FHIR IG analytics| Package | stjohn.ambulance-care-summary |
| Resource Type | Bundle |
| Id | Bundle-AmbulanceCareSummaryExample.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "AmbulanceCareSummaryExample",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-bundle"
]
},
"identifier": {
"system": "https://standards.digital.health.nz/ns/ambulance-care-summary-id",
"value": "1453821363387010"
},
"type": "document",
"timestamp": "2016-06-14T12:42:00+12:00",
"entry": [
{
"fullUrl": "https://example.org/fhir/Composition/acs-composition",
"resource": {
"resourceType": "Composition",
"id": "acs-composition",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_acs-composition\"> </a><h2>Ambulance Care Summary</h2><table><tbody><tr><th>Document identifier</th><td>1453821363387010</td></tr><tr><th>Status</th><td>Final</td></tr><tr><th>Type</th><td>Ambulance Care Summary (LOINC 74207-2)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Date</th><td>2016-06-14 12:42 +12:00</td></tr><tr><th>Author</th><td>Josephine Manu-Bloggs at Order of St John</td></tr><tr><th>Custodian</th><td>Order of St John</td></tr></tbody></table><p>The document includes incident details, smoking status, presenting problems, vital signs, medication administered, procedures, and follow-up care plan.</p></div>"
},
"identifier": {
"system": "https://standards.digital.health.nz/ns/ambulance-care-summary-id",
"value": "1453821363387010"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "74207-2",
"display": "Ambulance Care Summary"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"date": "2016-06-14T12:42:00+12:00",
"author": [
{
"reference": "PractitionerRole/acs-providerrole-josephine"
}
],
"title": "Ambulance Care Summary",
"custodian": {
"reference": "Organization/acs-org-stjohn"
},
"section": [
{
"title": "Incident / Encounter",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46240-8",
"display": "History of encounters"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Incident / Encounter</h3><table><tbody><tr><th>Incident</th><td>0450-1-2016/06/14</td></tr><tr><th>Type</th><td>Land ambulance emergency encounter</td></tr><tr><th>Period</th><td>2016-06-14 11:13 to 12:42 +12:00</td></tr><tr><th>Patient status</th><td>Immediate threat to life at 11:30 +12:00</td></tr><tr><th>Disposition</th><td>Treat and transport to Sunshine Hospital Emergency Department</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/Encounter/acs-encounter"
},
{
"reference": "https://example.org/fhir/Observation/acs-patient-status"
}
]
},
{
"title": "Smoking and Vaping",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29762-2",
"display": "Social history"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Smoking and Vaping</h3><table><tbody><tr><th>Smoking status</th><td>Ex-smoker recorded at 2016-06-14 11:30 +12:00</td></tr><tr><th>Vaping status</th><td>No vaping status example recorded</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/Observation/acs-smoking"
}
]
},
{
"title": "Problems",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10154-3",
"display": "Chief complaint"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Problems</h3><table><tbody><tr><th>Presenting complaint</th><td>Severe respiratory distress (MPDS 6D1)</td></tr><tr><th>Encounter diagnosis</th><td>Asthma (SNOMED CT 195967001), active</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/Observation/acs-presenting-complaint"
},
{
"reference": "https://example.org/fhir/Condition/acs-diagnosis-asthma"
}
]
},
{
"title": "Measurements and Vital Signs",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Measurements and Vital Signs</h3><table><tbody><tr><th>Recorded time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Heart rate</th><td>136 /min</td></tr><tr><th>Respiratory rate</th><td>48 /min</td></tr><tr><th>Blood pressure</th><td>132/90 mm[Hg]</td></tr><tr><th>SpO2</th><td>95 %</td></tr><tr><th>Body temperature</th><td>38.6 Cel</td></tr><tr><th>Blood glucose</th><td>4.0 mmol/L</td></tr><tr><th>Glasgow coma score</th><td>15 {score}</td></tr><tr><th>Pain score</th><td>5 {score}</td></tr><tr><th>ECG interpretation</th><td>Atrial flutter</td></tr><tr><th>Skin condition</th><td>Diaphoretic (sweaty)</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/Observation/acs-hr"
},
{
"reference": "https://example.org/fhir/Observation/acs-rr"
},
{
"reference": "https://example.org/fhir/Observation/acs-bp"
},
{
"reference": "https://example.org/fhir/Observation/acs-spo2"
},
{
"reference": "https://example.org/fhir/Observation/acs-temp"
},
{
"reference": "https://example.org/fhir/Observation/acs-bgl"
},
{
"reference": "https://example.org/fhir/Observation/acs-gcs"
},
{
"reference": "https://example.org/fhir/Observation/acs-pain"
},
{
"reference": "https://example.org/fhir/Observation/acs-ecg"
},
{
"reference": "https://example.org/fhir/Observation/acs-skin"
}
]
},
{
"title": "Medications Administered or Supplied",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29549-3",
