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Packagehl7.fhir.au.base
Resource TypeList
IdList-example2.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

MEDICINE LIST

PATIENT

Name

David Goodpatient

DoB 14 September 1953
Gender Male
Address 2 Round Court, QLD 4113

SOURCE OF MEDICINE LIST

Name

Iam Practitioner

HPI-I 8003619900015717
Phone 0755501234
Email iam.practitioner@example.com

CONSULTATION DETAILS

Consultation date 15 Mar 2019
Consultation summary Patient presented with weakness over the last couple of days. No other symptoms. Revised patient's medications. Advised patient to see the usual GPs clinic for further consultation and review.

CURRENT MEDICINES

Medicine Direction Medicine Purpose Medicine Status Result of Action Special Instructions
Multi-vitamins 1 tablet daily New
Spiriva (tiotropium bromide 18mg per inhalation) inhalant 1 inhalation per day Chronic Obstructive Pulmonary Disease Amended Reduced to one inhalation a day
paracetamol 665 mg modified release tablet Two tablets every 6-8 hours when required. Osteoarthritis, pain relief Unchanged No more than 6 tablets in 24hr
cilostazol 100 mg tablet One a day at night time Blood thinning Amended Form change

CEASED MEDICINES

Medicine Reason
Ibuprofen Allergic reaction

Source1

{
  "resourceType": "List",
  "id": "example2",
  "meta": {
    "profile": [
      "http://hl7.org.au/fhir/StructureDefinition/au-medlist"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "MedicationStatement",
      "id": "medicationstatement-456",
      "status": "active",
      "medicationCodeableConcept": {
        "text": "Multi-vitamins"
      },
      "subject": {
        "reference": "#patient-123"
      },
      "dateAsserted": "2019-03-15",
      "dosage": [
        {
          "text": "1 tablet daily"
        }
      ]
    },
    {
      "resourceType": "MedicationStatement",
      "id": "medicationstatement-678",
      "status": "active",
      "medicationCodeableConcept": {
        "text": "Spiriva (tiotropium bromide 18mg per inhalation) inhalant"
      },
      "subject": {
        "reference": "#patient-123"
      },
      "dateAsserted": "2019-03-15",
      "reasonCode": [
        {
          "text": "COPD"
        }
      ],
      "dosage": [
        {
          "text": "1 inhalation per day"
        }
      ]
    },
    {
      "resourceType": "MedicationStatement",
      "id": "medicationstatement-234",
      "status": "active",
      "medicationCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "22075011000036103"
          }
        ],
        "text": "paracetamol 665 mg modified release tablet"
      },
      "subject": {
        "reference": "#patient-123"
      },
      "reasonCode": [
        {
          "text": "Osteoarthritis, pain relief"
        }
      ],
      "dosage": [
        {
          "text": "Two tablets every 6-8 hours when required.",
          "patientInstruction": "No more than 6 tablets in 24hr"
        }
      ]
    },
    {
      "resourceType": "MedicationStatement",
      "id": "medicationstatement-890",
      "status": "active",
      "medicationCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "82923011000036103"
          }
        ],
        "text": "cilostazol 100 mg tablet"
      },
      "subject": {
        "reference": "#patient-123"
      },
      "reasonCode": [
        {
          "text": "Blood thinning"
        }
      ],
      "dosage": [
        {
          "text": "One a day at night time"
        }
      ]
    },
    {
      "resourceType": "MedicationStatement",
      "id": "medicationstatement-246",
      "status": "stopped",
      "medicationCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "38268001"
          }
        ],
        "text": "Ibuprofen"
      },
      "subject": {
        "reference": "#patient-123"
      },
      "reasonCode": [
        {
          "text": "Allergic reaction"
        }
      ]
    },
    {
      "resourceType": "Patient",
      "id": "patient-123",
      "extension": [
        {
          "url": "http://hl7.org.au/fhir/StructureDefinition/indigenous-status",
          "valueCoding": {
            "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
            "code": "9",
            "display": "Not stated/inadequately described"
          }
        }
      ],
      "identifier": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "NI",
                "display": "National unique individual identifier"
              }
            ]
          },
          "system": "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
          "value": "8003608666701594"
        }
      ],
      "name": [
        {
          "text": "David Goodpatient",
          "family": "Goodpatient",
          "given": [
            "David"
          ]
        }
      ],
      "gender": "male",
      "birthDate": "1953-09-14",
      "address": [
        {
          "use": "home",
          "line": [
            "2 Round Court"
          ],
          "state": "QLD",
          "postalCode": "4113",
          "country": "Australia"
        }
      ],
      "generalPractitioner": [
        {
          "reference": "#gp-13579"
        }
      ],
      "managingOrganization": {
        "reference": "#org-24680"
      }
    },
    {
