{ "resourceType" : "Bundle", "id" : "sde-example-patient-data-bundle", "language" : "en", "type" : "transaction", "entry" : [{ "fullUrl" : "urn:uuid:050deac6-0544-43df-bff9-7506f8687469", "resource" : { "resourceType" : "Patient", "id" : "patient04", "meta" : { "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient04

Profile: QICore Patient

Jane E. Doe Female, DoB: 1987-02-19 ( http://example.org#patient04)

Active:true
US Core Ethnicity Extension:
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2106-3", "display" : "White" } }, { "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "1002-5", "display" : "American Indian or Alaska Native" } }, { "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2028-9", "display" : "Asian" } }, { "url" : "detailed", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "1586-7", "display" : "Shoshone" } }, { "url" : "detailed", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2036-2", "display" : "Filipino" } }, { "url" : "text", "valueString" : "Mixed" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2135-2", "display" : "Hispanic or Latino" } }, { "url" : "detailed", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2184-0", "display" : "Dominican" } }, { "url" : "detailed", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2148-5", "display" : "Mexican" } }, { "url" : "text", "valueString" : "Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }], "identifier" : [{ "system" : "http://example.org", "value" : "patient04" }], "active" : true, "name" : [{ "family" : "Doe", "given" : ["Jane", "E."] }], "gender" : "female", "birthDate" : "1987-02-19" }, "request" : { "method" : "PUT", "url" : "Patient/patient04" } }, { "fullUrl" : "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369", "resource" : { "resourceType" : "Encounter", "id" : "encounter04", "meta" : { "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter04

Profile: QICore Encounter

status: Finished

class: ActCode: IMP (inpatient encounter)

type: Encounter for problem (procedure)

subject: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))

period: 2022-01-01 --> 2022-01-31

Diagnoses

-ConditionUse
*Condition: clinicalStatus = Active; verificationStatus = Confirmed; category = Encounter Diagnosis; onset[x] = 2022-01-08 11:00:00+0000Chief complaint

Hospitalizations

-DischargeDisposition
*home

Locations

-Location
*Location DaVinciClinic01
" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "185347001", "display" : "Encounter for problem (procedure)" }] }], "subject" : { "reference" : "Patient/patient01" }, "period" : { "start" : "2022-01-01", "end" : "2022-01-31" }, "diagnosis" : [{ "condition" : { "reference" : "Condition/nhsn-iip-con101" }, "use" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code" : "CC" }] } }], "hospitalization" : { "dischargeDisposition" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "home" }] } }, "location" : [{ "location" : { "reference" : "Location/location01" } }] }, "request" : { "method" : "PUT", "url" : "Encounter/encounter04" } }, { "fullUrl" : "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037", "resource" : { "resourceType" : "MedicationRequest", "id" : "nhsn-iip-add101", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest nhsn-iip-add101

Profile: US Core MedicationRequest Profile

status: Active

intent: Proposal

medication: metFORMIN Oral Liquid Product

subject: Jane E. Doe

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000

authoredOn: 2022-01-01

requester: Practitioner Ronald Bone

" }, "status" : "active", "intent" : "proposal", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "1161609", "display" : "metFORMIN Oral Liquid Product" }], "text" : "metFORMIN Oral Liquid Product" }, "subject" : { "reference" : "Patient/nhsn-iip-ip101", "display" : "Jane E. Doe" }, "encounter" : { "reference" : "Encounter/nhsn-iip-en101" }, "authoredOn" : "2022-01-01", "requester" : { "reference" : "Practitioner/practitioner01" } }, "request" : { "method" : "PUT", "url" : "MedicationRequest/nhsn-iip-add101" } }, { "fullUrl" : "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c", "resource" : { "resourceType" : "MedicationRequest", "id" : "nhsn-iip-add101-10", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest nhsn-iip-add101-10

Profile: US Core MedicationRequest Profile

identifier: http://example.org/336609269\u00a0(use:\u00a0usual,\u00a0)

status: Active

intent: Proposal

category: Inpatient

medication: metFORMIN Oral Liquid Product

subject: Amy Shaw

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000

authoredOn: 2022-01-15 16:50:26+0000

requester: Practitioner Ronald Bone

recorder: Practitioner Emile Zieme(official)

courseOfTherapyType: Short course (acute) therapy

dosageInstruction

timing: Code , Once per 1 day

asNeeded: true

doseAndRate

type: calculated

dose: 1 mg (Details: UCUM codemg = 'mg')

doseAndRate

type: ordered

dose: 1 mg (Details: UCUM codemg = 'mg')

