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Packagesynapxe.sgcdi
Resource TypeBundle
IdEpicIPS.Example.json
FHIR VersionR5

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:9b0990f1-5de7-423f-a215-8b65ac69e37d"
  },
  "type": "document",
  "timestamp": "2025-02-19T21:04:03Z",
  "entry": [
    {
      "fullUrl": "https://vs-icx18-25.epic.com/Interconnect-FHIR-Current-Stage1-Primary-Unsecured/api/FHIR/R4/Composition/feE1F.6OLpos2ZZAXV5UHxg4",
      "resource": {
        "resourceType": "Composition",
        "id": "feE1F.6OLpos2ZZAXV5UHxg4",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"Section\"><div class=\"Header\"><h3>Author</h3></div><div class=\"Body\"><span>Epic Central Clinic<br />608-163-0003<br />410 HIGH POINT ROAD<br />MADISON WI 53711</span></div></div><br /><div class=\"Section\"><div class=\"Header\"><h3>Document Information</h3></div><div class=\"Body\"><div class=\"SingleLineField\"><span class=\"Prefix\"><strong>UTC offset: </strong></span><span class=\"Value\">UTC-06:00</span></div><div class=\"SingleLineField\"><span class=\"Prefix\"><strong>Date format: </strong></span><span class=\"Value\">M/d/yyyy</span></div><div class=\"SingleLineField\"><span class=\"Prefix\"><strong>Decimal separator: </strong></span><span class=\"Value\">.</span></div><div class=\"SingleLineField\"><span class=\"Prefix\"><strong>Date generated: </strong></span><span class=\"Value\">2/19/2025</span></div></div></div></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "60591-5",
              "display": "Patient summary Document"
            }
          ],
          "text": "International Patient Summary"
        },
        "subject": {
          "reference": "Patient/eNO3wqOfAltfnWMfWBQ1WmQ3",
          "display": "Jackson, Jayden"
        },
        "date": "2025-02-19T21:04:03Z",
        "author": [
          {
            "reference": "Organization/eBBFDl1F2A4AHQpheZzVucw3",
            "display": "Epic Central Clinic"
          }
        ],
        "title": "International Patient Summary for Jackson, Jayden",
        "custodian": {
          "reference": "Organization/eBBFDl1F2A4AHQpheZzVucw3",
          "display": "Epic Central Clinic"
        },
        "section": [
          {
            "title": "Problems",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11450-4",
                  "display": "Problem list - Reported"
                }
              ],
              "text": "Problem list - Reported"
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"ActiveProblems\"><h3>Active Problems</h3><table class=\"ActiveProblemTable\"><thead><tr><th>Problem</th><th>Priority</th><th>Noted Date</th><th>Diagnosed Date</th></tr></thead><tbody><tr><td class=\"Name\"><span class=\"ProblemName\">Moderate persistent asthma (HHS/HCC) (HHS)</span></td><td class=\"Priority\">-</td><td class=\"NotedDate\">2/17/2025</td><td class=\"DiagnosedDate\">-</td></tr></tbody></table></div><br /><div class=\"ResolvedProblems\"><h3>Resolved Problems</h3><table class=\"ResolvedProblemTable\"><thead><tr><th>Problem</th><th>Priority</th><th>Noted Date</th><th>Diagnosed Date</th><th>Resolved Date</th></tr></thead><tbody><tr><td class=\"Name\"><span class=\"ProblemName\">Struck by alligator</span><ul><li class=\"Note\"><span class=\"NoteTitle\">Overview (2/18/2018 1:22 PM):</span><br /><span class=\"WarningMsg\"><em>Formatting of this note might be different from the original.</em></span><br /><span class=\"NoteText\">It was a real big gator.<br /></span></li></ul></td><td class=\"Priority\">High</td><td class=\"NotedDate\">2/18/2018</td><td class=\"DiagnosedDate\">2/18/2018</td><td class=\"ResolvedDate\">2/18/2018</td></tr></tbody></table></div></div>"
            },
            "entry": [
              {
                "reference": "Condition/e-8nWH.bGEpZxDWq2oCoCLREUwM32POPS7KMw9NU04mg3"
              },
              {
                "reference": "Condition/evRt9rC4iF4hQ8HrVrp6408lZdE-j24dngrOAo3aMboY3"
              }
            ]
          },
          {
            "title": "Allergies",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48765-2",
                  "display": "Allergies and adverse reactions Document"
                }
              ],
              "text": "Allergies and adverse reactions Document"
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"ActiveAllergyTable\"><thead class=\"ActiveAllergyHeader\"><tr><th>Active Allergy</th><th>Allergen Type</th><th>Reactions</th><th>Criticality</th><th>Noted Date</th><th>Comments</th></tr></thead><tbody class=\"ActiveAllergy\"><tr class=\"ActiveAllergy\"><td class=\"Name\">NICKEL</td><td class=\"Type\">Allergy</td><td class=\"Reactions\">Hives</td><td class=\"Criticality\">High</td><td class=\"NotedDate\">9/13/2024</td><td class=\"Comments\">-</td></tr><tr class=\"ActiveAllergy\"><td class=\"Name\">LACTOSE</td><td class=\"Type\">Allergy</td><td class=\"Reactions\">Nausea</td><td class=\"Criticality\">Low</td><td class=\"NotedDate\">1/24/2025</td><td class=\"Comments\">-</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "AllergyIntolerance/eq.ZnjVL0b3grxEEs0Jb512-FP-IEF5CPgq1LtNhj8vE3"
