p><p><b>bodySite</b>: <span title=\"Codes: {http://www.ada.org/snodent 161372D}, {http://snomed.info/sct 48402004}\">Mandibular left second molar tooth</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-16</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
},
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "118666D",
"display" : "Disease of the mouth (disorder)"
},
{
"system" : "http://snomed.info/sct",
"code" : "118938008",
"display" : "Disorder of mouth (disorder)"
}
],
"text" : "Disorder of mouth (disorder)"
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "118065D",
"display" : "Dental caries (disorder)"
},
{
"system" : "http://snomed.info/sct",
"code" : "80967001",
"display" : "Dental caries (disorder)"
}
],
"text" : "Dental caries (disorder)"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "161372D",
"display" : "Permanent lower left second molar tooth"
},
{
"system" : "http://snomed.info/sct",
"code" : "48402004",
"display" : "Mandibular left second molar tooth"
}
],
"text" : "Mandibular left second molar tooth"
}
],
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-16"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Maxillary-perm7-example",
"resource" : {
"resourceType" : "Condition",
"id" : "Maxillary-perm7-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 118065D}, {http://snomed.info/sct 80967001}\">Dental caries (disorder)</span></p><p><b>bodySite</b>: <span title=\"Codes: {http://www.ada.org/snodent 161941D}, {http://snomed.info/sct 245574002}\">Entire permanent maxillary right lateral incisor tooth (body structure)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2019-06-10</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "118065D",
"display" : "Dental caries (disorder)"
},
{
"system" : "http://snomed.info/sct",
"code" : "80967001",
"display" : "Dental caries (disorder)"
}
],
"text" : "Dental caries (disorder)"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "161941D",
"display" : "Permanent upper right lateral incisor tooth"
},
{
"system" : "http://snomed.info/sct",
"code" : "245574002",
"display" : "Entire permanent maxillary right lateral incisor tooth (body structure)"
}
],
"text" : "Entire permanent maxillary right lateral incisor tooth (body structure)"
}
],
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2019-06-10"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Observation/Overjet",
"resource" : {
"resourceType" : "Observation",
"id" : "Overjet",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 32916-9}\">Overjet</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-16</p><p><b>value</b>: 3 mm</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam",
"display" : "Exam"
}
],
"text" : "Exam"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "32916-9",
"display" : "Horizontal overlap [Length] Maxilla and Mandible Measured"
}
],
"text" : "Overjet"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"effectiveDateTime" : "2020-02-16",
"valueQuantity" : {
"value" : 3,
"unit" : "mm",
"system" : "http://unitsofmeasure.org"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/MedicationRequest/erythromycin-medreq-2",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "erythromycin-medreq-2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>medication</b>: <a href=\"Medication-erythromycin-med-example.html\">Generated Summary: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 315877}\">Erythromycin 500 MG</span></a></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>authoredOn</b>: 2017-12-06</p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">Dr. John M, MD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 500 mg</p></blockquote></div>"
},
"status" : "active",
"intent" : "plan",
"medicationReference" : {
"reference" : "Medication/erythromycin-med-example"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"authoredOn" : "2017-12-06",
"requester" : {
"reference" : "Practitioner/practitioner-D",
"display" : "Dr. John M, MD"
},
"dosageInstruction" : [
{
"text" : "Take 1 tablet every six hours X10 days",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2017-12-06"
}
}
}
}
],
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 1,
"quantity" : {
"value" : 500,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"expectedSupplyDuration" : {
"value" : 10,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Ibuprofen-medreq-2",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "Ibuprofen-medreq-2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>medication</b>: <a href=\"Medication-ibuprofen-med-example-2.html\">Generated Summary: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 316074}\">Ibuprofen 200 MG</span></a></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>authoredOn</b>: 2019-12-06</p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">Dr. John M, MD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 200 mg</p></blockquote></div>"
},
"status" : "completed",
"intent" : "plan",
"medicationReference" : {
"reference" : "Medication/ibuprofen-med-example-2"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"authoredOn" : "2019-12-06",
"requester" : {
"reference" : "Practitioner/practitioner-D",
"display" : "Dr. John M, MD"
},
"dosageInstruction" : [
{
"text" : "Take 2-3 tablets every 8 hours as needed for pain",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2019-12-06"
}
}
}
}
],
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 1,
"quantity" : {
"value" : 200,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"expectedSupplyDuration" : {
"value" : 30,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Tylenol-med-dental",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "Tylenol-med-dental",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 993836}\">Acetaminophen 300 MG / Codeine Phosphate 30 MG [Tylenol with Codeine]</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>authoredOn</b>: 2020-03-30</p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">Dr. Dental D, DMD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 10</p><p><b>quantity</b>: 300 mg</p></blockquote></div>"
},
"status" : "active",
"intent" : "plan",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "993836",
"display" : "Acetaminophen 300 MG / Codeine Phosphate 30 MG [Tylenol with Codeine]"
}
],
"text" : "Acetaminophen 300 MG / Codeine Phosphate 30 MG [Tylenol with Codeine]"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"authoredOn" : "2020-03-30",
"requester" : {
"reference" : "Practitioner/practitioner-D",
"display" : "Dr. Dental D, DMD"
},
"dosageInstruction" : [
{
"text" : "take 1 tablet every 4 hours as needed for pain",
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral use"
}
]
}
}
],
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 10,
"quantity" : {
"value" : 300,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"expectedSupplyDuration" : {
