Release 5
AdministrationThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
| Patient Administration Work Group | Maturity Level: 5 | Trial Use | Compartments: N/A |
This operation is used to return all the information related to one or more patients described in the resource or context on which this operation is invoked. The response is a bundle of type "searchset". At a minimum, the patient resource(s) itself is returned, along with any other resources that the server has that are related to the patient(s), and that are available for the given user. The server also returns whatever resources are needed to support the records - e.g. linked practitioners, medications, locations, organizations etc.
The intended use for this operation is to provide a patient with access to their entire record (e.g. "Blue Button"), or for provider or other user to perform a bulk data download. The server SHOULD return at least all resources that it has that are in the patient compartment for the identified patient(s), and any resource referenced from those, including binaries and attachments. The server SHOULD resolve version-specific references by returning the explicitly named version. In the US Realm, at a minimum, the resources returned SHALL include all the data covered by the meaningful use common data elements as defined in the US Core Implementation Guide. Other applicable implementation guides may make additional rules about how much information that is returned.
The canonical URL for this operation definition is
http://hl7.org/fhir/OperationDefinition/Patient-everything
Formal Definition (as a OperationDefinition).
URL: [base]/Patient/$everything
URL: [base]/Patient/[id]/$everything
This is an idempotent operation
| In Parameters: | ||||||
| Name | Scope | Cardinality | Type | Binding | Profile | Documentation |
| start | 0..1 | date | The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no start date is provided, all records prior to the end date are in scope. | |||
| end | 0..1 | date | The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no end date is provided, all records subsequent to the start date are in scope. | |||
| _since | 0..1 | instant | Resources updated after this period will be included in the response. The intent of this parameter is to allow a client to request only records that have changed since the last request, based on either the return header time, or or (for asynchronous use), the transaction time | |||
| _type | 0..* | code | One or more parameters, each containing one or more comma-delimited FHIR resource types to include in the return resources. In the absence of any specified types, the server returns all resource types | |||
| _count | 0..1 | integer | See discussion below on the utility of paging through the results of the $everything operation | |||
| Out Parameters: | ||||||
| Name | Scope | Cardinality | Type | Binding | Profile | Documentation |
| return | 1..1 | Bundle | The bundle type is "searchset" Note: as this is the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource | |||
The key differences between this operation and simply searching the patient compartment are:
This frees the client from needing to determine what it could or should ask for, particularly with regard to included resources. Servers should consider returning appropriate Provenance and AuditTrail on the returned resources, even though these are not directly part of the patient compartment.
It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one, or can determine an appropriate list of patients to provide data for from the context of the request. If there is no nominated patient (GET /[base]/Patient/$everything) and the context is not associated with a single patient record, the actual list of patients is all patients that the user associated with the request has access to. This may be all patients in the family that the patient has access to, or it may be all patients that a care provider has access to, or all patients on the entire record system. In such cases, the server may choose to return an error rather than all the records. Specifying the relationship between the context, a user and patient records is outside the scope of this specification (though see The Smart App Launch Implementation Guide .
When this operation is used to access multiple patient records at once, the return bundle could be rather a lot of data; servers may choose to require that such requests are made asynchronously, and associated with bulk data formats. Alternatively, clients may choose to page through the result set (or servers may require this). Paging through the results is done the same as for Searching, using the _count parameter, and Bundle links. Implementers should note that paging will be slower than simply returning all the results at once (more network traffic, multiple latency delays) but may be required in order not to exhaust available memory reading or writing the whole response in a single package. Unlike searching, there is no inherent user-display order for the $everything operation. Servers might consider sorting the returned resources in descending order of last record update, but are not required to do so.
The _since parameter is provided to support periodic queries to get additional information that has changed about the patient since the last query. This means that the _since parameter is based on record time. The value of the _since parameter should be set to the time from the server. If using direct response, this is the timestamp in the response header. If using the async interface, this is the transaction timestamp in the json response. Servers should ensure that the timestamps a managed such that the client does not miss any changes. Clients should be able to handle getting the same response more than once in the case that the transaction falls on a time boundary. Clients should ensure that the other query parameters are constant to ensure a coherent set of records when doing periodic queries.
Request: Get all resources linked to a single patient
GET /open/Patient/f001/$everything [some headers]
Response: Everything linked to the nominated patient (in this case, built automatically by the publication tooling)
HTTP/1.1 200 OK
[other headers]
<Bundle xml="http://hl7.org/fhir">
<id value="bcddcda0-06bb-485a-b775-f066db9a5ccc"/>
<type value="searchset"/>
<entry>
<fullUrl value="http://hl7.org/fhir/Patient/f001"/>
<resource>
<Patient xmlns="http://hl7.org/fhir">
<id value="f001"/>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
<!-- BSN identification system -->
<value value="738472983"/>
</identifier>
<identifier>
<use value="usual"/>
<system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
<!-- BSN identification system -->
</identifier>
<active value="true"/>
<name>
<use value="usual"/>
<family value="van de Heuvel"/>
<given value="Pieter"/>
<suffix value="MSc"/>
</name>
<telecom>
<system value="phone"/>
<value value="0648352638"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="p.heuvel@gmail.com"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="1944-11-17"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<line value="Van Egmondkade 23"/>
<city value="Amsterdam"/>
<postalCode value="1024 RJ"/>
<country value="NLD"/>
<!-- ISO 3166 Codes (Countries) -->
</address>
<maritalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
<text value="Getrouwd"/>
</maritalStatus>
<multipleBirthBoolean value="true"/>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="C"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="Abels"/>
<given value="Sarah"/>
</name>
<telecom>
<system value="phone"/>
<value value="0690383372"/>
<use value="mobile"/>
</telecom>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<!-- IETF language tag -->
<code value="nl"/>
<display value="Dutch"/>
</coding>
<text value="Nederlands"/>
</language>
<preferred value="true"/>
</communication>
<managingOrganization>
<reference value="Organization/f001"/>
<display value="Burgers University Medical Centre"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Consent/consent-example-notTime"/>
<resource>
<Consent xmlns="http://hl7.org/fhir">
<id value="consent-example-notTime"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada.
The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose.