              },
              {
                "reference": "AllergyIntolerance/ew9Q0B3JJOwNipaZ.Pb2J5sXukodDH.N271w777jlVLU3"
              }
            ]
          },
          {
            "title": "Medications",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10160-0",
                  "display": "History of Medication use Narrative"
                }
              ],
              "text": "History of Medication use Narrative"
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Medication</th><th>Sig</th><th>Dispense Quantity</th><th>Refills</th><th>Start Date</th><th>End Date</th><th>Status</th><tr><td>aspirin-acetaminophen-caffeine (EXCEDRIN MIGRAINE) 250-250-65 MG per tablet<ul></ul></td><td>For headaches, take 1 pill by mouth every 6 hours as needed.</td><td>30 tablet</td><td>0</td><td>9/17/2024</td><td>-</td><td>On Hold</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "MedicationRequest/eZ.jcFkxpptG67qxgRtMnjY5sQsmiFdGFbRTrWxSCDtU3"
              }
            ]
          },
          {
            "title": "Immunizations",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11369-6",
                  "display": "History of Immunization Narrative"
                }
              ],
              "text": "History of Immunization Narrative"
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Immunization</th><th>Administration Dates</th><th>Next Due</th></tr></thead><tbody><tr><td>Influenza Virus Vaccine</td><td>1/7/2025</td><td>-</td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "Immunization/ehsR6jLoIwy.GKVtLGLzBSRS1O4-Hh7BxqD4hCyfh.5o3"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://vs-icx18-25.epic.com/Interconnect-FHIR-Current-Stage1-Primary-Unsecured/api/FHIR/R4/AllergyIntolerance/eq.ZnjVL0b3grxEEs0Jb512-FP-IEF5CPgq1LtNhj8vE3",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "eq.ZnjVL0b3grxEEs0Jb512-FP-IEF5CPgq1LtNhj8vE3",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "version": "4.0.0",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "version": "4.0.0",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "type": "allergy",
        "category": [
          "medication"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "31738",
              "display": "NICKEL"
            },
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1311629"
            },
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1546280"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "4FLT4T3WUN"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "696BNE976J"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "7OV03QG267"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "J7B7WZ5ZMT"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "NUZ5T2QN2V"
            }
          ],
          "text": "NICKEL"
        },
        "patient": {
          "reference": "Patient/eNO3wqOfAltfnWMfWBQ1WmQ3",
          "display": "Jackson, Jayden"
        },
        "onsetDateTime": "2024-09-13",
        "recordedDate": "2024-09-13T22:28:43Z",
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "201272008",
                    "display": "(URTICARIA NOS) OR (HIVES)"
                  }
                ],
                "text": "Hives"
              }
            ],
            "description": "Hives"
          }
        ]
      }
    },
    {
      "fullUrl": "https://vs-icx18-25.epic.com/Interconnect-FHIR-Current-Stage1-Primary-Unsecured/api/FHIR/R4/AllergyIntolerance/ew9Q0B3JJOwNipaZ.Pb2J5sXukodDH.N271w777jlVLU3",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "ew9Q0B3JJOwNipaZ.Pb2J5sXukodDH.N271w777jlVLU3",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "version": "4.0.0",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "version": "4.0.0",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "type": "allergy",
        "category": [
          "medication"
        ],
        "criticality": "low",
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "6211",
              "display": "LACTOSE"
            },
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1305527"
            },
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1307662"
            },
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "2359362"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "3SY5LH9PMK"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "EWQ57Q8I5X"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "J2B2A4N98G"
            },
            {
              "system": "urn:oid:2.16.840.1.113883.4.9",
              "code": "MJF4JAT10B"