" }, "identifier" : [{ "use" : "usual", "system" : "http://example.org", "value" : "336609269" }], "status" : "active", "intent" : "proposal", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "inpatient", "display" : "Inpatient" }], "text" : "Inpatient" }], "medicationCodeableConcept" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "1161609", "display" : "metFORMIN Oral Liquid Product" }], "text" : "metFORMIN Oral Liquid Product" }, "subject" : { "reference" : "Patient/nhsn-iip-ip101", "display" : "Amy Shaw" }, "encounter" : { "reference" : "Encounter/nhsn-iip-en101" }, "authoredOn" : "2022-01-15T16:50:26Z", "requester" : { "reference" : "Practitioner/practitioner01" }, "recorder" : { "reference" : "Practitioner/practitioner02" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "acute", "display" : "Short course (acute) therapy" }], "text" : "Short course (acute) therapy" }, "dosageInstruction" : [{ "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2021-02-15T16:43:55Z", "end" : "2021-02-22T21:32:24Z" }, "frequency" : 1, "period" : 1, "periodUnit" : "d" }, "code" : { "text" : "PRN" } }, "asNeededBoolean" : true, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "calculated", "display" : "calculated" }], "text" : "calculated" }, "doseQuantity" : { "value" : 1, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "ordered" }], "text" : "ordered" }, "doseQuantity" : { "value" : 1, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }] }, "request" : { "method" : "PUT", "url" : "MedicationRequest/nhsn-iip-add101-10" } }, { "fullUrl" : "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc", "resource" : { "resourceType" : "ServiceRequest", "id" : "nhsn-iip-sr-sde", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest nhsn-iip-sr-sde

identifier: Placer/2345234234234

status: Active

intent: Original Order

code: Lipid Panel

subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000

occurrence: 2013-05-02 16:16:00-0700

reasonCode: Fam hx-ischem heart dis

supportingInfo: Fasting status

specimen: Serum specimen

note:

patient is afraid of needles

\n

Generated Narrative: Observation #fasting

status: Final

code: Fasting status - Reported

subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

effective: 2022-01-01 09:30:10+0100 --> (ongoing)

performer: Organization DaVinciHospital01

value: Yes

Generated Narrative: Specimen #serum

identifier: http://acme.org/specimens/20150107-0012

type: Serum sample

subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

Collections

-Collected[x]
*2015-08-16 06:40:17+0000
" }, "contained" : [{ "resourceType" : "Observation", "id" : "fasting", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "49541-6", "display" : "Fasting status - Reported" }] }, "subject" : { "reference" : "Patient/nhsn-iip-ip101" }, "effectivePeriod" : { "start" : "2022-01-01T09:30:10+01:00" }, "performer" : [{ "reference" : "Organization/organization01" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0136", "code" : "Y", "display" : "Yes" }] } }, { "resourceType" : "Specimen", "id" : "serum", "identifier" : [{ "system" : "http://acme.org/specimens", "value" : "20150107-0012" }], "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "119364003", "display" : "Serum sample" }] }, "subject" : { "reference" : "Patient/nhsn-iip-ip101" }, "collection" : { "collectedDateTime" : "2015-08-16T06:40:17Z" } }], "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" }], "text" : "Placer" }, "system" : "http://example.org", "value" : "2345234234234" }], "status" : "active", "intent" : "original-order", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "57698-3" }], "text" : "Lipid Panel" }, "subject" : { "reference" : "Patient/nhsn-iip-ip101" }, "encounter" : { "reference" : "Encounter/nhsn-iip-en101" }, "occurrenceDateTime" : "2013-05-02T16:16:00-07:00", "reasonCode" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-9-cm", "code" : "V17.3", "display" : "Fam hx-ischem heart dis" }] }], "supportingInfo" : [{ "reference" : "#fasting", "display" : "Fasting status" }], "specimen" : [{ "reference" : "#serum", "display" : "Serum specimen" }], "note" : [{ "text" : "patient is afraid of needles" }] }, "request" : { "method" : "PUT", "url" : "ServiceRequest/nhsn-iip-sr-sde" } }, { "fullUrl" : "urn:uuid:b7075a17-98a5-429b-a464-3da906001492", "resource" : { "resourceType" : "Location", "id" : "nhsn-iip-loc101", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Location nhsn-iip-loc101

type: Radiation oncology unit

" }, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "RADO", "display" : "Radiation oncology unit" }] }] }, "request" : { "method" : "PUT", "url" : "Location/nhsn-iip-loc101" } }, { "fullUrl" : "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69", "resource" : { "resourceType" : "Condition", "id" : "condition04", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition condition04

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

onset: 2022-01-08

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }, { "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }] }], "subject" : { "reference" : "Patient/nhsn-iip-ip101" }, "onsetDateTime" : "2022-01-08" }, "request" : { "method" : "PUT", "url" : "Condition/condition04" } }] }