Generated Narrative with Details

id: 180f219f-97a8-486d-99d9-ed631fe4fc57

meta:

date: Feb 1, 2013 7:30:02 AM

type: Discharge Summary from Responsible Clinician (Details : {LOINC code '28655-9' = 'Physician attending Discharge summary)

title: Discharge Summary

status: final

confidentiality: N

author: Doctor Dave

encounter: http://fhir.healthintersections.com.au/open/Encounter/doc-example

<status value="final"/> <confidentiality value="N"/> <subject> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Eve Everywoman"/> </subject> <author> <reference value="Practitioner/example"/> <display value="Doctor Dave"/> </author> <!-- The Encounter resource. Points directly to an Encounter resource. Contains the dates of admission, specialtyu etc. --> <encounter> <reference value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/> </encounter> <section> <title value="Reason for admission"/> <code> <coding> <system value="http://loinc.org"/> <code value="29299-5"/> <display value="Reason for visit Narrative"/> </coding> </code> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <td>Details</td> <td/> </tr> </thead> <tbody> <tr> <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/> </entry> </section> <!-- Points to the list that groups the medications on discharge --> <section> <title value="Medications on Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="10183-2"/> <display value="Hospital discharge medications Narrative"/> </coding> </code> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <td>Medication</td> <td>Last Change</td> <td>Last ChangeReason</td> </tr> </thead> <tbody> <tr> <td>Theophylline 200mg BD after meals</td> <td>continued</td> </tr> <tr> <td>Ventolin Inhaler</td> <td>stopped</td> <td>Getting side effect of tremor</td> </tr> </tbody> </table> </div> </text> <mode value="working"/> <!-- This is an entry that refers to a MedicationOrder resource in this document. It is a new medication (as indicated by the flag) --> <entry> <reference value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/> </entry> <entry> <reference value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/> </entry> </section> <!-- Points to the list that groups the allergies --> <section> <title value="Known allergies"/> <code> <coding> <system value="http://loinc.org"/> <code value="48765-2"/> <display value="Allergies and adverse reactions Document"/> </coding> </code> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <thead> <tr> <td>Allergen</td> <td>Reaction</td> </tr> </thead> <tbody> <tr> <td>Doxycycline</td> <td>Hives</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/> </entry> </section> </Composition> </resource> </entry> <!-- The Practitioner Resource. In this document they are the author of the document (There is a reference from the document resource). Note that, strictly, it doesn't need to be within the document as the recipient knows where to go and get it if they need it - assuming it is available on-line of course. --> <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Practitioner/example"/> <resource> <Practitioner> <id value="example"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Dr Adam Careful is a Referring Practitioner for Acme Hospital from 1-Jan 2012 to 31-Mar 2012</p> </div> </text> <identifier> <system value="http://www.acme.org/practitioners"/> <value value="23"/> </identifier> <name> <family value="Careful"/> <given value="Adam"/> <prefix value="Dr"/> </name> <practitionerRole> <organization> <reference value="Organization/1"/> </organization> <!-- Referring Practitioner for the first 3 months of 2012 --> <role> <coding> <system value="http://hl7.org/fhir/v2/0286"/> <code value="RP"/> </coding> </role> <period> <start value="2012-01-01"/> <end value="2012-03-31"/> </period> </practitionerRole> </Practitioner> </resource> </entry> <!-- The Patient who is the subject of the document. Same coments as practitioner. --> <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <resource> <Patient> <id value="d1"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h1>Eve Everywoman</h1> </div> </text> <active value="true"/> <name> <text value="Eve Everywoman"/> <family value="Everywoman1"/> <given value="Eve"/> </name> <telecom> <system value="phone"/> <value value="555-555-2003"/> <use value="work"/> </telecom> <gender value="female"/> <birthDate value="1955-01-06"/> <address> <use value="home"/> <line value="2222 Home Street"/> </address> </Patient> </resource> </entry> <!