This page is part of the Personal Health Device FHIR IG (v0.3.0: STU 1 Ballot 3) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
This example is a transaction bundle where the Patient and Device resources are using an update transaction. In this manner the PHG specifies the logical id, uses that logical id in the bundle where it needs to without waiting for a server response, and retains those logical id for the Observation resources where it needs them in subsequent uploads. Subsequent bundles can be sent without the Patient and Device resources since they have already been uploaded.
{ "resourceType": "Bundle", "id": "nonin-hdp-1542718631721", "type": "transaction", "entry": [ { "fullUrl": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10", "resource": { "resourceType": "Patient", "id": "sisansarahId.1.2.3.4.5.6.7.8.10", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] }, "system": "urn:oid:1.2.3.4.5.6.7.8.10", "value": "sisansarahId" } ], "name": [ { "family": "Piggy", "given": [ "Sisansarah", "Lorianthah" ] } ] }, "request": { "method": "PUT", "url": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10" } }, { "fullUrl": "Device/ecde3d4e58532d31.000000000000", "resource": { "resourceType": "Device", "id": "ecde3d4e58532d31.000000000000", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice" ] }, "identifier": [ { "system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680", "value": "ec-de-3d-4e-58-53-2d-31" } ], "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "531981" } ], "text": "MDC_MOC_VMS_MDS_AHD" }, "version": [ { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532352" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version" }, "value": "5.0" } ], "property": [ { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68220" } ], "text": "MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol" }, "valueCode": [ { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532226" } ], "text": "MDC_TIME_SYNC_NTPV4: " } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532353" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: certified device list as transport-specialization combo" }, "valueCode": [ { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD", "code": "4" } ] } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532355" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: certified Upload classes" }, "valueCode": [ { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS", "code": "0" } ] }, { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS", "code": "3" } ] }, { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS", "code": "7" } ] }, { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS", "code": "2" } ] }, { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS", "code": "6" } ] } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "532354.0" } ], "text": "regulation-status" }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "Device is not regulated" } ] } ] }, "request": { "method": "PUT", "url": "Device/ecde3d4e58532d31.000000000000" } }, { "fullUrl": "Device/001C050400007825.001C05007825", "resource": { "resourceType": "Device", "id": "001C050400007825.001C05007825", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice" ] }, "identifier": [ { "system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680", "value": "00-1C-05-04-00-00-78-25" }, { "system": "http://hl7.org/fhir/sid/eui-48/BTMAC", "value": "00-1C-05-00-78-25" } } ], "manufacturer": "Nonin Medical, Inc.", "serialNumber": "0400007825", "modelNumber": "Model 3150", "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "65573" } ], "text": "MDC_MOC_VMS_MDS_SIMP" }, "specialization": [ { "systemType": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "528388" } ], "text": "MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter" }, "version":"1" } ], "version": [ { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "531976" } ], "text": "MDC_ID_PROD_SPEC_FW: Firmware revision" }, "value": "0.9C" }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532352" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version" }, "value": "1.0" } ], "property": [ { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532353" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: certified device list as transport-specialization combo" }, "valueCode": [ { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD", "code": "4" // The '4' means pulse ox. This is a continua version 1 device and there were no transport codes } ] } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "532354.0" } ], "text": "regulation-status" }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "N" } ], "text": "Device is Regulated" } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68220" } ], "text": "MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol" }, "valueCode": [ { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532224" } ], "text": "MDC_TIME_SYNC_NONE: " } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "68219.0" } ], "text": "mds-time-capab-real-time-clock" }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "This field is set" } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "68219.1" } ], "text": "mds-time-capab-set-clock" }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "This field is set" } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "68219.2" } ], "text": "mds-time-capab-relative-time" }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "This field is set" } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68222" } ], "text": "MDC_TIME_RES_ABS: Time resolution" }, "valueQuantity": [ { "value": 