FHIR IG analytics| Package | ca.on.hrm.r4 |
| Resource Type | Bundle |
| Id | Bundle-ExampleStructuredDocumentBundleConsultationNote.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "ExampleStructuredDocumentBundleConsultationNote",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-bundle-document"
]
},
"type": "document",
"identifier": {
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "BUNDLE125"
},
"timestamp": "2025-01-05T13:00:00Z",
"entry": [
{
"fullUrl": "http://ontariohealth.ca/fhir/Composition/707e07be-03f8-40c9-851a-94d6a3aac219",
"resource": {
"resourceType": "Composition",
"id": "707e07be-03f8-40c9-851a-94d6a3aac219",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-consultation-note"
]
},
"section": [
{
"code": {
"coding": [
{
"code": "48765-2",
"system": "http://loinc.org",
"display": "Allergies and adverse reactions Document"
}
]
},
"title": "Allergies and Intolerances Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Substance</b></td><td><b>Overall Severity</b></td><td><b>Reaction</b></td><td><b>Reaction Severity</b></td><td><b>Status</b></td></tr><tr><td>Cashew Nut</td><td>Severe</td><td>Anaphylactic reaction</td><td>Mild</td><td>Active</td></tr></table></div>"
},
"entry": [
{
"reference": "AllergyIntolerance/60efc409-f170-4e5e-88a0-2f72bbcaa6c3"
}
]
},
{
"code": {
"coding": [
{
"code": "10164-2",
"system": "http://loinc.org",
"display": "History of Present illness Narrative"
}
]
},
"title": "History of Present Illness Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This patient was only recently discharged for a recurrent GI bleed as described below.</p><p>He presented to the ER today c/o a dark stool yesterday but a normal brown stool today. On exam he was hypotensive in the 80?s resolved after .... .... ....</p><p>Lab at discharge: Glucose 112, BUN 16, creatinine 1.1, electrolytes normal. H. pylori antibody pending. Admission hematocrit 16%, discharge hematocrit 29%. WBC 7300, platelet count 256,000. Urinalysis normal. Urine culture: No growth. INR 1.1, PTT 40.</p><p>He was transfused with 6 units of packed red blood cells with .... .... ....</p><p>GI evaluation 12 September: Colonoscopy showed single red clot in .... ........</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "11450-4",
"system": "http://loinc.org",
"display": "Problem list - Reported"
}
]
},
"title": "Problem Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Problem Name</b></td><td><b>Type</b></td><td><b>Onset Date</b></td><td><b>Abatement Date</b></td><td><b>Status</b></td></tr><tr><td>Liveborn born in hospital</td><td>Condition</td><td/><td/><td>Complete</td></tr></table></div>"
},
"entry": [
{
"reference": "Condition/a9877e33-7a06-41d9-8b63-30f405a737de"
}
]
},
{
"code": {
"coding": [
{
"code": "42348-3",
"system": "http://loinc.org",
"display": "Advance healthcare directives"
}
]
},
"title": "Advance Directives Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Name</b></td><td><b>Applies Period</b></td></tr><tr><td>Resuscitation</td><td>2015/01/01 - 2016/12/31</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "51848-0",
"system": "http://loinc.org",
"display": "Evaluation note"
}
]
},
"title": "Assessment Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Obesity.</p><p>Uncontrolled brittle Type II diabetic.</p><p>Shortness of breath, mild wheezing.</p><p>Pressure ulder on left knee.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "51847-2",
"system": "http://loinc.org",
"display": "Evaluation + Plan note"
}
]
},
"title": "Assessment and Plan Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy</p><p>Acute on chronic anemia secondary to #1.</p><p>Azotemia, acute renal failure with volume loss secondary tom#1.</p><p>Hyperkalemia secondary to #3 and on ACE and K+ supplement.</p><p>Other chronic diagnoses as noted above, currently stable.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "46239-0",
"system": "http://loinc.org",
"display": "Chief complaint+Reason for visit Narrative"
}
]
},
"title": "Chief Complaint and Reason for Visit Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Cramping, bloating, and constipation.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "10154-3",
"system": "http://loinc.org",
"display": "Chief complaint Narrative - Reported"
}
]
},
"title": "Chief Complaint Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Dark Stools</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "10157-6",
"system": "http://loinc.org",
"display": "History of family member diseases Narrative"
}
]
},
"title": "Family History Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Relationship</b></td><td><b>Diagnosis</b></td><td><b>Age at Onset</b></td></tr><tr><td>Father</td><td>Myocardial Infarction(cause of Death)</td><td>57</td></tr><tr><td>Father</td><td>Diabetes</td><td>40</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "47420-5",