      "resourceType": "Practitioner",
      "id": "gp-13579",
      "name": [
        {
          "family": "Grey",
          "prefix": [
            "Dr"
          ]
        }
      ]
    },
    {
      "resourceType": "Practitioner",
      "id": "dr-97531",
      "identifier": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "NPI",
                "display": "National provider identifier"
              }
            ],
            "text": "HPI-I"
          },
          "system": "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
          "value": "8003619900015717"
        }
      ],
      "name": [
        {
          "use": "official",
          "family": "Practitioner",
          "given": [
            "Iam"
          ],
          "suffix": [
            "M.D."
          ]
        }
      ],
      "telecom": [
        {
          "system": "phone",
          "value": "0755501234",
          "use": "work"
        },
        {
          "system": "email",
          "value": "iam.practitioner@example.com",
          "use": "work"
        }
      ],
      "qualification": [
        {
          "identifier": [
            {
              "type": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                    "code": "AHPRA",
                    "display": "Australian Health Practitioner Regulation Agency Registration Number"
                  }
                ],
                "text": "Ahpra registration number"
              },
              "system": "http://hl7.org.au/id/ahpra-registration-number",
              "value": "MED0000932850"
            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0",
                "code": "253111",
                "display": "General Medical Practitioner"
              }
            ],
            "text": "Ahpra qualification for General Practitioner"
          },
          "issuer": {
            "display": "Ahpra"
          }
        }
      ]
    },
    {
      "resourceType": "Organization",
      "id": "org-24680",
      "name": "Grey Medical Practice"
    },
    {
      "resourceType": "Encounter",
      "id": "enc-24680",
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:uuid:5c48d068-4ffb-11e9-8647-d663bd873d93"
        }
      ],
      "status": "finished",
      "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
      },
      "type": [
        {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34764-1"
            }
          ]
        }
      ],
      "priority": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
            "code": "R"
          }
        ]
      },
      "subject": {
        "reference": "#patient-123"
      },
      "participant": [
        {
          "type": [
            {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PPRF"
                }
              ]
            }
          ],
          "individual": {
            "reference": "#dr-97531"
          }
        }
      ],
      "period": {
        "start": "2019-03-15",
        "end": "2019-03-15"
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:7f8fb180-4ea8-11e9-8647-d663bd873d93"
    }
  ],
  "status": "current",
  "mode": "snapshot",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "10160-0"
      }
    ],
    "text": "Medicine List"
  },
  "subject": {
    "reference": "#patient-123"
  },
  "encounter": {
    "reference": "#enc-24680"
  },
  "date": "2019-03-15",
  "source": {
    "reference": "#dr-97531"
  },
  "entry": [
    {
      "flag": {
        "coding": [
          {
            "system": "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
            "code": "new",
            "display": "New"
          }
        ]
      },
      "item": {
        "reference": "#medicationstatement-456"
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org.au/fhir/StructureDefinition/change-description",
          "valueString": "Reduced to one inhalation a day"
        }
      ],
      "flag": {
        "coding": [
          {
            "system": "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
            "code": "amended",
            "display": "Amended"
          }
        ]
      },
      "item": {
        "reference": "#medicationstatement-678"
      }
    },
    {
      "flag": {
        "coding": [
          {
            "system": "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
            "code": "nochange",
            "display": "Unchanged"
          }
        ]
      },
      "item": {
        "reference": "#medicationstatement-234"
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org.au/fhir/StructureDefinition/change-description",
          "valueString": "Form change"
        }
      ],
      "flag": {
        "coding": [
          {
            "system": "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
            "code": "amended",
            "display": "Amended"
          }
        ]
      },
      "item": {
        "reference": "#medicationstatement-890"
      }
    },
    {
      "flag": {
        "coding": [
          {
            "system": "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
            "code": "ceased",
            "display": "Ceased"
          }
        ]
      },
      "item": {
        "reference": "#medicationstatement-246"
      }
    }
  ]
}