FHIR Clinical Documents
1.0.0-ballot - STU1 Ballot
FHIR Clinical Documents
1.0.0-ballot - STU1 Ballot
This page is part of the FHIR Clinical Documents (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "clinical-document-as-transaction-bundle"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T13:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:identifier [ fhir:system [ fhir:v "https://example.com/bundleId"^^xsd:anyURI ] ; fhir:value [ fhir:v "26d52355-b71b-4992-a34b-a2476983c999" ] ] ; # fhir:type [ fhir:v "transaction"] ; # fhir:timestamp [ fhir:v "2024-05-07T13:28:17.000+00:00"^^xsd:dateTime] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "https://example.com/Composition/clinical-document-composition-example1"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Composition/clinical-document-composition-example1> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Composition"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Organization/custodianOrganization"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Organization/custodianOrganization> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Organization"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Practitioner/example"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Practitioner/example> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Practitioner"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Practitioner/example2"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Practitioner/example2> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Practitioner"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Patient/d1"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Patient/d1> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Patient"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Encounter/doc-example"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Encounter/doc-example> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Encounter"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Observation/541a72a8-df75-4484-ac89-ac4923f03b81"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Observation/541a72a8-df75-4484-ac89-ac4923f03b81> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Observation"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/MedicationRequest/124a6916-5d84-4b8c-b250-10cefb8e6e86"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/MedicationRequest/124a6916-5d84-4b8c-b250-10cefb8e6e86> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "MedicationRequest"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/MedicationStatement/673f8db5-0ffd-4395-9657-6da00420bbc1"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/MedicationStatement/673f8db5-0ffd-4395-9657-6da00420bbc1> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "MedicationStatement"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/AllergyIntolerance/47600e0f-b6b5-4308-84b5-5dec157f7637"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/AllergyIntolerance/47600e0f-b6b5-4308-84b5-5dec157f7637> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "AllergyIntolerance"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/ServiceRequest/service1"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/ServiceRequest/service1> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "ServiceRequest"^^xsd:anyURI ] ] ] [ fhir:fullUrl [ fhir:v "https://example.com/Consent/consent1"^^xsd:anyURI ] ; ( fhir:resource <https://example.com/Consent/consent1> ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Consent"^^xsd:anyURI ] ] ] ) . # <https://example.com/Composition/clinical-document-composition-example1> a fhir:Composition ; fhir:id [ fhir:v "clinical-document-composition-example1"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T13:28:17.000+00:00"^^xsd:dateTime ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Discharge Summary</b></p><p><b>CC</b>: Dr. BettaB Careful</p><p><b>status</b>: final</p><p><b>patient</b>: Eve Everiewoman</p><p><b>author</b>: Doctor Dave / Good Health Clinic</p><p><b>encounter</b>: Inpatient encounter, 2024-05-03 - 2024-05-07</p><p><b>confidentiality</b>: N</p><p><b>Contained sections</b>:</p><ul><li>Reason for admission</li><li>Medications on Discharge</li><li>Known allergies</li></ul></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"^^xsd:anyURI ] ; fhir:value [ fhir:v "1715088497" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ; fhir:code [ fhir:v "PRCP" ] ; fhir:display [ fhir:v "primary information recipient" ] ] ) ] ] [ fhir:url [ fhir:v "party"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Practitioner/example2" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ; fhir:code [ fhir:v "ENT" ] ; fhir:display [ fhir:v "data entry person" ] ] ) ] ] [ fhir:url [ fhir:v "party"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Practitioner/example2" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ; fhir:code [ fhir:v "INF" ] ; fhir:display [ fhir:v "informant" ] ] ) ] ] [ fhir:url [ fhir:v "party"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Practitioner/example2" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ; fhir:code [ fhir:v "ESC" ] ; fhir:display [ fhir:v "escort" ] ] ) ] ] [ fhir:url [ fhir:v "party"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Practitioner/example2" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"^^xsd:anyURI ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/OrderExtension"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "ServiceRequest/service1" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Consent/consent1" ] ] ] ) ; # fhir:identifier [ fhir:system [ fhir:v "https://example.com/compId"^^xsd:anyURI ] ; fhir:value [ fhir:v "1d6d6eb8-7d08-4ce1-94d4-19cdaa76ad6f" ] ] ; # fhir:status [ fhir:v "final"] ; # fhir:type [ ( fhir:coding [ a loinc:28655-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "28655-9" ] ] ) ; fhir:text [ fhir:v "Attending Discharge summary" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/doc-example" ] ] ; # fhir:date [ fhir:v "2024-05-07T13:28:17.000+00:00"^^xsd:dateTime] ; # fhir:author ( [ fhir:reference [ fhir:v "Practitioner/example" ] ; fhir:display [ fhir:v "Doctor Dave" ] ] ) ; # fhir:title [ fhir:v "Discharge Summary"] ; # fhir:confidentiality [ fhir:v "N"] ; # fhir:attester ( [ fhir:mode [ fhir:v "legal" ] ; fhir:time [ fhir:v "2024-05-07"^^xsd:date ] ; fhir:party [ fhir:reference [ fhir:v "Practitioner/example" ] ; fhir:display [ fhir:v "Doctor Dave" ] ] ] ) ; # fhir:custodian [ fhir:reference [ fhir:v "Organization/custodianOrganization" ] ; fhir:display [ fhir:v "Good Health Clinic" ] ] ; # fhir:section ( [ fhir:title [ fhir:v "Reason for admission" ] ; fhir:code [ ( fhir:coding [ a loinc:29299-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "29299-5" ] ; fhir:display [ fhir:v "Reason for visit Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Details</td><td/></tr></thead><tbody><tr><td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td><td/></tr></tbody></table></div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Observation/541a72a8-df75-4484-ac89-ac4923f03b81" ] ] ) ] [ fhir:title [ fhir:v "Medications on Discharge" ] ; fhir:code [ ( fhir:coding [ a loinc:10183-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10183-2" ] ; fhir:display [ fhir:v "Hospital discharge medications Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Medication</td><td>Last Change</td><td>Last ChangeReason</td></tr></thead><tbody><tr><td>Theophylline 200mg BD after meals</td><td>continued</td></tr><tr><td>Ventolin Inhaler</td><td>stopped</td><td>Getting side effect of tremor</td></tr></tbody></table></div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "MedicationRequest/124a6916-5d84-4b8c-b250-10cefb8e6e86" ] ] [ fhir:reference [ fhir:v "MedicationStatement/673f8db5-0ffd-4395-9657-6da00420bbc1" ] ] ) ] [ fhir:title [ fhir:v "Known allergies" ] ; fhir:code [ ( fhir:coding [ a loinc:48765-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48765-2" ] ; fhir:display [ fhir:v "Allergies and adverse reactions Document" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Allergen</td><td>Reaction</td></tr></thead><tbody><tr><td>Doxycycline</td><td>Hives</td></tr></tbody></table></div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "AllergyIntolerance/47600e0f-b6b5-4308-84b5-5dec157f7637" ] ] ) ] ) . # <https://example.com/Organization/custodianOrganization> a fhir:Organization ; fhir:id [ fhir:v "custodianOrganization"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_custodianOrganization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization custodianOrganization</b></p><a name=\"custodianOrganization\"> </a><a name=\"hccustodianOrganization\"> </a><a name=\"custodianOrganization-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:2.16.840.1.113883.19.5</p><p><b>name</b>: Good Health Clinic</p></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ; fhir:value [ fhir:v "urn:uuid:2.16.840.1.113883.19.5" ] ] ) ; # fhir:name [ fhir:v "Good Health Clinic"] . # <https://example.com/Practitioner/example> a fhir:Practitioner ; fhir:id [ fhir:v "example"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2013-05-05 16:13:03+0000</p></div><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>name</b>: Adam Careful </p></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://www.acme.org/practitioners"^^xsd:anyURI ] ; fhir:value [ fhir:v "23" ] ] ) ; # fhir:name ( [ fhir:family [ fhir:v "Careful" ] ; ( fhir:given [ fhir:v "Adam" ] ) ; ( fhir:prefix [ fhir:v "Dr" ] ) ] ) . # <https://example.com/Practitioner/example2> a fhir:Practitioner ; fhir:id [ fhir:v "example2"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_example2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner example2</b></p><a name=\"example2\"> </a><a name=\"hcexample2\"> </a><a name=\"example2-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2013-05-05 16:13:03+0000</p></div><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/27</p><p><b>name</b>: BettaB Careful </p></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://www.acme.org/practitioners"^^xsd:anyURI ] ; fhir:value [ fhir:v "27" ] ] ) ; # fhir:name ( [ fhir:family [ fhir:v "Careful" ] ; ( fhir:given [ fhir:v "BettaB" ] ) ; ( fhir:prefix [ fhir:v "Dr" ] ) ] ) . # <https://example.com/Patient/d1> a fhir:Patient ; fhir:id [ fhir:v "d1"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_d1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient d1</b></p><a name=\"d1\"> </a><a name=\"hcd1\"> </a><a name=\"d1-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Eve Everiewoman Female, DoB: 1955-01-06</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-555-2003(Work)</li><li>2222 Home Street (home)</li></ul></td></tr></table></div>" ] ; # fhir:active [ fhir:v "true"^^xsd:boolean] ; # fhir:name ( [ fhir:text [ fhir:v "Eve Everiewoman" ] ; fhir:family [ fhir:v "Everiewoman1" ] ; ( fhir:given [ fhir:v "Eve" ] ) ] ) ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "555-555-2003" ] ; fhir:use [ fhir:v "work" ] ] ) ; # fhir:gender [ fhir:v "female"] ; # fhir:birthDate [ fhir:v "1955-01-06"^^xsd:date] ; # fhir:address ( [ fhir:use [ fhir:v "home" ] ; ( fhir:line [ fhir:v "2222 Home Street" ] ) ] ) . # <https://example.com/Encounter/doc-example> a fhir:Encounter ; fhir:id [ fhir:v "doc-example"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_doc-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter doc-example</b></p><a name=\"doc-example\"> </a><a name=\"hcdoc-example\"> </a><a name=\"doc-example-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-05-07 11:28:17+0000</p></div><p><b>identifier</b>: S100</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode</a> IMP: inpatient encounter</p><p><b>type</b>: <span title=\"Codes:\">Orthopedic Admission</span></p><p><b>subject</b>: <a href=\"Patient-d1.html\">Eve Everiewoman</a></p><p><b>period</b>: 2024-05-03 13:28:17+0000 --> 2024-05-07 11:28:17+0000</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Discharged to care of GP</span></td></tr></table></div>" ] ; # fhir:identifier ( [ fhir:value [ fhir:v "S100" ] ] ) ; # fhir:status [ fhir:v "finished"] ; # fhir:class [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "IMP" ] ; fhir:display [ fhir:v "inpatient encounter" ] ] ; # fhir:type ( [ fhir:text [ fhir:v "Orthopedic Admission" ] ] ) ; # fhir:subject [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:period [ fhir:start [ fhir:v "2024-05-03T13:28:17.000+00:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:hospitalization [ fhir:dischargeDisposition [ fhir:text [ fhir:v "Discharged to care of GP" ] ] ] . # <https://example.com/Observation/541a72a8-df75-4484-ac89-ac4923f03b81> a fhir:Observation ; fhir:id [ fhir:v "541a72a8-df75-4484-ac89-ac4923f03b81"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-03T14:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Acute Asthmatic attack. Was wheezing for days prior to admission.</div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:code [ ( fhir:coding [ a loinc:46241-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "46241-6" ] ] ) ; fhir:text [ fhir:v "Reason for admission" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:encounter [ fhir:display [ fhir:v "http://fhir.healthintersections.com.au/open/Encounter/doc-example" ] ] ; # fhir:effective [ fhir:v "2023-08-03"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/example2" ] ; fhir:display [ fhir:v "Dr Careful" ] ] ) ; # fhir:value [ fhir:v "Acute Asthmatic attack. Was wheezing for days prior to admission."] . # <https://example.com/MedicationRequest/124a6916-5d84-4b8c-b250-10cefb8e6e86> a fhir:MedicationRequest ; fhir:id [ fhir:v "124a6916-5d84-4b8c-b250-10cefb8e6e86"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_124a6916-5d84-4b8c-b250-10cefb8e6e86\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 124a6916-5d84-4b8c-b250-10cefb8e6e86</b></p><a name=\"124a6916-5d84-4b8c-b250-10cefb8e6e86\"> </a><a name=\"hc124a6916-5d84-4b8c-b250-10cefb8e6e86\"> </a><a name=\"124a6916-5d84-4b8c-b250-10cefb8e6e86-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-05-07 11:28:17+0000</p></div><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://snomed.info/sct 66493003}\">Theophylline 200mg</span></p><p><b>subject</b>: <a href=\"Patient-d1.html\">Eve Everiewoman</a></p><p><b>requester</b>: <a href=\"Practitioner-example.html\">Peter Practitioner</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">Management of Asthma</span></p><blockquote><p><b>dosageInstruction</b></p></blockquote></div>" ] ; # fhir:status [ fhir:v "unknown"] ; # fhir:intent [ fhir:v "order"] ; # fhir:medication [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:66493003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "66493003" ] ] ) ; fhir:text [ fhir:v "Theophylline 200mg" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/example" ] ; fhir:display [ fhir:v "Peter Practitioner" ] ] ; # fhir:reasonCode ( [ fhir:text [ fhir:v "Management of Asthma" ] ] ) ; # fhir:dosageInstruction ( [ ( fhir:additionalInstruction [ fhir:text [ fhir:v "Take with Food" ] ] ) ; fhir:timing [ fhir:repeat [ fhir:frequency [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "d" ] ] ] ; fhir:route [ ( fhir:coding [ a sct:394899003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "394899003" ] ; fhir:display [ fhir:v "oral administration of treatment" ] ] ) ] ; ( fhir:doseAndRate [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "tablet" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{tablet}" ] ] ] ) ] ) . # <https://example.com/MedicationStatement/673f8db5-0ffd-4395-9657-6da00420bbc1> a fhir:MedicationStatement ; fhir:id [ fhir:v "673f8db5-0ffd-4395-9657-6da00420bbc1"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_673f8db5-0ffd-4395-9657-6da00420bbc1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 673f8db5-0ffd-4395-9657-6da00420bbc1</b></p><a name=\"673f8db5-0ffd-4395-9657-6da00420bbc1\"> </a><a name=\"hc673f8db5-0ffd-4395-9657-6da00420bbc1\"> </a><a name=\"673f8db5-0ffd-4395-9657-6da00420bbc1-en-US\"> </a><p><b>status</b>: Active</p><p><b>statusReason</b>: <span title=\"Codes:\">Management of Asthma</span></p><p><b>medication</b>: <span title=\"Codes:\">Ventolin Inhaler</span></p><p><b>subject</b>: <a href=\"Patient-d1.html\">Eve Everiewoman</a></p><p><b>dateAsserted</b>: 2024-05-07 11:28:17+0000</p></div>" ] ; # fhir:status [ fhir:v "active"] ; # fhir:statusReason ( [ fhir:text [ fhir:v "Management of Asthma" ] ] ) ; # fhir:medication [ a fhir:CodeableConcept ; fhir:text [ fhir:v "Ventolin Inhaler" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:dateAsserted [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime] . # <https://example.com/AllergyIntolerance/47600e0f-b6b5-4308-84b5-5dec157f7637> a fhir:AllergyIntolerance ; fhir:id [ fhir:v "47600e0f-b6b5-4308-84b5-5dec157f7637"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_47600e0f-b6b5-4308-84b5-5dec157f7637\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 47600e0f-b6b5-4308-84b5-5dec157f7637</b></p><a name=\"47600e0f-b6b5-4308-84b5-5dec157f7637\"> </a><a name=\"hc47600e0f-b6b5-4308-84b5-5dec157f7637\"> </a><a name=\"47600e0f-b6b5-4308-84b5-5dec157f7637-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-05-07 11:28:17+0000</p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:\">Doxycycline</span></p><p><b>patient</b>: <a href=\"Patient-d1.html\">Eve Everiewoman</a></p><p><b>recordedDate</b>: 2012-09-17</p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manifestation</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Hives</span></td></tr></table></div>" ] ; # fhir:clinicalStatus [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ] ; fhir:code [ fhir:v "active" ] ; fhir:display [ fhir:v "Active" ] ] ) ] ; # fhir:verificationStatus [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ] ; fhir:code [ fhir:v "confirmed" ] ; fhir:display [ fhir:v "Confirmed" ] ] ) ] ; # fhir:type [ fhir:v "allergy"] ; # fhir:criticality [ fhir:v "high"] ; # fhir:code [ fhir:text [ fhir:v "Doxycycline" ] ] ; # fhir:patient [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:recordedDate [ fhir:v "2012-09-17"^^xsd:date] ; # fhir:reaction ( [ ( fhir:manifestation [ fhir:text [ fhir:v "Hives" ] ] ) ] ) . # <https://example.com/ServiceRequest/service1> a fhir:ServiceRequest ; fhir:id [ fhir:v "service1"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_service1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest service1</b></p><a name=\"service1\"> </a><a name=\"hcservice1\"> </a><a name=\"service1-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-05-07 11:28:17+0000</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:\">Discharge to home</span></p><p><b>subject</b>: <a href=\"Patient-d1.html\">Eve Everiewoman</a></p></div>" ] ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:code [ fhir:text [ fhir:v "Discharge to home" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] . # <https://example.com/Consent/consent1> a fhir:Consent ; fhir:id [ fhir:v "consent1"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-05-07T11:28:17.000+00:00"^^xsd:dateTime ] ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Consent_consent1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Consent consent1</b></p><a name=\"consent1\"> </a><a name=\"hcconsent1\"> </a><a name=\"consent1-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-05-07 11:28:17+0000</p></div><p><b>status</b>: Active</p><p><b>scope</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentscope patient-privacy}\">Privacy Consent</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 59284-0}\">Consent Document</span></p><p><b>patient</b>: <a href=\"Patient-d1.html\">Eve Everiewoman</a></p><p><b>policyRule</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode OPTIN}\">opt-in</span></p></div>" ] ; # fhir:status [ fhir:v "active"] ; # fhir:scope [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentscope"^^xsd:anyURI ] ; fhir:code [ fhir:v "patient-privacy" ] ] ) ] ; # fhir:category ( [ ( fhir:coding [ a loinc:59284-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "59284-0" ] ] ) ] ) ; # fhir:patient [ fhir:reference [ fhir:v "Patient/d1" ] ; fhir:display [ fhir:v "Eve Everiewoman" ] ] ; # fhir:policyRule [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "OPTIN" ] ] ) ] . #
IG © 2024+ HL7 International / Structured Documents. Package hl7.fhir.uv.fhir-clinical-document#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-08
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