            }
          ],
          "text": "LACTOSE"
        },
        "patient": {
          "reference": "Patient/eNO3wqOfAltfnWMfWBQ1WmQ3",
          "display": "Jackson, Jayden"
        },
        "onsetDateTime": "2025-01-24",
        "recordedDate": "2025-01-24T16:45:23Z",
        "reaction": [
          {
            "manifestation": [
              {
                "text": "Nausea"
              }
            ],
            "description": "Nausea"
          }
        ]
      }
    },
    {
      "fullUrl": "https://vs-icx18-25.epic.com/Interconnect-FHIR-Current-Stage1-Primary-Unsecured/api/FHIR/R4/Immunization/ehsR6jLoIwy.GKVtLGLzBSRS1O4-Hh7BxqD4hCyfh.5o3",
      "resource": {
        "resourceType": "Immunization",
        "id": "ehsR6jLoIwy.GKVtLGLzBSRS1O4-Hh7BxqD4hCyfh.5o3",
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.2.768076",
            "value": "1000057742"
          }
        ],
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/ndc",
              "code": "2000-1234-01"
            }
          ],
          "text": "Influenza Virus Vaccine"
        },
        "patient": {
          "reference": "Patient/eNO3wqOfAltfnWMfWBQ1WmQ3",
          "display": "Jackson, Jayden"
        },
        "occurrenceDateTime": "2025-01-07T20:25:00Z",
        "primarySource": true,
        "lotNumber": "1564",
        "site": {
          "coding": [
            {
              "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.10.768076.4040",
              "code": "14",
              "display": "Left arm"
            }
          ],
          "text": "Left arm"
        },
        "route": {
          "coding": [
            {
              "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.10.768076.4030",
              "code": "2",
              "display": "Intramuscular"
            },
            {
              "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
              "code": "56"
            }
          ],
          "text": "Intramuscular"
        },
        "doseQuantity": {
          "value": 5,
          "unit": "mL",
          "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.10.768076.4019",
          "code": "1"
        },
        "performer": [
          {
            "function": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
                  "code": "AP",
                  "display": "Administering Provider"
                }
              ],
              "text": "Administering Provider"
            },
            "actor": {
              "reference": "Practitioner/eb3d.4apzwRM33Q91Nm7wJA3",
              "type": "Practitioner",
              "display": "Emile Underwood, MD"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://vs-icx18-25.epic.com/Interconnect-FHIR-Current-Stage1-Primary-Unsecured/api/FHIR/R4/MedicationRequest/eZ.jcFkxpptG67qxgRtMnjY5sQsmiFdGFbRTrWxSCDtU3",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "eZ.jcFkxpptG67qxgRtMnjY5sQsmiFdGFbRTrWxSCDtU3",
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.2.798268",
            "value": "1020672672"
          }
        ],
        "status": "on-hold",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "community",
                "display": "Community"
              }
            ],
            "text": "Community"
          }
        ],
        "medicationReference": {
          "reference": "Medication/eFPOEegDKIjYsM3RkHequHJ5I2sLnb6kCobyvt.2bHUQMn5mMSA84ght6QXRPlsUrYrpRQOlGll1yESbZhar2gGHGBpCW6ZAZfG3I-2k38Uw3",
          "display": "aspirin-acetaminophen-caffeine (EXCEDRIN MIGRAINE) 250-250-65 MG per tablet"
        },
        "subject": {
          "reference": "Patient/eNO3wqOfAltfnWMfWBQ1WmQ3",
          "display": "Jackson, Jayden"
        },
        "encounter": {
          "reference": "Encounter/eUxsoXoUZAJwTHuf8BKfp10EW8pkwRRRqSke8aOSl6jo3",
          "identifier": {
            "use": "usual",
            "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.3.698084.8",
            "value": "10004197672"
          },
          "display": "Office Visit"
        },
        "authoredOn": "2024-09-17",
        "requester": {
          "reference": "Practitioner/eb3d.4apzwRM33Q91Nm7wJA3",
          "type": "Practitioner",
          "display": "Emile Underwood, MD"
        },
        "recorder": {
          "reference": "Practitioner/eb3d.4apzwRM33Q91Nm7wJA3",
          "type": "Practitioner",
          "display": "Emile Underwood, MD"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "acute",
              "display": "Short course (acute) therapy"
            }
          ],
          "text": "Short course (acute) therapy"
        },
        "dosageInstruction": [
          {
            "text": "1 tablet, Oral, EVERY 6 HOURS PRN Starting Tue 9/17/2024, Disp-30 tablet, R-0, Normal",
