This page is part of the Personal Health Device FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
This example is a transaction bundle where the Patient and Device resources are using an update transaction. In this manner the PHG specifies the logical id, uses that logical id in the bundle where it needs to without waiting for a server response, and retains those logical id for the Observation resources where it needs them in subsequent uploads. Subsequent bundles can be sent without the Patient and Device resources since they have already been uploaded.
{
"resourceType": "Bundle",
"id": "nonin-hdp-1542718631721",
"type": "transaction",
"entry": [
{
"fullUrl": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10",
"resource": {
"resourceType": "Patient",
"id": "sisansarahId.1.2.3.4.5.6.7.8.10",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "urn:oid:1.2.3.4.5.6.7.8.10",
"value": "sisansarahId"
}
],
"name": [
{
"family": "Piggy",
"given": [
"Sisansarah",
"Lorianthah"
]
}
]
},
"request": {
"method": "PUT",
"url": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
}
},
{
"fullUrl": "Device/ecde3d4e58532d31.000000000000",
"resource": {
"resourceType": "Device",
"id": "ecde3d4e58532d31.000000000000",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice"
]
},
"identifier": [
{
"system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680",
"value": "ec-de-3d-4e-58-53-2d-31"
}
],
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "531981"
}
],
"text": "MDC_MOC_VMS_MDS_AHD"
},
"version": [
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532352"
}
],
"text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"
},
"value": "5.0"
}
],
"property": [
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68220"
}
],
"text": "MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"
},
"valueCode": [
{
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532226"
}
],
"text": "MDC_TIME_SYNC_NTPV4: "
}
]
},
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532353"
}
],
"text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: certified device list as transport-specialization combo"
},
"valueCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD",
"code": "4"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532355"
}
],
"text": "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: certified Upload classes"
},
"valueCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
"code": "0"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
"code": "3"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
"code": "7"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
"code": "2"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
"code": "6"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
"code": "532354.0"
}
],
"text": "regulation-status"
},
"valueCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
],
"text": "Device is not regulated"
}
]
}
]
},
"request": {
"method": "PUT",
"url": "Device/ecde3d4e58532d31.000000000000"
}
},
{
"fullUrl": "Device/001C050400007825.001C05007825",
"resource": {
"resourceType": "Device",
"id": "001C050400007825.001C05007825",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"
]
},
"identifier": [
{
"system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680",
"value": "00-1C-05-04-00-00-78-25"
},
{
"system": "http://hl7.org/fhir/sid/eui-48/BTMAC",
"value": "00-1C-05-00-78-25"
}
}
],
"manufacturer": "Nonin Medical, Inc.",
"serialNumber": "0400007825",
"modelNumber": "Model 3150",
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "65573"
}
],
"text": "MDC_MOC_VMS_MDS_SIMP"
},
"specialization": [
{
"systemType": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "528388"
}
],
"text": "MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter"
},
"version":"1"
}
],
"version": [
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "531976"
}
],
"text": "MDC_ID_PROD_SPEC_FW: Firmware revision"
},
"value": "0.9C"
},
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532352"
}
],
"text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"
},
"value": "1.0"
}
],
"property": [
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532353"
}
],
"text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: certified device list as transport-specialization combo"
},
"valueCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD",
"code": "4"
// The '4' means pulse ox. This is a continua version 1 device and there were no transport codes
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
"code": "532354.0"
}
],
"text": "regulation-status"
},
"valueCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "N"
}
],
"text": "Device is Regulated"
}
]
},
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68220"
}
],
"text": "MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"
},
"valueCode": [
{
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "532224"
}
],
"text": "MDC_TIME_SYNC_NONE: "
}
]
},
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
"code": "68219.0"
}
],
"text": "mds-time-capab-real-time-clock"
},
"valueCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
],
"text": "This field is set"
}
]
},
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
"code": "68219.1"
}
],
"text": "mds-time-capab-set-clock"
},
"valueCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
],
"text": "This field is set"
}
]
},
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
"code": "68219.2"
}
],
"text": "mds-time-capab-relative-time"
},
"valueCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
],
"text": "This field is set"
}
]
},
{
"type": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68222"
}
],
"text": "MDC_TIME_RES_ABS: Time resolution"
},
