FHIR IG analytics| Package | ca.on.hrm.r4 |
| Resource Type | Bundle |
| Id | Bundle-ExampleStructuredDocumentBundleDichargeSummary.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "ExampleStructuredDocumentBundleDichargeSummary",
"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": "BUNDLE124"
},
"timestamp": "2025-01-05T13:00:00Z",
"entry": [
{
"fullUrl": "http://ontariohealth.ca/fhir/Composition/707e07be-03f8-40c9-851a-94d6a3aac212",
"resource": {
"resourceType": "Composition",
"id": "707e07be-03f8-40c9-851a-94d6a3aac212",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-discharge-summary"
]
},
"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": "8648-8",
"system": "http://loinc.org",
"display": "Hospital course"
}
]
},
"title": "Hospital Course Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Following a colonoscopy, the patient was admitted and started on Lovenox and nitroglycerin paste. The patient had serial cardiac enzymes and was ruled out for myocardial infarction. The patient underwent a dual isotope stress test. There was no evidence of reversible ischemia on the Cardiolite scan. The patient has been ambulated. The patient had a Holter monitor placed but the report is not available at this time. The patient has remained hemodynamically stable. Will discharge.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "11535-2",
"system": "http://loinc.org",
"display": "Hospital discharge Dx Narrative"
}
]
},
"title": "Discharge Diagnosis Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Diverticula of intestine</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": "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": "46241-6",
"system": "http://loinc.org",
"display": "Hospital admission diagnosis Narrative - Reported"
}
]
},
"title": "Admission Diagnosis Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Appendicitis</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "42346-7",
"system": "http://loinc.org",
"display": "Medications on admission (narrative)"
}
]
},
"title": "Admission Medications 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>Pepcid Complete (MAGNESIUM HYDROXIDE0</td><td>Chew one tablet completely and swallow as needed</td><td>20160615</td><td>Active</td><td>Bloating</td><td>Generic substitution allowed</td></tr></table></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\"><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>Fever</td><td>Condition</td><td>2016-06-15</td><td>2016-06-15</td><td>Complete</td></tr></table></div>"
},
"entry": [
{
"reference": "Condition/a9877e33-7a06-41d9-8b63-30f405a737de"
}
]
},
{
"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": "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. One episode of melena. No recent headaches. Positive for osteoarthritis in hips, knees and hands.</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": "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": "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": "18841-7",
"system": "http://loinc.org",
"display": "Hospital consultations Document"
}
]
},
"title": "Hospital Consultations Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>listType="ordered"</p><p>Gastroenterology</p><p>Cardiology</p><p>Dietitian</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>2016/08/16 - 2016/08/16</td><td>Completed</td></tr><tr><td>Recommendation to Exercise</td><td>2016/06/29</td><td>Ongoing</td></tr></table></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>Fever</td><td>Condition</td><td>2016-04-01</td><td>2016-04-14</td><td>Complete</td></tr></table></div>"
},
"entry": [
{
"reference": "Condition/a9877e33-7a06-41d9-8b63-30f405a737de"
}
]
},
{
"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": "10183-2",
"system": "http://loinc.org",
"display": "Hospital discharge medications"
}
]
},
"title": "Discharge Medications Section (entries required)",
"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>Acetaminophen Tab 325 mg</td><td>Take 2 tablet(s) every four hours if needed</td><td>20160618</td><td>Active</td><td>Pain management</td><td>Generic substitution allowed</td></tr></table></div>"
}
},
{
"code": {
"coding": [
{
"code": "8653-8",
"system": "http://loinc.org",
"display": "Hospital discharge instructions"
}
]
},
"title": "Hospital Discharge Instructions Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Take all of your prescription medication as directed.</p><p>Make an appointment with your doctor to be seen two weeks from the date of your procedure.</p><p>You may feel slightly bloated after the procedure because of air that was introduced during the examination.</p><p>Call your physician if you notice:<br/>Bleeding or black stools.<br/>Abdominal pain.<br/>Fever or chills.<br/>Nausea or vomiting.<br/>Any unusual pain or problem.<br/>Pain or redness at the site where the intravenous needle was placed.<br/></p><p>Do not drink alcohol for 24 hours. Alcohol amplifies the effect of the sedatives given.</p><p>Do not drive or operate machinery for 24 hours.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "10184-0",
"system": "http://loinc.org",
"display": "Hospital discharge physical findings Narrative"
}
]
},
"title": "Hospital Discharge Physical Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>GENERAL: Well-developed, slightly obese man.</p><p>NECK: Supple, with no jugular venous distension.</p><p>HEART: Intermittent tachycardia without murmurs or gallops.</p><p>PULMONARY: Decreased breath sounds, but no clear-cut rales or wheezes.</p><p>EXTREMITIES: Free of edema.</p></div>"
}
},
{
"code": {
"coding": [
{
"code": "11493-4",
"system": "http://loinc.org",
"display": "Hospital discharge studies summary"
}
]
},
"title": "Hospital Discharge Studies Section",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Laboratory Information</th><th>Chemistries and drug levels</th></tr></thead><tbody><tr><td>Potasium</td><td>4.0</td></tr><tr><td>NA (135-145meq/l)</td><td>140</td></tr></tbody></table><br/><table border=\"1\" width=\"100%\"><thead><tr><th>Other Tests</th><th>Results</th></tr></thead><tbody><tr><td>EKG</td><td>Sinus rhythm without acute changes.</td></tr></tbody></table></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": "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>2016/06/15</td><td>Well nourished</td><td>Low sodium diet, excessive carbohydrate</td></tr><tr><td>2016/06/15</td><td>Slight dehydration</td><td>High protein, low fibre</td></tr></table></div>"