Withhold or withdraw consent for disclosure of records related published during a timeframe</p>
<p>Patient "P. van de Heuvel" wishes to withhold disclosure of all data from a timeframe to any provider.</p>
</div>
</text>
<status value="active"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
</coding>
</category>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<date value="2018-12-28"/>
<controller>
<reference value="Organization/f001"/>
</controller>
<sourceAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
</sourceAttachment>
<!-- this is opt-in - e.g. everything approved unless otherwise stated -->
<regulatoryBasis>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</regulatoryBasis>
<decision value="permit"/>
<provision>
<period>
<start value="2015-01-01"/>
<end value="2015-02-01"/>
</period>
</provision>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Contract/pcd-example-notAuthor"/>
<resource>
<Contract xmlns="http://hl7.org/fhir">
<id value="pcd-example-notAuthor"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The following scenario is based on existing
jurisdictional policy and are realized in existing systems in Canada. The default policy is
one of implied consent for the provision of care, so these scenarios all deal with withdrawal
or withholding consent for that purpose. In other jurisdictions, where an express consent
model is used (Opt-In), these would examples would contain the phrase "consent to" rather than
"withhold" or "withdraw" consent for. <p> specific to use-case 5) Withhold or withdraw consent
for disclosure of records that were authored by a specific organization (or service delivery
location). </p><p> Patient "P. van de Heuvel" wishes to have all of the PHI collected at the
Good Health Psychiatric Hospital restricted from disclosure to every provider. </p>
</div>
</text>
<issued value="2015-11-18"/>
<!-- not bound by a timeframe - Contract.applies -->
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<authority>
<reference value="Organization/3"/>
<display value="Michigan Health"/>
</authority>
<!-- and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction) -->
<domain>
<reference value="Location/ukp"/>
<display value="UK Pharmacies"/>
</domain>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57016-8"/>
</coding>
</type>
<!-- made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway -->
<subType>
<coding>
<system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
<code value="Opt-In"/>
<display value="Default Authorization with exceptions."/>
</coding>
</subType>
<term>
<type>
<coding>
<!-- made up code system -->
<system value="http://example.org/fhir/consent-term-type-codes"/>
<code value="withhold-authored-by"/>
<display value="Withhold all data authored by specified actor entity."/>
</coding>
</type>
<offer>
<topic>
<reference value="Organization/2.16.840.1.113883.19.5"/>
<display value="Good Health Clinic"/>
</topic>
<text value="Withhold all data authored by Good Health provider."/>
</offer>
</term>
<!-- the terms of the consent in friendly consumer speak -->
<friendly>
<contentAttachment>
<title value="The terms of the consent in friendly consumer speak."/>
<!-- likely use url pointer to common text -->
</contentAttachment>
</friendly>
<!-- the legal terms of the consent in lawyer speak -->
<legal>
<contentAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
<!-- I think some think that this should be the pointer to the law by which this consent is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html -->
</contentAttachment>
</legal>
</Contract>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Consent/consent-example-Out"/>
<resource>
<Consent xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml">
<id value="consent-example-Out"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada.
The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose.
Withhold Authorization of sharing data for Treatment
</p>
<p>
Patient "P. van de Heuvel" wishes to have no data at the Burgers University Medical Center available for normal treatment use.
</p>
</div>
</text>
<status value="active"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
</coding>
</category>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<date value="2018-12-28"/>
<controller>
<reference value="Organization/f001"/>
</controller>
<sourceAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
</sourceAttachment>
<!-- this is opt-IN - e.g. everything approved unless otherwise stated -->
<regulatoryBasis>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</regulatoryBasis>
<decision value="permit"/>
<provision>
<actor>
<role>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="CST"/>
</coding>
</role>
<reference>
<reference value="Organization/f001"/>
</reference>
</actor>
</provision>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Consent/consent-example-Emergency"/>
<resource>
<Consent xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml">
<id value="consent-example-Emergency"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Withhold Authorization for Treatment rule for except for Emergency Treatment</p>
<p>Patient "Pieter van de Heuvel" wishes to have no data at the Artis University Medical Center available except for Emergency treatment use.
An overall Deny consent directive, with an exception "Permit" for purposeOfUse "ETREAT" at Artis University Medical Center.</p>
</div>
</text>
<status value="active"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</category>
<subject>
<reference value="Patient/f001"/>
<display value="Pieter van de Heuvel"/>
</subject>
<date value="2018-12-24"/>
<!-- The example given is Organization wide -->
<controller>
<reference value="Organization/f201"/>
</controller>
<!-- the text terms of the consent in lawyer speak -->
<sourceAttachment>
<title value="The patient [grantor] declines to agree to the provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting."/>
<!-- likely use url pointer to common text -->
</sourceAttachment>
<regulatoryBasis>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</regulatoryBasis>
<decision value="deny"/>
<provision>
<!-- deny Artis University Medical Center specifically -->
<actor>
<role>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="CST"/>
</coding>
</role>
<reference>
<reference value="Organization/f201"/>
</reference>
</actor>
<provision>
<!-- permit Artis University Medical Center for Emergency Treatment -->
<actor>
<role>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="CST"/>
</coding>
</role>
<reference>
<reference value="Organization/f201"/>
</reference>
</actor>
<purpose>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="ETREAT"/>
</purpose>
</provision>
</provision>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Condition/f002"/>
<resource>
<Condition xmlns="http://hl7.org/fhir">
<id value="f002"/>
<clinicalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="439401001"/>
<display value="diagnosis"/>
</coding>
</category>
<severity>
<coding>
<system value="http://snomed.info/sct"/>
<code value="24484000"/>
<display value="Severe"/>
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="254637007"/>
<display value="NSCLC - Non-small cell lung cancer"/>
</coding>
</code>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="51185008"/>
<display value="Thorax"/>
</coding>
</bodySite>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<encounter>
<reference value="Encounter/f002"/>
</encounter>
<onsetDateTime value="2011-05-05"/>
<recordedDate value="2012-06-03"/>
<participant>
<function>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="informant"/>
<display value="Informant"/>
</coding>
</function>
<actor>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</actor>
</participant>
<stage>
<summary>
<coding>
<system value="http://snomed.info/sct"/>
<code value="258219007"/>
<display value="stage II"/>
</coding>
</summary>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260998006"/>
<display value="Clinical staging (qualifier value)"/>
</coding>
</type>
</stage>
<evidence>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="169069000"/>
<display value="CT of thorax"/>
</coding>
</concept>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Contract/pcd-example-notOrg"/>
<resource>
<Contract xmlns="http://hl7.org/fhir">
<id value="pcd-example-notOrg"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The following scenario is based on existing
