This page is part of the Personal Health Device FHIR IG (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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 a conditional create transaction. In this manner the PHG specifies a temporary id and uses that temporary id in the bundle where it needs to without waiting for a server response. The PHG also needs to specify a sufficiently selective criterion identifying those resources that only one or none should be found on the server. When a server response is obtained, the actual logical id can be used in the Observations. Subsequent bundles can be sent without the Patient and Device resources since they have already been uploaded.
{ "resourceType": "Bundle", "id": "1568997631814", "type": "transaction", "entry": [ { "fullUrl": "urn:oid:1.2.3.0", "resource": { "resourceType": "Patient", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ], "text": "Medical record number" }, "system": "urn:oid:1.2.3.4.5.6.6.8.10", "value": "sisansarahId" } ], "name": [ { "family": "Gyannea", "given": [ "Sisansarah" ] } ] }, "request": { "method": "POST", "url": "Patient", "ifNoneExist": "identifier=urn:oid:1.2.3.4.5.6.6.8.10|sisansarahId" } }, { "fullUrl": "urn:oid:1.2.3.1", "resource": { "resourceType": "Device", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers", "code": "SYSID", "display": "IEEE 11073 System Identifier" } ] }, "system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680", "value": "4C-4E-49-12-34-56-FF-FF" } ], "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "531981", "display": "MDC_MOC_VMS_MDS_AHD" } ], "text": "MDC_MOC_VMS_MDS_AHD: Continua compliant Gateway" }, "version": [ { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532352" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version" }, "value": "6.0" } ], "property": [ { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "532353" } ], "text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list" }, "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: Continua certified Health&Fitness interfaces list" }, "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", "display": "regulation-status" } ] }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "Device is Unregulated" } ] }, { "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: NTPV4 time synchronization" } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68221" } ], "text": "MDC_TIME_SYNC_ACCURACY: unknown code 68221" }, "valueQuantity": [ { "value": 120000000, "system": "http://unitsofmeasure.org", "code": "us" } ] } ] }, "request": { "method": "POST", "url": "Device", "ifNoneExist": "identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|4C-4E-49-12-34-56-FF-FF" } }, { "fullUrl": "urn:oid:1.2.3.2", "resource": { "resourceType": "Device", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers", "code": "SYSID", "display": "System 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" }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers", "code": "BTMAC", "display": "Bluetooth Address" } ] }, "system": "http://hl7.org/fhir/sid/eui-48/bluetooth", "value": "00-1C-05-00-78-25" } ], "manufacturer": "Nonin Medical, Inc.", "serialNumber": "0400007825", "deviceName": [ { "name": "Nonin_Medical_Inc._323552", "type": "user-friendly-name" } ], "modelNumber": "Model 3150", "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "65573", "display": "MDC_MOC_VMS_MDS_SIMP" } ], "text": "MDC_MOC_VMS_MDS_SIMP: Personal Health Device" }, "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: Continua certified device list" }, "valueCode": [ { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD", "code": "4" } ] } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "532354.0", "display": "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: No time synchronization" } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "68219.0", "display": "mds-time-capab-real-time-clock" } ] }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "real time clock supported" } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "68219.1", "display": "mds-time-capab-set-clock" } ] }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "setting the time supported" } ] }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7", "code": "68219.2", "display": "mds-time-capab-relative-time" } ] }, "valueCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ], "text": "relative time supported" } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68222" } ], "text": "MDC_TIME_RES_ABS: Resolution of absolute time clock" }, "valueQuantity": [ { "value": 1000000, "system": "http://unitsofmeasure.org", "code": "us" } ] }, { "type": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68223" } ], "text": "MDC_TIME_RES_REL: Resolution of relative time clock" }, "valueQuantity": [ { "value": 10000, "system": "http://unitsofmeasure.org", "code": "us" } ] } ] }, "request": { "method": "POST", "url": "Device", "ifNoneExist": "identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|00-1C-05-04-00-00-78-25" } }, { "fullUrl": "urn:oid:3.1568997631834", "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation" ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice", "valueReference": { "reference": "urn:oid:1.2.3.1" } } ], "status": "final", "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "67975" } ], "text": "MDC_ATTR_TIME_ABS: Uses Absolute time clock" }, "subject": { "reference": "urn:oid:1.2.3.0" }, "effectiveDateTime": "2019-09-20T12:40:07.936-04:00", "valueDateTime": "2019-09-20T12:40:09.000-04:00", "device": { "reference": "urn:oid:1.2.3.2" } }, "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": "urn:oid:1.2.3.1" } } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories", "code" : "phd-observation" } ] } ], "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150456" }, { "system": "http://loinc.org", "code": "2708-6" } ], "text": "MDC_PULS_OXIM_SAT_O2: Blood 0₂" }, "subject": { "reference": "urn:oid:1.2.3.0" }, "effectiveDateTime": "2019-09-20T12:40:16.936-04:00", "valueQuantity": { "value": 98, "system": "http://unitsofmeasure.org", "code": "%" }, "device": { "reference": "urn:oid:1.2.3.2" }, "derivedFrom": [ { "reference": "urn:oid:3.1568997631834" } ], "component": [ { "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68193" } ], "text": "MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information" }, "valueCodeableConcept": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150588" } ], "text": "MDC_MODALITY_SPOT: Stable mean" } } ] }, "request": { "method": "POST", "url": "Observation" } }, { "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": "urn:oid:1.2.3.1" } } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories", "code" : "phd-observation" } ] } ], "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "149530" }, { "system": "http://loinc.org", "code": "8867-4" } ], "text": "MDC_PULS_OXIM_PULS_RATE: Pulse rate" }, "subject": { "reference": "urn:oid:1.2.3.0" }, "effectiveDateTime": "2019-09-20T12:40:16.936-04:00", "valueQuantity": { "value": 47, "system": "http://unitsofmeasure.org", "code": "{beat}/min" }, "device": { "reference": "urn:oid:1.2.3.2" }, "derivedFrom": [ { "reference": "urn:oid:3.1568997631834" } ], "component": [ { "code": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "68193" } ], "text": "MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information" }, "valueCodeableConcept": { "coding": [ { "system": "urn:iso:std:iso:11073:10101", "code": "150588" } ], "text": "MDC_MODALITY_SPOT: Stable mean" } } ] }, "request": { "method": "POST", "url": "Observation" } } ] }