}
},
{
"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>2016/06/15</td><td>39 Degrees Celcius</td></tr></table></div>"
},
"entry": [
{
"reference": "Observation/abf4ad02-4d6c-49ee-b7ce-ee729d601633"
}
]
}
],
"language": "en-CA",
"identifier": {
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "ABC124"
},
"status": "final",
"type": {
"coding": [
{
"code": "18842-5",
"system": "http://loinc.org",
"display": "Discharge summary"
}
]
},
"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": "Discharge Summary",
"custodian": {
"reference": "Organization/bd5648e0-3e5c-4414-95a9-fbdad630eddf"
}
}
},
{
"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": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"encounter": {
"reference": "Encounter/7e1075b0-9c31-4e07-8aa7-ab0effa6b06e"
},
"onsetDateTime": "2025-01-15",
"recordedDate": "2025-01-15",
"recorder": {
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d"
},
"reaction": [
{
"manifestation": [
{
"coding": [
{
"code": "247472004",
"system": "http://snomed.info/sct",
"display": "Hives"
}
]
}
],
"severity": "moderate"
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Organization/bd5648e0-3e5c-4414-95a9-fbdad630eddf",
"resource": {
"resourceType": "Organization",
"id": "bd5648e0-3e5c-4414-95a9-fbdad630eddf",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization"
]
},
"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"
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d",
"resource": {
"resourceType": "Practitioner",
"id": "3e9c03cd-2048-4a9c-ab6c-5d02e079119d",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner"
]
},
"identifier": [
{
"type": {
"coding": [
{
"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": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole"
]
},
"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": {
"resourceType": "Observation",
"id": "72cc1d4b-df63-49ad-b930-922e17a2512e",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-observation-smokingstatus"
]
},
"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": [
{
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d"
}
],
"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",
"resource": {
"resourceType": "Procedure",
"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": [
{
"actor": {
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d",
"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",
"resource": {
"resourceType": "Immunization",
"id": "4f672917-c642-4289-8fe2-6b04d5ed3bf0",
"identifier": [
{
"system": "http://ehealthontario.ca/fhir/NamingSystem/ca-on-dhir-imm-id",
"value": "10000000000122"
}
],
"status": "completed",
"vaccineCode": {
"coding": [
{
"code": "1119349007",
"system": "http://snomed.info/sct",
"display": "COVID-19 mRNA vaccine"
}
]
},
"patient": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"occurrenceDateTime": "2025-01-20T14:01:00-05:00",
"primarySource": true,
"location": {
"display": "Michael Garron Hospital, Toronto"
},
"manufacturer": {
"display": "MODERNA"
},
"lotNumber": "EK6789",
"expirationDate": "2025-09-29",
"site": {
"coding": [
{
"code": "16217701000119102",
"system": "http://snomed.info/sct",
"display": "Structure of left deltoid muscle"
}
]
},
"route": {
"coding": [
{
"code": "78421000",
"system": "http://snomed.info/sct",
"display": "Intramuscular route"
}
]
},
"doseQuantity": {
"value": 0.5,
"unit": "mL"
},
"performer": [
{
"function": {
"coding": [
{
"code": "AP",
"system": "http://terminology.hl7.org/CodeSystem/v2-0443",
"display": "Administering Provider"
}
]
},
"actor": {
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d"
}
}
],
"note": [
{
"text": "Some comments"
}
],
"reasonCode": [
{
"text": "Healthcare Worker"
}
],
"isSubpotent": false,
"reaction": [
{
"reported": true
}
],
"protocolApplied": [
{
"targetDisease": [
{
"coding": [
{
"code": "840539006",
"system": "http://snomed.info/sct",
"display": "COVID-19"
}
]
}
],
"doseNumberPositiveInt": 2
}
]
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Observation/abf4ad02-4d6c-49ee-b7ce-ee729d601633",
"resource": {
"resourceType": "Observation",
"id": "abf4ad02-4d6c-49ee-b7ce-ee729d601633",
"meta": {
"profile": [
"http://hl7.org/fhir/StructureDefinition/bp"
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
],
"text": "Blood pressure systolic & diastolic"
},
"component": [
{
"valueQuantity": {
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]",
"value": 107,
"unit": "mmHg"
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"interpretation": [
{
"coding": [
{
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"display": "normal"
}
],
"text": "Normal"
}
]
},
{
"valueQuantity": {
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]",
"value": 60,
"unit": "mmHg"
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"interpretation": [
{
"coding": [
{
"code": "L",
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"display": "low"
}
],
"text": "Below low normal"
}
]
}
],
"status": "final",
"subject": {
"reference": "Patient/4b22675f-0747-4152-842a-a6ce87451083"
},
"effectiveDateTime": "2025-09-17",
"performer": [
{
"reference": "Practitioner/3e9c03cd-2048-4a9c-ab6c-5d02e079119d"
}
],
"interpretation": [
{
"coding": [
{
"code": "L",
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"display": "low"
}
],
"text": "Below low normal"
}
],
"bodySite": {
"coding": [
{
"code": "368209003",
"system": "http://snomed.info/sct",
"display": "Right arm"
}
]
}
}
},
{
"fullUrl": "http://ontariohealth.ca/fhir/Location/c511eeb0-16af-4bc6-9e90-f13133eed393",
"resource": {
"resourceType": "Location",
"id": "c511eeb0-16af-4bc6-9e90-f13133eed393",
"meta": {
"profile": [
"http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-location"
]
},
"identifier": [
{
"system": "urn:oid:2.16.124.10.101.1.70.1",
"value": "CLINIC1"
}
],
"name": "Main Clinic",
"managingOrganization": {
"reference": "Organization/bd5648e0-3e5c-4414-95a9-fbdad630eddf"
}
}
}
]
}