jurisdictional policy and are realized in existing systems in Canada. The default policy is
one of implied consent for the provision of care, so these scenarios all deal with withdrawal
or withholding consent for that purpose. In other jurisdictions, where an express consent
model is used (Opt-In), these would examples would contain the phrase "consent to" rather than
"withhold" or "withdraw" consent for. <p> specific to use-case 3) Withhold or withdraw consent
for disclosure to a specific provider organization </p><p> Patient "P. van de Heuvel"
ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would
like to withdraw/withhold consent to disclose any instance of his health information to Good
Health Clinic. </p>
</div>
</text>
<issued value="2015-11-18"/>
<!-- not bound by a timeframe - Contract.applies -->
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<authority>
<reference value="Organization/3"/>
<display value="Michigan Health"/>
</authority>
<!-- and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction) -->
<domain>
<reference value="Location/ukp"/>
<display value="UK Pharmacies"/>
</domain>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57016-8"/>
</coding>
</type>
<!-- made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway -->
<subType>
<coding>
<system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
<code value="Opt-In"/>
<display value="Default Authorization with exceptions."/>
</coding>
</subType>
<term>
<type>
<coding>
<!-- made up code system -->
<system value="http://example.org/fhir/consent-term-type-codes"/>
<code value="withhold-from"/>
<display value="Withhold all data from specified actor entity."/>
</coding>
</type>
<offer>
<topic>
<reference value="Organization/2.16.840.1.113883.19.5"/>
<display value="Good Health Clinic"/>
</topic>
<!-- by not specifying term.actor I assume this means everyone? -->
<text value="Withhold this order and any results or related objects from any provider."/>
</offer>
</term>
<!-- the terms of the consent in friendly consumer speak -->
<friendly>
<contentAttachment>
<title value="The terms of the consent in friendly consumer speak."/>
<!-- likely use url pointer to common text -->
</contentAttachment>
</friendly>
<!-- the legal terms of the consent in lawyer speak -->
<legal>
<contentAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
<!-- I think some think that this should be the pointer to the law by which this consent is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html -->
</contentAttachment>
</legal>
</Contract>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Encounter/f002"/>
<resource>
<Encounter xmlns="http://hl7.org/fhir">
<id value="f002"/>
<identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/encounters"/>
<value value="v3251"/>
</identifier>
<status value="completed"/>
<class>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/> <!-- outpatient -->
<display value="ambulatory"/>
</coding>
</class>
<priority>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103391001"/>
<display value="Urgent"/>
</coding>
</priority>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="270427003"/>
<display value="Patient-initiated encounter"/>
</coding>
</type>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<serviceProvider>
<reference value="Organization/f001"/>
<display value="BMC"/>
</serviceProvider>
<participant>
<actor>
<reference value="Practitioner/f003"/>
<display value="M.I.M Versteegh"/>
</actor>
</participant>
<length>
<value value="140"/>
<unit value="min"/>
<system value="http://unitsofmeasure.org"/>
<code value="min"/>
</length>
<reason>
<value>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="34068001"/>
<display value="Partial lobectomy of lung"/>
</coding>
</concept>
</value>
</reason>
<admission>
<preAdmissionIdentifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/pre-admissions"/>
<value value="98682"/>
</preAdmissionIdentifier>
<!-- <preAdmissionTest>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399208008"/>
<display value="Chest X-ray"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="396550006"/>
<display value="Blood test"/>
</coding>
</preAdmissionTest> -->
<admitSource>
<coding>
<system value="http://snomed.info/sct"/>
<code value="305997006"/>
<display value="Referral by radiologist"/>
</coding>
</admitSource>
<dischargeDisposition>
<coding>
<system value="http://snomed.info/sct"/>
<code value="306689006"/>
<display value="Discharge to home"/>
</coding>
</dischargeDisposition>
</admission>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/f004"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="f004"/><!-- urn:oid:2.16.840.1.113883.4.642.1.7 --><identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
<value value="6326"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="789-8"/>
<display value="Erythrocytes [#/volume] in Blood by Automated count"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2013-04-02T10:30:10+01:00"/>
<issued value="2013-04-03T15:30:10+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<valueQuantity>
<value value="4.12"/><!-- Actually, 4.12E+12 --><unit value="10^12/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*12/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
</interpretation><!-- this example demonstrates using the reference range text element for stuff that is not easily structured !--><referenceRange>
<text value="12-14 y Male: 4.4 - 5.2 x 10^12/L ; 12-14 y Female: 4.2 - 4.8 x 10^12/L ; 15-17 y Male: 4.6 - 5.4 x 10^12/L ; 15-17 y Female: 4.2 - 4.8 x 10^12/L ; 18-64 y Male: 4.6 - 5.4 x 10^12/L ; 18-64 y Female: 4.0 - 4.8 x 10^12/L ; 65-74 y Male: 4.3 - 5.3 x 10^12/L ; 65-74 y Female: 4.1 - 4.9 x 10^12/L"/>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/CarePlan/f002"/>
<resource>
<CarePlan xmlns="http://hl7.org/fhir">
<id value="f002"/>
<contained>
<CareTeam>
<id value="careteam"/>
<participant>
<member>
<reference value="Practitioner/f003"/>
<display value="M.I.M. Versteegh"/>
</member>
</participant>
</CareTeam>
</contained>
<contained>
<Goal>
<id value="goal"/>
<lifecycleStatus value="completed"/>
<achievementStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
<code value="achieved"/>
<display value="Achieved"/>
</coding>
<text value="Achieved"/>
</achievementStatus>
<description>
<text value="succesful surgery on lung of patient"/>
</description>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<note>
<text value="goal accomplished with minor complications"/>
</note>
</Goal>
</contained>
<contained>
<ServiceRequest>
<id value="activity"/>
<status value="completed"/>
<intent value="order"/>
<code>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="359615001"/>
<display value="Partial lobectomy of lung"/>
</coding>
</concept>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<occurrenceDateTime value="2011-07-07T09:30:10+01:00"/>
<performer>
<reference value="Practitioner/f003"/>
<display value="M.I.M. Versteegh"/>
</performer>
</ServiceRequest>
</contained>
<identifier>
<use value="official"/>
<!-- urn:oid:2.16.840.1.113883.4.642.1.36 -->
<system value="http://www.bmc.nl/zorgportal/identifiers/careplans"/>
<value value="CP2934"/>
</identifier>
<status value="completed"/>
<intent value="plan"/>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<period>
<start value="2011-07-06"/>
<end value="2013-07-07"/>
</period>
<careTeam>
<reference value="#careteam"/>
</careTeam>
<addresses>
<reference>
<reference value="Condition/f201"/>
<!--TODO Correcte referentie-->
<display value="?????"/>
</reference>
</addresses>
<goal>
<reference value="#goal"/>
</goal>
<activity>
<plannedActivityReference>
<reference value="#activity"/>
</plannedActivityReference>
<!-- moved to contained
<plannedActivityDetail>
<kind value="ServiceRequest"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="359615001"/>
<display value="Partial lobectomy of lung"/>
</coding>
</code>
<status value="completed"/>
<doNotPerform value="true"/>
<scheduledString value="2011-07-07T09:30:10+01:00"/>
<performer>
<reference value="Practitioner/f003"/>
<display value="M.I.M. Versteegh"/>
</performer>
</plannedActivityDetail>
-->
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Consent/consent-example-notThis"/>
<resource>
<Consent xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml">
<id value="consent-example-notThis"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada.
