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Packageca.on.oh.patient-summary
Resource TypeBundle
IdPSON-Invalidate-Bundle-example1.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "PSON-example-Bundle-03",
  "meta": {
    "lastUpdated": "2021-12-11T14:30:00+01:00",
    "profile": [
      "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-bundle|0.10.0"
    ]
  },
  "identifier": {
    "system": "http://ex-ps-identifier-system.org",
    "value": "175bd032-8b00-4728-b2dc-748bb1501aed"
  },
  "type": "document",
  "timestamp": "2021-12-11T14:30:00+01:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:d792b9de-b97a-4319-b34c-a3fe012ddfa2",
      "resource": {
        "resourceType": "Composition",
        "identifier": {
          "system": "urn:oid:2.16.724.4.8.10.200.10",
          "value": "ee5ac342-23d9-4ff1-9ea7-264323866d80"
        },
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-composition|0.12.0"
          ]
        },
        "status": "entered-in-error",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "60591-5",
              "display": "Patient summary Document"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        },
        "date": "2021-12-11T14:30:00+01:00",
        "author": [
          {
            "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2"
          },
          {
            "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9514b1d3"
          }
        ],
        "title": "Patient Summary as of December 11, 2021 14:30",
        "confidentiality": "N",
        "attester": [
          {
            "mode": "legal",
            "time": "2021-12-11T14:30:00+01:00",
            "party": {
              "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2"
            }
          }
        ],
        "custodian": {
          "reference": "urn:uuid:5f85e9b2-80b4-40ac-a4db-5971ee33f6b7"
        },
        "event": [
          {
            "code": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActClass",
                    "code": "PCPR"
                  }
                ]
              }
            ],
            "period": {
              "end": "2021-12-11T14:30:00+01:00"
            }
          }
        ],
        "section": [
          {
            "title": "Active Problems",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11450-4",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Active Problems</p></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:7cd8b889-5456-43d4-935c-abc10791ebd6"
              }
            ]
          },
          {
            "title": "Medication",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10160-0",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:fe376aa6-83fb-4d0e-be60-ad959c57114f"
              }
            ],
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medication History</p></div>"
            }
          },
          {
            "title": "Allergies and Intolerances",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48765-2",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:4056cffb-1f82-4478-95b5-54837deb23fc"
              }
            ],
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Allergies and Intolerances</p></div>"
            }
          },
          {
            "title": "History of Procedures",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "47519-4",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:55500340-936a-41e5-a003-e8ed0576b250"
              }
            ],
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>History of Procedures</p></div>"
            }
          },
          {
            "title": "Past History of Illness",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11348-0",
                  "display": "History of Past illness Narrative"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:497e1a22-5107-4e51-99b6-87fc16342b33"
              }
            ],
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Past History of Illness</p></div>"
            }
          },
          {
            "title": "Immunizations",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11369-6",
                  "display": "History of Immunization Narrative"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:381abb24-2ed5-4149-853e-6e9b45106b1d"
              }
            ],
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Immunizations</p></div>"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient|0.12.0"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "JHN"
                }
              ]
            },
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
            "value": "1234567891"
          }
        ],
        "name": [
          {
            "family": "Doe",
            "given": [
              "Jane"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "1 (555) 867 5309",
            "rank": 1
          },
          {
            "system": "email",
            "value": "janedoe@example.com",
            "rank": 2
          }
        ],
        "gender": "female",
        "birthDate": "1951-02-19",
        "address": [
          {
            "use": "home",
            "type": "physical",
            "line": [
              "123 Any Street"
            ],
            "city": "Waterloo",
            "state": "ON",
            "postalCode": "N2L 3G1"
          }
        ],
        "contact": [
          {
            "relationship": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code": "C",
                    "display": "Emergency Contact"
                  }
                ],
                "text": "Emergency Contact"
              }
            ],
            "name": {
              "family": "Doe",
              "given": [
                "John"
              ]
            },
            "telecom": [
              {
                "system": "phone",
                "value": "(555) 555 1212",
                "rank": 1
              }
            ],
            "address": {
              "line": [
                "50 Another St.",
                "Unit 2"
              ],
              "city": "Waterloo",
              "state": "ON",
              "postalCode": "N2L 3G2"
            }
          }
        ],
        "generalPractitioner": [
          {
            "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9514b1d3",
      "resource": {
        "resourceType": "Device",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-device|0.10.0"
          ]
        },
        "identifier": [
          {
            "system": "http://ex-ps-identifier-system.org",
            "value": "urn:uuid:175bd032-8b00-4728-b2dc-748bb1501aed"
          }
        ],
        "deviceName": [
          {
            "name": "Acme Electronic Medical Record System",