"display": "Medication administered"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Medications Administered or Supplied</h3><table><tbody><tr><th>Medication</th><td>Adenosine</td></tr><tr><th>Time</th><td>2016-06-14 11:36 +12:00</td></tr><tr><th>Dose and route</th><td>6 mg by intravenous route</td></tr><tr><th>Performer</th><td>Josephine Manu-Bloggs, paramedic</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/MedicationAdministration/acs-medadmin-adenosine"
}
]
},
{
"title": "Procedures",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47519-4",
"display": "History of procedures"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Procedures</h3><table><tbody><tr><th>12:00 +12:00</th><td>Manual clearance of airway by Josephine Manu-Bloggs</td></tr><tr><th>12:06 +12:00</th><td>Cardiac defibrillation by Josephine Manu-Bloggs; outcome successful</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/Procedure/acs-proc-airway"
},
{
"reference": "https://example.org/fhir/Procedure/acs-proc-defib"
}
]
},
{
"title": "Care Plan",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18776-5",
"display": "Plan of care"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Care Plan</h3><table><tbody><tr><th>Status</th><td>Active</td></tr><tr><th>Intent</th><td>Plan</td></tr><tr><th>Advice</th><td>Recommend GP appointment to review medication.</td></tr><tr><th>Note</th><td>Recommend GP appt to get more meds</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "https://example.org/fhir/CarePlan/acs-careplan"
}
]
}
]
}
},
{
"fullUrl": "https://example.org/fhir/Patient/acs-patient-bob",
"resource": {
"resourceType": "Patient",
"id": "acs-patient-bob",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_acs-patient-bob\"> </a><h2>Patient: Bob Bobson</h2><table><tbody><tr><th>Identifier</th><td>NHI ABC1235</td></tr><tr><th>Name</th><td>Mr Bob Bobby Bobson</td></tr><tr><th>Gender</th><td>Male</td></tr><tr><th>Sex at birth</th><td>Male</td></tr><tr><th>Date of birth</th><td>1984-06-02</td></tr><tr><th>Phone</th><td>(03) 444 7890 home; (027) 7878 7878 mobile</td></tr><tr><th>Email</th><td>bob@bobson.org.nz</td></tr><tr><th>Address</th><td>Bobs Big Building, 17 Bobson Boulevard, Boganville 6789, New Zealand</td></tr></tbody></table></div>"
},
"extension": [
{
"url": "http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
]
}
}
],
"identifier": [
{
"system": "https://standards.digital.health.nz/ns/nhi-id",
"value": "ABC1235"
}
],
"name": [
{
"use": "official",
"family": "Bobson",
"given": [
"Bob",
"Bobby"
],
"prefix": [
"Mr"
]
}
],
"telecom": [
{
"system": "phone",
"value": "(03) 444 7890",
"use": "home"
},
{
"system": "phone",
"value": "(027) 7878 7878",
"use": "mobile"
},
{
"system": "email",
"value": "bob@bobson.org.nz"
}
],
"gender": "male",
"birthDate": "1984-06-02",
"address": [
{
"use": "home",
"line": [
"Bobs Big Building",
"17 Bobson Boulevard"
],
"city": "Boganville",
"district": "Baldrick",
"postalCode": "6789",
"country": "New Zealand"
}
]
}
},
{
"fullUrl": "https://example.org/fhir/Practitioner/acs-clinician-josephine",
"resource": {
"resourceType": "Practitioner",
"id": "acs-clinician-josephine",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-clinician"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_acs-clinician-josephine\"> </a><h2>Clinician: Josephine Manu-Bloggs</h2><table><tbody><tr><th>Role in example</th><td>Attending ambulance clinician</td></tr><tr><th>Identifier</th><td>Paramedic Council Register Number 100901</td></tr><tr><th>Name</th><td>Josephine Manu-Bloggs</td></tr></tbody></table></div>"
},
"identifier": [
{
"system": "https://standards.digital.health.nz/ns/paramedic-council-id",
"value": "100901"
}
],
"name": [
{
"use": "official",
"family": "Manu-Bloggs",
"given": [
"Josephine"
]
}
]
}
},
{
"fullUrl": "https://example.org/fhir/PractitionerRole/acs-providerrole-josephine",
"resource": {
"resourceType": "PractitionerRole",
"id": "acs-providerrole-josephine",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_acs-providerrole-josephine\"> </a><h2>Provider role: Josephine Manu-Bloggs at Order of St John</h2><table><tbody><tr><th>Practitioner</th><td>Josephine Manu-Bloggs</td></tr><tr><th>Organization</th><td>Order of St John</td></tr><tr><th>Role code</th><td>Paramedic (SNOMED CT 397897005)</td></tr></tbody></table></div>"
},
"practitioner": {
"reference": "Practitioner/acs-clinician-josephine"
},
"organization": {
"reference": "Organization/acs-org-stjohn"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "397897005",
"display": "Paramedic"
}
]
}
]
}
},
{
"fullUrl": "https://example.org/fhir/Organization/acs-org-stjohn",
"resource": {
"resourceType": "Organization",
"id": "acs-org-stjohn",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_acs-org-stjohn\"> </a><h2>Ambulance operator: Order of St John</h2><table><tbody><tr><th>Identifier</th><td>HPI Organisation G02780-A</td></tr><tr><th>Name</th><td>Order of St John</td></tr><tr><th>Phone</th><td>+6495791015 work</td></tr></tbody></table></div>"
},
"identifier": [
{
"system": "https://standards.digital.health.nz/ns/hpi-organisation-id",
"value": "G02780-A"
}
],
"name": "Order of St John",
"telecom": [
{
"system": "phone",
"value": "+6495791015",
"use": "work"
}
]
}
},
{
"fullUrl": "https://example.org/fhir/Location/acs-facility-sunshine",
