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Packagesurescripts.specialty
Resource TypeBundle
Idexample-SPOClinicalInformationResponse-Bundle-general.json
FHIR VersionR4

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Source1

{
  "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="
            }
          }
        ]
      }
    }
  ]
}