1000000, "system": "http://unitsofmeasure.org", "code": "us" } ] } ] }, "request": { "method": "PUT", "url": "Device/001C050400007825.001C05007825" } }, { "fullUrl": "urn:oid:3.14159.20181120075654", "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation" ] }, "status": "final", "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "67975" } ], "text": "MDC_ATTR_TIME_ABS" }, "effectiveDateTime": "2018-11-20T07:56:54-05:00", "valueDateTime": "2018-11-20T08:58:04-05:00" }, "request": { "method": "POST", "url": "Observation" } }, { "fullUrl": "urn:oid:1.0.0.1", "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation" ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice", "valueReference": { "reference": "Device/ecde3d4e58532d31.000000000000" } } ], "identifier": [ { "value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181116212837-95-544-150588" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" } ], "text": "Vital Signs" } ], "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150456" }, { "system": "http://loinc.org", "code": "59408-5" } ], "text": "MDC_PULS_OXIM_SAT_O2" }, "subject": { "reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10" }, "effectiveDateTime": "2018-11-16T20:27:27-05:00", "valueQuantity": { "value": 95, "system": "http://unitsofmeasure.org", "code": "%" }, "device": { "reference": "Device/001C050400007825.001C05007825" }, "derivedFrom": [ { "reference": "Observation/urn:oid:3.14159.20181120075654" } ], "component": [ { "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68193" } ], "text": "MDC_ATTR_SUPPLEMENTAL_TYPES" }, "valueCodeableConcept": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150588" } ], "text": "MDC_MODALITY_SPOT" } } ] }, "request": { "method": "POST", "url": "Observation", "ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181116212837-95-544-150588" } }, { "fullUrl": "urn:oid:1.0.0.2", "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation" ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice", "valueReference": { "reference": "Device/ecde3d4e58532d31.000000000000" } } ], "identifier": [ { "value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181116212837-52-2720-150588" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" } ], "text": "Vital Signs" } ], "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "149530" }, { "system": "http://loinc.org", "code": "8867-4" } ], "text": "MDC_PULS_OXIM_PULS_RATE" }, "subject": { "reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10" }, "effectiveDateTime": "2018-11-16T20:27:27-05:00", "valueQuantity": { "value": 52, "system": "http://unitsofmeasure.org", "code": "{beat}/min" }, "device": { "reference": "Device/001C050400007825.001C05007825" }, "derivedFrom": [ { "reference": "Observation/urn:oid:3.14159.20181120075654" } ], "component": [ { "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68193" } ], "text": "MDC_ATTR_SUPPLEMENTAL_TYPES" }, "valueCodeableConcept": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150588" } ], "text": "MDC_MODALITY_SPOT" } } ] }, "request": { "method": "POST", "url": "Observation", "ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181116212837-52-2720-150588" } }, { "fullUrl": "urn:oid:1.0.0.3", "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation" ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice", "valueReference": { "reference": "Device/ecde3d4e58532d31.000000000000" } } ], "identifier": [ { "value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181120085653-100-544-150588" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" } ], "text": "Vital Signs" } ], "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150456" }, { "system": "http://loinc.org", "code": "59408-5" } ], "text": "MDC_PULS_OXIM_SAT_O2" }, "subject": { "reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10" }, "effectiveDateTime": "2018-11-20T07:55:43-05:00", "valueQuantity": { "value": 100, "system": "http://unitsofmeasure.org", "code": "%" }, "device": { "reference": "Device/001C050400007825.001C05007825" }, "derivedFrom": [ { "reference": "Observation/urn:oid:3.14159.20181120075654" } ], "component": [ { "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68193" } ], "text": "MDC_ATTR_SUPPLEMENTAL_TYPES" }, "valueCodeableConcept": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150588" } ], "text": "MDC_MODALITY_SPOT" } } ] }, "request": { "method": "POST", "url": "Observation", "ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181120085653-100-544-150588" } }, { "fullUrl": "urn:oid:1.0.0.4", "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation" ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice", "valueReference": { "reference": "Device/ecde3d4e58532d31.000000000000" } } ], "identifier": [ { "value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181120085653-42-2720-150588" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" } ], "text": "Vital Signs" } ], "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "149530" }, { "system": "http://loinc.org", "code": "8867-4" } ], "text": "MDC_PULS_OXIM_PULS_RATE" }, "subject": { "reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10" }, "effectiveDateTime": "2018-11-20T07:55:43-05:00", "valueQuantity": { "value": 42, "system": "http://unitsofmeasure.org", "code": "{beat}/min" }, "device": { "reference": "Device/001C050400007825.001C05007825" }, "derivedFrom": [ { "reference": "Observation/urn:oid:3.14159.20181120075654" } ], "component": [ { "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68193" } ], "text": "MDC_ATTR_SUPPLEMENTAL_TYPES" }, "valueCodeableConcept": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150588" } ], "text": "MDC_MODALITY_SPOT" } } ] }, "request": { "method": "POST", "url": "Observation", "ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181120085653-42-2720-150588" } } ] }