            "patientInstruction": "For headaches, take 1 pill by mouth every 6 hours as needed.",
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2024-09-17"
                },
                "frequency": 1,
                "period": 6,
                "periodUnit": "h"
              },
              "code": {
                "text": "Q6H PRN"
              }
            },
            "asNeededBoolean": true,
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "260548002",
                  "display": "Oral (qualifier value)"
                },
                {
                  "system": "urn:oid:1.2.840.114350.1.13.5325.1.7.4.798268.7025",
                  "code": "15",
                  "display": "Oral"
                }
              ],
              "text": "Oral"
            },
            "method": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "419652001",
                  "display": "Take"
                }
              ],
              "text": "Take"
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://epic.com/CodeSystem/dose-rate-type",
                      "code": "calculated",
                      "display": "calculated"
                    }
                  ],
                  "text": "calculated"
                },
                "doseQuantity": {
                  "value": 1,
                  "unit": "tablet",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              },
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://epic.com/CodeSystem/dose-rate-type",
                      "code": "admin-amount",
                      "display": "admin-amount"
                    }
                  ],
                  "text": "admin-amount"
                },
                "doseQuantity": {
                  "value": 1,
                  "unit": "tablet",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              },
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://epic.com/CodeSystem/dose-rate-type",
                      "code": "ordered",
                      "display": "ordered"
                    }
                  ],
                  "text": "ordered"
                },
                "doseQuantity": {
                  "value": 1,
                  "unit": "tablet",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tbl}"
                }
              }
            ]
          }
        ],
        "dispenseRequest": {
          "validityPeriod": {
            "start": "2024-09-17"
          },
          "numberOfRepeatsAllowed": 0,
          "quantity": {
            "value": 30,
            "unit": "tablet"
          },
          "expectedSupplyDuration": {
            "value": 8,
            "unit": "Day",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          }
        }
      }
    },
    {
      "fullUrl": "https://vs-icx18-25.epic.com/Interconnect-FHIR-Current-Stage1-Primary-Unsecured/api/FHIR/R4/Condition/e-8nWH.bGEpZxDWq2oCoCLREUwM32POPS7KMw9NU04mg3",
      "resource": {
        "resourceType": "Condition",
        "id": "e-8nWH.bGEpZxDWq2oCoCLREUwM32POPS7KMw9NU04mg3",
        "extension": [
          {
            "valueDateTime": "2018-02-18",
            "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
          }
        ],
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "version": "4.0.0",
              "code": "resolved",
              "display": "Resolved"
            }
          ],
          "text": "Resolved"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "version": "4.0.0",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ],
            "text": "Problem List Item"
          }
        ],
        "severity": {
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                }
              ],
              "text": "English"
            },
            "preferred": true,
            "_preferred": {
              "extension": [
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/language-preference-type",
                    "code": "verbal",
                    "display": "verbal"
                  },
                  "url": "http://hl7.org/fhir/StructureDefinition/patient-preferenceType"
                }
              ]
            }
          }
        ],
        "generalPractitioner": [
          {
            "reference": "Practitioner/eb3d.4apzwRM33Q91Nm7wJA3",
            "type": "Practitioner",
            "display": "Emile Underwood, MD"
          }
        ],
        "managingOrganization": {
          "reference": "Organization/ePioZEeqCYv.F5W96swOaXA3",
          "display": "EDI Healthcare Management #%~&"
        },
        "_birthDate": {
          "extension": [
            {
              "valueDateTime": "1991-08-23T23:23:00Z",
              "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
            }
          ]
        }
      }
    }
  ]
}