"resource": {
"resourceType": "Location",
"id": "acs-facility-sunshine",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/receiving-facility"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_acs-facility-sunshine\"> </a><h2>Receiving facility: Sunshine Hospital Emergency Department</h2><table><tbody><tr><th>Status</th><td>Active</td></tr><tr><th>Name</th><td>Sunshine Hospital Emergency Department</td></tr><tr><th>Role in example</th><td>Receiving emergency department for the transported patient</td></tr></tbody></table></div>"
},
"status": "active",
"name": "Sunshine Hospital Emergency Department"
}
},
{
"fullUrl": "https://example.org/fhir/Encounter/acs-encounter",
"resource": {
"resourceType": "Encounter",
"id": "acs-encounter",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_acs-encounter\"> </a><h2>Ambulance encounter: 0450-1-2016/06/14</h2><table><tbody><tr><th>Status</th><td>Finished</td></tr><tr><th>Class</th><td>Emergency</td></tr><tr><th>Encounter type</th><td>Land ambulance</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Attending clinician</th><td>Josephine Manu-Bloggs, paramedic</td></tr><tr><th>Period</th><td>2016-06-14 11:13 to 12:42 +12:00</td></tr><tr><th>Diagnosis</th><td>Asthma</td></tr><tr><th>Disposition</th><td>Treat and transport</td></tr><tr><th>Destination</th><td>Sunshine Hospital Emergency Department</td></tr><tr><th>Service provider</th><td>Order of St John</td></tr></tbody></table></div>"
},
"identifier": [
{
"system": "https://standards.digital.health.nz/ns/ambulance-master-incident-number",
"value": "0450-1-2016/06/14"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "emergency"
},
"type": [
{
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-encounter-type",
"code": "land-ambulance"
}
]
}
],
"subject": {
"reference": "Patient/acs-patient-bob"
},
"participant": [
{
"individual": {
"reference": "PractitionerRole/acs-providerrole-josephine"
}
}
],
"period": {
"start": "2016-06-14T11:13:00+12:00",
"end": "2016-06-14T12:42:00+12:00"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/acs-diagnosis-asthma"
}
}
],
"hospitalization": {
"destination": {
"reference": "Location/acs-facility-sunshine"
},
"dischargeDisposition": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-encounter-disposition",
"code": "treat-and-transport"
}
]
}
},
"serviceProvider": {
"reference": "Organization/acs-org-stjohn"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-presenting-complaint",
"resource": {
"resourceType": "Observation",
"id": "acs-presenting-complaint",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-presenting-complaint\"> </a><h2>Presenting complaint</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Code</th><td>Chief complaint (LOINC 67570-2)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 02:00 +12:00</td></tr><tr><th>Complaint</th><td>Severe respiratory distress (MPDS 6D1)</td></tr></tbody></table></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "67570-2",
"display": "Chief complaint"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T02:00:00+12:00",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/mpds",
"code": "6D1",
"display": "Severe respiratory distress"
}
]
}
}
},
{
"fullUrl": "https://example.org/fhir/Condition/acs-diagnosis-asthma",
"resource": {
"resourceType": "Condition",
"id": "acs-diagnosis-asthma",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_acs-diagnosis-asthma\"> </a><h2>Encounter diagnosis: Asthma</h2><table><tbody><tr><th>Clinical status</th><td>Active</td></tr><tr><th>Category</th><td>Encounter diagnosis</td></tr><tr><th>Diagnosis</th><td>Asthma (SNOMED CT 195967001)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr></tbody></table></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "195967001",
"display": "Asthma"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-smoking",
"resource": {
"resourceType": "Observation",
"id": "acs-smoking",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-smoking\"> </a><h2>Smoking status</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Social history</td></tr><tr><th>Code</th><td>Tobacco smoking status (LOINC 72166-2)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Effective time</th><td>2016-06-14 11:30 +12:00</td></tr><tr><th>Value</th><td>Ex-smoker (SNOMED CT 8517006)</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"effectiveDateTime": "2016-06-14T11:30:00+12:00",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "8517006",
"display": "Ex-smoker"
}
]
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-patient-status",
"resource": {
"resourceType": "Observation",
"id": "acs-patient-status",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-patient-status\"> </a><h2>Patient status</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Clinical status of patient (SNOMED CT 410536001)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:30 +12:00</td></tr><tr><th>Value</th><td>Immediate threat to life</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "410536001",
"display": "Clinical status of patient (observable entity)"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:30:00+12:00",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-patient-status",