The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose.
Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result)
</p>
<p>
Patient "Donal D DUCK"'s Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam
wishes to keep as private as possible. At the sample collection facility, he indicates that he would
like withhold consent to disclose the order and all results associated with that specific order from
all other providers
</p>
</div>
</text>
<status value="active"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
</coding>
</category>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<date value="2018-12-28"/>
<controller>
<reference value="Organization/f001"/>
</controller>
<sourceAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
</sourceAttachment>
<regulatoryBasis>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</regulatoryBasis>
<decision value="permit"/>
<!-- this is opt-in - e.g. everything approved unless otherwise stated -->
<provision>
<data>
<meaning value="related"/>
<reference>
<reference value="MedicationRequest/medrx0305"/>
</reference>
</data>
</provision>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Contract/pcd-example-notThis"/>
<resource>
<Contract xmlns="http://hl7.org/fhir">
<id value="pcd-example-notThis"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The following scenario is based on existing
jurisdictional policy and are realized in existing systems in Canada. The default policy is
one of implied consent for the provision of care, so these scenarios all deal with withdrawal
or withholding consent for that purpose. In other jurisdictions, where an express consent
model is used (Opt-In), these would examples would contain the phrase "consent to" rather than
"withhold" or "withdraw" consent for. <p> specific to use-case 2. Withhold or withdraw consent
for disclosure of a specific record (e.g. Lab Order/Result) </p><p> Patient "P. van de
Heuvel" Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam
wishes to keep as private as possible. At the sample collection facility, he indicates that
he would like withhold consent to disclose the order and all results associated with that
specific order from all other providers </p>
</div>
</text>
<issued value="2015-11-18"/>
<!-- not bound by a timeframe - Contract.applies -->
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<authority>
<reference value="Organization/3"/>
<display value="Michigan Health"/>
</authority>
<!-- and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction) -->
<domain>
<reference value="Location/ukp"/>
<display value="UK Pharmacies"/>
</domain>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57016-8"/>
</coding>
</type>
<!-- made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway -->
<subType>
<coding>
<system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
<code value="Opt-In"/>
<display value="Default Authorization with exceptions."/>
</coding>
</subType>
<!-- I can easily say to exclude a type of FHIR Resource, but lab-orders is not a direct Resource type. Might we put in FHIR based query parameters? -->
<term>
<identifier>
<system value="http://example.org/fhir/term-items"/>
<value value="3347689"/>
</identifier>
<issued value="2015-11-01"/>
<applies>
<start value="2015-11-18"/>
</applies>
<type>
<coding>
<!-- made up code system -->
<system value="http://example.org/fhir/consent-term-type-codes"/>
<code value="withhold-identified-object-and-related"/>
<display value="Withhold the identified object and any other resources that are related to this object."/>
</coding>
</type>
<offer>
<topic>
<reference value="ServiceRequest/lipid"/>
</topic>
<!-- by not specifying term.actor I assume this means everyone? -->
<text value="Withhold this order and any results or related objects from any provider."/>
</offer>
</term>
<!-- the terms of the consent in friendly consumer speak -->
<friendly>
<contentAttachment>
<title value="The terms of the consent in friendly consumer speak."/>
<!-- likely use url pointer to common text -->
</contentAttachment>
</friendly>
<!-- the legal terms of the consent in lawyer speak -->
<legal>
<contentAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
<!-- I think some think that this should be the pointer to the law by which this consent is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html -->
</contentAttachment>
</legal>
</Contract>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/CarePlan/f001"/>
<resource>
<CarePlan xmlns="http://hl7.org/fhir">
<id value="f001"/>
<contained>
<CareTeam>
<id value="careteam"/>
<participant>
<member>
<reference value="Practitioner/f002"/>
<display value="P. Voigt"/>
</member>
</participant>
</CareTeam>
</contained>
<contained>
<Goal>
<id value="goal"/>
<lifecycleStatus value="completed"/>
<achievementStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
<code value="achieved"/>
<display value="Achieved"/>
</coding>
<text value="Achieved"/>
</achievementStatus>
<description>
<text value="recovery surgery on heart of patient"/>
</description>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<note>
<text value="goal accomplished without complications"/>
</note>
</Goal>
</contained>
<contained>
<ServiceRequest>
<id value="activity"/>
<status value="completed"/>
<intent value="order"/>
<code>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="64915003"/>
<display value="Operation on heart"/>
</coding>
</concept>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<occurrenceDateTime value="2011-06-27T09:30:10+01:00"/>
<performer>
<reference value="Practitioner/f002"/>
<display value="P. Voigt"/>
</performer>
</ServiceRequest>
</contained>
<identifier>
<use value="official"/>
<!-- urn:oid:2.16.840.1.113883.4.642.1.36 -->
<system value="http://www.bmc.nl/zorgportal/identifiers/careplans"/>
<value value="CP2903"/>
</identifier>
<status value="completed"/>
<intent value="plan"/>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<period>
<start value="2011-06-26"/>
<end value="2011-06-27"/>
</period>
<careTeam>
<reference value="#careteam"/>
</careTeam>
<addresses>
<reference>
<reference value="Condition/f201"/>
<!--TODO Correcte referentie-->
<display value="?????"/>
</reference>
</addresses>
<goal>
<reference value="#goal"/>
</goal>
<activity>
<plannedActivityReference>
<reference value="#activity"/>
</plannedActivityReference>
<!-- moved to contained
<plannedActivityDetail>
<kind value="ServiceRequest"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="64915003"/>
<display value="Operation on heart"/>
</coding>
</code>
<status value="completed"/>
<doNotPerform value="true"/>
<scheduledString value="2011-06-27T09:30:10+01:00"/>
<performer>
<reference value="Practitioner/f002"/>
<display value="P. Voigt"/>
</performer>
</plannedActivityDetail>
-->
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/f003"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="f003"/><!-- urn:oid:2.16.840.1.113883.4.642.1.7 --><!-- 2.16.840.1.113883.4.642.1.118 --><identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
<value value="6325"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11557-6"/>
<display value="Carbon dioxide in blood"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2013-04-02T10:30:10+01:00"/>
<issued value="2013-04-03T15:30:10+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<valueQuantity>
<value value="6.2"/>
<unit value="kPa"/>
<system value="http://unitsofmeasure.org"/>
<code value="kPa"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="4.8"/>
<unit value="kPa"/>
<system value="http://unitsofmeasure.org"/>
<code value="kPa"/>
</low>
<high>
<value value="6.0"/>
<unit value="kPa"/>
<system value="http://unitsofmeasure.org"/>
<code value="kPa"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Encounter/f001"/>
<resource>
<Encounter xmlns="http://hl7.org/fhir">
<id value="f001"/>
<identifier>
