FHIR IG analytics| Package | surescripts.specialty |
| Resource Type | Bundle |
| Id | example-SPOClinicalInformationResponse-Bundle-general.json |
| FHIR Version | R4 |
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{
"resourceType": "Bundle",
"id": "example-SPOClinicalInformationResponse-Bundle-general",
"meta": {
"lastUpdated": "2021-04-20T18:40:37.1138961+00:00"
},
"type": "message",
"timestamp": "2021-04-20T18:41:51.1138961+00:00",
"entry": [
{
"resource": {
"resourceType": "MessageHeader",
"id": "example-SPOClinicalInformationResponse-MessageHeader-general",
"eventCoding": {
"system": "http://surescripts.net/fhir/spo/message-events",
"code": "search-query"
},
"source": {
"name": "Acme Patient Medical Record System",
"software": "Acme Electronic Health Record",
"endpoint": "b71baa6a-8186-4403-a150-edf279afba0d"
}
}
},
{
"resource": {
"resourceType": "AllergyIntolerance",
"id": "example-SPOClinicalInformationResponse-AllergyIntolerance-food",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed"
}
]
},
"type": "allergy",
"category": [
"food"
],
"criticality": "low",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "227493005",
"display": "Cashew nuts"
}
],
"text": "Cashew nuts"
},
"patient": {
"reference": "Patient/799999"
},
"onsetDateTime": "2003",
"recordedDate": "2014-10-09T14:58:00+11:00",
"lastOccurrence": "2012-06",
"reaction": [
{
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "64305001",
"display": "Urticaria"
}
]
}
]
}
]
}
},
{
"resource": {
"resourceType": "AllergyIntolerance",
"id": "example-SPOClinicalInformationResponse-AllergyIntolerance-medication",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "unconfirmed",
"display": "Unconfirmed"
}
]
},
"category": [
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "7980",
"display": "Penicillin G"
}
]
},
"patient": {
"reference": "Patient/example"
},
"recordedDate": "2010-03-01",
"reaction": [
{
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "247472004",
"display": "Hives"
}
]
}
]
}
]
}
},
{
"resource": {
"resourceType": "MedicationStatement",
"id": "example-SPOClinicalInformationResponse-MedicationStatement-acetaminophen",
"status": "active",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "307696",
"display": "acetaminophen 80 MG Chewable Tablet"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"dateAsserted": "2020-04-09"
}
},
{
"resource": {
"resourceType": "MedicationStatement",
"id": "example-SPOClinicalInformationResponse-MedicationStatement-amoxicillin",
"status": "active",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "27658006",
"display": "Amoxicillin (product)"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"effectiveDateTime": "2014-01-23",
"dateAsserted": "2015-02-22",
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "65363002",
"display": "Otitis Media"
}
]
}
],
"note": [
{
"text": "Patient indicates they miss the occasional dose"
}
],
"dosage": [
{
"text": "one capsule three times daily",
"timing": {
"repeat": {
"frequency": 3,
"period": 1,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260548002",
"display": "Oral"
}
]
},
"maxDosePerPeriod": {
"numerator": {
"value": 3,
"unit": "capsules",
"system": "http://snomed.info/sct",
"code": "385055001"
},
"denominator": {
"value": 1,
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
}
]
}
},
{
"resource": {
"resourceType": "MedicationStatement",
"id": "example-SPOClinicalInformationResponse-MedicationStatement-lipitor",
"status": "active",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "617318",
"display": "Lipitor 20 MG Oral Tablet"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"effectiveDateTime": "2020-02-02T00:00:00+00:00",
"dateAsserted": "2020-02-01",
"reasonCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "E78.00",
"display": "Pure hypercholesterolemia, unspecified"
}
]
}
],
"dosage": [
{
"text": "1 tab PO qd",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1,
"unit": "TAB"
}
}
]
}
]
}
},
{
"resource": {
"resourceType": "MedicationStatement",
"id": "example-SPOClinicalInformationResponse-MedicationStatement-methotrexate",
"status": "active",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "54436-010-01",
"display": "0.4 ML Methotrexate 25 MG/ML Auto-Injector [Otrexup]"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"effectiveDateTime": "2020-01-02T00:00:00-08:00",
"dateAsserted": "2020-01-01",
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "69896004",
"display": "Rheumatoid arthritis (disorder)"
}
]
}
]
}
},
{
"resource": {
"resourceType": "Condition",
"id": "example-SPOClinicalInformationResponse-Condition-yellowFever",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/condition-category",
"code": "problem-list-item"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "407538006",
"display": "Yellow Fever virus group (organism)"
}
]
},
"subject": {
"reference": "Patient/799999"
}
}
},
{
"resource": {
"resourceType": "Condition",
"id": "example-SPOClinicalInformationResponse-Condition-bacterialSepsis",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/condition-category",
"code": "problem-list-item"
}
]
}
],
"severity": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "371924009",
"display": "Moderate to severe"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10001005",
"display": "Bacterial sepsis"
}
]
},
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "281158006",
"display": "Pulmonary vascular structure"
}
]
}
],
"subject": {
"reference": "Patient/799999"
},
"recordedDate": "2013-03-11"
}
},
{
"resource": {
"resourceType": "Condition",
"id": "example-SPOClinicalInformationResponse-Condition-ulcerativeColitis",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "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"
}
]
}
],
"severity": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "6736007",
"display": "Moderate"
}
]
},
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-9-cm",
"code": "556.9",
"display": "Ulcerative colitis, unspecified"
}
],
"text": "Colitis"
},
"subject": {
"reference": "Patient/799999"
},
"onsetString": "While in college at Stanford",
"abatementString": "true",
"recordedDate": "2020-02-20"
}
},
{
"resource": {
"resourceType": "Observation",
"id": "example-SPOClinicalInformationResponse-Observation-bodyHeight",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body height"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"effectiveDateTime": "2021-04-20T18:41:51.1568132Z",
"valueQuantity": {
"value": 78,
"unit": "inches",
"system": "http://unitsofmeasure.org",
"code": "[in_i]"
}
}
},
{
"resource": {
"resourceType": "Observation",
"id": "example-SPOClinicalInformationResponse-Observation-bodyWeight",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29463-7"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"effectiveDateTime": "2021-04-20T18:41:51.1588122Z",
"valueQuantity": {
"value": 112.74,
"unit": "pounds",
"system": "http://unitsofmeasure.org",
"code": "[lb_av]"
}
}
},
{
"resource": {
"resourceType": "DocumentReference",
"id": "example-SPOClinicalInformationResponse-DocumentReference-clinicalNote",
"contained": [
{
"resourceType": "Practitioner",
"id": "a2",
"name": [
{
"family": "Smitty",
"given": [
"Gerald"
]
}
]
}
],
"masterIdentifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
},
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
}
],
"status": "current",
"docStatus": "preliminary",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "34117-2",
"display": "History & Physical"
}
]
},
"subject": {
"reference": "Patient/799999"
},
"date": "2005-12-24T09:43:41+11:00",
"author": [
{
"reference": "#a2"
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en",
"data": "x35="
}
}
]
}
}
]
}