"code": "immediate-threat"
}
]
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-hr",
"resource": {
"resourceType": "Observation",
"id": "acs-hr",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-heart-rate"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-hr\"> </a><h2>Heart rate</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Heart rate (LOINC 8867-4)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>136 /min</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 136,
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-rr",
"resource": {
"resourceType": "Observation",
"id": "acs-rr",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-respiratory-rate"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-rr\"> </a><h2>Respiratory rate</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Respiratory rate (LOINC 9279-1)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>48 /min</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 48,
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-bp",
"resource": {
"resourceType": "Observation",
"id": "acs-bp",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-blood-pressure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-bp\"> </a><h2>Blood pressure</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Blood pressure panel (LOINC 85354-9)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Systolic</th><td>132 mm[Hg] (LOINC 8480-6)</td></tr><tr><th>Diastolic</th><td>90 mm[Hg] (LOINC 8462-4)</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 132,
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 90,
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-spo2",
"resource": {
"resourceType": "Observation",
"id": "acs-spo2",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-oxygen-saturation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-spo2\"> </a><h2>Oxygen saturation</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Oxygen saturation in arterial blood by pulse oximetry (LOINC 59408-5)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>95 %</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "59408-5",
"display": "Oxygen saturation in Arterial blood by Pulse oximetry"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 95,
"system": "http://unitsofmeasure.org",
"code": "%"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-temp",
"resource": {
"resourceType": "Observation",
"id": "acs-temp",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-body-temperature"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-temp\"> </a><h2>Body temperature</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Body temperature (LOINC 8310-5)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>38.6 Cel</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 38.6,
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-bgl",
"resource": {
"resourceType": "Observation",
"id": "acs-bgl",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-blood-glucose"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-bgl\"> </a><h2>Blood glucose level</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Glucose in blood (LOINC 15074-8)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>4.0 mmol/L</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "15074-8",
"display": "Glucose [Moles/volume] in Blood"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 4,
"system": "http://unitsofmeasure.org",
"code": "mmol/L"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-gcs",
"resource": {
"resourceType": "Observation",
"id": "acs-gcs",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-glasgow-coma-score"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-gcs\"> </a><h2>Glasgow coma score total</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Glasgow coma score total (LOINC 9269-2)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>15 {score}</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 15,
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-pain",
"resource": {
"resourceType": "Observation",
"id": "acs-pain",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pain-score"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-pain\"> </a><h2>Pain score</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Pain severity 0-10 verbal numeric rating (LOINC 72514-3)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>5 {score}</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueQuantity": {
"value": 5,
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-ecg",
"resource": {
"resourceType": "Observation",
"id": "acs-ecg",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-ecg-interpretation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-ecg\"> </a><h2>ECG interpretation</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>Heart rate rhythm (LOINC 8884-9)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>Atrial flutter</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8884-9",
"display": "Heart rate rhythm"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-ecg-interpretation",