<use value="official"/>
<system value="http://www.amc.nl/zorgportal/identifiers/visits"/>
<value value="v1451"/>
</identifier>
<status value="completed"/>
<class>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/> <!-- outpatient -->
<display value="ambulatory"/>
</coding>
</class>
<priority>
<coding>
<system value="http://snomed.info/sct"/>
<code value="310361003"/>
<display value="Non-urgent cardiological admission"/>
</coding>
</priority>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="270427003"/>
<display value="Patient-initiated encounter"/>
</coding>
</type>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<serviceProvider>
<reference value="Organization/f001"/>
<display value="Burgers University Medical Center"/>
</serviceProvider>
<participant>
<actor>
<reference value="Practitioner/f002"/>
<display value="P. Voigt"/>
</actor>
</participant>
<length>
<value value="140"/>
<unit value="min"/>
<system value="http://unitsofmeasure.org"/>
<code value="min"/>
</length>
<reason>
<value>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="34068001"/>
<display value="Heart valve replacement"/>
</coding>
</concept>
</value>
</reason>
<admission>
<preAdmissionIdentifier>
<use value="official"/>
<system value="http://www.amc.nl/zorgportal/identifiers/pre-admissions"/>
<value value="93042"/>
</preAdmissionIdentifier>
<!-- <preAdmissionTest>
<coding>
<system value="http://snomed.info/sct"/>
<code value="164847006"/>
<display value="Standard ECG"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="396550006"/>
<display value="Blood test"/>
</coding>
</preAdmissionTest> -->
<admitSource>
<coding>
<system value="http://snomed.info/sct"/>
<code value="305956004"/>
<display value="Referral by physician"/>
</coding>
</admitSource>
<dischargeDisposition>
<coding>
<system value="http://snomed.info/sct"/>
<code value="306689006"/>
<display value="Discharge to home"/>
</coding>
</dischargeDisposition>
</admission>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Condition/f003"/>
<resource>
<Condition xmlns="http://hl7.org/fhir">
<id value="f003"/>
<clinicalStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="439401001"/>
<display value="diagnosis"/>
</coding>
</category>
<severity>
<coding>
<system value="http://snomed.info/sct"/>
<code value="371923003"/>
<display value="Mild to moderate"/>
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="18099001"/>
<display value="Retropharyngeal abscess"/>
</coding>
</code>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="280193007"/>
<display value="Entire retropharyngeal area"/>
</coding>
</bodySite>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<encounter>
<reference value="Encounter/f003"/>
</encounter>
<onsetDateTime value="2012-02-27"/>
<recordedDate value="2012-02-20"/>
<participant>
<function>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="informant"/>
<display value="Informant"/>
</coding>
</function>
<actor>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</actor>
</participant>
<evidence>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="169068008"/>
<display value="CT of neck"/>
</coding>
</concept>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Task/example3"/>
<resource>
<Task xmlns="http://hl7.org/fhir">
<id value="example3"/>
<status value="draft"/>
<intent value="order"/>
<code>
<text value="Refill Request"/>
</code>
<focus>
<reference value="MedicationRequest/medrx002"/>
</focus>
<for>
<reference value="Patient/f001"/>
</for>
<authoredOn value="2016-03-10T22:39:32-04:00"/>
<lastModified value="2016-03-10T22:39:32-04:00"/>
<requester>
<reference value="Patient/example"/>
</requester>
<owner>
<reference value="Practitioner/example"/>
</owner>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/f005"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="f005"/><!-- urn:oid:2.16.840.1.113883.4.642.1.7 --><identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
<value value="6327"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="718-7"/>
<display value="Hemoglobin [Mass/volume] in Blood"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2013-04-05T10:30:10+01:00"/>
<issued value="2013-04-05T15:30:10+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<valueQuantity>
<value value="7.2"/>
<unit value="g/dl"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="7.5"/>
<unit value="g/dl"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</low>
<high>
<value value="10"/>
<unit value="g/dl"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Procedure/f002"/>
<resource>
<Procedure xmlns="http://hl7.org/fhir">
<id value="f002"/>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="359615001"/>
<display value="Partial lobectomy of lung"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<encounter>
<reference value="Encounter/f002"/>
</encounter>
<occurrencePeriod>
<start value="2013-03-08T09:00:10+01:00"/>
<end value="2013-03-08T09:30:10+01:00"/>
</occurrencePeriod>
<performer>
<function>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.15.111"/> <!-- "AssignedRoleType" coding system -->
<code value="01.000"/>
<display value="Arts"/>
</coding>
<text value="Care role"/>
</function>
<actor>
<reference value="Practitioner/f003"/>
<display value="M.I.M. Versteegh"/>
</actor>
<period>
<start value="2013-03-08T09:00:10+01:00"/>
<end value="2013-03-08T09:30:10+01:00"/>
</period>
</performer>
<reason>
<concept>
<text value="Malignant tumor of lung"/>
</concept>
</reason>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39607008"/>
<display value="Lung structure"/>
</coding>
</bodySite>
<outcome>
<text value="improved blood circulation"/>
</outcome>
<report>
<reference value="DiagnosticReport/f001"/>
<display value="Lab results blood test"/>
</report>
<followUp>
<text value="described in care plan"/>
</followUp>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/ekg"/>
<resource>
<!-- Sampled ECG potentials (Leads I, II, II). There are 2 chunks (numbered as 0 and 1) for each lead. The voltage of each lead is near zero. --><Observation xmlns="http://hl7.org/fhir">
<id value="ekg"/>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="procedure"/>
<display value="Procedure"/>
</coding>
</category>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.24"/>
<code value="131328"/>
<display value="MDC_ECG_ELEC_POTL"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2015-02-19T09:30:35+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<device>
<display value="12 lead EKG Device Metric"/>
</device>
<!-- Lead I data chunk 0 -->
<component>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.24"/>
<code value="131329"/>
<display value="MDC_ECG_ELEC_POTL_I"/>
</coding>
</code>
<valueSampledData>
<!-- Zero potential -->
<origin>
<value value="2048"/>
</origin>
<!-- period in ms = 1000/frequency -->
<interval value="10"/>
<intervalUnit value="ms"/>
<!-- factor.value -->
<factor value="1.612"/>
<!-- voltage-min -->
<lowerLimit value="-3300"/>
<!-- voltage-max -->
<upperLimit value="3300"/>
<dimensions value="1"/>
<data value="2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"/>
</valueSampledData>
</component>
<!-- Lead II data chunk 0 -->
<component>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.24"/>
<code value="131330"/>
<display value="MDC_ECG_ELEC_POTL_II"/>
</coding>
</code>
<valueSampledData>
<!-- Zero potential -->
<origin>
<value value="2048"/>
</origin>
<!-- period in ms = 1000/frequency -->
<interval value="10"/>
<intervalUnit value="ms"/>
<!-- factor.value -->
<factor value="1.612"/>
<!-- voltage-min -->
<lowerLimit value="-3300"/>
<!-- voltage-max -->
<upperLimit value="3300"/>
<dimensions value="1"/>
<data value="2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"/>
</valueSampledData>
</component>
<!-- Lead III data chunk 0 -->
<component>
<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.24"/>
<code value="131389"/>