            "type": "user-friendly-name"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:4288fe45-c95e-492c-8527-a9045296f632",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitioner|0.10.0"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician",
            "value": "111789"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Jones",
            "given": [
              "Jack"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "(555) 987-1234",
            "use": "work",
            "rank": 1
          },
          {
            "system": "fax",
            "value": "(555) 987-1234",
            "use": "work",
            "rank": 1
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2",
      "resource": {
        "resourceType": "PractitionerRole",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitionerrole|0.10.0"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX"
                }
              ]
            },
            "system": "http://ehealthontario.ca/fhir/NamingSystem/id-ppr-epid",
            "value": "56442"
          }
        ],
        "practitioner": {
          "reference": "urn:uuid:4288fe45-c95e-492c-8527-a9045296f632",
          "display": "Dr Jack Jones"
        },
        "organization": {
          "reference": "urn:uuid:5f85e9b2-80b4-40ac-a4db-5971ee33f6b7",
          "display": "Primary Care Medical Clinics"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5f85e9b2-80b4-40ac-a4db-5971ee33f6b7",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-organization|0.10.0"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-health-care-facility-id",
            "value": "4664"
          }
        ],
        "name": "South East LHIN"
      }
    },
    {
      "fullUrl": "urn:uuid:7cd8b889-5456-43d4-935c-abc10791ebd6",
      "resource": {
        "resourceType": "Condition",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-condition|0.12.0"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "44054006",
              "display": "Diabetes mellitus type 2"
            }
          ],
          "text": "Diabetes mellitus type 2"
        },
        "subject": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        },
        "onsetDateTime": "2014",
        "asserter": {
          "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:497e1a22-5107-4e51-99b6-87fc16342b33",
      "resource": {
        "resourceType": "Condition",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-condition|0.12.0"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "resolved",
              "display": "Resolved"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "254651007",
              "display": "Squamous cell carcinoma of skin"
            }
          ],
          "text": "Squamous cell carcinoma of skin"
        },
        "subject": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        },
        "onsetDateTime": "2010",
        "asserter": {
          "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fe376aa6-83fb-4d0e-be60-ad959c57114f",
      "resource": {
        "resourceType": "MedicationStatement",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medicationstatement|0.10.0"
          ]
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:c6222017-94f6-4dbc-8958-fcdf9df3356a"
        },
        "subject": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        },
        "effectivePeriod": {
          "start": "2014"
        },
        "informationSource": {
          "reference": "urn:uuid:76ff8f74-03c7-436f-a3e0-71ac9503c1a2"
        },
        "dosage": [
          {
            "text": "40 mg/day",
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              }
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 40,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:c6222017-94f6-4dbc-8958-fcdf9df3356a",
      "resource": {
        "resourceType": "Medication",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medication|0.11.0"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/hc-CCDD",
              "code": "9000643",
              "display": "simvastatin 40 mg oral tablet"
            }
          ],
          "text": "simvastatin 40 mg oral tablet"
        },
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "385057009",
              "display": "Film-coated tablet"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4056cffb-1f82-4478-95b5-54837deb23fc",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-allergyintolerance|0.10.0"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "256303006",
              "display": "Ragweed pollen"
            }
          ],
          "text": "Ragweed pollen"
        },
        "patient": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:381abb24-2ed5-4149-853e-6e9b45106b1d",
      "resource": {
        "resourceType": "Immunization",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-immunization|0.10.0"
          ]
        },
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "7891000087104",
              "display": "Adult vaccine product containing only tetanus + diphtheria low dose + acellular pertussis low dose + inactivated human poliovirus antigens (medicinal product)"
            }
          ],
          "text": "Tetanus + Diphtheria + Pertussis + Polio"
        },
        "patient": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        },
        "occurrenceDateTime": "1998-06-04T00:00:00+02:00",
        "site": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "11207009",
              "display": "Right thigh"
            }
          ],
          "text": "Right thigh"
        },
        "route": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "78421000",
              "display": "Intramuscular use"
            }
          ],
          "text": "Intramuscular use"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:55500340-936a-41e5-a003-e8ed0576b250",
      "resource": {
        "resourceType": "Procedure",
        "meta": {
          "profile": [
            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-procedure|0.11.0"
          ]
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "233404000",
              "display": "Insertion of arterial stent"
            },
            {
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/20611000087101",
              "code": "233258006",
              "display": "Balloon angioplasty of artery"
            }
          ],
          "text": "Previous balloon angioplasty on mid-LAD stenosis with STENT Implantation"
        },
        "subject": {
          "reference": "urn:uuid:a0df9da6-3157-4b72-95f1-729853718c09"
        },
        "performedPeriod": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        }
      }
    }
  ]
}