"value" : 30,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Dental-extraction-example",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "Dental-extraction-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes: {http://ada.org/cdt D7140}\">Extraction, erupted tooth or exposed root (elevation and/or forceps removal)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">See above (Practitioner/practitioner-D)</a></p><p><b>bodySite</b>: <span title=\"Codes: {http://snomed.info/sct 48402004}, {http://www.ada.org/snodent 161372D}\">Structure of mandibular left second molar tooth</span></p></div>"
},
"status" : "active",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "387713003",
"display" : "Surgical procedure"
}
],
"text" : "Surgical procedure"
}
],
"code" : {
"coding" : [
{
"system" : "http://ada.org/cdt",
"code" : "D7140",
"display" : "Extraction, erupted tooth or exposed root (elevation and/or forceps removal)"
}
],
"text" : "Extraction, erupted tooth or exposed root (elevation and/or forceps removal)"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"requester" : {
"reference" : "Practitioner/practitioner-D"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "48402004",
"display" : "Structure of mandibular left second molar tooth"
},
{
"system" : "http://www.ada.org/snodent",
"code" : "161372D",
"display" : "Permanent lower left second molar tooth"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Resin-restore-example",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "Resin-restore-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes: {http://ada.org/cdt D1352}\">Preventive resin restoration in a moderate to high caries risk patient-permanent tooth</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">See above (Practitioner/practitioner-D)</a></p><p><b>bodySite</b>: <span title=\"Codes: {http://www.ada.org/snodent 161941D}, {http://snomed.info/sct 245574002}\">Entire maxillary right lateral incisor tooth</span></p></div>"
},
"status" : "active",
"intent" : "plan",
"code" : {
"coding" : [
{
"system" : "http://ada.org/cdt",
"code" : "D1352",
"display" : "Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"
}
],
"text" : "Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"requester" : {
"reference" : "Practitioner/practitioner-D"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "161941D",
"display" : "Permanent upper right lateral incisor tooth"
},
{
"system" : "http://snomed.info/sct",
"code" : "245574002",
"display" : "Entire maxillary right lateral incisor tooth"
}
],
"text" : "Entire maxillary right lateral incisor tooth"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/ServiceRequest/prophylaxis-example",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "prophylaxis-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes: {http://ada.org/cdt D1352}\">Preventive resin restoration in a moderate to high caries risk patient-permanent tooth</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">See above (Practitioner/practitioner-D)</a></p><p><b>bodySite</b>: <span title=\"Codes: {http://www.ada.org/snodent 161941D}, {http://snomed.info/sct 245574002}\">Entire maxillary right lateral incisor tooth</span></p></div>"
},
"status" : "active",
"intent" : "plan",
"code" : {
"coding" : [
{
"system" : "http://ada.org/cdt",
"code" : "D1352",
"display" : "Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"
}
],
"text" : "Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"requester" : {
"reference" : "Practitioner/practitioner-D"
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "161941D",
"display" : "Permanent upper right lateral incisor tooth"
},
{
"system" : "http://snomed.info/sct",
"code" : "245574002",
"display" : "Entire maxillary right lateral incisor tooth"
}
],
"text" : "Entire maxillary right lateral incisor tooth"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Radiograph-survey",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "Radiograph-survey",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes: {http://ada.org/cdt D0210}\">Full mouth radiographic survey</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-D\">See above (Practitioner/practitioner-D)</a></p></div>"
},
"status" : "active",
"intent" : "plan",
"code" : {
"coding" : [
{
"system" : "http://ada.org/cdt",
"code" : "D0210",
"display" : "Full mouth radiographic survey"
}
],
"text" : "Full mouth radiographic survey"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"requester" : {
"reference" : "Practitioner/practitioner-D"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Procedure/Dental-flouride-tx-example",
"resource" : {
"resourceType" : "Procedure",
"id" : "Dental-flouride-tx-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uuid:c2a737f2-2fdb-49c1-b097-dac173d07aff</p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://ada.org/cdt D1206}\">topical application of fluoride varnish</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>performed</b>: Feb 16, 2020 7:55:26 PM --> Feb 16, 2020 8:25:26 PM</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner_practitioner-D\">See above (Practitioner/practitioner-D)</a></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:c2a737f2-2fdb-49c1-b097-dac173d07aff"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://ada.org/cdt",
"code" : "D1206"
}
],
"text" : "topical application of fluoride varnish"
},
"subject" : {
"reference" : "Patient/example-dental"
},
"performedPeriod" : {
"start" : "2020-02-16T12:55:26-07:00",
"end" : "2020-02-16T13:25:26-07:00"
},
"performer" : [
{
"actor" : {
"reference" : "Practitioner/practitioner-D"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Communication/dental-education2",
"resource" : {
"resourceType" : "Communication",
"id" : "dental-education2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Dental-encounter\">See above (Encounter/Dental-encounter)</a></p><p><b>sent</b>: Feb 17, 2020 2:01:10 AM</p><p><b>received</b>: Jan 17, 2020 2:01:11 AM</p><p><b>recipient</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>sender</b>: <a href=\"#Practitioner_practitioner-D\">See above (Practitioner/practitioner-D)</a></p><h3>Payloads</h3><table class=\"grid\"><tr><td>-</td><td><b>Content[x]</b></td></tr><tr><td>*</td><td>Patient educated on the benefits of using a fluoride toothpaste, daily flossing, and bi-annual routine dental cleaning visits.</td></tr></table></div>"
},
"status" : "completed",
"subject" : {
"reference" : "Patient/example-dental"
},
"encounter" : {
"reference" : "Encounter/Dental-encounter"
},
"sent" : "2020-02-16T18:01:10-08:00",
"received" : "2020-01-16T18:01:11-08:00",
"recipient" : [
{
"reference" : "Patient/example-dental"
}
],
"sender" : {
"reference" : "Practitioner/practitioner-D"
},
"payload" : [
{
"contentString" : "Patient educated on the benefits of using a fluoride toothpaste, daily flossing, and bi-annual routine dental cleaning visits."