<display value="MDC_ECG_ELEC_POTL_III"/>
</coding>
</code>
<valueSampledData>
<!-- Zero potential -->
<origin>
<value value="2048"/>
</origin>
<!-- period in ms = 1000/frequency -->
<interval value="10"/>
<intervalUnit value="ms"/>
<!-- factor.value -->
<factor value="1.612"/>
<!-- voltage-min -->
<lowerLimit value="-3300"/>
<!-- voltage-max -->
<upperLimit value="3300"/>
<dimensions value="1"/>
<data value="2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"/>
</valueSampledData>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Contract/pcd-example-notThem"/>
<resource>
<Contract xmlns="http://hl7.org/fhir">
<id value="pcd-example-notThem"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The following scenario is based on existing
jurisdictional policy and are realized in existing systems in Canada. The default policy is
one of implied consent for the provision of care, so these scenarios all deal with withdrawal
or withholding consent for that purpose. In other jurisdictions, where an express consent
model is used (Opt-In), these would examples would contain the phrase "consent to" rather than
"withhold" or "withdraw" consent for. <p> specific to use-case 4) Withhold or withdraw consent
for disclosure to a specific provider agent (an individual within an organization) </p><p>
Patient "P. van de Heuvel" ex-spouse, Bill T Lookafter is a Nurse that is employed by Good
Health Hospital. P. realizes that she may receive treatment at GHH, however she does not
want her ex-spouse to have any access to her IIHI. She indicates that she would like to
withdraw/withhold consent to disclose any instance of her health information to her
ex-spouse as a result of his employment at Good Health Clinic. </p>
</div>
</text>
<issued value="2015-11-18"/>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<authority>
<reference value="Organization/3"/>
<display value="Michigan Health"/>
</authority>
<!-- and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction) -->
<domain>
<reference value="Location/ukp"/>
<display value="UK Pharmacies"/>
</domain>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57016-8"/>
</coding>
</type>
<!-- made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway -->
<subType>
<coding>
<system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
<code value="Opt-In"/>
<display value="Default Authorization with exceptions."/>
</coding>
</subType>
<term>
<type>
<coding>
<!-- made up code system -->
<system value="http://example.org/fhir/consent-term-type-codes"/>
<code value="withhold-from"/>
<display value="Withhold all data from specified actor entity."/>
</coding>
</type>
<offer>
<topic>
<reference value="Practitioner/f204"/>
<display value="Fictive Nurse"/>
</topic>
<text value="Withhold this order and any results or related objects from specified nurse provider."/>
</offer>
</term>
<signer>
<type>
<system value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
<code value="COVPTY"/>
</type>
<party>
<reference value="Patient/f001"/>
</party>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.1"/>
</type>
<when value="2013-06-08T10:57:34-07:00"/>
<who>
<reference value="Patient/f001"/>
</who>
</signature>
</signer>
<!-- the terms of the consent in friendly consumer speak -->
<friendly>
<contentAttachment>
<title value="The terms of the consent in friendly consumer speak."/>
<!-- likely use url pointer to common text -->
</contentAttachment>
</friendly>
<!-- the legal terms of the consent in lawyer speak -->
<legal>
<contentAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
<!-- I think some think that this should be the pointer to the law by which this consent is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html -->
</contentAttachment>
</legal>
<!-- not bound by a timeframe - Contract.applies -->
</Contract>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Procedure/f003"/>
<resource>
<Procedure xmlns="http://hl7.org/fhir">
<id value="f003"/>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="172960003"/>
<display value="Incision of retropharyngeal abscess"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<encounter>
<reference value="Encounter/f003"/>
</encounter>
<occurrencePeriod>
<start value="2013-03-24T09:30:10+01:00"/>
<end value="2013-03-24T10:30:10+01:00"/>
</occurrencePeriod>
<performer>
<function>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.15.111"/> <!-- "AssignedRoleType" coding system -->
<code value="01.000"/>
<display value="Arts"/>
</coding>
<text value="Care role"/>
</function>
<actor>
<reference value="Practitioner/f001"/>
<display value="E.M.J.M. van den broek"/>
</actor>
</performer>
<reason>
<concept>
<text value="abcess in retropharyngeal area"/>
</concept>
</reason>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="83030008"/>
<display value="Retropharyngeal area"/>
</coding>
</bodySite>
<outcome>
<text value="removal of the retropharyngeal abscess"/>
</outcome>
<report>
<reference value="DiagnosticReport/f001"/>
<display value="Lab results blood test"/>
</report>
<followUp>
<text value="described in care plan"/>
</followUp>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Procedure/f001"/>
<resource>
<Procedure xmlns="http://hl7.org/fhir">
<id value="f001"/>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="34068001"/>
<display value="Heart valve replacement"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<encounter>
<reference value="Encounter/f001"/>
</encounter>
<occurrencePeriod>
<start value="2011-06-26"/>
<end value="2011-06-27"/>
</occurrencePeriod>
<performer>
<function>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.15.111"/> <!-- "AssignedRoleType" coding system -->
<code value="01.000"/>
<display value="Arts"/>
</coding>
<text value="Care role"/>
</function>
<actor>
<reference value="Practitioner/f002"/>
<display value="P. Voigt"/>
</actor>
</performer>
<reason>
<concept>
<text value="Heart valve disorder"/>
</concept>
</reason>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="17401000"/>
<display value="Heart valve structure"/>
</coding>
</bodySite>
<outcome>
<text value="improved blood circulation"/>
</outcome>
<report>
<reference value="DiagnosticReport/f001"/>
<display value="Lab results blood test"/>
</report>
<followUp>
<text value="described in care plan"/>
</followUp>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Contract/pcd-example-notLabs"/>
<resource>
<Contract xmlns="http://hl7.org/fhir">
<id value="pcd-example-notLabs"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The following scenario is based on existing
jurisdictional policy and are realized in existing systems in Canada. The default policy is
one of implied consent for the provision of care, so these scenarios all deal with withdrawal
or withholding consent for that purpose. In other jurisdictions, where an express consent
model is used (Opt-In), these would examples would contain the phrase "consent to" rather than
"withhold" or "withdraw" consent for. <p> specific to use-case 1. Withhold or withdraw consent
for disclosure of records related to specific domain (e.g. DI, LAB, etc.) </p><p> Patient
"P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any
provider. </p>
</div>
</text>
<issued value="2014-08-17"/>
<!-- not bound by a timeframe - Contract.applies -->
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<authority>
<reference value="Organization/3"/>
<display value="Michigan Health"/>
</authority>
<!-- and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction) -->
<domain>
<reference value="Location/ukp"/>
<display value="UK Pharmacies"/>
</domain>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57016-8"/>
</coding>
</type>
<!-- made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway -->
<subType>
<coding>
<system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
<code value="Opt-In"/>