"valueQuantity": [
{
"value": 1000000,
"system": "http://unitsofmeasure.org",
"code": "us"
}
]
}
]
},
"request": {
"method": "PUT",
"url": "Device/001C050400007825.001C05007825"
}
},
{
"fullUrl": "urn:oid:3.14159.20181120075654",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "67975"
}
],
"text": "MDC_ATTR_TIME_ABS"
},
"effectiveDateTime": "2018-11-20T07:56:54-05:00",
"valueDateTime": "2018-11-20T08:58:04-05:00"
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:oid:1.0.0.1",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
"valueReference": {
"reference": "Device/ecde3d4e58532d31.000000000000"
}
}
],
"identifier": [
{
"value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181116212837-95-544-150588"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
],
"text": "Vital Signs"
}
],
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "150456"
},
{
"system": "http://loinc.org",
"code": "59408-5"
}
],
"text": "MDC_PULS_OXIM_SAT_O2"
},
"subject": {
"reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
},
"effectiveDateTime": "2018-11-16T20:27:27-05:00",
"valueQuantity": {
"value": 95,
"system": "http://unitsofmeasure.org",
"code": "%"
},
"device": {
"reference": "Device/001C050400007825.001C05007825"
},
"derivedFrom": [
{
"reference": "Observation/urn:oid:3.14159.20181120075654"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68193"
}
],
"text": "MDC_ATTR_SUPPLEMENTAL_TYPES"
},
"valueCodeableConcept": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "150588"
}
],
"text": "MDC_MODALITY_SPOT"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation",
"ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181116212837-95-544-150588"
}
},
{
"fullUrl": "urn:oid:1.0.0.2",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
"valueReference": {
"reference": "Device/ecde3d4e58532d31.000000000000"
}
}
],
"identifier": [
{
"value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181116212837-52-2720-150588"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
],
"text": "Vital Signs"
}
],
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "149530"
},
{
"system": "http://loinc.org",
"code": "8867-4"
}
],
"text": "MDC_PULS_OXIM_PULS_RATE"
},
"subject": {
"reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
},
"effectiveDateTime": "2018-11-16T20:27:27-05:00",
"valueQuantity": {
"value": 52,
"system": "http://unitsofmeasure.org",
"code": "{beat}/min"
},
"device": {
"reference": "Device/001C050400007825.001C05007825"
},
"derivedFrom": [
{
"reference": "Observation/urn:oid:3.14159.20181120075654"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68193"
}
],
"text": "MDC_ATTR_SUPPLEMENTAL_TYPES"
},
"valueCodeableConcept": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "150588"
}
],
"text": "MDC_MODALITY_SPOT"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation",
"ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181116212837-52-2720-150588"
}
},
{
"fullUrl": "urn:oid:1.0.0.3",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
"valueReference": {
"reference": "Device/ecde3d4e58532d31.000000000000"
}
}
],
"identifier": [
{
"value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181120085653-100-544-150588"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
],
"text": "Vital Signs"
}
],
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "150456"
},
{
"system": "http://loinc.org",
"code": "59408-5"
}
],
"text": "MDC_PULS_OXIM_SAT_O2"
},
"subject": {
"reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
},
"effectiveDateTime": "2018-11-20T07:55:43-05:00",
"valueQuantity": {
"value": 100,
"system": "http://unitsofmeasure.org",
"code": "%"
},
"device": {
"reference": "Device/001C050400007825.001C05007825"
},
"derivedFrom": [
{
"reference": "Observation/urn:oid:3.14159.20181120075654"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68193"
}
],
"text": "MDC_ATTR_SUPPLEMENTAL_TYPES"
},
"valueCodeableConcept": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "150588"
}
],
"text": "MDC_MODALITY_SPOT"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation",
"ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-150456-20181120085653-100-544-150588"
}
},
{
"fullUrl": "urn:oid:1.0.0.4",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
"valueReference": {
"reference": "Device/ecde3d4e58532d31.000000000000"
}
}
],
"identifier": [
{
"value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181120085653-42-2720-150588"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
],
"text": "Vital Signs"
}
],
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "149530"
},
{
"system": "http://loinc.org",
"code": "8867-4"
}
],
"text": "MDC_PULS_OXIM_PULS_RATE"
},
"subject": {
"reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
},
"effectiveDateTime": "2018-11-20T07:55:43-05:00",
"valueQuantity": {
"value": 42,
"system": "http://unitsofmeasure.org",
"code": "{beat}/min"
},
"device": {
"reference": "Device/001C050400007825.001C05007825"
},
"derivedFrom": [
{
"reference": "Observation/urn:oid:3.14159.20181120075654"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "68193"
}
],
"text": "MDC_ATTR_SUPPLEMENTAL_TYPES"
},
"valueCodeableConcept": {
"coding": [
{
"system": "urn:iso:std:iso:11073:10101",
"code": "150588"
}
],
"text": "MDC_MODALITY_SPOT"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation",
"ifNoneExist": "identifier=sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10-001C050400007825-149530-20181120085653-42-2720-150588"
}
}
]
}
Implementation Guide v0.2.0, based on FHIR v4.0.0. © 2017+ Health Level Seven International (Health Care Devices Work Group). IG generated on Tue, Dec 4, 2018 11:36+1100.
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