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-D",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-D",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1234560000</p><p><b>name</b>: John D </p><p><b>telecom</b>: ph: 720-555-6443(WORK)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1990-06-09</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1234560000"
}
],
"name" : [
{
"family" : "D",
"given" : [
"John"
],
"prefix" : [
"Dr"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "720-555-6443",
"use" : "work"
}
],
"gender" : "male",
"birthDate" : "1990-06-09"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Encounter/Dental-encounter",
"resource" : {
"resourceType" : "Encounter",
"id" : "Dental-encounter",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span></p><p><b>priority</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>period</b>: Feb 16, 2020 8:00:14 PM --> Feb 16, 2020 8:30:14 PM</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "185347001"
}
],
"text" : "Encounter for problem (procedure)"
}
],
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
"code" : "R",
"display" : "routine"
}
]
},
"subject" : {
"reference" : "Patient/example-dental"
},
"period" : {
"start" : "2020-02-16T15:00:14-05:00",
"end" : "2020-02-16T15:30:14-05:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Organization/GOHC-organization",
"resource" : {
"resourceType" : "Organization",
"id" : "GOHC-organization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2316452725</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Good Oral Health Clinic</p><p><b>telecom</b>: ph: (+1) 720-677-7777, <a href=\"mailto:customer2-service@GHclinic.org\">customer2-service@GHclinic.org</a></p><p><b>address</b>: 7552 W Alameda Ave Lakewood CO 80226 USA </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "2316452725"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Good Oral Health Clinic",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 720-677-7777"
},
{
"system" : "email",
"value" : "customer2-service@GHclinic.org"
}
],
"address" : [
{
"line" : [
"7552 W Alameda Ave"
],
"city" : "Lakewood",
"state" : "CO",
"postalCode" : "80226",
"country" : "USA"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Dental-caries",
"resource" : {
"resourceType" : "Condition",
"id" : "Dental-caries",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 118065D}, {http://snomed.info/sct 80967001}\">Dental caries (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-16</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "118065D",
"display" : "Dental caries (disorder)"
},
{
"system" : "http://snomed.info/sct",
"code" : "80967001",
"display" : "Dental caries (disorder)"
}
],
"text" : "Dental caries (disorder)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-16"
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/no-chew",
"resource" : {
"resourceType" : "Condition",
"id" : "no-chew",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 126488D}, {http://snomed.info/sct 288920002}\">Unable to chew (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem List Item"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "126488D",
"display" : "Unable to chew (finding)"
},
{
"system" : "http://snomed.info/sct",
"code" : "288920002",
"display" : "Unable to chew (finding)"
}
],
"text" : "Unable to chew (finding)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
}
}
},
{
"fullUrl" : "http://example.org/fhir/us/dental-data-exchange/Condition/Chronic-periodontitis-example",
"resource" : {
"resourceType" : "Condition",
"id" : "Chronic-periodontitis-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>, <span title=\"Codes: {http://www.ada.org/snodent 118666D}\">Dental Problem List</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 116957D}, {http://snomed.info/sct 5689008}\">Chronic periodontitis (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
"code" : "dental",
"display" : "Dental"
}
]
},
{
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "118666D",
"display" : "Disorder of mouth (disorder)"
}
],
"text" : "Dental Problem List"
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ada.org/snodent",
"code" : "116957D",
"display" : "Chronic periodontitis (disorder)"
},
{
"system" : "http://snomed.info/sct",
"code" : "5689008",
"display" : "Chronic periodontitis (disorder)"
}
],
"text" : "Chronic periodontitis (disorder)"
},
"subject" : {
"reference" : "Patient/example-dental",
"display" : "Patient A"
},
"onsetDateTime" : "2020-02-14"
}
}
]
}
IG © 2020+ Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.dental-data-exchange#1.0.0 based on FHIR 4.0.1. Generated 2021-11-02
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