<display value="Default Authorization with exceptions."/>
</coding>
</subType>
<!-- I can easily say to exclude a type of FHIR Resource, but lab-orders is not a direct Resource type. Might we put in FHIR based query parameters? -->
<term>
<offer>
<text value="sample"/>
</offer>
<group>
<type>
<coding>
<!-- made up code system -->
<system value="http://example.org/fhir/consent-term-type-codes"/>
<code value="withhold-object-type"/>
</coding>
</type>
<subType>
<coding>
<system value="http://hl7.org/fhir/fhir-types"/>
<code value="ServiceRequest"/>
</coding>
</subType>
<!-- by not specifying term.actor I assume this means everyone? -->
<offer>
<text value="Withhold orders from any provider."/>
</offer>
</group>
<group>
<type>
<coding>
<!-- made up code system -->
<system value="http://example.org/fhir/consent-term-type-codes"/>
<code value="withhold-object-type"/>
</coding>
</type>
<subType>
<coding>
<system value="http://hl7.org/fhir/fhir-types"/>
<code value="DiagnosticReport"/>
</coding>
</subType>
<!-- by not specifying term.actor I assume this means everyone? -->
<offer>
<text value="Withhold order results from any provider."/>
</offer>
</group>
</term>
<!-- the terms of the consent in friendly consumer speak -->
<friendly>
<contentAttachment>
<title value="The terms of the consent in friendly consumer speak."/>
<!-- likely use url pointer to common text -->
</contentAttachment>
</friendly>
<!-- the legal terms of the consent in lawyer speak -->
<legal>
<contentAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
<!-- I think some think that this should be the pointer to the law by which this consent is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html -->
</contentAttachment>
</legal>
</Contract>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Consent/consent-example-notAuthor"/>
<resource>
<Consent xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml">
<id value="consent-example-notAuthor"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada.
The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose.
This example is to withhold or withdraw consent for disclosure of records that were authored by a specific organization (or service delivery location).</p>
<p>Patient "P. van de Heuvel" wishes to have all of the PHI collected at the Burgers University Medical Center restricted from disclosure to every provider.</p>
</div>
</text>
<status value="active"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
</coding>
</category>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<date value="2015-11-18"/>
<controller>
<reference value="Organization/f001"/>
</controller>
<!-- the text terms of the consent in lawyer speak -->
<sourceAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
</sourceAttachment>
<!-- this is opt-in - e.g. everything approved unless otherwise stated -->
<regulatoryBasis>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</regulatoryBasis>
<decision value="permit"/>
<provision>
<actor>
<role>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="CST"/>
</coding>
</role>
<reference>
<reference value="Organization/f001"/>
</reference>
</actor>
</provision>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/CarePlan/f003"/>
<resource>
<CarePlan xmlns="http://hl7.org/fhir">
<id value="f003"/>
<contained>
<CareTeam>
<id value="careteam"/>
<participant>
<member>
<reference value="Practitioner/f001"/>
<display value="E.M. van den broek"/>
</member>
</participant>
</CareTeam>
</contained>
<contained>
<Goal>
<id value="goal"/>
<lifecycleStatus value="completed"/>
<achievementStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
<code value="achieved"/>
<display value="Achieved"/>
</coding>
<text value="Achieved"/>
</achievementStatus>
<description>
<text value="Retropharyngeal abscess removal"/>
</description>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<note>
<text value="goal accomplished without complications"/>
</note>
</Goal>
</contained>
<contained>
<ServiceRequest>
<id value="activity"/>
<status value="completed"/>
<intent value="order"/>
<code>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="172960003"/>
<display value="Incision of retropharyngeal abscess"/>
</coding>
</concept>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<occurrenceDateTime value="2011-06-27T09:30:10+01:00"/>
<performer>
<reference value="Practitioner/f001"/>
<display value="E.M. van den broek"/>
</performer>
</ServiceRequest>
</contained>
<identifier>
<use value="official"/>
<!-- urn:oid:2.16.840.1.113883.4.642.1.36 -->
<system value="http://www.bmc.nl/zorgportal/identifiers/careplans"/>
<value value="CP3953"/>
</identifier>
<status value="completed"/>
<intent value="plan"/>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<period>
<start value="2013-03-08T09:00:10+01:00"/>
<end value="2013-03-08T09:30:10+01:00"/>
</period>
<careTeam>
<reference value="#careteam"/>
</careTeam>
<addresses>
<reference>
<reference value="Condition/f201"/>
<!--TODO Correcte referentie-->
<display value="?????"/>
</reference>
</addresses>
<goal>
<reference value="#goal"/>
</goal>
<activity>
<plannedActivityReference>
<reference value="#activity"/>
</plannedActivityReference>
<!-- moved to contained
<plannedActivityDetail>
<kind value="ServiceRequest"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="172960003"/>
<display value="Incision of retropharyngeal abscess"/>
</coding>
</code>
<status value="completed"/>
<doNotPerform value="true"/>
<scheduledString value="2011-06-27T09:30:10+01:00"/>
<performer>
<reference value="Practitioner/f001"/>
<display value="E.M. van den broek"/>
</performer>
</plannedActivityDetail>
-->
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Encounter/f003"/>
<resource>
<Encounter xmlns="http://hl7.org/fhir">
<id value="f003"/>
<identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/encounters"/>
<value value="v6751"/>
</identifier>
<status value="completed"/>
<class>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/> <!-- outpatient -->
<display value="ambulatory"/>
</coding>
</class>
<priority>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103391001"/>
<display value="Non-urgent ear, nose and throat admission"/>
</coding>
</priority>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="270427003"/>
<display value="Patient-initiated encounter"/>
</coding>
</type>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<serviceProvider>
<reference value="Organization/f001"/>
</serviceProvider>
<participant>
<actor>
<reference value="Practitioner/f001"/>
<display value="E.M. van den Broek"/>
</actor>
</participant>
<length>
<value value="90"/>
<unit value="min"/>
<system value="http://unitsofmeasure.org"/>
<code value="min"/>
</length>
<reason>
<value>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="18099001"/>
<display value="Retropharyngeal abscess"/>
</coding>
</concept>
</value>
</reason>
<admission>
<preAdmissionIdentifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/pre-admissions"/>
<value value="93042"/>
</preAdmissionIdentifier>
<!-- <preAdmissionTest>
<coding>
<system value="http://snomed.info/sct"/>
<code value="168719007"/>
<display value="Neck soft tissue X-ray"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="396550006"/>
<display value="Blood test"/>
</coding>
</preAdmissionTest> -->
<admitSource>
<coding>
<system value="http://snomed.info/sct"/>
<code value="305956004"/>
<display value="Referral by physician"/>
</coding>
</admitSource>
<dischargeDisposition>
<coding>
<system value="http://snomed.info/sct"/>
<code value="306689006"/>
<display value="Discharge to home"/>
</coding>
</dischargeDisposition>
</admission>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Consent/consent-example-notOrg"/>
<resource>
<Consent xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml">
<id value="consent-example-notOrg"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada.