"system": "http://loinc.org",
"display": "Functional status assessment note"
}
]
},
"title": "Functional Status Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Functional or Cognitive Finding</b></td><td><b>Observation</b></td><td><b>Observation Date</b></td><td><b>Condition Status</b></td></tr><tr><td>Ambulation (Dependent to Independent</td><td>Independently able</td><td>2010/03/11</td><td>Active</td></tr><tr><td>Finding of Functional Performance and Activity</td><td>Dyspnea</td><td>2008/02/16</td><td>Active</td></tr><tr><td>Cognitive Function Finding</td><td>Memory Impairment</td><td>2014/04/29</td><td>Active</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "10210-3",
"system": "http://loinc.org",
"display": "Physical findings of General status Narrative"
}
]
},
"title": "General Status Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Alert and in good spirits, no acute distress.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "11348-0",
"system": "http://loinc.org",
"display": "History of Past illness Narrative"
}
]
},
"title": "Past Medical History Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See History of Present Illness</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "11369-6",
"system": "http://loinc.org",
"display": "History of Immunization Narrative"
}
]
},
"title": "Immunizations Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Vaccine</b></td><td><b>Date</b></td><td><b>Status</b></td></tr><tr><td>Fluvax (Influenza)</td><td>2016-04-05</td><td>Completed</td></tr></table></div>"
},
"entry": [
{
"reference": "Immunization/4f672917-c642-4289-8fe2-6b04d5ed3bf0"
}
]
},
{
"code": {
"coding": [
{
"code": "46264-8",
"system": "http://loinc.org",
"display": "History of medical device use"
}
]
},
"title": "Medical Equipment Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Supply/Device</b></td><td><b>Date Supplied</b></td></tr><tr><td>Automatic Implantable cardioverter/defbrillator</td><td>2008/11/16</td></tr><tr><td>Wheelchair</td><td>1999/12/01</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "10160-0",
"system": "http://loinc.org",
"display": "History of Medication use Narrative"
}
]
},
"title": "Medication Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Medication</b></td><td><b>Directions</b></td><td><b>Start Date</b></td><td><b>Status</b></td><td><b>Indications</b></td><td><b>Fill Instructions</b></td></tr><tr><td>Amoxicillin</td><td>Amoxicillin Powder, for Suspension 250mg/5ml</td><td>20160401</td><td>Active</td><td>Pneumonia</td><td>Generic substitution allowed</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "10190-7",
"system": "http://loinc.org",
"display": "Mental status"
}
]
},
"title": "Mental Status Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><td><b>Mental Status Findings</b></td><td><b>Effective Dates</b></td><td><b>Condition Status</b></td></tr></thead><tr><td>Mental Function</td><td>July 31, 2013</td><td>Impaired</td></tr><tr><td>Cognitive Abilities</td><td>July 31, 2013</td><td>Judgement, Intact</td></tr><tr><td>Cognitive Function</td><td>July 31, 2013</td><td>Aggressive Behavior</td></tr><tr><td>Cognitive Function</td><td>July 31, 2013</td><td>Difficulty understanding own emotions</td></tr><tr><td>Cognitive Function</td><td>July 31, 2013</td><td>Difficulty communicating Thoughts</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "61144-2",
"system": "http://loinc.org",
"display": "Diet and nutrition Narrative"
}
]
},
"title": "Nutrition Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Date</b></td><td><b>Nutritional Status</b></td><td><b>Diet</b></td></tr><tr><td>2005/12/29</td><td>Well nourished</td><td>Low sodium diet, excessive carbohydrate</td></tr><tr><td>2010/05/26</td><td>Slight dehydration</td><td>High protein, low fibre</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "29545-1",
"system": "http://loinc.org",
"display": "Physical findings Narrative"
}
]
},
"title": "Physical Exam Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>HEENT: All normal to examination.</p><p>>HEART: RRR, no murmur.</p><p>THORAX & LUNGS: Clear without rhonchi or wheeze.</p><p>ABDOMEN: Marked distension and tenderness, slightly obese, pos bowelsounds.</p><p>BACK: Normal to inspection and palpation, without tenderness; no presacral edema.</p><p>EXTREMITIES: Doughy edema bilaterally, chronic stasis changes, no asymmetrical swelling.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "18776-5",
"system": "http://loinc.org",
"display": "Plan of care note"
}
]
},