-- The encounter that is being documented. --> <entry> <fullUrl value="http://fhir.healthintersections.com.au/open/Encounter/doc-example"/> <resource> <Encounter> <id value="doc-example"/> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service, Middlemore Hospital between Jan 20 and Feb ist 2013 </div> </text> <identifier> <value value="S100"/> </identifier> <status value="finished"/> <class value="inpatient"/> <type> <text value="Orthopedic Admission"/> </type> <patient> <reference value="Patient/d1"/> </patient> <period> <start value="2013-01-20T12:30:02Z"/> <end value="2013-02-01T12:30:02Z"/> </period> <hospitalization> <dischargeDisposition> <text value="Discharged to care of GP"/> </dischargeDisposition> </hospitalization> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/> <resource> <Observation> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing for days prior to admission. </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="46241-6"/> </coding> <text value="Reason for admission"/> </code> <valueString value="Acute Asthmatic attack. Was wheezing for days prior to admission."/> </Observation> </resource> </entry> <!-- The first medication in the medications list --> <entry> <fullUrl value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/> <resource> <MedicationOrder> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <!-- The Human readible version of the script --> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Theophylline 200mg twice a day</p> </div> </text> <!-- The patient details will generally be in the Document resource in the Document bundle, but could just as easily point to a patient resource on a server --> <medicationCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="66493003"/> </coding> <text value="Theophylline 200mg"/> </medicationCodeableConcept> <patient> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Peter Patient"/> </patient> <!-- The prescriber details could also be within the bundle, but has the same options as patient --> <prescriber> <reference value="Practitioner/example"/> <display value="Peter Practitioner"/> </prescriber> <reasonCode> <text value="Management of Asthma"/> </reasonCode> <!-- a reference to the medication being prescribed. As described earlier, this could be contained (as is the example here), separately within the document bundle or simply a reference to a remote server. See comment in the contained resource --> <dosageInstruction> <additionalInstructions> <text value="Take with Food"/> </additionalInstructions> <!-- twice a day --> <timing> <repeat> <frequency value="2"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <!-- Orally --> <route> <coding> <system value="http://snomed.info/sct"/> <code value="394899003"/> <display value="oral administration of treatment"/> </coding> </route> <doseQuantity> <value value="1"/> <unit value="tablet"/> <system value="http://unitsofmeasure.org"/> <code value="tbl"/> </doseQuantity> </dosageInstruction> </MedicationOrder> </resource> </entry> <!-- The second medication in the medications list --> <entry> <fullUrl value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/> <resource> <MedicationStatement> <!-- The Human readible version of the medication statement --> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Ventolin inhaler discontinued</p> </div> </text> <!-- The patient details will generally be in the Document resource in the Document bundle, but could just as easily point to a patient resource on a server --> <status value="completed"/> <!-- a reference to the medication being prescribed. As described earlier, this could be contained (as is the example here), separately within the document bundle or simply a reference to a remote server. See comment in the contained resource --> <medicationCodeableConcept> <text value="Ventolin Inhaler"/> </medicationCodeableConcept> <patient> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Peter Patient"/> </patient> <dateAsserted value="2013-05-05T16:13:03Z"/> <wasNotTaken value="true"/> <reasonNotTaken> <text value="Management of Asthma"/> </reasonNotTaken> </MedicationStatement> </resource> </entry> <!-- The Allergy. --> <entry> <fullUrl value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/> <resource> <AllergyIntolerance> <meta> <lastUpdated value="2013-05-05T16:13:03Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline : Hives</div> </text> <status value="confirmed"/> <type value="allergy"/> <criticality value="high"/> <substance> <text value="Doxycycline"/> </substance> <patient> <reference value="http://fhir.healthintersections.com.au/open/Patient/d1"/> <display value="Eve Everywoman"/> </patient> <recordedDate value="2012-09-17"/> <reaction> <manifestation> <coding> <system value="http://example.org/system"/> <code value="xxx"/> <display value="Hives"/> </coding> <text value="Hives"/> </manifestation> </reaction> </AllergyIntolerance> </resource> </entry> <signature> <type> <system value="http://hl7.org/fhir/valueset-signature-type"/> <code value="1.2.840.10065.1.12.1.1"/> <display value="Author's Signature"/> </type> <when value="2015-08-31T07:42:33+10:00"/> <whoReference> <reference value="Device/software"/> </whoReference> <!-- a real document would typically have an digital signature, but the publishing tools are not yet setup to produce a valid digital signature. 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"/> 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