The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose.
Withhold or withdraw consent for disclosure to a specific provider organization </p>
<p>Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Burgers University Medical Center.
P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Burgers University Medical Center.</p>
</div>
</text>
<status value="active"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="59284-0"/>
</coding>
</category>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<date value="2018-12-24"/>
<controller>
<reference value="Organization/2.16.840.1.113883.19.5"/>
</controller>
<!-- the text terms of the consent in lawyer speak -->
<sourceAttachment>
<title value="The terms of the consent in lawyer speak."/>
<!-- likely use url pointer to common text -->
</sourceAttachment>
<!-- this is opt-in - e.g. everything approved unless otherwise stated -->
<regulatoryBasis>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
</coding>
</regulatoryBasis>
<decision value="permit"/>
<provision>
<!-- no read or write access for this org -->
<actor>
<role>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="PRCP"/>
<!-- PRCP: recipient of the information -->
</coding>
</role>
<reference>
<reference value="Organization/f001"/>
</reference>
</actor>
<action>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/consentaction"/>
<code value="access"/>
</coding>
</action>
<action>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/consentaction"/>
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<item>
<reference value="Patient/animal"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/dicom"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/ihe-pcd"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/f001"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/f201"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/glossy"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/proband"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/genetics-example1"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/ch-example"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/newborn"/>
</item>
</entry>
<entry>
<item>
<reference value="Patient/mom"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/f002"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="f002"/><!-- urn:oid:2.16.840.1.113883.4.642.1.7 --><!-- 2.16.840.1.113883.4.642.1.118 --><identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
<value value="6324"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11555-0"/>
<display value="Base excess in Blood by calculation"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2013-04-02T10:30:10+01:00"/>
<issued value="2013-04-03T15:30:10+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<valueQuantity>
<value value="12.6"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="7.1"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="11.2"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Procedure/f004"/>
<resource>
<Procedure xmlns="http://hl7.org/fhir">
<id value="f004"/>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="48387007"/>
<display value="Tracheotomy"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<encounter>
<reference value="Encounter/f003"/>
</encounter>
<occurrencePeriod>
<start value="2013-03-22T09:30:10+01:00"/>
<end value="2013-03-22T10:30:10+01:00"/>
</occurrencePeriod>
<performer>
<function>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.15.111"/> <!-- "AssignedRoleType" coding system -->
<code value="01.000"/>
<display value="Arts"/>
</coding>
<text value="Care role"/>
</function>
<actor>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</actor>
</performer>
<reason>
<concept>
<text value="ensure breathing during surgery"/>
</concept>
</reason>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="83030008"/>
<display value="Retropharyngeal area"/>
</coding>
</bodySite>
<outcome>
<text value="removal of the retropharyngeal abscess"/>
</outcome>
<report>
<reference value="DiagnosticReport/f001"/>
<display value="???????????"/>
</report>
<followUp>
<text value="described in care plan"/>
</followUp>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/unsat"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="unsat"/>
<!-- urn:oid:2.16.840.1.113883.4.642.1.7 -->
<!-- 2.16.840.1.113883.4.642.1.118 -->
<identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
<value value="6323"/>
</identifier>
<status value="cancelled"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="15074-8"/>
<display value="Glucose [Moles/volume] in Blood"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2013-04-02T09:30:10+01:00"/>
<issued value="2013-04-03T15:30:10+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<dataAbsentReason>
<coding>
<system value="http://snomed.info/sct"/>
<code value="125154007"/>
<display value="Specimen unsatisfactory for evaluation"/>
</coding>
</dataAbsentReason>
<note><text value="Tube broken in transit and sample leaked"/></note>
<referenceRange>
<low>
<value value="3.1"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="6.2"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/Observation/f001"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="f001"/>
<identifier>
<use value="official"/>
<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
<value value="6323"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="15074-8"/>
<display value="Glucose [Moles/volume] in Blood"/>
</coding>
</code>
<subject>
<reference value="Patient/f001"/>
<display value="P. van de Heuvel"/>
</subject>
<effectiveDateTime value="2013-04-02T09:30:10+01:00"/>
<issued value="2013-04-03T15:30:10+01:00"/>
<performer>
<reference value="Practitioner/f005"/>
<display value="A. Langeveld"/>
</performer>
<valueQuantity>
<value value="6.3"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="3.1"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="6.2"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://hl7.org/fhir/RelatedPerson/f001"/>
<resource>
<RelatedPerson xmlns="http://hl7.org/fhir">
<id value="f001"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
Sarah Abels
</div>
</text>
<identifier>
<use value="official"/>
<type><text value="BSN"/></type>
<system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
<!-- Dutch BSN identification system -->
</identifier>
<patient>
<reference value="Patient/f001"/>
</patient>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="SIGOTHR"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="Abels"/>
<given value="Sarah"/>
</name>
<telecom>
<system value="phone"/>
<value value="0690383372"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="s.abels@kpn.nl"/>
<use value="home"/>
</telecom>
<gender value="female"/>
</RelatedPerson>
</resource>
</entry>
</Bundle>
For more information about operations, including how they are invoked, see Operations.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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