"title": "Plan of Treatment Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Planned Activity</b></td><td><b>Period</b></td><td><b>Status</b></td></tr><tr><td>Colonoscopy</td><td>2010/08/16 - 2010/08/16</td><td>Completed</td></tr><tr><td>Recommendation to Exercise</td><td>2015/10/29</td><td>Ongoing</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "47519-4",
"system": "http://loinc.org",
"display": "History of Procedures Document"
}
]
},
"title": "Procedures Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Procedure Name</b></td><td><b>Body Site</b></td><td><b>Performer</b></td><td><b>Date Performed</b></td><td><b>Reason</b></td></tr><tr><td>Appendectomy (Procedure)</td><td>Abdomen</td><td>Dr. Adam Everyman</td><td>20160405</td><td>Generalized abdominal pain 24 hours. Localized in RIF with rebound and guarding</td></tr></table></div>"
},
"entry": [
{
"reference": "Procedure/efb6e806-9d27-4c91-8b71-260074d015b4"
}
]
},
{
"code": {
"coding": [
{
"code": "29299-5",
"system": "http://loinc.org",
"display": "Reason for visit"
}
]
},
"title": "Reason for Visit Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Tenderness of lower abdomen</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "30954-2",
"system": "http://loinc.org",
"display": "Relevant diagnostic tests/laboratory data Narrative"
}
]
},
"title": "Results Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Result Type</b></td><td><b>Quantity Value</b></td><td><b>Date</b></td><td><b>Status</b></td></tr><tr><td>Glucose [Moles/volume] in Blood</td><td>6.3 mmol/l</td><td>2016/04/01</td><td>Final</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "10187-3",
"system": "http://loinc.org",
"display": "Review of systems"
}
]
},
"title": "Review of Systems Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient denies recent history of fever or malaise. Positive for weakness and shortness of breath. Several episodes of abdominal tenderness. No recent headaches. Positive for osteoarthritis in hips, knees and hands.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "29762-2",
"system": "http://loinc.org",
"display": "Social history Narrative"
}
]
},
"title": "Social History Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Social History Element</b></td><td><b>Description</b></td><td><b>Effective Dates</b></td></tr><tr><td>Smoking</td><td>1 pack tobacco per day</td><td>2005/05/01 - 2010/02/28</td></tr></table></div>"
},
"entry": [
{
"reference": "Observation/72cc1d4b-df63-49ad-b930-922e17a2512e"
}
]
},
{
"code": {
"coding": [
{
"code": "8716-3",
"system": "http://loinc.org",
"display": "Vital signs"
}
]
},
"title": "Vital Signs Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Vital Sign</b></td><td><b>Date</b></td><td><b>Value</b></td></tr><tr><td>Temperature</td><td>2016/04/05</td><td>39 Degrees Celcius</td></tr></table></div>"
},
"entry": [
{
"reference": "Observation/abf4ad02-4d6c-49ee-b7ce-ee729d601633"
}
]
}
],
"language": "en-US",
"identifier": {
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "ABC125"
},
"status": "final",
"type": {
"coding": [
{
"code": "11488-4",
"system": "http://loinc.org",
"display": "Consult Note"
}
]
},
"subject": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"encounter": {
"reference": "Encounter/7e1075b0-9c31-4e07-8aa7-ab0effa6b06e"
},
"date": "2025-02-28T09:10:14Z",
"author": [
{
"reference": "PractitionerRole/655e68f6-bbf2-4e65-828b-affbcbe9d116"
}
],
"title": "Consultation Note",
"custodian": {
"reference": "Organization/bd5648e0-3e5c-4414-95a9-fbdad630eddf"
},
"event": [
{
"period": {
"start": "2025-01-18",
"end": "2025-02-12"
}
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Patient/4b22675f-0747-4152-842a-a6ce87451083",
"resource": {
"resourceType": "Patient",
"id": "4b22675f-0747-4152-842a-a6ce87451083",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "12345"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "JHN"
}
]
},
"system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
"value": "1234567890"
}
],
"name": [
{
"family": "Smith",
"given": [
"John"
]
}
],
"telecom": [
{
"system": "phone",
"value": "555-555-1234",
"use": "mobile"
}
],
"gender": "male",
"birthDate": "1990-01-01",
"address": [
{
"line": [
"123 Main St"
],
"city": "Toronto",
"state": "ON",
"postalCode": "M5V 1A1",
"country": "CA"
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Encounter/7e1075b0-9c31-4e07-8aa7-ab0effa6b06e",
"resource": {
"resourceType": "Encounter",
"id": "7e1075b0-9c31-4e07-8aa7-ab0effa6b06e",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "VN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Visit number"
}
]
},
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "VISIT123"
}
],
"status": "finished",
"class": {
"code": "AMB",
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"display": "ambulatory"
},
"type": [
{
"coding": [
{
"code": "L",