"code": "aflutter"
}
]
}
}
},
{
"fullUrl": "https://example.org/fhir/Observation/acs-skin",
"resource": {
"resourceType": "Observation",
"id": "acs-skin",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-skin-condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_acs-skin\"> </a><h2>Skin condition</h2><table><tbody><tr><th>Status</th><td>Final</td></tr><tr><th>Category</th><td>Vital signs</td></tr><tr><th>Code</th><td>General skin examination (SNOMED CT 225544001)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:35 +12:00</td></tr><tr><th>Value</th><td>Diaphoretic (sweaty)</td></tr></tbody></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225544001",
"display": "General skin examination"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:35:00+12:00",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-skin-condition",
"code": "diaphoretic"
}
]
}
}
},
{
"fullUrl": "https://example.org/fhir/MedicationAdministration/acs-medadmin-adenosine",
"resource": {
"resourceType": "MedicationAdministration",
"id": "acs-medadmin-adenosine",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_acs-medadmin-adenosine\"> </a><h2>Medication administration: Adenosine</h2><table><tbody><tr><th>Status</th><td>Completed</td></tr><tr><th>Medication</th><td>Adenosine</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Effective time</th><td>2016-06-14 11:36 +12:00</td></tr><tr><th>Performer</th><td>Josephine Manu-Bloggs, paramedic</td></tr><tr><th>Route</th><td>Intravenous route</td></tr><tr><th>Dose</th><td>6 mg</td></tr><tr><th>Note</th><td>A note about Adenosine</td></tr></tbody></table></div>"
},
"status": "completed",
"medicationCodeableConcept": {
"text": "Adenosine"
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"context": {
"reference": "Encounter/acs-encounter"
},
"effectiveDateTime": "2016-06-14T11:36:00+12:00",
"performer": [
{
"actor": {
"reference": "PractitionerRole/acs-providerrole-josephine"
}
}
],
"note": [
{
"text": "A note about Adenosine"
}
],
"dosage": {
"route": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-route",
"code": "iv"
}
]
},
"dose": {
"value": 6,
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
}
},
{
"fullUrl": "https://example.org/fhir/Procedure/acs-proc-airway",
"resource": {
"resourceType": "Procedure",
"id": "acs-proc-airway",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_acs-proc-airway\"> </a><h2>Procedure: Manual clearance of airway</h2><table><tbody><tr><th>Status</th><td>Completed</td></tr><tr><th>Code</th><td>Manual clearance of airway (SNOMED CT 241689008)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Performed</th><td>2016-06-14 12:00 +12:00</td></tr><tr><th>Performer</th><td>Josephine Manu-Bloggs, paramedic</td></tr><tr><th>Note</th><td>A note about Airway Management</td></tr></tbody></table></div>"
},
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "241689008",
"display": "Manual clearance of airway"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"performedDateTime": "2016-06-14T12:00:00+12:00",
"performer": [
{
"actor": {
"reference": "PractitionerRole/acs-providerrole-josephine"
}
}
],
"note": [
{
"text": "A note about Airway Management"
}
]
}
},
{
"fullUrl": "https://example.org/fhir/Procedure/acs-proc-defib",
"resource": {
"resourceType": "Procedure",
"id": "acs-proc-defib",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_acs-proc-defib\"> </a><h2>Procedure: Cardiac defibrillation</h2><table><tbody><tr><th>Status</th><td>Completed</td></tr><tr><th>Code</th><td>Cardiac defibrillation (SNOMED CT 429500007)</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Performed</th><td>2016-06-14 12:06 +12:00</td></tr><tr><th>Performer</th><td>Josephine Manu-Bloggs, paramedic</td></tr><tr><th>Outcome</th><td>Successful (SNOMED CT 385669000)</td></tr></tbody></table></div>"
},
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "429500007",
"display": "Cardiac defibrillation"
}
]
},
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"performedDateTime": "2016-06-14T12:06:00+12:00",
"performer": [
{
"actor": {
"reference": "PractitionerRole/acs-providerrole-josephine"
}
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
}
}
},
{
"fullUrl": "https://example.org/fhir/CarePlan/acs-careplan",
"resource": {
"resourceType": "CarePlan",
"id": "acs-careplan",
"meta": {
"profile": [
"https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-care-plan"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_acs-careplan\"> </a><h2>Care plan</h2><table><tbody><tr><th>Status</th><td>Active</td></tr><tr><th>Intent</th><td>Plan</td></tr><tr><th>Patient</th><td>Bob Bobson</td></tr><tr><th>Encounter</th><td>0450-1-2016/06/14</td></tr><tr><th>Description</th><td>Recommend GP appointment to review medication.</td></tr><tr><th>Note</th><td>Recommend GP appt to get more meds</td></tr></tbody></table></div>"
},
"status": "active",
"intent": "plan",
"description": "Recommend GP appointment to review medication.",
"subject": {
"reference": "Patient/acs-patient-bob"
},
"encounter": {
"reference": "Encounter/acs-encounter"
},
"note": [
{
"text": "Recommend GP appt to get more meds"
}
]
}
}
]
}