"system": "http://cihi.ca/fhir/CodeSystem/aac-admit-category",
"display": "Scheduled/elective"
}
]
}
],
"subject": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"participant": [
{
"type": [
{
"coding": [
{
"code": "ATND",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d"
}
}
],
"period": {
"start": "2025-01-05T13:00:00Z",
"end": "2025-01-05T14:00:00Z"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/a9877e33-7a06-41d9-8b63-30f405a737de"
}
}
],
"location": [
{
"location": {
"reference": "Location/c511eeb0-16af-4bc6-9e90-f13133eed393"
},
"status": "completed",
"physicalType": {
"coding": [
{
"code": "si",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"display": "Site"
}
]
}
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Condition/a9877e33-7a06-41d9-8b63-30f405a737de",
"resource": {
"resourceType": "Condition",
"id": "a9877e33-7a06-41d9-8b63-30f405a737de",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition"
]
},
"code": {
"coding": [
{
"code": "J45.901",
"system": "http://hl7.org/fhir/sid/icd-10-ca",
"display": "Asthma"
}
]
},
"subject": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
}
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/AllergyIntolerance/60efc409-f170-4e5e-88a0-2f72bbcaa6c3",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "60efc409-f170-4e5e-88a0-2f72bbcaa6c3",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-allergyIntolerance"
]
},
"category": [
"medication"
],
"code": {
"coding": [
{
"code": "372687004",
"system": "http://snomed.info/sct",
"display": "Amoxicillin"
}
]
},
"clinicalStatus": {
"coding": [
{
"code": "active",
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"code": "confirmed",
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"display": "Confirmed"
}
]
},
"patient": {
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},
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"reference": "Encounter/7e1075b0-9c31-4e07-8aa7-ab0effa6b06e"
},
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},
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{
"manifestation": [
{
"coding": [
{
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}
]
}
],
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}
]
}
},
{
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]
},
"identifier": [
{
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "ORG123"
}
],
"name": "Example Hospital",
"telecom": [
{
"system": "phone",
"value": "555-555-5555"
}
],
"address": [
{
"line": [
"456 Hospital Ave"
],
"city": "Toronto",
"state": "ON",
"postalCode": "M5V 1B1",
"country": "CA"
}
]
}
},
{
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"id": "3e9c03cd-2048-4a9c-ab6c-5d02e079119d",
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]
},
"identifier": [
{
"type": {
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{
"code": "MD",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Medical License number"
}
]
},
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "DR123"
}
],
"name": [
{
"family": "Jones",
"given": [
"Robert"
],
"prefix": [
"Dr"
]
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/PractitionerRole/655e68f6-bbf2-4e65-828b-affbcbe9d116",
"resource": {
"resourceType": "PractitionerRole",
"id": "655e68f6-bbf2-4e65-828b-affbcbe9d116",
"meta": {
"profile": [
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]
},
"practitioner": {
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d"
},
"organization": {
"reference": "Organization/bd5648e0-3e5c-4414-95a9-fbdad630eddf"
},
"location": [
{
"reference": "Location/c511eeb0-16af-4bc6-9e90-f13133eed393"
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Observation/72cc1d4b-df63-49ad-b930-922e17a2512e",
"resource": {
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"meta": {
"profile": [
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]
},
"category": [
{
"coding": [
{
"code": "social-history",
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"display": "Social History"
}
],
"text": "Social History"
}
],
"code": {
"coding": [
{
"code": "72166-2",
"system": "http://loinc.org",
"display": "Tobacco smoking status"
}
],
"text": "Tobacco smoking status"
},
"status": "final",
"subject": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"effectiveDateTime": "2025-09-17",
"performer": [
{
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}
],
"valueCodeableConcept": {
"coding": [
{
"code": "428041000124106",
"system": "http://snomed.info/sct",
"display": "Occasional tobacco smoker (finding)"
}
],
"text": "Current some day smoker"
}
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Procedure/efb6e806-9d27-4c91-8b71-260074d015b4",
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"id": "efb6e806-9d27-4c91-8b71-260074d015b4",
"status": "completed",
"category": {
"coding": [
{
"code": "103693007",
"system": "http://snomed.info/sct",
"display": "Diagnostic procedure (procedure)"
}
],
"text": "Diagnostic procedure"
},
"code": {
"coding": [
{
"code": "90105005",
"system": "http://snomed.info/sct",
"display": "Biopsy of soft tissue of forearm, superficial (procedure)"
}
],
"text": "Biopsy of suspected melanoma L) arm"
},
"subject": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"performedDateTime": "2025-02-03",
"performer": [
{
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"display": "Dr Bert Biopser"
}
}
],
"reasonCode": [
{
"text": "Dark lesion l) forearm. getting darker last 3 months."
}
],
"bodySite": [
{
"coding": [
{
"code": "368225008",
"system": "http://snomed.info/sct",
"display": "Entire Left Forearm"
}
],
"text": "Left forearm"
}
],
"complication": [
{
"coding": [
{
"code": "67750007",
"system": "http://snomed.info/sct",
"display": "Ineffective airway clearance (finding)"
}
],
"text": "Ineffective airway clearance"
}
],
"followUp": [
{
"text": "Review in clinic"
}
],
"note": [
{
"text": "Standard Biopsy"
}
],
"usedCode": [
{
"coding": [
{
"code": "79068005",
"system": "http://snomed.info/sct",
"display": "Needle, device (physical object)"
}
],
"text": "30-guage needle"
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Immunization/4f672917-c642-4289-8fe2-6b04d5ed3bf0",
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{
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}
],
"status": "completed",
"vaccineCode": {
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{
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"display": "COVID-19 mRNA vaccine"
}
]
},
"patient": {
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},
"occurrenceDateTime": "2025-01-20T14:01:00-05:00",
"primarySource": true,
"location": {
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},
"manufacturer": {
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},
"lotNumber": "EK6789",
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"site": {
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{
"code": "16217701000119102",
"system": "http://snomed.info/sct",
"display": "Structure of left deltoid muscle"
}
]
},
"route": {
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]
},
"doseQuantity": {
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"unit": "mL"
},
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{
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}
]
},
"actor": {
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}
}
],
"note": [
{
"text": "Some comments"
}
],
"reasonCode": [
{
"text": "Healthcare Worker"
}
],
"isSubpotent": false,
"reaction": [
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"reported": true
}
],
"protocolApplied": [
{
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{
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{
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]
}
],
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}
},
{
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},
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{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
],
"text": "Blood pressure systolic & diastolic"
},
"component": [
{
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"unit": "mmHg"
},
"code": {
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]
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}
],
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}
]
},
{
"valueQuantity": {
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"code": "mm[Hg]",
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"unit": "mmHg"
},
"code": {
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{
"system": "http://loinc.org",
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]
},
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{
"coding": [
{
"code": "L",
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
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}
],
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}
]
}
],
"status": "final",
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},
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],
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{
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"display": "low"
}
],
"text": "Below low normal"
}
],
"bodySite": {
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{
"code": "368209003",
"system": "http://snomed.info/sct",
"display": "Right arm"
}
]
}
}
},
{
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]
},
"identifier": [
{
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "CLINIC1"
}
],
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}
}
}
]
}